Chapter 5 Reading: Emotional Behavioral Problems and Counseling

Core Concept of Ellis's Theory

Thoughts determine actions, helping to understand bizarre behavior and guide prevention and care.

Anorexia Nervosa

An eating disorder characterized by food restriction, severe fear of weight gain, and body image distortion.

Bulimia Nervosa

An eating disorder involving recurrent bingeing followed by purging or other compensatory behaviors.

Binge-Eating Disorder (BED)

An eating disorder characterized by recurrent bingeing without compensatory behaviors.

Medical Model of Mental Illness

Attributes emotional disturbances to physical-like diseases, genetics, or biological imbalances.

Interactional Model (Szasz)

Views mental illness as a myth, categorizing issues into personal disabilities, antisocial acts, and brain deterioration.

Rosenhan Study

Demonstrated that hospital staff could not distinguish sane pseudopatients from insane patients.

Effects of Labeling

Triggers stigma, strips rights, reduces self-accountability, and leads to self-fulfilling prophecies.

Scheff's Labeling Theory

Posits that social interaction and official labeling reinforce the 'mentally ill' role, driving chronic illness.

Homelessness and Mental Illness

1–3 million Americans are homeless, with 20–25% suffering severe chronic mental illness post-deinstitutionalization.

Involuntary Commitment Requirements

Requires evidence of imminent danger; patients retain rights to consent and refuse treatment.

Psychotropic Drugs

Drastically reduced state hospital populations post-1954 but carry risks of dependency and provide only temporary symptom relief.

Evidence-Based Practice (EBP)

Focuses on empirical interventions but may neglect the importance of the therapeutic alliance.

History of Mental Health Care

Evolved from demonology to humanitarian care, psychoanalysis, psychotropic drugs, and deinstitutionalization.

Community Mental Health Centers

Established under the 1963 Act to provide various localized mental health services.

Role of Social Work in Mental Health

Social workers are the largest group of mental health providers in the U.S., working in diverse settings.

Three Phases of Counseling

1) Building a Relationship, 2) Exploring Problems in Depth, 3) Exploring Alternative Solutions.

Rational Therapy (Ellis & Maultsby)

Premise that emotional distress arises from negative self-talk.

Rational Self-Analysis (RSA) Steps

Part A: Facts, Part B: Self-talk, Part C: Emotional consequences, Part D: Rational challenges, Part E & F: Goals.