Segment 1 Professor Shepherd talks to camera and explains the main questions his lecture on mental illness will include. He shows tables listing all the mental disorders included in the 8th edition of the International Classification of Diseases and he describes the main classes and sub-classes of these diseases. Time start: 00:00:00:00 Time end: 00:05:01:00 Length: 00:05:01:00
Segment 2 Shepherd shows further charts detailing the classification and prevalence of different forms of mental illness. He points out that data varies according to the institution publishing it and he discusses differences in classification in general. For instance, some institutions classify anorexia nervosa as a psychogenic disease, some as a psychosomatic illness and some as a psychosocial problem. Time start: 00:05:01:00 Time end: 00:09:39:00 Length: 00:04:38:00
Segment 3 Shepherd looks at the classification of mental illness from the 1960s, in particular the list of admissions. He compares these to the same kind of list from hospital admissions in 1949. Interestingly, in 1949, 50% of patients admitted were classified as suffering from alcoholic psychosis. Shepherd looks at how alcoholism has been classified as a form of mental illness since then and shows a chart detailing the kind of classifications for this in relation to the presence of liver disease. Time start: 00:09:39:00 Time end: 00:16:15:00 Length: 00:06:36:00
Segment 4 Shepherd moves on from looking at inpatient statistics to look at statistics relating to outpatients. He shows a table comparing the two - outpatients are mainly classified as having neuroses and personality disorders while inpatients have higher number of people suffering from psychosis. Time start: 00:16:15:00 Time end: 00:20:31:12 Length: 00:04:06:12
Segment 5 Shepherd suggests that the lack of consistent statistics from hospitals means that the dimensions of mental health within the community are not well covered. He shows how statistics for people seeking GP advice for mental health problems doubled between the years 1955 to 1971. The statistics show too, however, that some of the increase is due to increased tendency to diagnose certain ill-defined symptoms, such as chronic headache, in terms of mental illness. Time start: 00:20:31:12 Time end: 00:25:06:12 Length: 00:05:25:00
Segment 6 Shepherd shows a graph detailing how many cases of mental ill health make it into GP or other medical statistics. He then talks in general about the recognition of mental illness, listing the stages from initial discomfort in the patient to being classified by a healthcare professional. Time start: 00:25:06:12 Time end: 00:30:37:17 Length: 00:05:31:05
Segment 7 Shepherd talks about how classifications help in case identification, if nothing else. He describes how new systems suggested by the World Health Organisation have altered classification processes and shows a table listing some new types of classification. Shepherd also looks back at the 1943-1952 British Survey of Sickness and describes the statistics listed there. Time start: 00:30:37:17 Time end: 00:36:00:00 Length: 00:07:22:08
Segment 8 Shepherd talks about the US National Health Survey from the 1960s which was based on a sample of 8000 people aged between 18 and 79. He concludes his lecture by discussing how difficult it is to classify mental health illnesses and that more attention needs to be paid to people suffering within the community who have not yet been assessed by a healthcare professional. Time start: 00:36:00:00 Time end: 00:39:09:13 Length: 00:03:09:13