Theoretical Framework for Multiple Mental Disorder and the Biopsychopolitical Model of Mental Illnesses: Underscoring the Pressure of Politics on Citizens’ SocialDeterminants of Mental Illnesses MMD and the Biopsychopolitical model
Main Article Content
Abstract
From the inception of psychiatry and clinical psychology as specialties destined to deal with mental illnesses, there have been considerable advances in the search for their etiology; and their nosology and intervention guidelines are updated regularly. Different models that explain etiologic mechanisms of mental illnesses have been formulated and successfully guided and still
guide their management but due to the ever-increasing prevalence of mental illnesses worldwide, the search for models to explain their etiology and guide
interventions is still an open area for research and debate. Due to the
shortcomings of comorbidity and multimorbidity concepts in explaining
the co-occurrence of two or more mental disorders that share the same
pathogenetic pathways and present overlapping symptoms, the theoretical framework for multiple mental disorder (MMD) as a single compound mental
disorder is presented. This paper also takes the social aspect of mental
disorders to the next level that emphasizes for the first time the contribution of political systems to the mental ill-health of their own citizens and proposes the
biopsychopolitical (BPP) model that explains the etiology of multiple mental disorder and other mental illnesses and guide their management.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-No Derivatives 4.0 International (CC BY-NC-ND 4.0)
The authors retain copyright and permit the journal the copyright of first publication
Articles, once having passed the review process and accepted for publication in the CDMH Journal, are copyrighted under the CDMH Journal, Department of Mental Health, Ministry of Public Health. Please be aware distribution of CDMH Journal content for commercial purposes without permission is expressly prohibited. However, distribution with intent to educate, advocate, or spread awareness within the general public and research communities is permitted and encouraged with the understanding that the CDMH Journal Editorial Board do not hold jurisdiction or liability for any accompanying comments, text, or information from third parties, either in favor for or against the original article’s assertions, conclusions, methodology, or content.
References
Abd El-Hay, M. (2020). Understanding Psychology for Medicine and Nursing: Insights and Applications. Routledge.
Alegria, M., NeMoyer, A., Falgàs Bagué, I., Wang, Y., & Alvarez, K. (2018). Social Determinants of Mental Health: Where We Are and Where We Need to Go. Curr Psychiatry Rep, 20(11), 95.
Anthony W. Bateman, & Peter Tyrer. (2004). Psychological
treatment for personality disorders. Advances in
Psychiatric Treatment, 10(5), 378–388.
Babalola, E., Noel, P., & White, R. (2017). The biopsy
chosocial approach and global mental health:
Synergies and opportunities. Indian J Soc
Psychiatry, 33(4), 291–296.
Benning, T. B. . (2015). Limitations of the biopsychosocial model in psychiatry. Advances in Medical Education and Practic, 6, 347–352.
Borrell-Carrió, F., Suchman, A. L., & Epstein, R. M. (2004). The Biopsychosocial Model 25 Years Later: Principles, Practice, and Scientific Inquiry. Ann Fam Med, 2(6), 576–582.
Borsboom, D. (2017). A network theory of mental
disorders. World Psychiatry : Official Journal of the World Psychiatric Association (WPA), 16(1), 5–13. https://doi.org/10.1002/wps.20375
Bringmann, L. F., & Eronen, M. I. (2018). Don’t blame the model: Reconsidering the network approach to
psychopathology. Psychological Review, 125(4),
–615.
Buckley-Zistel, S. (2009). Nation, narration, unification? The politics of history teaching after the Rwandan
genocide. Journal of Genocide Research, 11(1), 31–53.
Chien-Hong, L. (1989). The role of socialization in the
process of political life: An analysis of gender roles in elementary school textbooks on Taiwan [Master
Thesis]. Western Michigan University.
Contreras, A., Nieto, I., Valiente, C., Espinosa, R., & Vazquez, C. (2019). The Study of Psychopathology from the Network Analysis Perspective: A Systematic Review. Psychother Psychosom, 88(2), 71–83.
Crick, L., Brooke-Sumner, C., Baingana, F., Baron, E. C., Breuer, E., Chandra, P., Haushofer, J., Hermann, H., Jordans, M., Kieling, C., Medina-Mora, M. E.,
Morgan, E., Omigbodun, O., Tol, W., Patel, V., &
Saxena, S. (2018). Social determinants of mental disorders and the Sustainable Development Goals: A systematic review of reviews. Lancet Psychiatry,
(4), 357–369.
De Boer, N. S., De Bruin, L. C., Geurts, J. J. G., & Glass, G. (2021). The Network Theory of Psychiatric
Disorders: A Critical Assessment of the Inclusion of
Environmental Factors. Front. Psychol, 12, 623970.
Deakon, B. J. (2013). The biomedical model of mental
disorder: A critical analysis of its validity, utility, and effects on psychotherapy research. Clinical Psychology
Review, 33, 846–861.
Dirk Richter & Jeremy Dixon. (2022). Models of mental
health problems: A quasi-systematic review of
theoretical approaches,. Journal of Mental Health.
Dogar, I. A. (2007). Biopsychosocial model. APMC, 1(1).
Engel, G. (1977). The need for a new medical model: A challenge for biomedicine. Psychodynamic Psychiatry, 40(3), 377–396.
Farreras, I. G. (2022). History of mental illness. In Noba textbook series: Psychology. DEF publishers. http://noba.to/65w3s7ex
Fonseca-Pedrero, E. (2018). Network Analysis in Psychology. Psychologist Papers, 39(1), 1–12.
George, D. R., Snyder, B., Van Scoy, L. J., Brignone, E., Sinoway, L., Sauder, C., Murray, A., Gladden, L., Ramedani, S., Ernharth, A., Gupta, N., Saran, &
Kraschnewski, J. (2021). Perceptions of Diseases of Despair by Members of Rural and Urban
High-Prevalence Communities. JAMA Netw Open, 4(7), e2118134.
Ghaemi, S. N. (2008). Toward a Hippocratic Psycho
pharmacology. Can J Psychiatry, 53(3), 189–196.
Harrison, C., Fortin, M., van den Akker, M., Mair, F., Calderon-Larranaga, A., Bolland, F., Wallace, E., Jani, B., & Smith, S. (2021). Comorbidity versus multimorbidity: Why it matters. Journal of
Multimorbidity and Comorbidity, 11, 1–3.
Hatala, A. R. (2012). The Status of the “Biopsychosocial” Model in Health Psychology: Towards an Integrated Approach and a Critique of Cultural Conceptions. Open Journal of Medical Psychology, 1, 51–62.
Jakovljević, M., & Ostojić, L. (2013). Comorbidity and Multimorbidity in Medicine Today: Challenges and Opportunities for Bringing Separated Branches of Medicine Closer To Each Other. Medicina Academica Mostariensia, 1(1), 18–28.
Johnsson, M. (2014). Mental health problems among
Rwandan youth [Master Thesis]. University of
Gothenburg.
Kinderman, P. (2005). A psychological model of mental disorder. Harvard Review of Psychiatry, 13, 206–217.
Kusnanto, H., Agustian, D., & Hilmanto, D. (2018).
Biopsychosocial model of illnesses in primary care: A hermeneutic literature review. J Family Med Prim Care, 7(3), 497–500.
Lund, C., Stansfeld, S., & De Silva, M. (2013). Social
determinants of mental health. In Global Mental Health (pp. 116–136). Oxiford University Press.
McLeod, J. M., & Shah, D. V. (2009). Communication and Political Socialization: Challenges and Opportunities for Research. Political Communication, 26(1), 1–10.
Németh, R., Sik, D., & Katona, E. (2021). The asymmetries of the biopsychosocial model of depression in lay
discourses—Topic modelling online depression
forums. SSM - Population Health, 14, 100785.
Ngwino Sengesho, D., Niyonsenga, J., Muhayisa, A., & Mutabaruka, J. (2021). Mental disorders and
substance abuse among Rwandan university students: The moderating effects of interpersonal violence.
European Journal of Psychotraumatology, 12(1), 1872220.
Oude Maatman, F. (2020). Reformulating the network
theory of mental disorders: Folk psychology as a
factor, not a fact. Theory & Psychology, 30(5), 703–722.
Paradies, Y., Ben, J., Denson, N., Elias, A., Priest, N.,
Pieterse, A., Gupta, A., Kelaher, M., & Gee, G. (2015). Racism as a Determinant of Health: A Systematic
Review and Meta-Analysis. PloS One, 10(9), e0138511.
Reyntjens, F. (2021). From thnic amnesia to ethnocracy: 80% of Rwanda’s top officials are Tutsi. African
Arguments.
Rizeanu, S. (2015). Personality Disorders. Romanian
Journal of Experimental Applied Psychology, 6(2).
Rocker, D. (1991). The Political Socialization of Youth:
A Comparison of Private and State Educated Girls [PhD Thesis]. University of Sheffield.
Shim, R., Koplan, C., Langheim, F., Manseau, M.,
Powers, R., & Compton, M. (2014). The Social
Determinants of Mental Health: An Overview and Call to Action. Psychiatric Annals, 44(1), 22–26.
World Health Organisation, & Calouste Gulbenkian
Foundation. (2014). Social determinants of mental health. World Health Organization, Geneva.