The Shift in Mental Health Perspectives Through Time

mental health history social norms mental health attitudes towards mental health
Dr. Neeshu Rathore
Dr. Neeshu Rathore
 
May 10, 2025 3 min read

The Evolution of Social Norms Surrounding Mental Health

Mental health has always been a crucial part of human existence, yet its acceptance in society has gone through a rollercoaster of changes. Let’s take a walk through history to understand how our views on mental health have evolved.

Ancient Times: Fear and Superstition

In ancient civilizations, mental health issues were often linked to supernatural forces. People believed that mental illness was caused by demons or the displeasure of the gods. Some common beliefs included:

  • Possession: Those exhibiting unusual behavior were thought to be possessed.
  • Punishment: Mental illness was seen as punishment for sins.

Because of these beliefs, individuals with mental health issues were often ostracized or subjected to harsh treatments, such as exorcisms.

The Middle Ages: Isolation and Asylums

As we moved into the Middle Ages, the treatment of individuals with mental health issues didn't improve. Instead, it often got worse. Many were isolated in asylums, where they faced:

  • Neglect: Basic human needs were frequently ignored.
  • Abuse: Inhumane treatments were common, including physical restraints and lobotomies.

These institutions were less about care and more about confinement, reflecting society's fear and misunderstanding of mental illness.

The Enlightenment: A Shift Towards Compassion

The Enlightenment brought a new era of thinking. Philosophers and early psychologists began advocating for more humane treatments. Key figures included:

  • Philippe Pinel: He encouraged the removal of chains from patients in asylums, advocating for compassionate care.
  • Dorothea Dix: An activist who fought for better conditions and the establishment of mental health facilities.

This period marked a turning point, where people started to see mental illness as a health issue instead of a moral failing.

The 20th Century: Medicalization and Advocacy

The 20th century saw significant advancements in the understanding of mental health:

  • Psychoanalysis: Sigmund Freud's theories introduced the idea that mental illness could stem from unconscious conflicts.
  • Medications: The development of psychiatric medications transformed treatment options, allowing many to manage their conditions effectively.

Moreover, the latter half of the century saw the rise of mental health advocacy movements:

  • Civil Rights Movements: These movements played a crucial role in reducing stigma and promoting the rights of individuals with mental health conditions.
  • Awareness Campaigns: Initiatives began to educate the public about mental health, reducing fear and promoting acceptance.

The 21st Century: Towards Acceptance

Today, society continues to evolve in its understanding of mental health. Some notable trends include:

  • Open Conversations: More individuals are sharing their experiences, helping to normalize discussions about mental health.
  • Workplace Initiatives: Companies are increasingly prioritizing mental health resources for employees, recognizing its impact on productivity and well-being.
  • Social Media: Platforms like Instagram and Twitter have become spaces for support and awareness, where hashtags like #MentalHealthAwareness trend regularly.

Real-Life Examples

  1. Celebrities Speaking Out: Public figures like Demi Lovato and Prince Harry have openly discussed their mental health struggles, helping to destigmatize these issues.
  2. School Programs: Many schools now have mental health programs aimed at early intervention and support, reflecting a societal commitment to mental wellness from a young age.

Conclusion

The journey of mental health attitudes has been complex, filled with challenges and progress. From fear and isolation to openness and support, society has come a long way. As we move forward, continued advocacy and education will be vital in promoting mental health awareness and acceptance.

Dr. Neeshu Rathore
Dr. Neeshu Rathore
 

Clinical Psychologist, Associate Professor in Psychiatric Nursing, and PhD Guide with extensive experience in advancing mental health awareness and well-being. Combining academic rigor with practical expertise, Dr. Rathore provides evidence-based insights to support personal growth and resilience. As the founder of Psywellpath (Psychological Well Being Path), Dr. Rathore is committed to making mental health resources accessible and empowering individuals on their journey toward psychological wellness.

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