Maggie Sabik Carly Browning Period 6 Ms.

Wray

Ethics in Psychiatry
Societies

acceptance of the mentally ill

Moral Implications of treatment Concerns of society affecting the emphasis of treatments Scrutiny of psychiatry

Infamous Insane Asylums:

Danvers State Hospital
1878, Boston Built for 500 patients, had over 2,000 by the 1940s Birthplace of the lobotomy Electroshock therapy Closed in 1992, burned down

Infamous Insane Asylums:

Pilgrim Psychiatric Center
1931, Long Island Relieve overcrowding 14,000 patients by the 1950s Violence of treatments increased with population Lobotomies Electroshock therapy Induced comas with large doses of insulin and metrazol

Infamous Insane Asylums

Topeka State Hospital
First in the US 1872

Overwhelming numbers
Lack of Funding, no schedule Bad Reputation The Murder of Stephanie Ulhrig Closed in 1990 due to budget cuts

Infamous Insane Asylums

Bethlem Royal Hospital

First in the world Londons History Progression to Today Top mental research hospital in the world Art Museum

Pain-Drug Hypnosis: Ron Hubbard

Shock Therapy treatment

Purpose of treatment Install compulsive behavior in a person

Effects on patient, psychiatrists, and assistants Dehumanizing Success rate Very low, often more detrimental than beneficial

Under pain and drugs a person will accept orders which even bring about his death and afterwards execute them Ron Hubbard, father of Scientology

The Psychopath Test: Ron Jonson

Diagnosis for psychiatric patients and its inaccuracy Limits of technology Sincerity of the patients Continued inaccuracy Tony

Marie Balter
Marie Balter, Nobodys Child

Childhood Inability for a stable diagnosis

Mistreatment at Danvers State Hospital

Years of treatment and release Marriage and Harvard Progress in psychiatric wards today

Success stories

Deborah Wiig, The Los Angeles Times 2011

Jakes story

requirements of the Hospital Daily Hospital Routines Warnings to those admitted into the hospital Released successfully

"I was scared to death," said Jake, a 39-year-old systems analyst in Seattle. "I came very close to suicide. I realized I needed help."

Influence and Coercion

Douglas P. Olson, M.D.

Relationship between patient and psychiatrist Benefits of treatment vs. no treatment Training of psychiatrists: adequate?

Research Funding in Millions of Dollars

Down Autism Syndrome 3% Intellectual and Schizophrenia 0% Developmental 4% Disabilities 5%

Cancer 88%
Data taken from the National Institutes of Health, U.S. Department of Health & Human Services

Solutions
More attention/education about mental illnesses (increased awareness = increased public support)
Increased government funding

Safe & effective treatment development/non-drug treatment

Integration of released (cured) patients into everyday society

Sources
150 Years of Institutional Care in America: 1000s of People in State Operated Public Institutions (graph). Center for Outcome Analysis. Web. 26 Nov. 2012.

Balter, Marie and Richard Katz. Nobodys Child. Cambridge: Da Capo Press, 1992. Print.
Belkin, Lisa. Mental Hospital Expects to Fail Review. The New York Times 14 Oct. 1991. Web. 1 Dec. 2012. Estimates of Funding for Various Research, Condition, and Disease Categories (RCDC) (chart). National Institutes of Health. Web. 9 Dec. 2012.

Helmchen, Hanfried, Sartorius, and Norman. Ethics in Psychiatry. Springer Books, 2010. Web. 3 Dec. 2012
Hubbard, Ron. Pain-Drug Hypnosis. Church of Scientology International 2 March 1969. L. Ron Hubbard The Humanitarian: Freedom Fighter Articles and Essays . Web. 28 Nov. 2012. Olson, D.P. Influence and Coercion. Psychodyssey.net. Yale School of Nursing, n.d. Web. 3 Dec. 2012. Ronson, Jon. The Psychopath Test. New York: Penguin Group, 2011. Print. Taylor, Jeremy. The Most Famous and Notorious Insane Asylums in History. Asylum. 2 Feb. 2010. Web. 9 Dec. 2012. Wiig, Deborah. So Youre Going into a Psychiatric Hospital. Moodletter. HONcode, 1 Feb. 2011. Web. 2 Dec. 2012.