DOCTOR REACTS TO SCHIZOPHRENIA IN THE 1950s | Psychiatry Doctor Analyzes a Patient
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- เผยแพร่เมื่อ 5 ก.ค. 2024
- #mentalillness #psychiatry #drelliott #doctorreacts
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This video comes from around the 1950's and has a psychiatrist playing a true/false game with a patient with schizophrenia. I wonder if this is a good way to assess a patient? What symptoms might emerge from this? These videos come from Pika Grape Snack's channel. They're educational videos that were used decades ago as teaching aids for people learning about mental illness and psychiatry. As a doctor specializing in psychiatry today, I find it really interesting to see how our understanding of these illness have changed over the years, and am often left with mixed feelings about how far we have come in some respects, and what little progress we have made in others.
The important thing when doing these assessments is not to use leading questions e.g. you feel like X, don't you? People might then nod along thinking its what you want to hear rather than it being an accurate reflection of a persons mental state. Open questions are much better. However, a lot of people with severe mental illness experience a phenomenon called 'alexithymia' - difficulties in finding the words to describe how they think and how they feel. That's where techniques like this might actually be helpful, but its a fine line.
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You show such compassion in your videos, whether for fictional characters or real people. One of my favorite things about your channel.
I agree. The explanation and the interpretation are clear.
I have been diagnosed with schizophrenia for about 5+ years . I have to say about 5+ because I have a hard time pinpointing my treatment start .
I have had to change medications overtime (anti-psych , depression , anxiety , tremor , etc.) and I can relate to how this mans behaviors .
My cognitive function has taken a very hard hit because of all the factors that come with this diagnosis . As of right now (typing) I am starting to not understand what I want to say . Reading my typing does not help now .
Schizophrenia is not a good and this video does shows that .
Charlie, hang in there. We love you. ❤️ Be very open about your situation with your doctors and behavioralists. Don’t let anybody judge you. Sometimes we humans are stupid and don’t understand what’s happening to you. But so believe me when I say we all love you, even if we don’t know what’s going on. You are precious to us. ❤️
That poor patient looked like he was on some major tranquilizers or a ton of anti-psychotics. (Slow, slurred speech.)
I feel bad for how patients were treated in many places back then. So much of the therapies and treatments were experimental and some were downright brutal. Glad this was a bit on the lighter side. Good video!
I think so too especially with the stiff way he uses his hands to put the cards into the boxes.
It could also just be catatonia as a result of his schizophrenia but it could be the antipsychotics too as you've stated
Given how old this video is, it actually pre-dates antipsychotic medications (the first one, chlorpromazine, only started being used in the 1960s).
Schizophrenia is a horrendous disease that takes so much away from people. It's possible that the person in the video isn't sedated by any drugs at all, and these are just the effects of his illness (the long speech latency and psychomotor slowing of his movements are consistent with that). It's also possible he's affected by a sedative, like a barbiturate, because before we could actually treat the illness all we could do was sedated people.
I agree with other comments that you show a lot of compassion to people when analyzing. It's really good to see mental illnesses framed through that compassion. It's really helping break down some of the stigma I didn't even realize I have.
Please do one on Catatonia. I was diagnosed with Major Depressive Disorder and A-Typical Catatonia last year. I responded quite well to lorazepam and ECT "woke me up" though I continued to slide back sometimes
I don't remember much, I remember the great feeling of depressive nothingness, a complete empty black hole.
I was later also diagnosed with Functional Neurological Disorder, Temporal Lobe Epilepsy and Synaesthesia (after the Catatonic episode)
I want to know what happened to me, my drs don't tell like to answer my questions about what I was like but said I was in an incredible stupor, extreme waxy flexibility and echolalia
Schizophrenia for me was ruled out. The only videos of me in this period is me in a stupor I believe called "posturing" (I was stuck in one state).
I recently saw a video of me being interviewed post ECT and this is very similar to how I spoke and moved though again. Schizophrenia was ruled out
Please talk about this rate disorder. All I have is my experience and 1930's footage
Started watching your always sunny reactions for the humor. Stayed for your genuine personality and great insights
I’d love to see you react to “girl, interrupted”! It’s a film based on a book by a woman who was put in a psychiatric facility in the 1960s after a suicide attempt and then getting diagnosed with BPD. (It also stars Winona ryder and angelia jolie 😌)
Have you seen the catatonic schizophrenic guy? That is so extremely interesting. It's like he repeats the interviewer's question in his head to a person in his head, then the person in his head answers and then he repeats it.
Love these historical videos, pls do more of these, they're very interesting and informative!
Hey, I'm subbed to both you and Pika Grape Snack! They have a great video of a young man with "hebephrenic schizophrenia" and on the thumbnail and title, he claims to be 900 years old! I didn't really understand what was going on, so I would appreciate a good explanation! Love your stuff!
Oooh v interesting. I'll check it out
I just found your channel, and I love how empathetic and kind you are. Great analysis!
This was useful. I had a close relative with schizofrenia who recently passed away, in her 80s. It was the meds and kindness of all her doctors that helped her have a decent life in spite of the stigma and the shame of discussing her condition with us. I always knew what it was, but I wish I knew more when i witnessed the first psychotic episode many years ago, so I could support her through the process. I've been binge watching some very interesting videos on this channel! Thanks for making them 😍
Great, informative video as usual. I have a question regarding questionnaires: Is there a risk of results being affected by people feeling they have to please the questioner, or downplay their own problems? Like, there's a particular problem that might affect a patient but the patient wants to downplay it because they don't want to feel like they're being a hypochondriac or they don't "feel crazy" and don't want to waste the doctor's time by having them believe the situation is more severe than it is?
As someone who answers questionnaires on practically all my visits: yes.
V much so. It can be difficult to distinguish what is a true response versus what something thinks we want to hear. Best way to minimise risk is to spend time to build a rapport, create a safe environment where someone wont feel judged and remember that questionaires can help understand, but they are no substitute for clinical judgement and experience
I really like my therapist, I know it's counterintuitive to do so, but I sometimes exaggerate my success so it keeps up with the plan we came up with together, I dont like acting like a failure so sometimes I stretch the truth on how I'm doing cuz I'm facing the prospect of not only failing myself, but I also broke a promise. I take promises very seriously and the fact that I can't keep my own promise, even under penalty of death that scares me.
@@smurpo2956 Ditto. Sometimes I manage to take a moment to remind myself of the counter-productiveness of lying (it can help if try to think of it as being honest with her = respect) but often I find myself pinwheeling between 'oh yes, much progress has been made; that homework you gave me - fully achieved! Feels great!' and 'Wait...maybe she doesn't understand...I'll stress that symptom a bit more...wait, what if I'm exaggerating? What if I'm being manipulative? What if I've never been mentally ill and have just duped multiple healthcare professionals into indulging in my fantasy?!?'
It's hard not to like someone who sympathises, tries to help and who you share your vulnerabilities with, and it can be even worse to get to the stage where you're finally trying to get better, you've internalised the 'no magic cure - just hard work, maybe forever' and then you falter.
It feels like you're undermining your foundations as you build them, and conning someone at the same time. I think (I hope) we can backtrack enough, that our helpers will still help us. But, sometimes, no future consequence feels real enough to balance out the strain of the present.
@@smurpo2956 i love you for your honesty. Can you make me a promise... if you ever feel that you are hitting rock bottom, never ever ever ever feel like you’re failing. Talk to your people. We love you so much, you could never fail in our eyes. ❤️❤️❤️
Such a misunderstood disorder by the general public. Both my (now in their 30s), children have this, although no family history on either side. The antipsychotics they are on have terrible side effects and they can still not live normal lives. If we spent as much money on research for mental health as we do on physical ailments, we would be much further along with better treatment options. I wouldn't wish this on my worst enemy.
Hi Kerry, my brother had this illness. (Yes had) now my 10 y/o nephew is showing signs but nobody wants to do anything. Tell your children they’re loved everyday and that they will never ever be a burden on you or anybody. They should never forget that. ❤️❤️❤️
Really interesting video. The feeling of "turning into stone" reminds me of how my depression at its deepest feels. I say "I feel like I'm invisible, and that I don't exist". I can almost relate. Shoutout to Venlafaxine.
Also this patient looks like my Whole Foods crush.
Sometimes when u struggle with mental health problems and don't know what's happening a name, even if it's not that valid in therapy or can change... helps a lot
Just a thought: is it possible that he was talking about catatonic episodes when reading the card about being turned to stone? What drugs were used to treat schizophrenia in the 1950s?
Unlikely to be catatonia. More likely to be thought block. First drugs were discovered in the 1950s. Chlorpromazine was our first antipsychotic and was discovered in 1955 i think
@@DoctorElliottCarthy agreed. My brother would freeze when he would get overwhelmed. Or when he couldn’t differentiate what was real or in his mind. He would become a statue for a couple seconds but I could feel he was sorting out his thoughts.
Btw “being turned to stone” aka thought block is horrifying. If you have enough insight to know what’s happening to you it feels like your brain is falling apart. I’ve always been very intelligent but when I turned 16 and my psychosis started to surface it felt like I had a traumatic brain injury, the most basic things became impossibly difficult. I hope the guy in the video found some relief from his pain.
Thought block... my brother used to say that he couldn’t hear us. That’s why he took his time to respond or understand the question. I saw it as attention block. It would also happened while he would perform basic tasks. He would stop and freeze.
"I feel like a stone" ... My first guess is numb .
Is the last guy on Chlorpromazine?
This reminds me that HBO's Carnivale has some distressing psych ward scenes set in the 1920s in one of their episodes when the minister gets committed. Ice baths, straitjackets, no real compassion or conversation. Very sterile, very plain surroundings.
(BTW I used to know of those entertainers who could get out of a straitjacket. Yes, they are still made, he got his from a place called Humane Restraint.)
Thank you for sharing!!. I also started hearing the voices, along with the shadows. I started thinking about my life and memories brought me to the conclusion that I have always heard voices but never paid attention to where they was coming from. I am 31 and noticed the voices big time now. The voices ont feel fake, they even tell me it's nanotechnology and the people. For me it even feels that the whole world is in on this conspiracy that I like to believe schitsofrenia is made up. The voices tell me I'm targeted because I'm perverted and what not. My thoughts are read before I even noticed them. I search nanotechnology and it's a technology that can manipulate your mind and manipulate your feelings. Something positive I can leave you with is, find a way to love music, wear headphones! A good pair. Watch good movies that fill your heart up with happiness and tranquility. . Prepare yourself for one day if your love of your life is no longer in your life. Save money for the rainy days. Love you !!
Are pareidolia and apophenia, an early signs of schizophrenia?
Is there a synesthesia where some things taste they way other things smell and visa versa?
What an interesting video!
I could’ve been friends with this guy, he seems really sweet. I have bipolar 1 with psychotic symptoms and my best friend has schizophrenia. Neuro diverse people are so much more fun and interesting than “normal” people. CRAZY PEOPLE UNITE
Not that it’s necessarily great today. But I can’t imagine the mental box mentally Ill people were trapped in in the 50s since psychology was misunderstood in a lot of places
Why do you have spirit orbs at the start of your video that come from the center of your screen then goes to your right and guess behind you, then @ 0:06 right as your TH-cam lay over goes into fade out another one shoots to the window. So from our left side of screen... Watch and you'll see it🤣
Maybe I’m wrong here, if so please correct me. But it appeared this patient didn’t have at this time complete Anosognosia. He had a modicum of insight….. ⚛️☮️🌏
Can you please react to the Always Sunny Thanksgiving episode? Thanks
you should react to some more bojack
But wouldn't those cards have a chance to create and put new delusional thoughts into patients' minds? Or cause them to interpret their actual feelings in a wrong and more harmful way? I'm wondering.
Synesthesia is also pretty common in autistic people.
Most of the psych tx videos on that channel involve white patients who appear pretty well dressed (obviously excluding exchange vids). Would be interesting to hear about racism and classism in access to mental healthcare and treatments used, presently and historically.
I'm a mental healthcare worker (drug & alcohol counselor rn), really like your channel
Holy crap, you're gorgeous.
Lol yeah
This examination is not suitable for a TH-cam podcast.
You're analysis is vague and misleading. Your methodology is contemptible!
Where exactly - were you educated?