Mental health - ANSA state of successful performance of mental function, resulting in productive
activities, fulfilling relationships with other people and the ability to change and to cope with
challenges
Mental Disorders - ANShealth conditions that are characterized by alterations in thinking, mood,
or behavior associated with distress and/or impaired functioning; the most common cause of
disability
Mental Illness - ANSThe term that refers collectively to all diagnosable mental disorders
Dorthea Dix (1802-1887) - ANSFormer school teacher; believed mental illness was curable;
state hospitals should provide humanistic therapeutic care but institutions were overcrowded
and understaffed and therapeutic care reverted to custodial care
Linda Richards (1873) - ANSFirst American psychiatric nurse; developed better nursing care in
psychiatric hospitals
Mclean hospital in Waverly, MA - ANSFirst psychiatric school of nursing open in 1882; focus still
on custodial care and not study of psychological concepts
1955 - ANSPsych nursing incorporated into curricula and undergrad requirement; nurse patient
relationship, therapeutic techniques, somatic therapies (ECT, insulin)
Post WWII - ANSIntroduction of antipsychotic meds; graduate level education in psych nursing
established; Mental Health Act
Hildeguard Peplau - ANSAdvocate for relationship-based care; "PMH nurse does more when
the patient can do less and less when the patient can do more"; she was considered the
"Mother of Psychiatric Nursing"; based clinical competence on interpersonal techniques and use
of the nursing process
Psychopharmacology - ANSBreakthroughs through post WWII
Electroconvulsive therapy (ECT) - ANSDone under general anesthesia, and small electric
currents are passed through the brain, intentionally triggering a brief seizure
Repetitive transcranial magnetic stimulation (rTMS) - ANSA noninvasive form of brain
stimulation therapy used to treat mental illness, notably depression and anxiety
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