Beyond the layman's madness
digital file Black & White Sound 1976 39:09
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Summary: Based on the 14th Sir Geoffrey Vickers Lecture for the Mental Health Foundation, Professor Michael Shepherd talks about and attempts to define mental disorders currently affecting the population. He bases his lecture around three questions: what types of mental disorder do we encounter? How much illness is subsumed by these categories and where and how are the patients suffering from such disorders to be identified? He calls on much evidence from different studies attempting classification processes and points out the huge variance between them. Throughout, Shepherd questions whether or not it is possible for there to be a universally agreed categorisation system for mental health. 8 segments.
Title number: 18350
LSA ID: LSA/21507
Description: Segment 1 Professor Shepherd talks to camera and explains the main questions his lecture on mental illness will include. He shows tables listing all the mental disorders included in the 8th edition of the International Classification of Diseases and he describes the main classes and sub-classes of these diseases. Time start: 00:00:00:00 Time end: 00:05:01:00 Length: 00:05:01:00 Segment 2 Shepherd shows further charts detailing the classification and prevalence of different forms of mental illness. He points out that data varies according to the institution publishing it and he discusses differences in classification in general. For instance, some institutions classify anorexia nervosa as a psychogenic disease, some as a psychosomatic illness and some as a psychosocial problem. Time start: 00:05:01:00 Time end: 00:09:39:00 Length: 00:04:38:00 Segment 3 Shepherd looks at the classification of mental illness from the 1960s, in particular the list of admissions. He compares these to the same kind of list from hospital admissions in 1949. Interestingly, in 1949, 50% of patients admitted were classified as suffering from alcoholic psychosis. Shepherd looks at how alcoholism has been classified as a form of mental illness since then and shows a chart detailing the kind of classifications for this in relation to the presence of liver disease. Time start: 00:09:39:00 Time end: 00:16:15:00 Length: 00:06:36:00 Segment 4 Shepherd moves on from looking at inpatient statistics to look at statistics relating to outpatients. He shows a table comparing the two - outpatients are mainly classified as having neuroses and personality disorders while inpatients have higher number of people suffering from psychosis. Time start: 00:16:15:00 Time end: 00:20:31:12 Length: 00:04:06:12 Segment 6 Shepherd shows a graph detailing how many cases of mental ill health make it into GP or other medical statistics. He then talks in general about the recognition of mental illness, listing the stages from initial discomfort in the patient to being classified by a healthcare professional. Time start: 00:25:06:12 Time end: 00:30:37:17 Length: 00:05:31:05. Segment 7 Shepherd talks about how classifications help in case identification, if nothing else. He describes how new systems suggested by the World Health Organisation have altered classification processes and shows a table listing some new types of classification. Shepherd also looks back at the 1943-1952 British Survey of Sickness and describes the statistics listed there. Time start: 00:30:37:17 Time end: 00:36:00:00 Length: 00:07:22:08. Segment 8 Shepherd talks about the US National Health Survey from the 1960s which was based on a sample of 8000 people aged between 18 and 79. He concludes his lecture by discussing how difficult it is to classify mental health illnesses and that more attention needs to be paid to people suffering within the community who have not yet been assessed by a healthcare professional. Time start: 00:36:00:00 Time end: 00:39:09:13 Length: 00:03:09:13
Credits: Presented by Professor Michael Shepherd, Institute of Psychiatry, University of London. Produced by martin Hayden. Made for British Postgraduate Medical Federation.
Further information: This video is one of more than 120 titles, originally broadcast on Channel 7 of the ILEA closed-circuit television network, given to Wellcome Trust from the University of London Audio-Visual Centre shortly after it closed in the late 1980s. Although some of these programmes might now seem rather out-dated, they probably represent the largest and most diversified body of medical video produced in any British university at this time, and give a comprehensive and fascinating view of the state of medical and surgical research and practice in the 1970s and 1980s, thus constituting a contemporary medical-historical archive of great interest. The lectures mostly take place in a small and intimate studio setting and are often face-to-face. The lecturers use a wide variety of resources to illustrate their points, including film clips, slides, graphs, animated diagrams, charts and tables as well as 3-dimensional models and display boards with movable pieces. Some of the lecturers are telegenic while some are clearly less comfortable about being recorded all are experts in their field and show great enthusiasm to share both the latest research and the historical context of their specialist areas.
Keywords: Mental Health; Psychiatry; Bipolar Disorder; Personality Disorders; Depressive Disorder; Depression
Locations: United Kingdom; England; London; University of London
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