Friday 28 June 2013

Ramya raju, 1114387

Humanitarian approach
It was during the late Middle Ages where there was scientific questioning and this lead to the importance of humanism and later treatment to mental disorders became challenging.

The establishment of the early asylums
During the sixteenth century special institution called asylums for the mental ill grew up in number. This was established for the troublesome people who could not take care of themselves. There was an increase in scientific enquire in abnormal behavior and earlier asylums were called as madhouses .many hospitals for asylums were established in many countries for mental illness. Earlier asylums were modified by penal institution and people were treated as beasts than human beings.


Rush and moral management in America
There was success in the humanitarian experiments and this lead to a revolution in the treatment of mental patients. During the Humanitarian reform there was use of moral management.

Moral management refers to a method of treatment that focuses on the individuals /patients social, individual occupational needs. Moral management in asylums looked at the patient’s moral and spiritual development rather than physical and mental disorder. Moral management was very effective.  In spite of the effectiveness of moral management it was abandoned .there were various reasons such as ethnic prejudice which lead to misguide belief among people. 
The two other reasons for the demise of moral management was in retrospect, truly ironic.
One of the raise of mental hygiene movements. This mainly focused on the physical of the hospitalized patient’s .through this patients comfort level improved in mental hygienist but patients did not receive help for them. Their problems lead them to be dependent. Advance in the biomedical also lead to the demise of moral management and increased mental hygiene movements. The psychological and social environment was irrelevant for the patients. Thus the
Mental hygiene movement did not have much of negative effects and this has lead to accomplishments of Humanitarianism.
The Humanitarian reforms
In eighteenth century  countries like Europe and America mental hospitals were in great reform. The humanitarian treatment of patients received great influence from the work of pinel in france.

The pinel’s experiment
After the French revolution in 1972 pinel took charge in Paris. He took permission as to mental patients should be treated with kindness and not like beast or criminals. This experiment was of great success. Freedom was given to the mental patients their chain were removed, they could exercise around the hospital. This effect had great result. Noise and abuse was replaced with peace and order. And pinel said that the entire discipline had a good effect on mental patients. The Humanitarian reforms were also found in France as well. The documents by jean Baptists had removed the chains of patients and also this document had forbidden the staff of hospital in beating the patients.

The military and mental ill
Mental health treatment was also advanced by military medicine. The confederate army had the first mental health facilities for mental disorders.  In 1880 there were extensive influences in Germany military psychiatry. Lengweiler reviewed the evolution of military psychiatry in Germany in 1870.a number of psychiatrists made great contribution in the field of abnormal psychology. kraepelin viewed alcohol as a cause of psychological problem among soldiers. And due to alcohol consumption soldiers had difficulties in firing in war.

Cause and treatment of mental disorder

In the early nineteenth century the medical professionals or the alienated used to take care of insane and also the management of asylums during those days. There were no effective treatment for mental disorder and only due to drugging, bleeding had few objective results. The alienists acquired more status and influence in society. Mental disorders were not understood properly and certain conditions such as depression was considered as nervous exhaustion.

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