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Models of Mental Illness
 Psychological
 Behavioral
 Biological
 Diathesis-Stress
Models of Mental Illness
1. Mental illness is a medical disorder, a
supernatural possession or a moral
failing.



A medical disorder calls for medical treatment. A drug
treatment that relieves the symptoms may relieve society’s
responsibility to provide further support. This approach sees
the patient as relatively passive but at least not to be blamed
for his or her disorder.
Mental illness as a supernatural possession or a moral
failing.
This view clearly associates the patient with evil but the
extent to which the patient is to blame for the disorder
might be seen to vary.
Models of Mental Illness
2. Mental illness is a response to stressors beyond the
individual (i.e. normal response to an abnormal situation).
 Post-combat “flashbacks” are an example of this.
 The relationship between eating disorders and advertising
can also illustrate this relationship between society and
mental health.
 This approach clearly implicates society as responsible for
the disorder and leads to questions about the
appropriateness of punishment.
 This model may raise questions about the responsibility of
society actually producing a subject’s mental illness by
keeping her/him in stressful situations (e.g. death row, etc.)
Models of Mental Illness
3. Mental illness is a maladaptive behavioral repertoire
(i.e. not something the patient is or has, but something
she/he does).
 This concept, associated with the behavioral school of
thought, implies that mental illness is a construct that has
been “reified” by the mental health community. The
reification fallacy is described as “making real or concrete
that which is abstract or hypothetical.” Mental illness is
reified it might be thought of as similar to a tumor
residing within the patient.
 The behavioral approach implies that the patient’s
behavior should be modified using operant and classical
conditioning techniques and that this should not be
thought of as treating a disease.
Models of Mental Illness
3. Mental illness is a maladaptive behavioral repertoire
(i.e., not something the patient is or has, but
something she/he does). Continued…
 The conclusion advocated by the behaviorist is that the
absence of symptoms must be interpreted as the
absence of disease.
 The word “cure” would be considered inappropriate
because there was no true disease state in the first
place.
 This is a case of science supporting philosophy.
 Behaviorism has a large public following because of its
emphasis on engineering the environment to improve
human life.