Personality Disorder or Mental Illness?
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- Опубліковано 15 чер 2024
- #doctorreacts #drelliott #oneflewover #psychiatrist #mentalhealth
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This is Part 1 of my series watching the incredible One Flew Over the Cuckoos Nest. This is one of the most influential films in the history of medicine and psychiatry and on this series, I cover a range of issues including the difference between various mental illnesses and personality disorder, the specialty of forensic psychiatry, the difference between being in hospital and being in prison, enforcing medications and the lobotomy.
Let me know what you think!
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I just can't get over how many now-famous actors are in this, and how incredibly young they were.
Jack Nicholson was born grizzled
I currently work in a psych hospital and I think people would be horrified to learn how similar to this movie the conditions are, even today
unfortunately I wouldn't be shocked, as I have been in many. I will die before I go to one ever again. Its horrific.
@@morganfae3690yeah I know people who’ve been hospitalised. . . And the fear of having to go again keeps them from getting help sooner. Completely ruins trust with doctors in the future too.
You know what would be great? If you made a video on mental/emotional first aid. Like how to spot if someone has an emotional breakdown and how to react and help them. Or what to say if someone opens up about trauma, suicidal thoughts etc. I'm sure there is lots to talk about and it would come in handy.
This is a good idea
I would also appreciate having some basic tools for these sort of scenarios.
I would love this!
The creepiest thing about this movie is that this isn't even as bad as some mental wards were in this time. Electroshock really was used as punishment a lot, among other things. It wasn't declared illegal by international laws until the 90's.
After all these years this film is still heartbreaking.
It really is unfortunate but some of the manipulations to keep people in clinics still happens today. I live in Mexico and my other half has been in and out of clinics a lot. The one she spent the most time in, they prescribed what were supposed to be temporary medications but did no check ins to wean patients off and definitely fostered more of a relience on the clinic more than they did provide the building blocks to get people feeling strong enough to thrive outside. I'm so glad that she was able to realize a lot of these things and leave that place. I get that these institutions run on a lot of money but the ways in which they can push overreliance to keep wealthy patients dependent is scary.
A literal classic though as terrifying now as it was then. I'm enjoying all these Dr Elliott psychology history deep dives. Following your Freud vid would you do an episode on Anna Freud? I think a lot of people muddle her theories and his up.
I remember having to watch this movie and read the book in grade 12. I’ve always been fascinated by psychology, but, unfortunately I had to drop out of university and couldn’t pursue a career as a therapist. May be one of my biggest regrets
It’s never too late!
@@246kisses I wish that were true!
If it is something that you enjoy (which I would imagine it is since you're here watch Dr. E) then you can always pursue it in other ways. I'm currently reading the happiness hypothesis (which has cited several other works that are now on my to-read list), the body keeps the score and unmasking autism.
I have been very interested in psychology my whole life too and of course life happened to me also. My current therapist started her degree in her mid thirties and wasn't really practicing til she was 40. It's actually given me the thought to maybe try and pursue it. Moreso as I discover my neurodiversity, and learn how desperately needed our representation in the field is. I highly recommend the UA-camr yo samdy sam who is both (late diagnosed) ND and a therapist.
@@InThisEssayIWill... as much as I would love to think that I could get my degree someday, the issue of money will always loom over my head as it does for so many people. Unfortunately, there isn’t a feasible way for me to achieve my goals and I will have to accept that. I appreciate the suggestions though :)
We watched this in nursing school and had to evaluate all the things that you don't do to patients now and discussed better alternatives.
I live in the same town this was filmed in. The hospital is literally accross the street from the state penitentiary.
My dad worked at Broadmoor in the late seventies. After I was born. He had psych nurse training, but wore a prison warder uniform. There are photos of me as a toddler wearing his ginormous shiny black shoes and his cap. He said he used to regularly have nightmares during that time, especially when he first started, that he left a door unlocked somewhere and that some really dangerous patient would escape and and it would be his fault.
They did actually have an escape in the fifties, so instituted an alarm to alert locals in the event of an escape, which ran a test alarm every day, so that risk would have loomed large over everyone.
Broadmoor is the oldest secure psychiatric facility in the UK and still runs to this day. It looks like a prison from the outside, but apparently runs more like a hospital on the inside.
I saw it in the 70’s when I was a kid. I saw an old asylum that had been closed for years, I was in high school. It scared the hell out of me. I could see where electrode treatments were used. They had a ice skating room but some of the piping went into a observation room
Interesting perspective. I'm an RN and I gotta say they should make this book mandatory for all docs and nurses. There's some very good lessons on treating people as human beings, versus their diagnoses. MacMurphy and Nurse Ratchet are opposite ends of that spectrum. ❤
Great film. By the end, I was crying like a baby.
Nurse Ratchet is one of the best villains in movie history in my opinion. No Darth Vader or Thanos types will ever be as scary and intimidating as her and she's so easy to hate. She's just awful.
I feel the same way , she was amazing, I really hated her ,I had to tell myself this is just a movie, an she's just acting, wow in fact there were lots of fantastic actors in there
I'm digging the logo, great movie to check where we were and are now. Have you considered the movie A Monster Calls to review through a psychological lens?
Asa Disability History scholar, I appreciated you pointing out how recently asylums still existed in the UK.
Very nice video. I enjoyed it. Nurse Ratched was played by Louise Fletcher--excellent actress and sister of one of my friends and colleagues. When I first entered psychiatry, many/most of the psychiatric nurses were heartless and cruel. Sadly.
This movie was based on a novel written by Ken Kesey, a noted proponent of psychedelic research for the purposes of therapy, particularly for people with mental health and addiction issues, as you said, in the 1960s. The problem is that intelligence agencies got ahold of the drug and started doing illegal, forced experiments on unsuspecting people in order to see if they could control people. It was reported in Canadian media in the early 80s. A former Governor General, Adrienne Clarkson, was the news reporter who presented the story on the CBC's The Passionate Eye. While some psychiatrists were researching such drugs in order to help people recover from addictions and other mental health issues, obviously various governments had different motives. In the beginning, from what I understand, some psychiatrists would take a small dose because they thought it might help them understand the schizophrenic experience. Governments were using LSD as far back as the late 1950s to try to control soldiers - as a kind of biological weapon, I guess. Unfortunately for them, all it did was make the soldiers not want to fight anymore and quit the military. So they moved on to unwitting people struggling with mental illness in hospitals, basically torturing them for no benefit in the process.
The doctor at the beginning was a real doctor at the Oregon State Hospital in Salem, Oregon. It's ironic that McMurphy wanted to be in the hospital rather than prison because, here in the US, the biggest mental institutions are prisons. in fact, OSH recently decided to let inmates/patients leave the hospital before completing treatment so that mentally ill prisoners would not have to await treatment in jail, sometimes for years. Oh yes, things certainly have changed and deteriorated. Here in Oregon, there are people who severely need mental health treatment just wandering the streets. Maybe you could review a show called Couples Therapy that was on Showtime. I loved it.
I hope you can react to New Amsterdam, it's a medical drama set in a hospital based off of Bellevue. Since Bellevue is famous for it's psychiatric treatment, New Amsterdam has depictions of a modern psych ward.
love how frequently you are posting at the moment :) would really be interested in your reaction to Ginny&Georgia especially season 2 involved many representations of mental illness
Yes, please. I‘d really love to hear his opinion on Ginny‘s problems and the relationship with her mum. It seems very destructive to me.
Yes I’d love to see this too. I think Antonia gentry and Felix Mallard both did a great job in season 2 depicting their individual struggles. And of course the whole ginny / Georgia relationship could be a video in itself.
Please react to Ordinary People! There's so many great topics in that one and it is a really good movie.
I absolutely waited for this one once you mentioned you might tackle it in one of your other videos.
Great dive into that classic (and yes, scary) movie. I can't tell how grateful I am that the treatment of menatl health has improved so much since then. And at the same time unfortunately some aspects are still quite actual today.
I have several mental health issues and a long history with them (and different psychiatric wards/chospitals). I am having a very hard time right now, I was hospitalized as an emergency in an open psych ward with symptoms completely new to me (including complete insomnia. Like my brain had just decided to switch the "sleep-button" off. I did not sleep at at in 3 days before hospital) during almost all of november. I was released then, but I still am in a pretty bad state, should have been hospitalized again end of december (but refused after I was tested positive for Covid - this would have meant isolation in a single room for an undefined time, definitely the last thing to help my mental state right now). I am now negative again, and the question if I might still benefit from another stay in the psych ward si kind of hard to answer. I'm so terribly torn between wanting to stay home, but struggling. Some bad moments I guess it would be better to be there, other moments I don't want to.
All I know is that it is really hard and still quite scary, because some of my struggles are relatively new to me (mostly dissociating a lot and heavily, feeling like loosing myself etc...)
I am also very depressed and desperate (sadly not new at all), which makes me quite indifferent to anything - and neglect my physical health. I have severe eating disorders and even the minimum of nourishing myself I usually manage is super hard. I managed better in Hospital. But at home, I quickley I lost more weight. Everything is just too much and so exhausting (and scary). And feels pointless.
Sorry for the digression, I am in treatment with my psychiatrist and talk to him via phone/see him once a week.
The topic just touched me, even more so right now where it is so absolutely relevant and present for me.
Thanks for your great content, I love it.
Thank you for sharing. I hope things get better for you!
@@miriamrosemary9110 Thanks. I sure hope too.
@@mangantasy289 All the best xx
@@gert8439 thanks
Seriously dr Elliot I'm sure you're an excellent doctor/psychologist (I don't know the letters I'm sorry) but you should be a teacher. I guess you are cause you do these reactions but my nursing degree would have been so much easier if someone like yourself were explaining things. Just fascinating. Its so weird though cause psychology and how we deal with patients with confusion, delirium , dementia, pain, psychotic episodes...a wide range of stuff has changed since I was in uni and hiw we treat people. For the better but that was only 15 years ago.
Love that you're commenting on this movie. Look forward to the next video.
I have been waiting for this for so long! I'm so excited to hear what you have to say about this movie!
I would love to see your reaction to the later parts of movie involving the lobotomy
Well it’s about time! I’ve been looking forward to this one :)
Thank you for talking about the history of mental health. I'm very interested in this subject. They were very cruel in the 50s. Mental health was not understood in the people were treated very barbarically I think it's an excellent movie but it's not relevant to the 2020s when it comes to Mental Health excellent information I didn't know that they didn't have psychiatric meds until the 50s.
The movie was made in 1975 based on the book from 1962. The story is set in 1963. And really, the settings are actually rather accurate for the 1960s in the U.S.
There was a VA hospital on the edge of the town I grew up in, and it had a military psychiatric hospital attached to it and it was full of Viet Nam veterans and that hospital really did look like a prison. Students from the local schools would go out and decorate the hospital complex for the holidays, but you had to be over 16 before they'd allow you into the psychiatric hospital. That facility in the early 1980s still looked similar to the movie. I still have nightmares about the last time I was there and it was 'medication time' and the very large MP-sized orderlies were helping the nurses does nearly every man in the place with Thorazine. They were worse than walking wounded, they were walking dead.
I really think it would be interesting to see your take on Doom Patrol. It's a comic book show, but one on superpowers as disability. The first episode alone is very powerful, but episode 8, "Danny Patrol," is particularly great in how it handles the queer themes of the show. And episode 7 has a really interesting therapy session.
Did you get a new camera? The video looks so crisp! I also really like the lighting in this vid, the colors look very rich.
Would you tell us why you dislike haloperidol? I work for a long term pharmacy and I see that one come across sometimes. I know it has a very immediate effect and that's probably not great. I'm curious what the reasoning is from a psychiatric standpoint.
I’m curious to hear your thoughts on the depiction of ECT in this film. I was hesitant to try it because of this film but underwent many months of treatment anyways.
Thank you for covering this. Can you also do girl interrupted?
Do you guys have Extended Leave in the UK? Here in Canada, if someone is picked up because they had a psychotic episode in public by Car 87 (a police car containing one cop and a psych nurse), they're taken to PAU, the Psych Assessment Unit at the hospital where they're assessed, diagnosed and administered medication. Once they're stable enough, they're discharged on Extended Leave, which in Canada basically means that they live either in supported or independent housing and they're required to attend weekly or biweekly appointments with their assigned psychiatrist and/or psych nurse/mental health worker and take whatever medications were prescribed in hospital or have their weekly or biweekly injection at the mental health team. If they fail to comply, the police are called and the doctor signs a Form 4 or Form 5 under the Mental Health Act, requiring their immediate arrest, whereupon they're taken to hospital.
Hey I highly recommend u check out afterlife. It does deal with mental health and grieving.
I recently watched the movie Fair Haven on Amazon Prime and I feel like you’d enjoy it and it would be interesting to see you react to it. It’s about a young gay man who returns home from conversion therapy. Some of the movie is from the present time where he’s trying to avoid feelings for his former boyfriend and part of it has flashbacks to the therapy sessions at conversion therapy.
I’m going to be ever-so-slightly pedantic about the word threat. What’s happening in the movie is a threat where the motivation is perhaps dominance/control and the intent is to maybe (in this case) flex some power. In this sense, threats seem more like a type of verbal violence.
Whereas, what you were talking about it is more like a medical ultimatum or boundary where **hopefully** the patient is clearly told “Hey, we really feel you need this medication and if you don’t take it we are going to have to find another way to get it into your system” and that feels in its intent like communication and explanation in a nonviolent, non-dominance-flexing way. In that sense I wouldn’t use the word threat for it.
In the film, the intent is to threaten violence as a means of controlling the patient. It’s to establish a power dynamic.
With the other intent, the medically necessary boundary, patients may still feel affronted, and they still may resist, but the intent feels really different, and I’m sure some patients respond better to that than an outright threat of violence.
Oh now I want to know about mind vs brain!
I was in a psych hospital in the 90s it was no better
Pure masterpiece.
can you react to the titicut folies documental please it's really interesting to see de perspective of a specialist in these things, awesome video bdw thanks
There is still barbwire by the mental hospital near me
Please do Girl Interrupted next
have you done a video on the Psych ward scenes in 12 monkeys?
YES I LOVE THIS MOVIE
Kind reminder that this was filmed by Czecho-Slovakian movie director.l, Milos Forman. Yes we can make great movies
The brain and mind are different medically?
The brain is an organ. The mind is an abstract concept. You could see it az the function of the brain. And in many other ways as well:)
Brain is the hardware the software (mind) runs on.
Wow fantastic video my friend, I'm curious about the chief why was he pretending to be deaf an dumb, I remember when he was talking about his father he said he wasn't sucking out the bottle the bottle was sucking out of him, a fantastic line, but this says to me the chief know what's going on, so why is he there I know it's a film, but is there a reason,anyway love your videos my friend.
We could only guess, but undoubtedly there would be a reason that would be important to unpack. Feigning is a neutral term which would be most appropriate until that reason is better understood.
Spoiler alert: Chief isn’t actually dead or non-verbal. This was an avoidance strategy for him to avoid harassment from Nurse Ratched.
cant wait for part 2 aaaaaaaaaaaaaaaa
💖
And this is why I hate asylums and therapist all together
Everyone in this movie has an incredible face
Little Evie?
Malingering could be an unconscious process Doc? Feinging probably also has a functional purpose, not always readily understood? What do you think Elliot? Fine information as ever through the vid. Nurse Rattchet blatant sadist.
Technically malingering is conscious, but there are definitely also unconscious defenses that can manifest in symptoms of illness e.g. somatoform pain. Feigning usually does have some sort of purpose, but its a more neutral term while figuring out what that purpose is vs malingering which can often involve prematurely jumping to conclusions.
Oh no, time to cry :""")
Ah yes
hi can you please react to heartbreak high? very good australian netflix show, about teens with so much representation like lgbt, asexual, autism etc.
I had a psychology tutor on my access course who talked about this film as if it was an accurate representation of current psychiatric hospitals and treatment (don't get me wrong, there are issues in modern treatment but focus on them, don't just claim something like this shows why psych hospitals are bad).
She also came off as very anti medication she was openly transphobic. She is a working psychologist (I don't know what specific type of therapy she offered) but it did make me worry about how she treats patients tbh...
Loved the book but thought the movie was meh. Would love a new version.
My grandpa made this movie, fun to see you react to it