In health care, we tend to seek help for two categories of problems: injuries and illnesses. In mental health, this distinction is more complicated.
Stress and trauma are known to ignite biological processes associated with many mental health challenges.
From my perspective, there are two primary reasons people seek out health services—because they're sick or hurt. Traditionally in psychiatry, this distinction is rarely made with a focus on illness instead. There are diagnostic criteria, a description of a"pathology," and treatment. Still, it can be asked, are all conditions in psychiatry illnesses?) problematic in that it seemed to confuse injury for an illness.
Popular conceptualization of trauma has shifted to acknowledge its status as an injury. Just a person can experience physical trauma, it's acknowledged that if enough strain is placed on a person's psyche, psychological trauma can occur. PTSD is a clear example of an injury. The mental health field has a shameful history of blaming families when individuals, particularly children, present with difficulties. One of the most troubling examples of this is the 1940s' phenomenon of the"refrigerator mother." At that time, when children exhibited traits of autism, the mother would be targeted as the cause.
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