Mental health – myth or reality?
Authors
A.P. Kotsyubinsky
Federal State Budgetary Institution “V.M. Bekhterev National Medical Research Center for Psychiatry and Neurology” of the Ministry of Health of the Russian Federation, St. Petersburg, Russian Federation
Yu.V. Isaenko
Federal State Budgetary Institution “V.M. Bekhterev National Medical Research Center for Psychiatry and Neurology” of the Ministry of Health of the Russian Federation, St. Petersburg, Russian Federation
A.R. Protasov
Federal State Budgetary Institution “V.M. Bekhterev National Medical Research Center for Psychiatry and Neurology” of the Ministry of Health of the Russian Federation, St. Petersburg, Russian Federation
A.A. Stepanova
Federal State Budgetary Institution “V.M. Bekhterev National Medical Research Center for Psychiatry and Neurology” of the Ministry of Health of the Russian Federation, St. Petersburg, Russian Federation
https://doi.org/10.26617/1810-3111-2024-3(124)-45-52
Journal: Siberian Herald of Psychiatry and Addiction Psychiatry. 2024; 3 (124): 45-52.
Abstract
Attempts to define the boundaries of the norm of mental health have led, in fact, to an incorrect reflection of vague ideas about the concept of mental disorder. First of all, this is due to the concept of mental diathesis, erasing the boundary between these definitions. At the same time, at present, the advances of biological psychiatry unwittingly contribute to the leveling of the holistic approach in the understanding of mental processes and the dominance of the ideas of biological reductionism. Within the framework of this approach, the suffering person is considered as an object, and the manifestations of a mental disorder observed in this case are considered as dysfunctions observed primarily in the physical (biological) domain. At the same time, only a biopsychosocial diagnostic approach, covering a holistic idea of the development of mental health and mental disorder from the viewpoint of the factors that determine these concepts, can provide the understanding of the features of the formation and main markers of health/ill health, as well as the conditions of stabilization and the nature of efforts aimed at improving the general health of the population.
Keywords: mental health, biopsychosocial approach, holistic approach, mental disorder.
Contacts
Materials
For citation: Kotsyubinsky A.P., Isaenko Yu.V., Protasov A.R., Stepanova A.A. Mental health – myth or reality?Siberian Herald of Psychiatry and Addiction Psychiatry.2024; 3 (124): 45-52. https://doi.org/10.26617/1810-3111-2024-3(124)-45-52
REFERENCES
- Weise K, Volovik VM. Functional diagnosis as a clinical basis for restorative treatment and rehabilitation of mental patients. Clinical and organizational foundations of rehabilitation of mental patients. Moscow: Meditsina Publishing House, 1980:152-206 (in Russian).
- Volovik VM. On the adjustability of patients with schizophrenia. Rehabilitation of patients with psychoses. Leningrad: Leningrad Scientific Research Psychoneurological Institute, 1981:62-71 (in Russian).
- Geyer T.A. Ability to work with schizophrenia. Current problems of schizophrenia. Moscow: Biomedgiz Publishing House, 1933:106-111 (in Russian).
- The world mental health report: transforming mental health for all. Executive summary. Geneva: WHO, 2022:28.
- Kerbikov OV, Ozeretskovsky NI, Popov EA, Snezhnevsky AV. History and modern trends in psychiatry: a textbook of psychiatry. Ch. 2. Moscow: Medgiz Publishing House, 1958:8 (in Russian).
- Kozlovskaya GV, Goryunova AV. Neuropsychiatric disintegration in early ontogenesis of children from the high-risk group for endogenous mental illnesses. S.S. Korsakov Journal of Neurology and Psychiatry. 1986;10:1534-1538 (in Russian).
- Goryunova AV, Kozlovskaya GV, Rimashevskaya NV. On the issue of neuropsychiatric diathesis in young children from the high-risk group for endogenous psychoses. Problems of schizophrenia in childhood and adolescence / MSh Vrono, ed. Moscow: All-Union Scientific Center for Mental Health, 1986:104-114 (in Russian).
- Kotsyubinsky AP. Multidimensional (holistic) diagnostics in psychiatry (biological, psychological, social and functional diagnosis). St. Petersburg:Publishing House SpetsLit, 2017:285 (in Russian).
- Kotsyubinsky AP, Sheynina NS, Aristova TA, Burkovsky GV, Butoma BG. Functional diagnosis in psychiatry. V.M. Bekhterev Review of Psychiatry and Medical Psychology. 2011;1:4-8 (in Russian).
- Kotsyubinsky AP, Sheynina NS, Burkovsky GV, Aristova TA, Butoma BG. Functional diagnosis in psychiatry. St. Petersburg: Publishing House SpetsLit, 2013:231 (in Russian).
- Kotsyubinsky AP, Zaitsev VV. Functional diagnosis: theoretical construct or real phenomenon? V.M. Bekhterev Review of Psychiatry and Medical Psychology. 2004;1:7-10 (in Russian).
- Kotsyubinsky AP, Skorik AI, Aksenova IO, Sheinina NS, Zaitsev VV. Schizophrenia: vulnerability-diathesis-stress-disease. St. Petersburg: Hippocrates Publishing House, 2004:117-137 (in Russian).
- Kotsyubinsky AP, Sheynina NS, Penchul NA. Precursors of mental illness. Communication 2. Psychosomatic diathesis. V.M. Bekhterev Review of Psychiatry and Medical Psychology. 2013;3:11-16 (inRussian).
- Melekhov DE. Clinical bases of prognosis of ability to work with schizophrenia. Moscow: Meditsina Publishing House, 1963:198 (inRussian).
- Mendelevich VD. Classification of mental disorders VS. Taxonomy of behavioral deviations: medicalization as a trend. V.M. Bekhterev Review of Psychiatry and Medical Psychology. 2016;1:10-16 (in Russian).
- Mendelevich VD. Fake diagnoses in psychiatric classifications. Neurological Bulletin. 2018;L(4):15-18 doi: https://doi.org/10.17816/nb14127(in Russian).
- Neznanov NG, Akimenko MA, Kotsyubinsky AP. School of V.M. Bekhterev: from psychoneurology to biopsychosocial paradigm. St. Petersburg: Alta Astra Publishing House, 2017:457 (in Russian).
- Neznanov NG, Kotsyubinsky AP, Mazo GE. Biopsychosocial psychiatry. Handbook for doctors. Moscow: Medical Book Publishing House, 2020:904 (in Russian).
- Psychiatry. National Handbook / eds-in-chief YuA Aleksan-drovsky, NG Neznanov. 2nd ed., revised and up-dated. Moscow: GEOTAR-Media Publishing House, 2018:1008 (in Russian).
- Mental health: A fact sheet on the Sustainable Development Goals: health-related targets. Geneva: WHO, 2018:9. https://iris.who.int/handle/10665/340849
- Severnyy AA. Psychovegetative diathesis. Reference book of psychology and psychiatry of children and adolescents / SYu Tsirkin, ed. St. Petersburg: Piter Publishing House, 1999:338-339 (in Russian).
- Selye G. Essays on the adaptation syndrome. Moscow: Medgiz Publishing House, 1960:254 (in Russian).
- Semichov SB. Premorbid mental disorders. Leningrad: Medicine Publishing House, 1987:182 (in Russian).
- Semke VYa. Preventive psychiatry: Handbook for doctors and students. Tomsk: Tomsk University Publishing House, 1999:403 (in Russian).
- Sidorov PI, Bocharova EA, Yakovleva VP. Synergetic paradigm of the social epidemic of neurotic disorders in children. V.M. Bekhterev Review of Psychiatry and Medical Psychology. 2015;3:22-31 (in Russian).
- Sidorov PI, Novikova IA. Mental medicine: Handbook. Moscow: Litterra Publishing House, 2014:728 (in Russian).
- Snedkov EV. Personality via the prism of psychiatric mentality (commentary on the article by V.D. Mendelevich). Part 1. Neurological Bulletin. 2016;4: 47-57(in Russian).
- Snezhnevsky AV. Nosos et pathos schizophreniae. Schizophrenia: a multidisciplinary study. Moscow: Meditsina Publishing House, 1972:5-15 (in Russian).
- Sukiasyan SG. Psychosomatic diathesis as a component of the concept of “non-psychiatric psychiatry”. Sciences of Europe. 2021;72:11-22. doi:10.24412/3162-2364-2021-72-1-11-22 (in Russian).
- Sukiasyan SG, Manasyan NG, Chshmarityan SS. Somatized mental disorders. S.S. Korsakov Journal of Neurology and Psychiatry. 2001;101(2):57-61 (in Russian).
- Constitution of WHO. Basic Documents. Forty-eighth edition. Geneva, WHO, 2014:1-2.
- Kholmogorova AB. Biopsychosocial model as a methodological basis for studying mental disorders. Social and Clinical Psychiatry. 2002;12(3):97-104 (in Russian).
- Kholmogorova AB. Clash of paradigms in mental health sciences: in search of a way out. Social and Clinical Psychiatry. 2014;24(4):53-61 (in Russian).
- Kholmogorova AB, Rychkova OV. 40 years of the biopsychosocial model: what's new? Social Psychology and Society. 2017;8(4):8-31. doi: 10.17759/sps.2017080402 (in Russian).
- Tsirkin SYu. Conceptual diagnostics of functional disorders: diathesis and schizophrenia. Social and Clinical Psychiatry. 1995;5(2):114-118 (in Russian).
- TsirkinSYu. The concept of psychopathological diathesis. Independent Psychiatric Journal. 1998;4:5-8 (in Russian).
- Sheinina NS, Kotsyubinsky AP, Skorik AI, Chumachenko AA. Psychopathological diathesis. St. Petersburg: Hippocrates Publishing House,2008:128 (in Russian).
- Shostakovich VV. Nosological unity of schizophrenia. Schizophrenia. Reports at the All-Union conference on the problem of schizophrenia. Moscow, 1962:92-105 (in Russian).
- Adler NE, Boyce WT, Chesney MA, Folkman S, Syme SL. Socioeconomic inequalities in health. No easy solution. JAMA. 1993 Jun 23-30;269(24):3140-5. PMID: 8505817.
- American Psychiatric Association (APA). Diagnostic and Statistical Manual of Mental Disorders. Washington, DC: APA, 1980:6.
- American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR). Washington, DC: American Psychiatric Publishing. 2022:1051.
- Bolton D. Mental disorder and human nature. What Is Mental Disorder? An Essay in Philosophy, Science, and Values. Oxford: Oxford University Press, 2008: 103-62.
- Conrad P, Schneider JW. Deviance and from badness to sickness. Philadelphia: Temple University Press, 1992:263-265.
- Engel GL. Sounding board. The biopsychosocial model and medical education. Who are to be the teachers? N Engl J Med. 1982 Apr 1;306(13):802-5. doi: 10.1056/NEJM198204013061311. PMID: 7062955.
- Jaegwon K. Mental causation and consciousness. Physicalism, or Something Near Enough. New Jersey: Princeton University Press, 2005:1-29.
- Lekhtsiier VL. Effects of medicalization and apology of pathos. Bulletin of Samara Humanitarian Academy. Issue Philosophy. Philology. 2006;1(4):113-125.
- Moynihan R, Smith R. Too much medicine? BMJ. 2002 Apr 13;324(7342):859-60. doi: 10.1136/bmj.324.7342.859. PMID: 11950716; PMCID: PMC1122814.
- Rosenthal D, Wender PH, Kety SS, Welner J, Schulsinger F. The adopted-away offspring of schizophrenics. Am J Psychiatry. 1971 Sep;128(3):307-11. doi: 10.1176/ajp.128.3.307. PMID: 5570995.
- Stoller RJ, Marmor J, Bieber I, Gold R, Socarides CW, Green R, Spitzer RL. A symposium: Should homosexuality be in the APA nomenclature? Am J Psychiatry. 1973 Nov;130(11):1207-16. doi: 10.1176/ajp.130.11.1207. PMID: 4784866.
- Telles-Correia D, Saraiva S, Gonçalves J. Mental Disorder-The Need for an Accurate Definition. Front Psychiatry. 2018 Mar 12;9:64. doi: 10.3389/fpsyt.2018.00064. PMID: 29593578; PMCID: PMC5857571.
- The American Psychiatric Association removes homosexuality from its list of mental illnesses [Electronic resourse]. This Day in History. December 15, 1973.