Mental Health

1

• Mental Health
• an introduction
• Hein van der Hulst
• HAN University
• Nijmegen, the Netherlands

2
Mind body dichotomy

• PLATO
• Body -gt material world
• Soul -gt world of ideas , so immortal
• DESCARTES
• Body like machine, physical laws
• Mind non-material entity, not physical laws
• mind lt-gt body

3
Mind body dichotomy

• Body affects mind accepted
• Mind affects body less accepted. WHY ??
• Induced pain -gtactivate brain areas
• Interpersonal frustration (gyrus cynguli)
• Social rejection -gtsame brain areas !!!
• still SOMATISATION or
• PSYHOSOCIAL FIXATION !!

4
Changes in European societies

• Societal change is leading to stress and mental
  ill health for the population.
• The consequence is a dramatic increase in burden
  due to mental illness and stress-related
  morbidity and mortality
• A social and societal psychiatry with focus on
  public mental health must have a renaissance.
• W.Rutz, University Hospital Uppsala, Sweden

5
Change in society

• LOSS of
• Values
• Social connectedness (cohesion)
• Religion (spirituality?)
• Meaning of life
• Dignity
• Identity
• Status
• Control owns life

6
Societal change results

• Depression
• Agression
• Alcoholism
• Addiction -gt STRESS
• Violence -gt mental illness (depression)
• Suicidality -gt morbidity mortality
• Risk taking behaviour
• Destructive life style
• Community syndrome

7
Societal Change effects

• Reorganize life(Portugal into the EU)
• Develop new values( think of the Baltic states)
• Swear off old beliefs (Turkey)
• But also
• Unemployment (financial crisis USA and now we
  also)
• -gt loss of dignity (no more family-provider!)
• -gt loss of self respect
• etcetera..

8
Mental illness

• Psychiatric diagnosis 15
• Stress/mental illness 30-50
• General practitioner/family doctor
• 40 60 illness related to mental state.
• So, dichotomy ??
• Mind- body relation, but
• Depression Czech Rep medicines
• Japan not showing! CULTURE !!
• Holland system thinking

9
New possibilities

• Neuropsychiatry
• Coping
• Socializing ability
• Reward systems
• Cognitive therapies
• Psycho-therapy
• -gt combining to
• holistic therapeutic programs of
• BRAIN MIND
• Conditio Humana

10
Brain mind

• Psychotherapeutic
• Humanistic approaches
• -gt quality
• -gt NURTURE
• SERVICES
• MENTAL HEALTH
• OBTAIN MENTAL SUPPORT

• Biological positivistic therapies
• -gt quantity
• -gt NATURE
• HUMANIZED
• COMMUNITY BASED
• HUMAN RIGHT TO

11
Social psychiatry

• Scapegoating, intolerance, social exclusion etc.
• -gt mental health professionals
• -gt innovative social psychiatry
• Pay attention to
• Empowerment (whats in a name!!!)
• Autonomy
• Coping ability
• Adequate helpseeking behaviour
• Increase social capacity
• Facilitate social cohesion

12
Social psychiatry

• Combination of
• Biological model (as support, not as cure!)
• Social model (to learn to cope with problems)
• Via system model
• Person system
• Person part of system
• Interaction system
• Health Care system
• Society system
• World system
• Atmosphere system ?!

13
I gave you information, not answers,you gave me
attention, and questionsso ??????Your client
(patient) will ask you questions,I hope you will
give information,and finallyyou will discuss,
butthe client will decide, not you!!!Hein van
der Hulst, the Netherlands
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Kolb
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Kolb
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