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Transcript of Harry Potter
Psychiatric Nursing Curriculum Thesis References The characters who play both major and minor roles within the Harry Potter series can be used in Psychiatric nursing education in order to better understand common disorders from which patients may be suffering. Health Care Psychiatric Disorders Portrayed Psychiatric Disorders Represented American Psychiatric Nurses Association. 2012. Retrieved from http://www.apna.org/i4a/pages/index.cfm?pageid=3277#sthash.Ggqb3XgB.dpbs
Evans, D. (2010, Oct, 13). Depression, Bipolar Disorder, and Dementors. http://suite101.com/ article/depression-bipolar-disorder-and-dementors-a290636
Lewis, S.T. (2007, July 20). A Soldier’s Heart in a Mad Eye. Veteran’s Today. Retrieved from http://www.veteranstoday.com/2007/07/20/a-soldier-s-heart-in-a-mad-eye/
Psychiatric Disorders. 2011, Nov. 7) AllPsych Online. Retrieved from http://allpsych.com/disorders/
Raiper, A. Disorders in Harry Potter. Google Sites. Retrieved from https://sites.google.com/site/disordersinharrypotter/syllabus
Rogge, T. (2013, Feb 13). Obsessive compulsive personality disorder. Medline Plus. U.S. National Library of Medicine National Institute of Health. Retrieved from http://www.nlm.nih.gov/medlineplus
Rowling, J. K. (2007, July 30). [Audio Tape Recording]. J.K. Rowling web chat transcript. Bloomsbury Publishing, London., Retrieved from http://www.the-leaky-cauldron.org/ 2007/7/30/j-k-rowling-web-chat-transcript
Rowling, J.K. (1997) Harry Potter and the Philosopher’s Stone. London: Bloomsbury Children's.
Rowling, J.K. (1998) Harry Potter and the Chamber of Secrets. London: Bloomsbury Children's.
Rowling, J.K. (1999) Harry Potter and the Prisoner of Azkaban. London: Bloomsbury Children's.
Rowling, J.K. (2000) Harry Potter and the Goblet of Fire. London: Bloomsbury Children's.
Rowling, J.K. (2003) Harry Potter and the Order of the Phoenix. London: Bloomsbury Children's.
Vorvick, L.J. (2012, Feb 13). Post Traumatic Stress Disorder. PubMed Health. U.S. National Library of Medicine Retrieved from http://www.ncbi.nlm.nih.gov/pubmedhealth Psychiatric
Nursing Muggle World vs Wizarding World Mad Eye Moody PTSD Professor Lockhart Dissociative amnesia Barty Crouch Jr Nymphadora Tonks Dementors Dissociative Identity Disorder (DID)
Multiple Personality Disorder (MPD) Body Dysmorphic Disorder Depression Health Care Professionals in Wizarding World
As Madam Poppy Pomfrey is said to be a matron, there may be different ranks of nurses like there is in the Muggle world. For example: matron, sister, staff nurse, nurse, and student nurse Health Care Professionals in Muggle World Awareness of Psychological Disorders in Wizarding World Awareness of Psychological Disorders in Muggle World Psychiatric Disorders Healing spells:
Mandrake Restorative Draught.
Strained and pickled Murtlap Tentacles.
Chocolate has special properties. Not only does it make a wonderful treat, but it also serves as a particularly powerful antidote for the chilling effect produced by contact with Dementors and other particularly nasty forms of Dark Magic. Psychiatric disorders are never discussed within the Harry Potter series and
the various disorders that the characters demonstrate are never addressed.
* This is probably mainly due to the fact that it was a childrens novel where mental illness would have been too complex for children to understand Primary Care (nurse practitioners, physicians assistants, MD's, DO's)
Nursing Care (LPN, RN, midwives, nurse specialists)
Surgeons Many individuals have mental health problems that interfere with their normal development and daily life activities. Some mental health problems are mild, while others are more severe. Some mental health problems last for only short periods of time, while others, potentially, last a lifetime. A whole branch of medicine is devoted to psychiatry and its diagnosis and treatment
Healthcare professionals get special education on how to work with psychiatric patients
Separate hospitals and wards are set up to work with psychiatric patients and treat their mental illness
Huntington has two hospitals devoted to psychiatrics - Riverpark Hospital and Mildred Mitchell Bateman Hospital What Causes Mental Health Disorders?
Environmental stress How Is Mental Illness Treated?
Creative Therapies Voldemort Narcissistic Personality Disorder When a person is unable to recall important personal information after a particularly stressful or traumatic episode.
The information isn't permanently lost, but it cannot be retrieved during the episode of amnesia
Episodes can last from several hours to several years, and usually disappears as suddenly as it came on *Traumatic episode - Ron's wand backfiring when in the Chamber of Secrets requires the person to have at least two different alters - meaning they have different modes of being, feeling, and acting that act separately from each other.
The personalities are also in control at different times.
Gaps in the memory occur because the alters don't have contact with each other, so alter A has no memory for what alter B did while they were in control.
Typically there is one main personality and treatment is focused on that personality.
Though Barty Crouch Jr does not have DID, he represents DID in that he takes on two personalities throughout Harry's fourth year at Hogwarts. The "personalities" that come out would be considered the real Mad Eye Moody and the one who is Barty Jr taking the polyjuice potion. The times when the real Mad Eye does not know what Barty is does would be considered the "gaps in the memory" an irrational fear and avoidance of objects/situations that do not present any real danger.
The term "phobia," as opposed to just a fear of something, implies that the person suffers from intense distress and social or occupational impairment because of the anxiety.
Phobias can be broken down into two types:
Specific Phobias aka spiders
Social Phobias Ron Weasley Phobia an extreme response to a severe event that caused intense fear, horror, or helplessness
includes increased anxiety, an avoidance of stimuli associated with the trauma, and a numbing of emotional responses.
The symptoms of PTSD are grouped into three categories:
Re-experiencing the traumatic event
Avoidance of stimuli associated with the event
Symptoms of increased alertness Presumably, after the first Wizarding War and his time in the Auror Office, did the first symptoms of PTSD become clear in Moody. No doubt Moody was frequently faced with death and probably saw many of his own colleagues and friends die. So Moody became short-tempered, surly, suspicious and very distrustful of people. He was always on high alert, yelling "Constant Vigiliance!!" to everyone. Ron has an intense fear of spiders as we learn in Chamber of Secrets. Fred and George once transfigured Ron's teddy bear into a giant spider to instigate Ron's arachnophobia (fear of spiders). And then as Ron and Harry follow Hagrid's instructions to "follow the spiders," Ron had to overcome this debilitating fear to visit Aragog and save his sister. Ron also tries to deal with this fear in The Prisoner of Azkaban when Professor Lupin has each of them face a boggart. Of course Ron's boggart takes the form of a spider, and to defeat it he imagines it without legs. when a person is preoccupied with an imagined or exaggerated defect in their appearance - such as wrinkles, excess facial hair, shape/size of their nose
with BDD, patients will spend hours a day obsessing over the defect. Some will often stand in front of a mirror for hours checking on the defect; others will eliminate all mirrors. These individuals will often undergo many cosmetic surgeries, but are still never satisfied with the outcome. People that suffer from BDD truly feel as though there is something physically wrong with them Tonks is constantly changing her appearance; going from peaky purple hair, to bubblegum pink hair, blonde curly hair, to being an old lady, to a tall tweedy woman. She'd even go as far as changing her nose between mouthfuls of food. While most people do like to experiment with their appearances sometimes, Tonks was forever changing hers. Tonk's, and Metamorphmagi in general, are good representations of BDD. Voldemort has a grandiose view of himself and thinks that he is the most powerful wizard in the world. He has a fantasy of taking over the world, and surrounds himself with 'high-status' pureblood Death Eaters. Dumbledore told Harry once about Tom Riddle's lack of empathy even as a child, as he bullied the other kids in the orphanage. Voldemort is a classic case of narcissistic personality disorder. People with this disorder have a grandiose view of their own uniqueness and abilities and they are often preoccupied with fantasies of great success. They are self-centered, require constant attention and admiration, and they believe that only high-status people can understand them. They aren't a real 'people-person' as their interpersonal relationships are disturbed because of their: lack of empathy, their feelings of envy, arrogance, and tendency to take advantage of others. People with NPD are often very sensitive to criticism and deeply fearful of failure. They become angry with other people and reject them when they fall short of unrealistic expectations. an emotional state marked by great sadness and feelings of worthlessness and guilt. Other symptoms can include a loss of sleep, appetite, interest/pleasure in normal activities and a withdrawal from others.
For a diagnosis of major depressive disorder (MDD) it requires the presence of 5 of the following symptoms to last for at least 2 weeks.
•sad, depressed mood nearly everyday, all day
•loss of interest and pleasure in usual activities
•difficulties in sleeping
•shift in activity level
•poor appetite and weight loss
•loss of energy, fatigue
•complaints or evidence of difficulty in concentrating
•recurrent thoughts of death or suicide When asked about the dementors she had created, J.K. Rowling said that she had invented them as a personification of the depression and suicidal thoughts she was experiencing while going through a divorce and writing the books. “Depression is the most unpleasant thing I have ever experienced. It is that absence of being able to envisage that you will ever be cheerful again. The absence of hope. That very deadened feeling, which is so very different from feeling sad. Sad hurts but it’s a healthy feeling. It’s a necessary thing to feel. Depression is very different.” According to the World Health Organization (WHO), over a third of people in most countries report problems at some time in their life which meet criteria for diagnosis of one or more of the common types of mental disorder. Common Types of Psychiatric Disorders:
Anxiety Disorders - those that are characterized by excessive and abnormal fear, worry and anxiety. In one recent survey published in the Archives of General Psychology1, it was estimated that as many as 18% of American adults suffer from at least one anxiety disorder.
Dissociative Disorders - psychological disorders that involve a dissociation or interruption in aspects of consciousness, including identity and memory.
Developmental Disorders - also referred to as childhood disorders, are those that are typically diagnosed during infancy, childhood or adolescence
Cognitive Disorders - these psychological disorders are those that involve cognitive abilities such as memory, problem solving and perception. Some anxiety disorder, mood disorders and psychotic disorders are classified as cognitive disorders.
Eating disorders - characterized by obsessive concerns with weight and disruptive eating patterns that negatively impact physical and mental health.
Factitious disorders - those in which an individual acts as if he or she has an illness, often be deliberately faking or exaggerating symptoms or even self-inflicting damage to the body.
Impulse-Control Disorders - those that involve an inability to control impulses, resulting in harm to oneself or others. Psychiatric nursing or mental health nursing is the specialty of nursing that cares for people of all ages with mental illness or mental distress, such as schizophrenia, bipolar disorder, psychosis, depression or dementia. Nurses in this area receive more training in psychological therapies, building a therapeutic alliance, dealing with challenging behavior, and the administration of psychiatric medication. Settings and Specialties:
Community Psychiatric Nurses
specialize in mental health work with people in their own homes (case management) and will often emphasize work on mental health promotion. They also work in rehabilitation settings where people are recovering from a crisis episode and the where the aim is social inclusion and a return to living independently in society.
Forensic Mental Health Nurses
work in forensic psychiatry with people who have mental health problems and have committed crimes. They work in adult prisons, young offenders' institutions, medium secure hospitals and high secure hospitals. In addition forensic mental health nurses work with people in the community who have been released from prison or hospital and require on-going mental health service support.
specialist dementia nurses, working in the community, with families, carers and supporters of people with dementia. The Admiral nurse role is to work with family carers as their prime focus, provide practical advice, emotional support, information and skills, deliver education and training in dementia care, provide consultancy to professionals working with people with dementia and promote best practice in person- centered dementia care.
Psychiatric mental health nurses may also specialize in areas such as drug and alcohol rehabilitation, or child and adolescent mental health.