The Use of Placebo - Assignment Example

PART 1. Placebo indeed has been used to present a psychological recovery for the If there have been successes that have been realized in the process of its use, the concept of demystification of the sick-role that is usually assumed by patient is always the key contributor to its success. The use of Placebo in place of antidepressants is a better way to avoid the side effects that drugs usually present. It is at the center of the beneficence and the ethical considerations that always surround the works of the therapists, which is to have the recovery of the patients at heart. Greenberg’s claim are valid and should form the foundation upon which the actions of the healthcare providers, particularly for the mentally ill individuals is grounded. 2. There are variations of concepts both ideological and practical in relation to how USA and developing countries view support to people with schizophrenia. Ideologically, the US believes that Schizophrenic persons may largely be helped through medication or close observation by the primary health care practitioners. This is not the same case with the developing countries. The developing countries view schizophrenic individuals as part of the society from which they come and that the problems they face are societal problems which may be addressed at all levels of the society including the members of the families from which the patients come. Practically, the US have been able to program their systems in a way that isolate the members of the society who are schizophrenic, which include placing them in confinement or facilities from where it is believed that they would be able to get help. This is not the same case in developing countries. It would be argued that, perhaps it is because of the lack that they experience in terms of setting up facilities that make it possible for them to take care of the schizophrenic individuals. But largely, in practice, people who are in developing countries regard isolation of the schizophrenic individuals as a way of neglecting the family responsibilities and dehumanizing the patients. As a result, they end up helping the sick to recover quickly. 3. According to Thomas Szasz, psychiatry is a concept that is borne out of politics and should not be the basis upon which helping individuals with suicide issues get stemmed. In his construction, among the three types of the suicide, the first two of the proper suicide and attempted suicide have their objectives. He notes that individuals who successfully commit suicide, indeed wanted to die, while those who attempted to commit suicide had a message to communicate, which would certainly have worked towards the betterment of their lives. However, psychiatry is vehemently criticized as a genuine approach to helping the patients. To him, it is more of labeling than good intent. Szasz points that psychiatry takes away the rights of the patient and overly gives the therapist absolute control over the patient. This is what Szasz regards as politicization of psychiatry which beats its objectivity. Considering that Szasz has argumentatively presented varied views of theorists, his position as competently dislodged the assertion that psychiatry is a treatment plan, rather it validates that fact that it is an institution of social control. Part 2 Mental illness has transformed at a high level and to a greater degree, has been engraved in the constitution. Judicial aspects of health have attempted to view mental illness in diverse perspectives. First, the initial appreciation of mental illness as deviance in the society had left those who suffered from the mental illness as victims of the judicial consequences. This had ensured that a lot of individuals who had such mental problems were confined in either jails or in prisons or even at some point placed in special facilities so that they would not have contacts with other members of the society. Greatest part of the lives of the mentally ill are lost while they are in confinement, and even if they are enrolled in special schools, there is no standard curriculum that will ascertain actual competitions with the rest of the population. The assumption had always been that such individuals would violate the rights of other people in the society. What had not come clear is the fact that the patients also had their rights, which needed to be critically observed. Secondly, there has been a lot of transformation in the judicial aspects so far as the treatment of the mentally ill is concerned. Regulations have now been placed including issues that deal with how the mentally ill should be treated. Medical services have now been integrated including the financial implications that now demand that the mentally ill be insured medically so that the burden of their care does not rest with the family alone. An issue like cormobidity, which is the state where individuals may suffer from two different conditions concurrently, has now been outlined by the law regarding treatment procedures, and the professional ethics that pertain to the handling of the mentally ill individuals both in the society and the facilities that they may occupy. For instance, the appreciation that the mentally ill should be regarded as helpless and defenseless individuals has been able to see families supported by the governments. This is one of the policy issues regarding the care of the mentally ill individuals. The above concepts have drastically transformed mental illness both structurally in the society as well as politically. The domain of mental health has now been regarded as a critical zone that would not only be left to the psychotherapists and the health care providers, rather other individuals who represent the interest of the large population. Broadly, institutions have endeavored to ensure that medical health practitioners with diverse backgrounds have been brought together to share similar cases and give specific perspectives. Student professionals such as pharmacists, audiologists, psychotherapist, nurses and social workers have always been brought together in order to acquaint student professionals with cases like mental illnesses. This has compelled legislative systems to set rules, regulations and procedures of how to handle mentally ill. Further, regulatory bodies that review the dynamics in the care of the mentally ill have also been instituted to ensure that relevance is achieved, even in the healthcare practice. PART 3 According to David Karp, particularly in his last chapter, he points that there is s significant role that is played by the social structure in as far as the management of depression is concerned. In recounting his life, and denouncing the mythical assumption that his life was good, he still believed that he was depressed person. Karp presents the main role that is played by the people who are depressed in writing and telling their own stories. This chapter has also presented Karp as one whose long struggle with the depression gives him the chance and ability to separate the relationship of the illness they face with the identity that they have as well as copying with the illness and the reaction that such copying presents to the friends and the family. The reflection of being in therapy is the chief intention that the book by Karp attempts to reveal. Karp has endevoured to place depression together with some of the mostly known severe mental issues such as schizophrenia, borderline personality disorders, addiction, and dissociative disorder. This gives depression a different structure all together. The views further presents him with the opportunity to give a general connection between the modern life that people live and the life that is covered with the mental illness. Karp however points clearly that finding the typical person to help defining the exact experience of the depressed is hard and in the event that that happens, then the theory provided would form a very strong foundation and solid predictions of the most accurate way of solving the problem in the society. Karp notes that speaking of sadness has played a huge role in enabling intelligent discussion on the thoughts that the interviewees would be having so far as depression is concerned. The last chapter also allows the reader to understand the meaning of the medication of the depressed individuals and further enables one to understand the deliberations on the antidepressants. The process of the healing the Karp, Fisher, Deegan and Elizabeth Longden leans towards appreciation of the ability of individuals to deal conclusively with the depression through a more social and societal level than focusing on the medical model. They believe that relying on the medical model encourages the sick roles and that would be detrimental to the success of the society. In the further understanding of the existing conditions of the schizophrenic, the authors have been able to demonstrate that a high level of care is contributed by the social care that is offered to the schizophrenic. This has also been in the attempt to demystify the myths that have always surrounded schizophrenic conditions. At some point, traditional views about schizophrenia have been rebuffed and reconstructed in a way that is accommodative to both the individuals who ascribe to the traditional views and to those who ascribe to the modern views. This has been a major emphasis that the authors have attempted to describe in the last chapter of the book. Mostly, the modern view has been supported by medical theory, which has also been viewed as impersonal and with no patient’s welfare ate heart. In more comprehensive manner, the chapter has placed a lot of significance to the personal touch that the traditional view, also considered to be more therapeutic has towards ensuring that the client has a better life than when they are just placed on medication. Read More