MENTAL
MENTAL
MENTAL
An Epidemiological Perspective
1
Mental Health-Everybody’s
Business
• Peter Sims
• Professor of Public Health
medicine
• University of Papua New
Guinea
• <[email protected]>
2
Teaching and Learning Aims
• There is ignorance,
superstition, stigma and
fear around Mental Illness
• Aetiology, pathogenesis
diagnosis and treatment
are imperfect.
• There is a different
paradigm and a less
rigorous epidemiology
3
Often sad,sometimes
mad,occasionally bad
• The medical model is
• insufficient
• Diagnosis is largely
• clinical and
experiential
4
More of an art than a science
• Treatment is
pragmatic
• Prevention is about the
politics of health
• “populations,people
pressures, poverty”
5
Mental Health is a worldwide
problem
6
Mental illness is common 6 in 10 women and 4 in 10 men
in Western Europe and North America will have a
significant mental illness during their lifetime
7
We are all vulnerable
8
A Holistic Approach
BODY
Arrow of Time
CULTURE
MIND SPIRIT
9
Intelligence
IQ = 100
IQ
11
Behaviour
ID The Child
12
The Subconscious Mind
The Conscious
The Subconscious
13
A Classification
• Affective Disorders
Substance abuse problems
• Anxiety,depression,mania,obsessional disorders Drugs, alcohol
• Organic states
• Delirium,dementia
• Personality Disorder
• Abnormal personality,Psychopathy
14
The Classification of Mental Illness:
The Neuroses
Depression, Anxiety, Mania, Obsessions and compulsions
(usually the patient retains insight and orientation; they
experience deep distress and may commit suicide)
The Psychoses
The Dementias
16
The Classification of Mental Illness
Drug Problems
Personality Disorders
A personality and behaviour that is damaging to the individual
and/or to society and which is not tolerated by the dominant
culture
Hospital Care
Community Care
19
Preventive Networks
Church,Family, Home, Friends,
Work
20
The Mental Health Act
Compulsory Psychiatric
Treatment
Criminal responsibility
Power of attorney
21
Mental Handicap/learning disability
22
Canst thou not minister to a mind diseased,
Pluck from the memory a rooted sorrow,
Raze out the written troubles of the brain,
And with some sweet oblivious antidote
Cleanse the stuff’d bosom of that perilous stuff
Which weighs upon the heart?
Macbeth 23