Mental Retardation

During the 1700’s the jails were not only used to confine criminals, but they confined people with mental illness as well. People with mental illness were subjected to inhumane treatment, even when the individual was admitted

In the counseling world today understanding psychodynamic approaches is more crucial than ever in the assessment and treatment of any psychological issue. Psychodynamic approaches such as Individual therapy, analytical therapy and psychoanalysis are similar in many ways but also differ based on the individuals own perception and circumstances. I will discuss the similarities as well difference’s and why these forms of therapy are critical in the assessment and treatment of clients.

In early American history, individuals with mental illnesses have been neglected and suffered inhuman treatments. Some were beaten, lobotomized, sterilized, restrained, in addition to other kinds of abuse. Mental illness was thought to be the cause of supernatural dreadful curse from the Gods or a demonic possession. Trepanning (the opening of the skull) is the earliest known treatment for individuals with mental illness. This practice was believed to release evil spirits (Kemp, 2007). Laws were passed giving power to take custody over the mentally ill including selling their possessions and properties and be imprisoned (Kofman, 2012). The first psychiatric hospital in the U.S. was the Pennsylvania Hospital where mentally ill patients were left in cold basements because they were considered not affected by cold or hot environments and restraint with iron shackles. They were put on display like zoo animals to the public for sell by the doctors (Kofmen, 2012). These individuals were punished and isolated and kept far out of the eyes of society, hidden as if they did not exist. They were either maintained by living with their families and considered a source of embarrassment or institutionalized

But other patients had reasons to be in the asylum. On Tennessee Genealogical Society web site you can read why mentally healthy women went to the insane asylums. Some of the women were put in the asylum because they questioned the authority of their husbands or they were not good housewives. Any woman was at risk of being put in an insane hospital if they did either one of those. Also, if women got to old the husband could have her put in a hospital and take a younger wife. Once a woman was committed, it was as if she died, an obituary was published, usually. A landlord could have a person committed for not paying rent. A boss could have an employee committed if they were slow or a bad employee. People could be committed if they were poor, being an alcoholic, a person with a short fuse, or anyone who deviated from the normal thing society thought was right. These could go for men or women, but most were filled with women. Also, children who acted out or had mental or physical disabilities were also placed in mental asylums. A blind child or a child with a speech problem would be locked away for the rest of their life just because they had a birth

Hippocrates was the first to recognize that mental illness was due to ‘disturbed physiology’ as opposed to ‘displeasure of the gods or evidence of demonic possession’. It was not until about one thousand years later that the first place designated for the mentally ill came to be in 15th century Spain. Before the 15th century, it was largely up to individual’s families to care for them. By the 17th century, society was ‘often housing them with handicapped people, vagrants, and delinquents. Those considered insane are increasingly treated inhumanely, often chained to walls and kept in dungeons’. There are great strides for the medical treatments for the mentally

humanistic therapy are two approach that psychologist use one a daily. Both therapy come with

During the 1800s, treating individuals with psychological issues was a problematic and disturbing issue. Society didn’t understand mental illness very well, so the mentally ill individuals were sent to asylums primarily to get them off the streets. Patients in asylums were usually subjected to conditions that today we would consider horrific and inhumane due to the lack of knowledge on mental illnesses.

The conditions of the prisons and asylums of the 1800’s were archaic even for that era but by today's standards are criminal in themselves. The march 26th, 1880 edition of The New York Times ran a story titled Out of an Insane Asylum, which described one patient's first hand treatment. According to the story that The New York Times ran this particular patient was beaten on several occasions seemingly at the whim of the people in charge (The New York

Wright, D. (1997). Getting out of the asylum: understanding the confinement of the insane in the nineteenth century. Social History of Medicine, 10, 13

The mentally ill were cared for at home by their families until the state recognized that it was a problem that was not going to go away. In response, the state built asylums. These asylums were horrendous; people were chained in basements and treated with cruelty. Though it was the asylums that were to blame for the inhumane treatment of the patients, it was perceived that the mentally ill were untamed crazy beasts that needed to be isolated and dealt with accordingly. In the opinion of the average citizen, the mentally ill only had themselves to blame (Surgeon General’s Report on Mental Health, 1999). Unfortunately, that view has haunted society and left a lasting impression on the minds of Americans. In the era of "moral treatment", that view was repetitively attempted to be altered. Asylums became "mental hospitals" in hope of driving away the stigma yet nothing really changed. They still were built for the untreatable chronic patients and due to the extensive stay and seemingly failed treatments of many of the patients, the rest of the society believed that once you went away, you were gone for good. Then the era of "mental hygiene" began late in the nineteenth century. This combined new concepts of public health, scientific medicine, and social awareness. Yet despite these advancements, another change had to be made. The era was called "community mental health" and

The mentally ill were treated very inhumanly in the early insane asylums. Some of the

Unfortunately, asylum founders could only guess at the causes of insanity. Patient after patient was admitted into the state hospitals, but the cause of their disturbance was often a mystery. Many were inflicted with various organic diseases, like dementia, Huntington’s disease, brain tumors, and many were in the third stage of syphilis. With no treatments available, providing humane care was all that could be done. In the years following the civil war American cities boomed and the asylum began struggling to keep up. Soldiers, freed slaves, and immigrants were stranded in a strange land. The asylum became organized more like a factory or small town. There were upper and lower classman, bosses and workers, patients with nothing, and patients with privileges. Sarah Burrows, a schizophrenic and daughter of a wealthy doctor had a ten bedroom house that was built for her on the hospital grounds. Burrows home was just a stone’s throw away from the hospital’s west wing, where over sixty black women slept side by side. (Asylum: A History of the Mental Institution in America). The hospital began to rely on the free labor the patients provided. However, isolating the hospital from the community meant there was no way of knowing what was happening inside the asylum. The asylum became a world apart. In the 1870’s, Elizabeth Packard, a former patient of St. Elizabeth’s, wrote about her mistreatment and abuse

During the 18th century, the mentally ill were normally cared for by family or loved ones. In acute situations, were they jailed or institutionalized. Social reformers began protesting against the detention of the mentally ill in jails. The conditions they were in were degrading and inhumane (Glazer, 2014).

The patients in these private institutions were pampered and the staff made sure they were treated individually. Studies show that when patients were given food one by one instead of getting it from one big tray, they felt like they were “being particularly looked out for”. The patients need to be happy in order to receive the results they need. There were also differences in care concerning women and men. In public hospitals, there was an even gender ratio. Although, that doesn’t mean equal treatment. While, the asylums in New England cared for more women than men. At Stockton State Hospital, five women were given a clitoridectomy because people believed they were acting unladylike and required a surgery. Sadly, this procedure still happens in many other countries around the world but not in America. Some people strongly believed that women should not have any sort of “mental illness”, and would go to extremes to “fix” them. These social views of gender in the 1900’s harmed female patients and some were given unnecessary procedures, they were “preferentially sterilized and lobotomized”. Another example of a mental illness was homosexuality, it was on the DSM until the early 1970’s. Nowadays, homosexuality is seen in a more normal light and more accepted by society. Now as for children who were mentally ill, they were not given harsh treatments as the adults were. They would do sand tray treatment and in school psychological clinics were made to

During the mid-1800’s the mentally ill were either homeless or locked in a cell under deplorable conditions. Introduction of asylums was a way to get the mentally ill better care and better- living conditions. Over a period of years, the admissions grew, but staff to take care of their needs did not. Asylums became overcrowded and treatments that were thought to cure, were basically medieval and unethical