Doctor ANALYZES a 1960s Mental Asylum | Psychiatrist REACTS to Old Medical Videos

Doctor ANALYZES a 1960s Mental Asylum | Psychiatrist REACTS to Old Medical Videos | Dr Elliott

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#doctorreacts #drelliott #psychiatrist #mentalhealth #doctoranalyzes
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I often wonder how much psychiatry has moved on in the the past few decades. I'd love a hot tub time machine but alas, the best I can do is watch some old videos from the time to see just what mental health care and psychiatry was like.
This video was made in 1963 of a mental asylum in the UK. Interestingly, what seemed revolutionary at the time is the start of the fundamental principle of mental health care today - the biopsychosocial model that aims to combine the role of medicines, talking therapies and social support in a way that complements one another.
There's one interesting clinical sign too. If you're a junior doc/nurse or student then look out for it. If you get it right then leave a comment and I'll respond to all of you.
Let me know what you think x
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Пікірлер: 91

@jeremymiller4280 2 жыл бұрын

This is interesting. Have you ever seen the movie Shutter Island? It takes place in a 1950's era asylum and I'm curious how accurate some of those scenes are.

@Loveu-re5me 2 жыл бұрын

I know right. I love that movie.☺️☺️☺️☺️

@Loveu-re5me 2 жыл бұрын

I want to know to

@unicorn3025 2 жыл бұрын

He should definitely react to Shutter Island Sorry to introduce 😔 What you guys favorite part Mine is the ending Sorry 😞

@mprospero 2 жыл бұрын

Love that movie, also Stonehearst Asylum based on a Poe short story.

@aisha-pv6sk 2 жыл бұрын

This video is very helpful for me as a writer, i’m adding old day mental institutions in my novel and i really like getting the facts from an actual doctor! Also, I love your film analysis, and I really hope you do another episode of Hannibal as that show has a lot of psychiatry

@aisha-pv6sk 2 жыл бұрын

@Natalie oooh that would be awesome! It’s mostly PTSD because its set in the ending months of the second world war, but I also wanted to include other patients. It’s more along the comedic route of things (think the series/book ‘catch 22’ in that it’s both tragic and funny) so i am a bit worried about overstepping boundaries sometimes, seeing as I don’t have any of those illnesses. James: is the main character and he’s very cynical, basically being kept there against his will, although he is somewhat grateful as it does mean he isn’t being shot at in some French town or something. I used books such as The Whaleboat House in order to sort of gauge the general view of such things and old textbooks I found in a library. The main plot isn’t so much the mental institute, it’s centered around some Nazi spy that James bumps into while hospitalized, and its a very moral vs mora, kind of book if you get me. I would love to include somebody with BPD or GAD, as i have a few characters that are a sort of blank slate still! One’s a kid about the age of 19 who loves poetry and music, with blonde hair and silver ashy eyes. He has a scar running around his chest that he is very secretive about and he rubs his nose when annoyed. The other is an older guy around 26 who is the bane of the doctor’s existence and likes robotics and engineering! Hope that helps? :D

@henk-3098 2 жыл бұрын

I cannot agree more, there should be more emphasis on mental healthcare outside of hospital. There should be more funding for assisted living facilities, in-home care and other support services to help patients live their lives as independent as possible.

@Directionless.Sponge 9 ай бұрын

Dr. Elliot, I know this isn't the focus of this video, but thank you for teaching us that tic disorders can be caused by certain medications. I ended up developing really bad upper body tics after being on bupropion for a year (mainly the mouth and eyelids, but sometimes even my shoulders would start acting up). I know it was quite unlikely to be the cause and they came on so gradually at first that I didn't even pay them any mind, but knowing this word gave me a lead in researching what could have caused this sudden onset of tics with no family history of such neuromuscular disorders. It turns out that, while exceedingly rare, bupropion _has_ been linked to TD, and I was luckily able to get switched to a different medication. If I didn't watch this video and you didn't include that clip there's a chance I could've delayed treatment even more and my tics could have gotten so much worse. My only regret was not booking an appointment sooner to ask my GP about it, since I thought, even if it _was_ an issue, they likely weren't severe enough and she wouldnt believe me. Thank you for going into detail about even the more obscure mental health topics, all of your tidbits have the chance to improve someone's quality of life ❤

@alsmoviebarn 2 жыл бұрын

Britain, 1963: Surprisingly sympathetic, and not at all what I expected. America, 1961: "Ralph was sick, a sickness that was not visible like smallpox, but no less dangerous and contagious, a sickness of the mind. You see, Ralph was a homosexual, a person who demands an intimate relationship with members of their own sex."

@kingoflebanon1986 2 жыл бұрын

people vilify america for sins commited in every country, go ask any person what their opinion of gay people is and i bet you won't find favorable answers

@Frau.Kanzlerin 2 жыл бұрын

Your videos are always such a delight. I love watching a very empathetic doctor talk about topics like this. It's always a nice learning experience.

@briancrawford8751 2 жыл бұрын

Tardive dyskinesia. I made it in the ten seconds. I've seen it quite a few different times. Now that doctors in the US have been prescribing antipsychotics for even simple anxiety and depression or an adjunct to SSRIs and SNRIs, tardive dyskinesia has become a real problem and a lucrative opportunity for drug companies who have created medicines to alleviate it. I predicted this twenty years ago, and it's come to pass.

@thesarahconner 2 жыл бұрын

I know you probably get lots of recommendations but I’d love to see you react and analyze the movie, “Girl, Interrupted”. It’s a movie set in the 60’s where this girl Susanna (Winona Ryder) tries to end her life but is in denial about it. After talking to a psychiatrist she is sent to a mental hospital to seek help. The movie is really interesting! the characters and the main girls character development is really good. I think it’d be interesting for you to see what these girls do in this movie because she’s definitely influenced by being with these girls in this place but it’s a look into how they people looked at mental illnesses. And Angelina Jolie is in it and it’s on Netflix! Love your videos!

@adirondackmama7724 2 жыл бұрын

I loved seeing the lady from the community being nice. Where I live there are quite a few small group homes for people with developmental disabilities. Each house only has 4 or 6 residents and as much or as little direct support staff as needed. There was a huge push in the 80's to close the big institutions down here in NY. Many of the original residents were from Willow Brook and the actual torture they lived through was horrible. When they frist opened the group homes, my grandmother had to really advocate to get her sister a spot in one. Sadly she was institutionalized back in the mid 40s. If she had been seen and diagnosed as a teen now she would be looking at a completely different kind of life. My son has the same diagnoses and we are preparing for him to have an independent adult life with a minimal amount of care as needed. What a difference a few generations make.

@nicophill58 2 жыл бұрын

I found the continued division between hospital and community/society very striking (especially since hospitals are components of society's medical care system). The idea that someone can only exist in one of these spaces at a time certainly seems to reinforce the "othering" of mental illness and enforce the sense of isolation (since apparently you stop being in a community if you are in hospital). I would hope that a merging between community and healthcare is the way things are in future but that doesn't seem to be happening any time soon.

@DoctorElliottCarthy 2 жыл бұрын

Lots of places are trying to do that. It means spending money though which more governments don't want to do

@nicophill58 2 жыл бұрын

@@DoctorElliottCarthy Nice to know that some places are trying but it seems as though a large-scale paradigm shift is needed (which usually when funding happens). I don't know about the UK (it's a very different cultural context), but a few Canadian healthcare spaces are shifting to different socio-cultural models which don't have a hospital/community division - though most of these are on the Indigenization/Decolonization front. To my knowledge, these programs don't have much governmental funding and the merging of hospital/community comes from within communities themselves - so it seems small, bottom-up changes starting with different paradigms are more possible routes of change rather than looking towards governmental support

@berf9445 2 жыл бұрын

I don't have any real independnce on the outside. I was in and out of inpatient over 30 times in the last 6 years. Now I live with my parents. My brother takes care of my medication. I just exist. It's a depressing life. I was independent once... and Im 33 so its not like I'm old.

@cookiemocher388 Жыл бұрын

Good luck bro

@imnotac0p Жыл бұрын

Love your vids. Found you checking some bojack reactions and really ended up liking what you add. If I may suggest, Mulholland Drive by David Lynch is a genius movie that covers a lot of mental health issues in a very.... "unique" way. I think seeing your take on some of the stuff that goes on in that movie would be absolutely amazing. Anyway, thanks for the good content. Look forward to seeing more.

@breeb2638 2 жыл бұрын

I'm a student RN in Australia. We have fairly robust social services, but even as a student I have already seen how poor community services and structueal barriers hinder a lot of the progress made in hospital. A lot of general beds are taken by older adults who are medically stable but have unresolved social issues that halt discharge. Very tough aspect of working in medicine.

@DoctorElliottCarthy 2 жыл бұрын

Same over here unfortunately

@briancrawford8751 2 жыл бұрын

In the US, they'd just discharge them when the insurance company says so.

@veroniqueclemesha122 2 жыл бұрын

I lived in Australia for 7 years and in remote areas the mental health help you get is terrible. I got no help whatsoever and had to rely on my partner to keep me alive and help me. It needs to change.

@corvida2311 2 жыл бұрын

I love your videos. Great watch as always. Very interesting.

@dylanstrife7652 2 жыл бұрын

Just found this video after watching the movie Girl, Interrupted (1999) which takes place in an asylum in 1968. I was actually hoping to find a reaction video about that movie on KZfaq but came across this instead, and this was quite fascinating, and helped provide a bit of context to a movie I've seen many times despite being across the pond. It's crazy to see how things haven't really changed much, which is quite a shame. These institutions are supposed to be therapeutic but they definitely seem quite scary.

@beefpoof9598 2 жыл бұрын

It's worth noting that the great movement of de-institutionalization some horrid consequences. Loads of people who frankly had no ability to live independetly were more or less tossed out on the streets.

@scotth8828 2 жыл бұрын

I always like seeing a new video from you in my queue!

@reginastorrie885 2 жыл бұрын

I agree with you that the comparisons of the older mindsets and methods to what they are now are really interesting.

@randydelaney7053 Ай бұрын

I am Autistic, and We don't think of it as a disorder but as our Neuro-Type, that is also co-morbid with disorders like OCD and so on. It is a disability not a mental illness. However you're right, it's sad how society excludes Neuro- Developmentally Disabled people like us. Interestingly side note to this video I had an ancestor who was in an Asylum in England I don't think she was ill at all but she had 15 kids so, they and her husband ended up in the workhouse, so I imagine that was what caused her to end up their and she no doubt was mentally ill after being in that place. In those days it was really horrible. I feel sorry for her and would have liked to be her friend if I lived back then, I imagine she could have used one.

@anadvs1 2 жыл бұрын

The Lemon pic omg 😭❤ great taste Dr

@amystewart3027 2 жыл бұрын

Without the context of what the video was about, the older woman's mouth movements reminded me of my grandfather who had Parkinson's disease. I looked it up, and apparently while it's more common for people who take long-term psychiatric medicines of the type she would have been on, it's also sometimes experienced by people with Parkinson's. Learned something new today, thank you!

@Hand_Shake 2 жыл бұрын

People with Parkinson’s usually take a medication to supply dopamine. After years of taking it people often develop dyskinesia. In my experience it most often results in writhing movements of the whole body. It’s also called “chorea” - from a Greek word meaning, to dance.

@toramenor 2 жыл бұрын

Another fascinating video. I liked the neighbour's comments at the end about how nice those women were. It is truly a shame that so many people end up in institutions just because they have nowhere to go and no services to help them out to be somewhat independent

@aleksandraeynon1802 Жыл бұрын

Those movements remind me of Dr Spiegel from Depp vs Heard trial

@poor_jafar 2 жыл бұрын

First. FINALLY! By the way doctor. I would like to ask you something. Is psychoanalysis used in modern psychiatry? Just curious.

@rouven-niclasruttich62 2 жыл бұрын

I like your videos a lot! Could that, what you've said about the shrinkage of ones comfort zone in a locked up environment also be said about us coming out of the pandemic? My university in Germany will start teaching on campus again in the coming semester and I'm not sure if I'm ready for so many people again. Thanks for your content, Bye!

@amandasnider2644 2 жыл бұрын

I wonder, could there be programs where volunteers can come in a couple days of the week and hang out with patients and play board games or do art with them? I was thinking how there's programs where kids come and read to shelter dogs to get them socialized to people and bring their anxiety down. So long as I'm safe I'd be happy to hang out with patients which is interesting because I have social anxiety (but mostly when it involves being around people who know me). But I've volunteered to help local underprivileged and homeless people in government housing go to camp for a day and they were lovely. And, I can relate to them. I have severe ADHD, learning disabilities, some physical disabilities, chronic generalized anxiety, periods or depression and some undiagnosed personality disorders. I've never been hospitalized but I have a grandmother who has been many times and I've been to the point of wondering if I should so I think I can understand. And I know about isolation and having addictive tendencies

@Hand_Shake 2 жыл бұрын

More, more, more! My father had intermittent psychotic episodes, starting at least from 1955, at age 35. He was hospitalized for short periods (a week or two) and then resumed more or less where he left off. I’m curious about treatments at that time to get an idea of his possible treatments. He always insisted that the medication he was given made him worse. My mother told me he was diagnosed with paranoid schizophrenia, but his symptoms don’t fit our current diagnostic criteria. I understand that in the 1950s a lot of conditions were lumped into that category. I’m also interested in how alcoholism interacts with/causes/exacerbates mental illnesses. Lastly, I know the military in the USA experimented with hallucinogens on soldiers without telling them. Thank you for the channel! I love it!

@DoctorElliottCarthy 2 жыл бұрын

All really interesting topics to discuss. I'll be doing more historical vids and hopefully they'll help shine a light on treatments of the time. The hallucinogens is a great idea for a vid. It was called Project MK Ultra

@briancrawford8751 2 жыл бұрын

A psychiatrist once told me that a lot of bipolar people were diagnosed with schizophrenia in the 50's and 60's. I had a grand aunt who was diagnosed with schizophrenia, probably after she shot her husband for beating her. He was a 300 pound truck driver, and she was a rather tiny woman. She was also the chief psychologist at a state psychiatric hospital, and I was told by this psychiatrist that she couldn't possibly have been an untreated schizophrenic and earn the qualifications she did and hold the job she did if that were true. He said she was likely just bipolar.

@tisFrancesfault 2 жыл бұрын

The funny thing is, I grew up near enough to a mental hospital. The local view was mostly positive, of the hospital and the patients . A lot of locals worked there. The grounds were lovely too. I think The general idea was the hospital was good for people. even in its neglected end it had many facilities for people, even those who would live their whole lives on the grounds. I don't think lifetime institutionalisation is bad in of itself; The issue is more on how one conducts such. Unfortunately I think instead of modernising we closed facilities. Care in the Community had good intentions but, its execution was no better that what it replaced, if not worse. When the closure of the hospital took place, Those in it where put in council houses locally and basically left alone, with perhaps a nurse visit once a week, if that. Many became more or less catatonic from isolation. Ironically Care in the Community imo did not reduce costs, it did not improve QoL, nor did in improve understanding of the mentally ill. if anything it made things worse. The larger rural institutions should never have been closed.

@333dsteele1 Жыл бұрын

95% of people with "mental health issues" only have social problems and at most need social workers and councellors, not doctors and never hospitals. Would have have been nice if the

@christiancarter5726 2 жыл бұрын

Can you please do a video on Catatonia. I'm gonna keep pestering! I was diagnosed with non-schizophrenic a-trypical Catatonia last year. About 55 weeks ago. In the past few days I've learned quite a lot more about what happened to me. I'd love to speak to you on this or have someone shine a light on this as in Australia it is as an extremely rare disorder (I was the first patient in this hospital in 20 years)

@CptCh4os 2 жыл бұрын

I am pleasantly surprised the 60s were that progressive already. I was expecting shock therapy and lobotomies... Also I am currently rewatching Scrubs and thought His Story (1) would be a very interesting episode for you to react to as it shows Dr. Cox directly interacting with a psychiatrist and his internal thoughts and struggles aobut it

@NatalieSterrett 2 жыл бұрын

One time I spent a total of like 25 days in the hospital because they couldn’t find me appropriate follow up.

@cassandraj1822 2 жыл бұрын

Hi Dr. Elliott Carthy, I love your videos! What's the title of the rainbow book on your shelf?

@mid1429 2 жыл бұрын

I live in a assisted living unit and it was hard to find the thing I needed there where other places but they where way more then what I needed it took me 2 years just to get in just because there is so few of them

@cahyasatixoxo7207 2 жыл бұрын

I’m thinking the mouth movements are a side effect of long term anti psychotic medication use.

@Loveu-re5me 2 жыл бұрын

LOVE YOUR VIDEOS. Could you react to Chicago Med season 1 episode 12. I love that episode because I can relate I'm sure others can to.

@ImaginaryMdA 2 жыл бұрын

Cheeky lemon in the background. ;)

@mikeshilovski1512 2 жыл бұрын

Dude, you should do comments on "bates motel"!

@defneaksoy3661 2 жыл бұрын

tardive dyskinesia!!!!

@victorhayes5980 2 жыл бұрын

In my state (In America) we do have a ton of housing for people with developmental disabilities to integrate into society. I have worked at many of the houses in my community. Most of them are very good. We have programs for paid work for the clients. They will have a staff member with them at their job (if they need it). It is a great environment for most people. I am a bit concerned about something you said in the video. It sounded like you are very much against ECT. Unfortunately, "One Flew Over the Coocoo's Nest" really put a bad light on ECT. As a direct result of that movie ECT was actually banned in some places due to public outcry. What they showed in the movie is not what ECT looks like. And ECT has shown a lot of promise in breaking up clinical depression in people.

@Uhlbelk 2 жыл бұрын

Would love it if you could do a collaborative video with the "transatlantic" show.

@intothelight5619 2 жыл бұрын

All I can focus on is Lemon in the background lmao

@DoctorElliottCarthy 2 жыл бұрын

She's gorgeous right?

@intothelight5619 2 жыл бұрын

@@DoctorElliottCarthy one of the prettiest queens in all of the drag race universe, in my opinion. Also a very pretty boy out of drag too 😍

@nickweston6472 2 жыл бұрын

Hey man I know it’s a massive time sink doing it but is there any chance of you covering Evangelion? If you’ve never seen it the shows underlying central themes are an expression of the writers 4 year depression. There are some amazing visualisations of internal dialogue and trauma. It might also be a bit difficult because it’s probably worth tracking down the original translation of the show.

@archerymidnight3422 2 жыл бұрын

It might not be worth going through the entire show just for purposes of a review of its mental health aspect, but I absolutely second this. The Orbital Mental Illness Laser will always stick with me lol

@pedroyamaguchi9983 2 жыл бұрын

hi dr Elliott, have you ever watched the film "sí può fare"? it's about unions on italy who started hiring people in mental asylums to give them work

@rayneduttine Жыл бұрын

I know it feels ideal that we moved the people with mental health issues out of the hospital. However, go talk to a homeless person. you will find out real fast that poor person has a real mental heath issue. It always breaks my heart as a mental health nurse that we have to discharge to homelessness.

@naranjaypomelo 2 жыл бұрын

Can we quickly shout out to Blaire St Claire on display behind you? I do declare! Love your content :D

@fredg8328 Жыл бұрын

I notice that psychiatrists like to read books written backwards

@afgemovies5653 2 жыл бұрын

I love your videos. Would you be able to react to Hannibal season 1 episode 9?

@blackroach64 2 жыл бұрын

It would be very cool if you react yo American Horror Story. I dont care about the season, but maybe you can find something that would be interesting to talk about. And you can react to In the tall grass!! A Netflix film based on Stephen King's book. (I have a lot of ideas for you to react OMG) I REALLY love your reacts to bojack, i Hope that Will be more in your Channel! Love from a Big fan 💙

@Uhlbelk 2 жыл бұрын

The old video about the patient with catatonic schizophrenia is sad, not because there any anything overly severe about the patients condition, but the people in the comment section that are so fundamentally wrong about the patient and the video.

@WatashiMachineFullCycle 2 жыл бұрын

Whoa I finally caught an early video!! HYPE

@WatashiMachineFullCycle 2 жыл бұрын

I would absolutely love to see more videos like this, seeing how things used to be Vs how they are now is really really interesting

@Loveu-re5me 2 жыл бұрын

It's so saddening to see this and hear this is still happening where people are stuck in hospitals. Just lonely.

@sarahj2607 Жыл бұрын

I have so much to say about all of this. I’m a community mental health case manager and would love to have a dialogue

@Loveu-re5me 2 жыл бұрын

I can't of any of what the mouth movement's are . Wow what u said was nothing I have heard of before. would have been way off. Well u learn something knew everyday.

@iris-xo 2 жыл бұрын

We need euphoria episode 2 reactionnnnnnn and then episodes 3, 4, 5, 6, 7, abs 8 too 😏

@crsmith6226 2 жыл бұрын

I know this isn’t really part of your show but I need to know how you keep your beard looking constantly so good! Sorry if that’s awkward 😅

@DoctorElliottCarthy 2 жыл бұрын

Haha I just use a bog standard beard trimmer. I must just be blessed with good follicles

@c.t.1893 2 жыл бұрын

0 dislikes. That's what I like to see

@paulsapp5573 2 жыл бұрын

I live in Washington stare and we visited Western State Mental hospital and the issue here is that once someone has been committed to that hospital they have a sort of black mark on their record and a lot of the halfway houses won’t accept them once they’ve been there. So they become stuck. It was a very sad sight.