What is mental illness?

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2.2 What is mental illness? Created by Professor Charmaine C. Williams, Ph.D Associate Dean, Academic Associate Professor Factor-Inwentash Faculty of Social Work, University of Toronto Š 2013, 2014

To view a detailed audio narrated version of this file go to: http://youtu.be/WhdjuL81yTQ Narration by Prof. C. Williams


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Lay perspectives •  •  •  •

Recognition of "madness" in ourselves and others Sadness, fear, confusion, disorgnization recognized and identified Link to ability to fulfill social role Continuum of mental health includes wellbeing and disorder What is mental illness? C. Williams Ph.D University of Toronto


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Medical (professional) perspectives •  •  •  •

Diagnosis, prognosis, treatment Link between disordered biology and disordered mind Continua vs. thresholds Lack of evidence for biological correlates in many illnesses and diseases

What is mental illness? C. Williams Ph.D University of Toronto


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Psychoanalytic •

Unconscious processes from previous relationships dominating conscious processes = illness or disorder Continuum of abnormality and normality

What is mental illness? C. Williams Ph.D. University of Toronto


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Psychology •  •  •  •  •

Five Factor Model: Conscientiousness Agreeableness Neuroticism Openness to experience Extraversion

Maladaptive behaviours Distorted cognitions Personality psychopathology Humanists: similar to “wellness” concepts Positive psychology

What is mental illness? C. Williams Ph.D. University of Toronto


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Sociology eg., Goffmann •  •  •

Regulating and controlling deviance Social construction of mental health problems and mental health expertise Social negotiation of what is acceptable and unacceptable

What is mental illness? C. Williams Ph.D. University of Toronto


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Social Workers? •

Probably, all of the above (biopsychosocial perspective + person-inenvironment perspective Systemic reinforcement of power and privilege, opportunities for empowerment and resistance •  •  •

Professionals Communities Diagnosed individuals What is mental illness? C. Williams Ph.D. University of Toronto


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Recovery perspective •  •

Mental health in the presence of mental illness Mental health following mental illness

What is mental illness? C. Williams Ph.D. University of Toronto


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