Final exam

Question 1

16th century what kind of therapeutic social control ?

Answer 1

Mad people removed from homes and given to mad doctors

Question 2

1800s-what kind of therapeutic social control

Answer 2

• mental patients are able to be responsible
• patients not helpless
• temporality I’ll

Question 3

1930s-what kind of therapeutic social control

Answer 3

• insulin induced coma test subjects

- mortality rate high

Question 4

1950s-what kind of therapeutic social control

Answer 4

Large mental hospitals

Sedating patients

Question 5

1960- Critique of Total Institutions

Miller/Schwartz studied what about mentally disturbed?

Answer 5

Studied civil hearings where mentally disbursed come before a board to get out of hospital

Question 6

20th Century- what kind of therapeutic social control

Answer 6

• closed down many institutions

- outpatient

Question 7

Critique of total institutions - Robert Penucci

Answer 7

Adaptations to Hospital Environment

1) Withdrawal
2) Accommodation
3) Resistance
4) Conversion

Question 8

Critique of Mental institutions -Greenley Study of mental hospital

Answer 8

Interested in:how long people stayed in hospital

Found: family influenced

• if family wants them home they will go no matter how ill
• if family wants them to stay they will no matter how well they are

Question 9

Harrow Study on schizophrenia patients

Answer 9

Compared schizophrenia patients
Recovery rate on meds- 7%
Not taking drugs- 23%

Question 10

What were the procedures and criteria required by the FDA approval process for new drugs

Answer 10

• only need 2 studies to show their drug is effective
• preclinical testing -on animals
• phase 1- human testing young healthy people
• phase 2- smaller trials 50-300 diagnosed with condition
• phase 3- patients they same /double blind condition valid
• phase 4-post marketing surveillance

Question 11

What is an example of a bias on FDA drug trials

Answer 11

Placebo washout
Determine which people react to placebo and exclude them

Do not count people who drop out of study

Adverse reactions to drugs counted as consequences of the illness

Take people out who have adverse reactions to medication

Question 12

main federal laws related to the food and drug administration and its activities

Answer 12

1906-pure food and drug act
1912-Shirley amendment 
1938-federal food, drug and cosmetic act
1951-Durham Humphrey amendment 
1962-kefauver Harris amendment 
1992-prescription drug user fee act
1997-food and drug admin act

Question 13

1912 Shirley amendment

Answer 13

Cannot say your product cures anything no fake advertising

Question 14

1938 federal food drug and cosmetic act

Answer 14

Law gave FDA control over safety of products have to file showing new product safe

Distinction between over the counter vs prescription leave up to drug companies

Question 15

Describe how medicalization of behavior occurred. How did sets of behaviors become new mental illnesses ?

Answer 15

• committee meet to change DSM and put together proposal/do studies /make revisions
• If there is a drug in place already to help something (such as anxiety) it is easier to add that to the DSM as a mental illness
• drug companies putting money into showcasing drug -broaden dsm to sell drugs

Question 16

1951 Durham Humphrey amendment

Answer 16

Drug companies determine what drugs need prescription

Question 17

Drug company misconduct -large number of victims serious harm

What kind of social control is applied when they engage in illegal and unethical behavior ?

Answer 17

LOW likelihood of Penal style,trilateral form

They are a high status offender - and consumers are low status

CLOSE social distance between justice department and FDA

USUALLY COMPENSATORY /fines to company not penal

Question 18

How well do prescription medications work? use example

1950- thorazine

Answer 18

1950 thorazine-
was used as anti-psychiatric
would slow down motor activities
calm a disturbed personality

side effects-
drooling, blurred vision, shakiness, inability to concentrate

Question 19

Anti depressants

Answer 19

1/3 of patients don’t respond to anti depressants, give loss of sex drive, kidney failure, coma, strokes

Question 20

Harrow Study on schitzo patients

Answer 20

Study compared schizophrenia patients on drugs v not on drugs

Recovery rate on drugs- 7%
Off drugs- 23%

Question 21

What is the most important mental health pattern since 1980

Answer 21

We are on more drugs than ever however numbers of mentally ill are not going down