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due process
guarantee that the government must act fairly and follow established legal rules. Best possible protection that should respect all individual’s legal rights.
Mental Health
a state of well-being in which the individual realizes his or her abilities can cope with the normal stresses of life, can work productively and fruitfully, and can make a contribution to his or her community
Mental illness
A condition that affects a person’s thinking, feeling, or mood. May affect someone’s ability to relate to others and function daily. Each person experiences it differently.
True or false: those with mental illnesses usually begin with simple criminal offenses
True
FBI
Law enforcement with jurisdiction to investigate the case if it was a federal law violation.
Judge jurisdiction
Legal authority to hear a case based on geographical area
Limited court jurisdiction
Lower court, court of the people, no need for representation is jail is not a possibility. For misdemeanors and minor criminal/traffic cases with a maximum of 1 year in jail.
How has punishment for the mentally ill progressed
cops used to give minor infractions but now they use the courts as a gateway to enable detoxification, shelter, or stabilization.
General court jurisdiction
Felony charges with longer punitive sentences including the death penalty.
What is the balance of welfare checks
Have to weigh the persons right to be alone vs the question of safety.
If a mentally ill person waves their right to remain silent then
the voluntariness and knowingness of the waiver will be scrutinized
Custodial arraignment
Defendants that were not released from custody must be presented before a judge in 24-48 hours. This is the time where an attorney is appointed.
Bench trial is done with
a judge only
Jury trial is done with
peers
Parole
function of the executive branch. Either the defendant served their entire sentence or was release early. May be released into a halfway house or into the community. Conditional.
Early humanistic perceptions of mental illness
relied on the isolation of the mentally ill via psychiatric hospitals and insane asylums.
Insanity
legal reference for the defense to negate an element of a crime that requires specific intent.
Trephination
drilling holes in a victim’s head to allow trapped evil spirits to escape
Hippocrates belief
mental impairment should be resolved through noninvasive interventions. Classified 3 categories: mania, melancholia, and phrenitis
Hippocrates treatment
mental illness can be resolved by changing a person’s environment, occupation, or medications. Use exercise, tranquility, and bloodletting to establish humoral balance.
Bloodletting
restoring humoral balance. Humors are blood, yellow bile, black bile, and phlegm
Hysteria
specialized form of feminine mental illness due to wandering womb. Womb gets angry when the female has not had children for a while.
Renaissance and contagion era
mental illness is a contagious disease so the mentally ill were sent to the distant countryside or locked in hospitals. Start of separation and institutionalization.
Industrial revolution and the age of reason
Locked the mentally ill into punitive asylums because they were seen as nonproducive and nonessential. Bethlehem royal hospital was used to house “lunatics”
Dorothea Dix
advocated for compassionate care. Separate mental care from physical care. Led to the adoption of insane asylums that were overwhelmed causing them to morph into isolated facilities
Modern response to mental illness
Psychiatric professional claim mental illnesses are within their medical domain. Physical and therapeutic interventions including lobotomies, convulsive therapies, involuntary commitment, and forced drugging
True or false: forced drugging can still be used if medical testimony shows that medication is highly likely to lead to recovery or significant improvement
True
Deinstitutionalization of the mentally ill
Mental health services transitioned from state asylums to community based programs creating separate problems. Left nonviolent mentally ill people to live on the street
Mental healthcare system
multi-agency, corporate-based, loosely arrayed service-delivery approach with a federal, state, and local level. 5 trillion dollars per year is spent on healthcare with 280 billion spend on mental healthcare.
Average length of stay in a psychiatric hospital
10 days
Mental healthcare is primarily delivered at what level
local but how well it is delivered and its accessibility is governed by federal and state laws
Federal actions of healthcare
regulates systems and providers, writes rules clarifying the implementation of laws including the 1990 Americans with Disability Act. Sets privacy standards, prohibits abuse, and fights discrimination. Significant contributor to funding through medicare and the veterans administration.
Who is the largest provider of funds for mental healthcare services
Medicare
State actions of healthcare
must abide by all state and federal laws. Receives funding from federal programs and must abide by funding guidelines but are free to design how the system works.
Public services
non-profit, operated by federal, state, or local governments.
Private services
Non-profit, or for-profit. Owned and operated by an individual, group of individuals, or incorporated entitiy
True or false: more than half of mental health appointments are conducted remotely through telehealth
True
Ferguson v. City of Charleston
Hospital mandated drug screening for all pregnant woman leading to the arrest of patients for drug offenses and child neglect. Unconstitutional as it is a nonconsensual search and seizure of their blood and an intrusion of privacy.
what percentage of police contact with mental illness persons was for noncriminal behavior
40%, majority for minor offenses
The mentally ill are more likely to be
victims than violent
Not in my backyard syndrome
in response to deinstitutionalization people did not want them living, working, or volunteering in their neighborhood.
Plato believed
the soul lived separately from the body
Aristotle believed
The brain is the seat of thought and the heart is the center of emotions
Modern mind v body
the mind and brain work as one with separate functions. Activity of the mind is associated with specific parts of the brain
Functionalism
mind is a function of the brain and the product of its physical activity.
True or false: humans are the only known biological creatures that store their knowledge outside themselves
True we pass information down through experiences and written information outside our brain
How is the mind like a book
Each brain are very similar to each other but it is the experiences and contents of the mind that are unique to each person.
Conscious level
First level consisting of our immediate thoughts. I am cold, i am anxious, i am hungry. These emotions show up even when the person isnt conscious of them
Preconscious level
memories, experiences, and stored knowledge. Readily accessible to the conscious mind. Immediate memories are retrieved. Immediately available for the conscious mind to retrieve our memories
Unconscious level
Fears, violent motives, immoral urges, irrational wishes, unacceptable sexual desires, and shameful experiences. Hidden self. Invisible to others and ourselves. Impulsive and uncontrollable thoughts
Where are our predictable and unpredictable behaviors located
The unconscious
Youth who report 5 or fewer hours of sleep are significantly more likely to
commit violent crimes due to low self-control
Gene Methylation
association between trauma and epigenetic alterations are passed down. Behavior and our environment influences genetic expression.
Field sobriety tests
assses a person’s reflexes and cognitive reflexes
According to the American Academy of Nuerology
Brain death occurs in individuals who sustain catastrophic brain injury without evidence of reflexive brain functionality. Lack of reflexive function must be permanent.
Many of are personality characteristics develop
in the womb, usually in the last trimester. Prenatal conditions including maternal mental health can influence our personality for a lifetime.
3 baseline classifications of personality
Positive(234,37%), neutral(112,18%), and negative(292,46%).
Introverts
quieter and more energized when alone. Better listeners, thicker portion of gray matter in the prefrontal cortex with more activity in the frontal lobes.
Extroverts
Verbalization, gain energy from being with others. Outgoing, charisma, and persuasive. Thinner and less gray matter in the perfrontal cortex causing them to take risks.
Neural pathways thrive with
love and attention. Infants who have no contact with an adult figure cannot attach affection to any human.
Brains of neglected babies have
fewer neural connections, fewer intellectual tracks, and ewer pathways on imagination and curiosity.
Galen and his 4 temperaments
sanguine (social), choleric (short-tempered), melancholic (analytic), and phlegmatic (relaxed)
Normative behavior
personality traits that make up a good or happy person
Non-normative behavior
personality traits that emerge with mental illness
Myers-Briggs Type Indicator
Most definitive and often used psychometric test. Must be administered by a professional clinician. Personality descriptions are generally positive with the extreme ends being disordered personality.
Minnesota Multiphasic Personality Inventory
One of the most administered psychometric tests. Assesses mental health, illnesses, and personality.
MMPI assesses
depression, psychopathy, paranoia, anxiety, bizarre thinking, and antisocial practices.
Law enforcement uses the MMPI to
screen out unsuitable recruits
The MMPI-3 is administered to
prison inmates to determine rehabilitation and threat level classification
Criticism of the MMPI
relies on interpretation, limited commonalities, and the language can be outside of the user’s comprehension level
Level of Personality Functioning-Scale-Quesionnaire-based implication association test
Developed to overcome racial and cultural influences presented in intelligence testing. Eliminates the influence of verbal intelligence factors.
Cognition
accumulation of information, intelligence, and cybernetic knowledge that informs the mind to process experiences and then translate the experiences into language and intellectual action
IQ tests
diagnosis learning disabilities. Do not measure talent, artistry, social adeptness, or normalcy. Does provide some prediction of academic success.
Criticism of IQ tests
they do not evaluate the strengths of right brained people like creative writing or music composition. Fails to address cultural, linguistic, and intellectual influences
Brainwashing
mind control when a person abandons critical thinking to accept complete dependency on external influences and people. Surrendering one’s own identity. Based on manipulation techniques.
Permanence of reversing brainwashing depends on
an individuals personality, motivation, and their supportive environment
Stimulating the brain with low levels of electricity is used to treat
motor disorders like parkinson’s disease and epileptic seizures and psychiatric conditions such as OCD
Human Connectome Project
Catalog brain maps with the mental recognition of objects and emotions. Allows the identification of interrupted neurological pathologies based on distorted/non-responsive reactions.
Augmentation
combination of medicine to dilute psychological disorders. Effective in acute onset of mental decline and prevent relapses but effects are unclear for long term.
True or false: no one knows what people need to be brain-healthy
True, ideas do not have enough scientific scrutiny
Bergland’s athletes way
for a healthy brain engage in daily physicality. Encourages intellectual curiosity, fostering creativity, creating social bonds, establishing connectedness, and maintaining caloric intake
True or false: when physical or mental illness occurs there are rarely overt signs
True
Physical movement can
spur the growth of new brain cells, boos cognition, can release the neurotransmitters norepinephrine and epinephrine
My Resilience in Adolescence
Prevalence inflation. Mislabeling mild or temporary symptoms as mental health disorders. Self-labeling
Co-rumination is higher in
girls, more attuned to their friends
The MBTI (Myers briggs) has
16 personality clusters
Analyst MBTI
logician, architect, commander, and debater
Diplomat MBTI
Advocate (quiet, idealist), mediator (poetic kind), protagonist (charismatic, inspiring), campaigner (enthusiastic, creative)
Sentinels MBTI
logistician (practical), defender (dedicated), executive (managing), consul (caring and popular)
Explorer MBTI
Virtuoso (bold, practical), adventurer (flexible, charming), entrepreneur (smart, energetic), entertainer (spontaneous, energetic)
For cognitive function a healthy brain
is evidence of the ability to engage in cognitive reason
Since 1993, investigation into mental and brain scans with MRIs have increased by at least
200%
Theories
concepts and highly organized statements based on systematically studying a phenomenon or class of phenomena
Rules of a theory
Must precede outcome in time (temporal), a statistical relationship must exist, and there must be an absence of spurious relationships.
Theories are applied to
predict an outcome, specify when and under what conditions something is likely to occur
What is the standard experiment
controlled with double-blind since it is the most valid
Cohort
Longitudinal, examines similar groups over time, no individual change
Trend
Longitudinal. What is happening to similar groups through time. Does not look at the same individuals or same groups
Census
collecting information from everyone in the population. Expensive and difficult.
Case study
in-depth examination of individuals or events that reveal important finding about the object of study