OUTLINE FOR LECTURE NOTES IN PSYC 405

Remember, this information is most helpful if you READ AHEAD AND USE THE OUTLINE TO PREPARE FOR CLASS BEFORE YOU GET THERE!

CHAPTER 14 AND INTRO TO CLINICAL MATERIAL PHENOMENA

Note: we are doing this chapter "out of sequence" with the book.

I. Chapter 14: Mental Health Services: Legal & Ethical Issues + Introduction to clinical phenomena.

....A. Introduction: Case of Arthur

....B. Civil Commitment (As opposed to criminal)

.........1. Two trends

.........2. Criteria for Civil Commitment (Involuntary Hospitalization)

.........3. Deinstitutionalization: Criminalization, Transinstitutionalization, Failure

....C. Criminal Commitment

.........1. Insanity Plea

..............a. M'Naghten rule 1843 (Defect of reason)expanded by Irresistible impulse rule 1887 (Not in text, "temporary insanity")

..............b. Durham rule 1954 (Product of mental disease or defect)

..............c. American Law Institute 1962 (or Brawner rule - lack of substantial capacity)

..............d. Diminished Capacity 1978 (Twinkie defense)

..............e. Insanity Defense Reform Act 1980s

..............f. Recent swings in the "pendulum"

.................1. No insanity plea

.................2. But Mentally Ill (GBMI)

.................3. Ex. Gun laws and mental illness

.........2. Competency to Stand Trial

.........3. Others Laws

..............a. Duty to protect/warn (Tarasoff decision)

..............b. Patient rights

....D. Clinical Practice Guidelines

.........1. Text: Efficacy and Utility

.........2. Other: Concept of "evidence-based" practice/treatment

....E. Other Social Information: The Human Face of Mental Illness

.........1. Video on "Bob:" Myths, Labels, Diagnostic, and Interface Issues

.........2. National Alliance for the Mentally Ill family and consumer's link

II. Introduction to the Clinical Phenomena: Basics (mostly not in text)

....A. Basic Treatment Information

.........1. Effectiveness Research

............a. Different therapeutic approaches: Zen and Psychotherapy Reading. You may access it through the link on the Announcement/Resources page.

............b. Research results

...............1. Different treatments for different conditions

...............2. Some "common" or "nonspecific" factors of all good therapies

...............3. Examples (Torrey): Shared view, Therapist characteristics, client expectations, sense of mastery

.........2. Medications: Basic Groups

............a. Major tranquilizers or antipsychotics or NEUROLEPTICS

...............1. For thought disorders

...............2. Phenothiazine (Thorazine)

............b. Minor tranquilizer or ANXIOLYTICS

...............1. For anxiety

...............2. Benzodiazepines (Valium, Xanax)

............c. Antidepressants

...............1. Tricyclics (Elavil)

...............2. MAOI (Nardil)

...............3. Bicyclics, especially SSRIs (Prozac)

............d. Other (Usually "antimanic")

...............1. Lithium carbonate

...............2. Anticonvulsants

............e. Amphetamines

............f. Click here for a list of common medications and groups.

.........3. General Therapuetic "Rules"

............a. Least invasive to most invase treatment

............b. Medications with counseling is usually better than medications alone

....B. Non-Disorder Disorders" "Conditions That May be a Focus of Clinical Attention" or 'V-Codes"

.......1. Symptoms

..........a. Academic/occupational problems

..........b. Uncomplicated bereavement

..........c. Phase of life problem

..........d. Marital/child problem

..........e. Spiritual problem

.......2. Causes: Life

.......3. Treatment: Ventilation

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