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  • Question 1 - What is the accurate statement regarding culture-specific disorders? ...

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    • What is the accurate statement regarding culture-specific disorders?

      Your Answer: South Asians rarely complain about mental health problems

      Explanation:

      Depression can be presented differently across cultures. For example, Afro-Caribbean men may report erectile dysfunction and other physical symptoms when experiencing depression. South Asians may also experience mental health problems, but are more likely to report physical symptoms rather than psychological distress. In the United Kingdom, there is a higher prevalence of schizophrenia among black immigrants. In Siberia, there is a type of jumping disease called Myriachit, which may be similar to latah, a culture-bound syndrome seen in Southeast Asia characterized by hyper-suggestibility, echolalia, echopraxia, coprolalia, disorganization, and automatic obedience. Amok is another culture-bound syndrome that typically occurs in men and involves a period of withdrawal followed by sudden outbursts of homicidal aggression. Susto is a culture-bound syndrome seen in Latin America that is attributed to severe fright causing the soul to leave the body and is characterized by anxiety, sadness, altered sleep and eating habits, and physical symptoms such as headache, stomach-ache, muscle aches, and diarrhea.

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  • Question 2 - An academic fellow is looking to conduct a research project on Alzheimer's disease...

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    • An academic fellow is looking to conduct a research project on Alzheimer's disease in a region with a high incidence rate. Which region would be the most suitable for his study?

      Your Answer: Latin America

      Explanation:

      The prevalence of dementia among individuals aged 60 and above, adjusted to the western Europe population by global burden of disease region, is greatest in Latin America, with a rate of 8.5%. The prevalence rates for other regions are as follows: Central Europe – 5.8%, East Asia – 5%, Sub-Saharan Africa, east – 4%, and Sub-Saharan Africa, west – 2.1%.

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  • Question 3 - A 35-year-old man from a Latin American background arrives at the emergency department...

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    • A 35-year-old man from a Latin American background arrives at the emergency department with a chief complaint of overwhelming anxiety. He expresses concern that his soul has departed from his body. What is the name of this cultural affliction?

      Your Answer: Susto

      Explanation:

      Susto is an anxiety disorder prevalent in South and Central America that is linked to the loss of soul. It typically occurs after experiencing a traumatic emotional of physical event.

      Amok is a dissociative state that is more commonly observed in Malaysia. It is characterized by symptoms such as neurasthenia, depersonalization, rage, automatism, and violent acts.

      Koro is a belief that the penis is shrinking and will retract into the abdomen, leading to death.

      Latah is a condition similar to Tourette’s syndrome, where an exaggerated startle response results in abnormal behaviors.

      Wendigo is a depressive disorder that involves the delusion of becoming cannibalistic. It is primarily observed in Native American communities.

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  • Question 4 - When examining how individuals deal with a stigmatised condition, what is meant by...

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    • When examining how individuals deal with a stigmatised condition, what is meant by the term quasi-liberated adaptation?

      Your Answer: Being open about a stigmatised diagnosis in an effort to educate people and so reduce the stigma

      Explanation:

      Schneider and Conrad identified different approaches to coping with a stigmatised illness. For some individuals, the diagnosis becomes all-consuming and they struggle to adapt. Others adopt a pragmatic approach, only disclosing their condition to those who require the information, while the secret type chooses to keep their diagnosis private. The quasi-liberated type takes a proactive stance against stigma, openly discussing their illness and working to raise awareness and understanding.

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  • Question 5 - A 25-year-old woman who has recently moved to the United States from Japan...

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    • A 25-year-old woman who has recently moved to the United States from Japan presents to the local Emergency department in a state of extreme anxiety. The attending physician refers her to you as the psychiatrist on call and reports no evidence of an organic illness based on her physical examination.

      Upon meeting the patient, she expresses intense distress and reports a belief that her vagina is shrinking and that she will die as a result. She attributes this to a loss of balance in her sexual energy after engaging in sexual activity with a partner who did not align with her astrological sign.

      What would be your preferred diagnosis?

      Your Answer: Koro

      Explanation:

      The symptoms exhibited by the patient are consistent with Koro, a culture-specific disorder observed primarily in males (and occasionally in females) in China and Thailand. For more information, please refer to Edwards JW’s article Indigenous Koro, a genital retraction syndrome of insular Southeast Asia: a critical review published in Cult Med Psychiatry in 1984.

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  • Question 6 - A concerned parent of a 25-year-old daughter with schizophrenia wants to know what...

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    • A concerned parent of a 25-year-old daughter with schizophrenia wants to know what the biggest challenge is for individuals living with this condition and how it affects their overall quality of life.

      Your Answer: People with schizophrenia live with the stigma of the illness and are often seen as dangerous by society

      Explanation:

      Norman Sartorius highlights the iatrogenic stigma of mental illness as the main obstacle to a better life for those suffering from mental disorders. NICE guidelines on schizophrenia also acknowledge the stigma associated with the condition, which is often seen as dangerous and best dealt with away from society. However, research has shown that the fear of violence arising from people with schizophrenia is misplaced. Other factors that may contribute to feelings of exclusion and isolation include compulsory treatment under mental health legislation, medication side effects, and less careful use of diagnostic labels.

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  • Question 7 - A teenager with depression who feels ashamed and isolated because they believe the...

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    • A teenager with depression who feels ashamed and isolated because they believe the stereotype that people with mental illness are weak and unable to cope is an instance of what kind of stigma?

      Your Answer: Self-prejudice

      Explanation:

      Corrigan and Watson identified two types of stigma: public stigma and self-stigma. The individual in this example has developed low self-esteem due to agreeing with prejudicial beliefs about mental illness. Public stigma involves negative beliefs about a group, such as dangerousness of incompetence, while public prejudice involves a negative emotional reaction, such as fear. Self-stigma refers to negative self-beliefs, such as character weakness of incompetence, and self-discrimination is a behavioral response to prejudice, such as avoiding work. Hayward and Bright2 identified four recurring themes behind stigma against mental illness: dangerousness, attribution of responsibility, poor prognosis, and disruption of social interaction.

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  • Question 8 - What is the definition of secondary deviance? ...

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    • What is the definition of secondary deviance?

      Your Answer: An individual's reaction to experiences resulting from being labelled as deviant

      Explanation:

      Primary deviance refers to the initial act of breaking a social rule of expectation, which may include health-related norms. On the other hand, secondary deviance describes the consequences of being stigmatized as a result of the primary deviant behavior. An example of this could be an individual joining a gang as a means of finding acceptance after being rejected by mainstream society. For more information on this topic, one can refer to resources such as SOS Sociology.

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  • Question 9 - How do mental health services contribute to social inclusion? ...

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    • How do mental health services contribute to social inclusion?

      Your Answer: Consult service users and carers about how to provide services

      Explanation:

      1. Social inclusion is a key goal of mental health policy in the UK and Europe.
      2. Achieving social inclusion requires significant social change.
      3. Mental health services can promote social inclusion in certain circumstances.
      4. Consulting with service users and carers is one strategy to promote social inclusion in psychiatry.

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  • Question 10 - In what society is the fear of 'losing face' and the desire to...

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    • In what society is the fear of 'losing face' and the desire to avoid it associated with a significant number of suicides?

      Your Answer: South Asian

      Explanation:

      Mediterranean countries typically have lower suicide rates compared to South Asian cultures, where the public loss of credibility, of losing face, is often catastrophize and can lead to a higher incidence of suicide, as seen in Sri Lanka.

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  • Question 11 - How can the recurring theme in the stigma of mental illness be described?...

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    • How can the recurring theme in the stigma of mental illness be described?

      Your Answer: All of the above

      Explanation:

      Stigma is a negative attribute that sets a person apart from others and can lead to disgrace of discredit. Mental illness is often stigmatized, which can have a significant impact on social relations. A national survey conducted by the Royal College of Psychiatrists in 1998 found that 71% of people believed that those with schizophrenia are violent and unpredictable. Although this figure fell slightly to 66% in 2003, the stigma surrounding mental illness remains a powerful force. People with mental illness are often viewed as victims of pathetic characters, which can further contribute to their social isolation and exclusion. This can have a detrimental effect on their outcomes, particularly in chronic mental disorders, where social networks are crucial. Negative cultural sanctions and myths can also contribute to scapegoating in the wider community.

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  • Question 12 - Which celebrity's mom famously referred to suicide as 'that silly club'? ...

    Incorrect

    • Which celebrity's mom famously referred to suicide as 'that silly club'?

      Your Answer: Kurt Cobain

      Correct Answer:

      Explanation:

      – Kurt Cobain, Amy Winehouse, Jeff Buckley, Jimi Hendrix, and Marilyn Monroe are all celebrities who died prematurely.
      – Kurt Cobain’s mother referred to them as that stupid club.
      – Amy Winehouse died from alcohol consumption at age 27.
      – Jeff Buckley drowned accidentally at age 30.
      – Jimi Hendrix died from barbiturate-related asphyxia at age 27.
      – Marilyn Monroe died from a barbiturate overdose at age 36.

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  • Question 13 - You are consulting with a 16-year-old girl in your office alongside a nurse....

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    • You are consulting with a 16-year-old girl in your office alongside a nurse. She has been experiencing difficulties with managing her anger and reveals to you that she was taken to her home country in North Africa by her grandmother during the last summer break. She is hesitant to discuss the matter further with her mother present. However, when you speak with her alone, she discloses that she was subjected to female genital mutilation (FGM) without her consent during this trip. What is the legal stance on FGM?

      Your Answer: It is illegal in the UK and illegal to arrange for a child to be taken out of the UK to have FGM

      Explanation:

      FGM is against the law in the UK, and arranging for a child to undergo the procedure abroad is also illegal. Those who are caught can face a prison sentence of up to 14 years and a hefty fine. Shockingly, it is estimated that 66,000 women in the UK have already undergone FGM, and over 20,000 girls under the age of 15 are at risk. Often, children are taken to have the procedure during the summer holidays so that they have time to heal before returning to school. There are four main types of FGM, including clitoridectomy, excision, infibulation, and other harmful procedures such as pricking, piercing, cutting, scraping, and burning the genital area. FGM is carried out for cultural, religious, and social reasons and is most prevalent in Africa, although it also occurs in Asia and the Middle East. The experience can be extremely traumatic, and those who have undergone FGM may require counseling in the future. Recently, medical professionals have faced criminal prosecution for allegedly performing the procedure, which is illegal in the UK.

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  • Question 14 - During which period was homosexuality no longer classified as a mental disorder in...

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    • During which period was homosexuality no longer classified as a mental disorder in the Diagnostic and Statistical Manual of Mental Disorders (DSM)?

      Your Answer: 1970s

      Explanation:

      In 1973, the DSM classification no longer included homosexuality as a category. However, in the seventh printing of DSM II (1974), it was briefly replaced with ‘sexual orientation disorder’ before being completely removed from the DSM III (1987).

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  • Question 15 - How can an individual's race be distinguished from their ethnicity based on certain...

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    • How can an individual's race be distinguished from their ethnicity based on certain factors?

      Your Answer: Biological measurement

      Explanation:

      The concept of ‘race’ is based on physical traits and is believed to have a biological foundation, while ‘ethnicity’ is the preferred term used by researchers studying different cultures to describe groups of people who share a common identity, ancestry, and history, as well as some shared beliefs. It is important to note that a particular race, such as Caucasian, can encompass multiple ethnicities.

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  • Question 16 - Before the enactment of the 2012 law, what was the criterion that prevented...

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    • Before the enactment of the 2012 law, what was the criterion that prevented an individual from becoming a member of Parliament?

      Your Answer: Detention under mental health legislation

      Explanation:

      Before the Mental Health (Discrimination) Bill was passed in 2012, MPs who were detained under the Mental Health Act for over six months would lose their seat. However, this changed with the passing of the Bill, which also addressed discrimination against mental health in regards to being a company director, school governor, and serving on a jury. It is important to note that prolonged incapacity due to physical illness has never been a hindrance to serving as an MP, and taking psychiatric medication does not disqualify someone from being an MP, although it does disqualify them from serving on a jury.

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  • Question 17 - The campaign Changing Minds was initiated by the Royal College of Psychiatry to...

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    • The campaign Changing Minds was initiated by the Royal College of Psychiatry to address the issue of stigmatizing individuals with mental health conditions. What was the launch date of this campaign?

      Your Answer: 1998

      Explanation:

      The Changing Minds Campaign had a five-year run from 1998 to 2003. Its primary objective was to raise awareness and understanding of six prevalent mental health issues, namely anxiety, depression, schizophrenia, dementia, alcohol and drug addiction, and eating disorders. These conditions affect a significant portion of the population, with anxiety affecting over 10% of individuals, depression affecting 25%, schizophrenia affecting 1%, dementia affecting 20% of those over 80, alcohol and drug addiction affecting about one-third of people, and eating disorders affecting 1 in 50 individuals.

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  • Question 18 - Goffman categorized individuals who faced stigma into two groups: those who were discredited...

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    • Goffman categorized individuals who faced stigma into two groups: those who were discredited and those who were discreditable. What is the meaning of discreditable in this particular context?

      Your Answer: The person has a stigmatised condition which they are able to hide

      Explanation:

      Individuals who are discreditable possess a disability that is not immediately visible of apparent to others.

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  • Question 19 - A 30-year-old woman is experiencing sudden anxiety and has a belief that her...

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    • A 30-year-old woman is experiencing sudden anxiety and has a belief that her body is shrinking. What is the probable culture-bound syndrome?

      Your Answer: Koro

      Explanation:

      Koro is a syndrome that mainly affects individuals in Africa and Asia, causing them to believe that their genitals are retracting and will disappear, despite no actual physical changes. Dhat syndrome, prevalent in India, is characterized by symptoms such as fatigue, weakness, anxiety, and sexual dysfunction, with patients believing they are passing semen in their urine. Kuru is a neurological disorder, while Latah, found in Southeast Asia, is similar to Tourette’s syndrome. Piblokto, observed in Inuits, is a sudden dissociative state that results in loss of consciousness during the attack and amnesia afterwards.

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  • Question 20 - Which mathematician, who won the Nobel Prize, had their struggle with mental illness...

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    • Which mathematician, who won the Nobel Prize, had their struggle with mental illness depicted in the movie 'A Beautiful Mind'?

      Your Answer: John Forbes Nash

      Explanation:

      The lives of several notable individuals have been impacted by mental health issues, including John Forbes Nash Jr., a gifted mathematician who battled schizophrenia and still won the Nobel Prize in economics in 1994. David Helfgott, the subject of the award-winning film ‘Shine’, was a talented pianist who also struggled with mental health. Iris Murdoch, a renowned novelist, developed Alzheimer’s disease later in life. Dr. Watson, who played a key role in discovering the molecular structure of DNA, has a son who faces mental health challenges. Additionally, Kim Peek, who inspired the film ‘Rain Man’, is another example of someone whose life was affected by mental health issues.

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SESSION STATS - PERFORMANCE PER SPECIALTY

Stigma And Culture (19/20) 95%
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