Fundamental of Mental Health
Fundamental of Mental Health
Fundamental of Mental Health
~ THE PEOPLE'S
UNIVERSITY MPC-051
Indira Gandhi National Open University Fundamentals 01
School of Social Sciences
Mental Health
Concept 01 Mind 1
MPC-051
Fundamentals of
Indira Gandhi
Mental Health
National Open University
School of Social Sciences
Block
1
CONCEPT OF MIND
UNIT 1
Mental Health 5
UNIT 2
Mind: Constituents of Mind 14
UNIT 3
Biological Basis of Mind 27
UNIT 4
Psychological Basis of Mind 34
Expert Committee
Prof. Vimala Veeraraghavan Dr. Rajeev Dogra Prof. M. Thirunavakkarasu
(Chairperson) Clinical Psychologist President, Indian Psychiatric
Former Emeritus Professor Dept. of Psychiatry, PGIMS Society, Prof. & Head
Discipline of Psychology Rohtak Dept. of Psychiatry
IGNOU, New Delhi Prof. Ram Ghulam SRM Medical College
Prof. T. B. Singh Head -Department of Psychiatry Hospital & Research Center,
Professor Clinical Psychology M.G.M. Medical College Indore Chennai
Institute of Behavioural Sciences M.P., Superintendent Dr. Swati Patra
Gujrat Forensic Sciences Mental Hospital Indore (Programme Coordinator)
University, Gujarat Prof. Dinesh Kataria Associate Professor
Prof. B. S. Chavan Dept. of Psychiatry Discipline of Psychology
Head, Dept. of Psychiatry Lady Hardinge Medical College IGNOU, New Delhi
Govt. Medical College New Delhi
Chandigarh Prof. R. C. Jiloha
Prof. R. K. Chadda Head, Dept. of Psychiatry
Dept. of Psychiatry, AIIMS G.B. Pant &Maulana Azad
Ansari Nagar, New Delhi Medical College, New Delhi
Print Production
Mr. Manjit Singh
Section Officer (Publication)
SOSS, IGNOU, New Delhi
July, 2015
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BLOCK 1 INTRODUCTION
In this course you will come across the basic fundamentals of mental health. The
present block deals with the definition of mental health, the concept of mind, its
structure and constituents, and also about the biological and psychological basis
of mind.
Here in Block 1 of MPC-051, we will be focusing on the concept and definition
of Mind and Mental Health.
Unit 1 deals with “Mental Health”. It discusses the various definition, concepts
and issues related to the mental health. The Unit further deals with the scientific
approaches to mental health. The first Unit of this block will help you in
understanding the basics of mental health.
Unit 2 deals with “Mind: Constituents of Mind”. This Unit discusses about the
various constituents of mind. It later focuses on the Eastern as well as Western
facets towards the explanation of the concept of mind. This Unit also hubs around
the nature, structure and the levels of mind according to Ayurveda and also
explains the concept of Manas.
Unit 3 describes the “Biological Basis of Mind”. It elucidates the significant
contribution of bodily/biological changes in the field of mental health. The role of
brain functioning with reference to consciousness and also in the regulation of
emotions, cognitions as well as the brain functions related to memory, sleep and
dream states have been explained in this Unit.
Unit 4 is “Psychological Basis of Mind”. It describes the different contributions
and viewpoints of various psychologists like Freud, Jung towards the functioning
of mind and brain. This Unit also tries to explain the humanistic psychologists and
cognitive psychologists aspects of mind.
Mental Health
UNIT 1 MENTAL HEALTH
Structure
1.1 Introduction
1.2 Objectives
1.3 Defining Mental Health
1.3.1 Model A – Mental Health as Above Normal
1.3.2 Model B – Mental Health as Maturity
1.3.3 Model C – Mental Health as Positive or Spiritual Emotions
1.3.4 Model D – Mental Health as Socio-Emotional Intelligence
1.3.5 Model E – Mental Health as Subjective Well-Being
1.3.6 Model F – Mental Health as Resilience
1.1 INTRODUCTION
In day to day language, the term “health” is often used to refer to the
absence or presence of disability or disease. People of different background
and cultures may have different concept of health. The concept may also
differ according to the circumstances. For example, an older person may
consider inner strength and ability to cope with life’s challenges as health. On
the other hand, a younger person would consider fitness, energy and strength
as more important, and as indicators of health. Those who live in good living
conditions tend to think of health in the context of enjoying life, while those
who do not live in so comfortable circumstances may consider essentials in
daily life as health. The World Health Organisation (WHO) has defined health
as “a state of complete physical, mental and social well-being and not merely
absence of disease or infirmity”.
A number of factors may enhance or threaten an individual’s or community’s
health status. Some of these may be under the control of an individual (e.g.,
smoking) and others may not be, such as social class, ethnicity, access to
education, gender, quality of housing, presence of supportive relationship etc.
(World Health Organization Report, 2004)
In today’s context, it is important to understand the meaning of mental health,
since in the last few decades, the employing institution is eager to know about
mental fitness of a person besides physical fitness for the job, a prospective
employee is going to a join. The mental health professional may be asked to
assess the mental health status of the prospective Candidate. The WHO
defines mental health as “a state of wellbeing, in which every individual
realises his or her own potential, can cope with the normal stresses of life,
can work productively and fruitfully, and is able to make a contribution to her
or his community Thus, the mental health refers to a broad group of activities 5
Concept of Mind directly or indirectly related to mental well-being. The activities include
promotion of wellbeing, the prevention of mental disorders, and the treatment
and rehabilitation of people affected by mental disorders (WHO, 2012).
There is no health without mental health.
The following section discusses the various concepts and issues related to the
mental health.
1.2 OBJECTIVES
After going through this Unit, you will be able:
Changes in the procedure of assessment of mental health were seen after the
World War II. Normal adaptive behaviour of those who served in the army
was studied and the observations were published in scientific literature. There
was a focus on the adaptation of the army veterans into civilian life.
One should possess autonomy and recognise what suits one’s needs.
One should perceive reality without distortion and yet possess empathy.
1.7 REFERENCES
Vaillant GE (2003). Mental health. American Journal of psychiatry, 160:1373–
1384.
Vaillant GE, Vaillant CO (2009). Normality and mental health. In Kaplan &
Sadock’s Comprehensive textbook of psychiatry, 9th edn., Lippincott Williams
& Wilkins, NY.Pp 691-706.
World Health Organisation (2004) Promoting Mental Health: Concepts,
Emerging Evidence, Practice: Summary Report. World Health Organisation:
Geneva.
Websites: (http://www.who.int/features/factfiles/mental_health/en/accessed on
8 July 2013).
13
Concept of Mind
UNIT 2 MIND: CONSTITUENTS OF
MIND
Structure
2.1 Introduction
2.2 Objectives
2.3 Western Concepts of Mind
2.4 Eastern Concepts of Mind
2.5 The Concept of Mind in Ayurveda
2.5.1 The Nature of Mind
2.5.2 Structure of Mind
2.5.3 Five Levels of Mind
2.5.4 Tridhoshas
2.5.5 Trigunas
2.5.6 Psychological Disturbances
2.5.7 Summary
2.1 INTRODUCTION
It has been believed since millennia, that man has been intrigued by what mind
is and what are its characteristics. Scientists and philosophers have attempted
understanding it since long. The question still remains regarding the exact nature
of mind and its association with the brain. Though we might have been able
to understand the structure and function of different parts of the brain to a large
extent, exact nature of mind still remains out of bounds, though one may be
able to given different explanations for it and its functions. Historically, the
philosophers like Plato and Aristotle, and later scientists like Ryle and Freud
in the nineteenth and twentieth century made excellent attempts at resolving the
puzzle of mind. The concept of mind is understood in different ways in different
cultures and religious traditions. This unit discusses the early philosophical
concepts, medical concepts and psychological concepts of mind.
2.2 OBJECTIVES
With the help of the present Unit, you will be able to:
Understand mind and its constituents;
Understand the Western concepts of mind;
14
Understand the Eastern concepts of mind; Mind: Constituents of Mind
Know the nature, structure and the levels of mind according to Ayurveda;
and
Understand the concept of Manas.
Outer mind is the part of the mind dominated by the senses and emotions
in which we ordinarily function on a daily basis, gathering impressions and
acting in the outer world. The outer mind, which is directed to the sensory
world of the external environment, has water as its chief element. Water
is the formative aspect of the mind that enables construction of one’s reality
after gathering impressions from outside. It is with the outer mind that one
lives and transacts with the external world. This is the part of mind to
which one is familiar with and knows as the mind.
Ego — earth.
2.5.4 Tridoshas
While we are a composite of these five primary elements, certain elements are
seen to have an ability to combine to create various physiological functions.
Vatadosha: Ether and air combine to form this dosha. Vata governs the principle
of movement and therefore can be seen as the force which directs nerve impulses,
circulation, respiration, and elimination.
Pitta dosha Fire and water are the elements that combine to form this dosha.
The pitta dosha is the process of transformation or metabolism. The
transformation of foods into nutrients that our bodies can absorb is an example
of a pitta function. Pitta is also responsible for metabolism in the organ and
tissue systems as well as cellular metabolism.
Kaphadosha: Water and earth combine to form this dosha. Kapha is what
is responsible for growth, adding structure unit by unit. Another function of the
kaphadosha is to offer protection. Cerebral-spinal fluid protects the brain and
spinal column and is a type of kapha found in the body. Also, the mucousal
lining of the stomach is another example of the kaphadosha protecting the tissues.
We are all made up of unique proportions of vata, pitta and kapha. The ratios
of the doshas vary in each individual; and because of this, Ayurveda sees each
person as a special combination that accounts for our diversity.
2.5.5 Trigunas
Just as the body is governed by the three doshas, the mind is also governed
by three attributes (guna): sattva, rajas and tamas.A brief description of
Sattva is responsible for righteous and kind thoughts and feelings.
Rajas is for arrogance, desire, love and passion.
Tamas is for sleep, stupidity, ignorance.
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2.5.6 Psychological Disturbances Mind: Constituents of Mind
The psychological disturbances result when the elements in the mind are in a
state of disequilibrium. According to Ayurveda, the psychological problems
arise at the level of the outer mind, since happiness is sought in the physical
world of things. The nature of the mind is subtle, and unless cleared of its gross
elements especially the element of earth (ego), the disturbances cannot be got
rid of. This is not achievable by a mere balancing the mental elements, but
needs spiritualizing the mind. The lower functions of the mind are to be subdued
in favour of the higher ones. Healing of the mind consists of purifying it, and
refining the elements that compose it. Significance of the environment and the
ecosystem in health and illness has been highlighted in the Vedas, and so too
in Ayurveda.
In nature, vayu (the air) serves as an envelope of the earth and maintains the
division of seasons. In its abnormal state, it may cause storms and winds. When
activated at the microcosmic level, it produces physical and mental illnesses.
2.5.7 Summary
It should be clear to you by now that, Ayurveda recognised disease as
manifestation of a failure to fulfil “the values of life”. The body and mind are
equally involved in the causation of disease. Besides the contributory role of
the mind in disease, the system takes into account the required attitude which
can hasten the cure. This Ayurvedic tenet becomes significant in the context
of the prevailing dichotomy of body - mind view.
The entire space of the spectrum may be divided into 4 mental health
statuses, namely
Mentally healthy
Mentally not healthy
Mentally unhealthy
Mentally ill
Mentally healthy is a health status that occupies a rather narrow space
in the spectrum, with the least negative impact on both dimensions. Mentally
healthy can be identified by the presence of all the three of the following
24 criteria:
Awareness of one’s own self Mind: Constituents of Mind
2.11 REFERENCES
Bennett, MR (2007) ‘Development of the concept of mind’, Australian and
New Zealand Journal of Psychiatry, 41:12, 943-956
Thirunavukarasu, M. (2011). A utilitarian concept of manas and mental health:
Presidential Address. Indian Journal of Psychiatry, 53 (2): 99-110
Rao, AV. (2002) Mind in Ayurveda, (2002). Indian Journal of Psychiatry, 44(3);
201-211.
Rao, AV. (2002) Mind in Indian philosophy, (2002). Indian Journal of Psychiatry,
26 44(4); 315-325.
Biological Basis of Mind
UNIT 3 BIOLOGICAL BASIS OF MIND
Structure
3.1 Introduction
3.1.1 Different Views Towards Biological Basis of Body and Mind
3.2 Objectives
3.3 Findings of Neuropsychology
3.4 Consciousness and the Brain
3.5 Biological Basis of Emotions and Cognitions
3.5.1 Emotional Arousal and Emotional Regulation
3.1 INTRODUCTION
The French philosopher Descartes believed in dualism which distinguishes
between mind and body. According to Descartes, the mind was located in the
brain’s pineal gland and was responsible for the body regulation through the
brain and nerves. It was considered to be non-physical and non-material unlike
the body. He believed that what made humans different from animals was that
humans possessed a soul or mind. This notion was popular until the behaviourists
asserted their views on human behaviour. If the mind and body are two different
entities then the question that arises is how are they related to one another.
3.2 OBJECTIVES
Further, this Unit will help you to:
understand the interaction between brain and mind;
understand the functions of mind based on neuropsychological findings;
understand the role of brain functioning in consciousness;
understand the brain functions in emotions and cognitions;
understand the brain functions related to memory; and
understand the brain functions related to sleep and dream states.
It has now been well established that the brain is the seat of consciousness.
A complex interaction in the neural networks that involves a range of
neurophysiological and neurochemical activities, results in the various diversities
of the mental functioning.
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Biological Basis of Mind
Self Assessment Questions 2
.........................................................................................................
3.7 MEMORY
Neuroscientists have also studied the biological basis of memory and learning.
Like the association of brain regions to emotion, memory has also been found
not to be stored in any specific region but spread out through different areas
of the brain. But a few brain regions are vital to the formation of new memories,
such as the hippocampus and the thalamus. Changes in the strength of neural
connections, which may result from life experiences, affect the recording of
memory in the brain.
1) Emotional brain
2) Prefrontal cortex and Amygdala
3) Yes
4) Neuro-scientific research
5) Yes
Self Assessment Questions 3
1) False
2) False
3) True
4) False
5) True
3.12 REFERENCES
1) Davidson R.J. (2004). The neuroscience of emotion. In Goleman, D. (Ed.)
Destructive Emotions. New York: Batam.
2) Hobson, J. A (2009). REM sleep and dreaming: towardsa theory of
protoconsciousness. Nature Reviews: Neuroscience, 10:803-813.
3) Kalat, J. W., Biological Psychology, 10thedn., (2009), USA; Wadsworth
Cengage Learning.
4) Wallace B., Contemplative science: Where Buddhism and neuroscience
converge. (2007), New York: Columbia University Press.
33
Concept of Mind
UNIT 4 PSYCHOLOGICAL BASIS
OF MIND
Structure
4.1 Introduction
4.2 Objectives
4.3 Structuralists’ View of Mind
4.4 Gestalt School of Psychology and Mind
4.5 Mesmerism
4.6 Hypnotism
4.7 Disorders Induced in Normal Individuals
4.8 Influence of Breurer’s Work on Psychogenic Aspects of Mental Illness
4.9 Sigmund Freud and His Concept of the Mind
4.10 Jung and His Concept of Mind
4.11 Views of American Psychologists
4.11.1 Growth of Functionalism
4.12 Humanistic Psychology and Cognitive Psychology
4.13 Let Us Sum Up
4.14 Answer to Self Asessment Questions
4.15 Unit End Questions
4.16 References
4.1 INTRODUCTION
Psychology began as a study of mind or the ‘psyche’ and later it expanded
to a study of behaviour. As behaviour is essentially determined by the mind,
psychology was called the behavioural science. Mind has sub components of
mood, thought and intellect as described in the previous chapter, and the
behaviour depicts mood, thought and intellect. This unit will help you to
understand the fact that, if mind is to be studied and understood, it has to
be done by observing and understanding behaviour. To further simplify this, it
is the study of behaviour, the interaction of ‘self’ with the environment. This
interaction could be action or reaction of ‘self’ with ‘non-self’. Thus, study of
anything that is psychological would mean studying the interaction of the ‘self’
with the environment. This interaction would influence, alter, modify or interfere
with the ‘psyche/mind’ with the purpose of correcting the functions or the
dysfunctions of the mind. For example, by way of interaction, one can develop
a problem in the mind. The same problem or any other problem can also be
rectified by the process of corrective interaction. Psychotherapy means a more
meaningful interaction which aims to solve problems.
4.2 OBJECTIVES
The last Unit of this block helps you in:
Understanding the structuralists’ view of mind;
Understanding the contribution of Gestalt school of psychology in the
34 concept of mind;
Understanding Freud’s view of mind; Psychological Basis of Mind
4.6 HYPNOTISM
It was not until years after Mesmer died that many researchers had the courage
to investigate his procedure, later called hypnotism (from hypnos, the Greek
word for “sleep”), and its effects on hysterical disorders. By the late nineteenth
century, two competing views had emerged. Because hypnosis—a technique
relying on the power of suggestion—was able to alleviate hysterical ailments,
some scientists concluded that hysterical disorders were disorders of mind.
In contrast, other scientists believed that hysterical disorders had subtle
physiological causes. For example, Jean Charcot (1825–1893), Paris’s most
eminent neurologist, argued that hysterical disorders were the result of degeneration
in portions of the brain.
Since the mid-1970s, with the rapid progress of cognitive neuroscience and
advancement of medical technology, investigations of the brain and mental
functions became the major focus in the study of human mind, and mental
functions were equated with neural processes and brain structures, instead of
behavioural dispositions. Many types of causal relationships between the mind
and brain have been discovered by cognitive neuroscientists. This includes
specific correlations between particular neural activities and mental activities in
such ways that the occurrence or cessation of the former is linked to the
occurrence or cessation of the latter.
To start with, psyche was thought to have a biological basis, but after the advent
of psychoanalytical views, the shift was towards the non-biological causes of
problem behaviour. Thereafter, the behavioural school also stressed strongly on
the psychological mechanisms, and little on the biological ones. After the invention
of drugs which were able to control psychotic behaviour and mood disturbances,
the trend was to understand it from point of view of a biological basis for mood
and thought. The understanding and description of the Alzheimer’s disease made
way for understanding intellect as having an organic basis. Simultaneously, the
enormous development of technology in leaps and bounds has dramatically
changed the understanding of human behaviour.
4.16 REFERENCES
Gross R. D., Psychology, the Science of Mind and Behaviour, 2nd edn.,
(1993). Hodder & Stoughten, London.
Meissner WW (2009) Classical psychoanalysis. In Editors: BJ Sadock,
VA Sadock, P. Ruiz) Kaplan & Sadock’s Comprehensive Textbook
of Psychiatry, 9th Edition. Lippincott Williams & Wilkins: New York. pp
788-838.
Mohl PC, Brenner AM (2009). Other psychodynamic schools. In (Editors:
BJ Sadock, VA Sadock, P Ruiz) Kaplan & Sadock’s Comprehensive
Textbook of Psychiatry, 9th Edition. Lippincott Williams & Wilkins: New
York pp 848-870
Passer, M. W., & Smith R. E., Psychology, the Science of Mind and
Behaviour, 3rd edn., (2007). Tata McGraw-Hill, New Delhi.
Websites:
(http://www.who.int/features/factfiles/mental_health/en/accessed on 8 July 2013).
40
MPC-OSl : FUNDAMENTALS OF MENTAL HEALTH
ISBN: 978-81-266-6715-4