Models of psychiatric illness and therapeutic education discussed here.

1. Models of therapeutic
education
S.K. Kar
Asst. Professor in Psychiatry
K.G.M.U, Lucknow

2. Understanding models of therapeutic education
needs understanding about the models of illness
Before illness Prodrome Illness Outcome illness

3. Understanding Psychiatric disorders
• Why some body develops psychiatric disorder?
• Medical model
• Psychiatric disorders are medical disorders (comparable to NCDs)
• Specific cause…. Genetic aspect… biochemical aspects

4. Understanding Psychiatric disorders
• Why some body develops psychiatric disorder?
• Psychodynamic model
• Goes with the medical model
• Based on three theories
1. Theory of unconscious
2. Theory of psychic determinism (childhood experience influences adult behaviour)
3. Belief in infantile sexuality
• Psychiatric disorders are due to continuing pressure of traumatic events or fears which
occurred in childhood
• Seems more philosophical

5. Understanding Psychiatric disorders
• Why some body develops psychiatric disorder?
• Behavioral model
• Skinner, Wolpe & Eysenck
• Contrary to psychodynamic and medical model
• Pathological behavior is governed by the same rules as those which govern normal
behaviour
• Neurosis and psychosis are simply abnormal behaviors that have been
learned in the same way that normal behavior is learned. If they were
more flexible or less extreme, they would be indistinguishable from
normal behavior.

6. Models of mental illness
• What ….
– Model that explains the illness dynamics
• How…
– Build on evidence, experience, cultural explanation, assumptions
• Why…
– To understand the causation, course, outcome, remediation

7. Fitting into
Mental
health/
illness

8. Mental Wellbeing/illness

10. Models of Mental Illness
• Spiritual model
• Moral character model
• Medical/disease/ biological Model
• Psychological model (Psychodynamic model, behavioural
model)
• Social model
• Family therapy model

11. Person Centered Care Model
Kar SK & Singh A. IJPCM, 2016; 6 (4):298-304.

14. The most popular model

15. Bio-Psycho-Social Model

16. Preventive Model

17. Models of
Therapeutic
Education

18. Person Centered Care Model
Kar SK & Singh A. IJPCM, 2016; 6 (4):298-304.
To address the person as
a whole…. Rather than
the symptoms only.
A holistic educational
model

19. Relevance of social,
cultural,
environmental
factors in the
context of mental
illness

20. Bio-Psycho-Social model

21. Preventive Model
Psychiatric illnesses are
preventable..
Relevance/scope of health
promotion, early detection &
treatment, rehabilitation

22. The Big Questions
What to be addressed in psychoeducation?
How it need to addressed?
When it need to be addressed?
Whom should we target?
Who need to do the work of psychoeducation?
Why it is required?
Where it should be done?

23. The Big Questions
What to be addressed in psychoeducation?
How it need to addressed?
When it need to be addressed?
Whom should we target?
Who need to do the work of psychoeducation?
Why it is required?
Where it should be done?

24. Thank You