[MUSIC]. Hi, Charmaine Williams here again. And we are up to lecture three of the social context of the mental health and illness. Today we're going to be talking about diagnosis and treatments, something thats really at the core of a lot of what we've been talking about. Now, because we're using words like diagnosis and treatment, I'm sure that you recognize that we are firmly in the territory of medicine and psychiatry and we're certainly going to be talking about that. But this course is about the social context. So what we're going to be looking at is how socially we have a role to play in how diagnosis is done and also in the treatments options that are available. And all kinds of other things that we're going to be talking about in the next few sections. Now I know that from other people diagnosis and treatment is a very mysterious thing. So, when you think about, what would it mean to go to a mental health professional and have somebody try to figure out what's going on with you. Or why you might be feeling some kind of distress or discomfort. You might imagine something a little like this. Well, well. I'm so glad we're having a chance to get to know each other today. What we're going to do in this first interview is figure out what is going on with you. So the first thing you need to know is that I am an expert. As you can see here I am an Acme-certified expert, and I will be using that expertise to help you figure out what's making you feel. so bad. Does that sound good? [SOUND]. Okay, then. Well, why don't we get started. [SOUND]. yes. I'm, I'm going to stop you there. Because you see, that's all very interesting. But before you start telling me what's going on with you, I have a few questions that I need to ask you. Okay? [SOUND] Okay, so let's get started. So I can already tell from looking at you that we should probably start right here on page 282 [SOUND]. what am I looking at? Oh, don't worry, you don't need to look at that, I am the expert, remember? I'm the expert. Okay, so here we go, I'm going to start asking you a few questions and for each question I would like you to tell me whether you feel this is something that you have experienced never, or maybe once a day, or maybe about 100. Times a day. Okay. Do you understand? It's either never, once a day, or one hundred times a day. Let's get started. So the first thing is, have you been hearing voices? yes hearing voices. You know, your mother, your brother, ghost, demons, angels, anything like that. Once a day, never, 100 times a day. Which one? [SOUND] Okay, alright, fine. How about washing your hands? Would you say you do that never, about once a day or about 100 times a day? [SOUND] yes, yes of course. Washing your hands is a perfectly normal thing. Until it's not normal of course, so is that never, once a day, or a hundred times a day? [SOUND] Okay, fine then, all right, we'll take that down. Would you say that you feel nervous never, about once a day, or a hundred times a day? 100 times a day. [SOUND]. Please now, you remember. I'm the expert. I am asking the questions here. You can answer your questions, or you can ask your questions at the end. So, let me just make a note about that. Okay. So, back to my question. Nervous. never, once a day, or 100 times a day? Mm-hm, okay. [SOUND] Good. Good. Okay. How about scared? Have you been feeling scared? Again, never, once a day, or a hundred times a day? [SOUND] okay, okay, that's fine. What about drinking alcohol, would you say that you do that never, once a day or hundred times a day. [SOUND] Now I just need you to pick the one that's most true it doesn't have to be exactly true just pick the one that's most true. Remember, I'm the expert. Okay. Never, once a day, or 100 times a day? Which one seems closest? Okay, [SOUND] I see that we can move now to some more, specific questions. Now, would you say that you have a grandiose sense of your self importance? Again, never, once a day, or about 100 times a day. [SOUND]. please. No need to get upset now. I just am trying to take you through the most thorough process possible. You do want to get better, don't you? Now, grandiose. Never, once a day, or 100 times a day? Okay. Hm. I'm going to make a few notes on that answer because I think I have an opinion myself. Hm. Okay, how about would you say that you require excessive admiration, never, once a day, 100 times a day? You don't understand the question? [SOUND] Well do you feel that you have to be the center of attention, and everybody has to love you? What do you think? Never? Once a day? Hundred times a day? [SOUND] Okay. Oh, okay, never mind, I don't have to make a note on that let me see now. How often do you think about how much you hate your mother? Would you say never, once a day, or 100 times a day? that's a very strong reaction let me just, just make a note on that but do you have an answer to the question? Is it never, once a day or a hundred times a day? [SOUND] there's no need to get upset now. [SOUND] Please sit down, there's no need to leave. But, but, but Patient is in denial, and resistant. Good. Now how would you feel if that was the experience you had when you went to somebody seeking help? I'm happy to say that that is a very exaggerated picture of what could happen when somebody comes to you, when somebody seeks help from a mental health professional. But it does, I think, touch on some of the issues that raises concern for people. Like, is this going to be somebody who is just going to Push me into some kind of a box and, and without any knowledge of who I am or what's going on with me, make a decision that's going to affect the rest of my life. So, part of what I hope we are going to do in this lecture is demystify that whole process, but also I think that people know more about how diagnosis and treatment work, then they can go into situations like that feeling much better equipped to advocate for themselves and to also, be self, you know, be able to, assert their own self determination in that process so, I see this as a, as an educational opportunity that's not to be missed. So, over the course of the next few sections, we're going to be talking about diagnosis and treatment, and we're going to start talking about some specific diagnosis so that you can get a sense of how this stuff applies in the everyday world. And then we'll see, where we go next. So let's get started.
