Week 3 - 2 questions and a Power Point
jare316
ClinicalImpressionsIdentifyingMentalIllness.pdf
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>> Narrator: THIS IS HEVER CASTLE. IT'S THE VENUE FOR A BOLD AND DARING STUDY. A CHALLENGE THAT WILL PROBE ONE OF OUR DARKEST FEARS, AND QUESTION OUR UNDERSTANDING OF SANITY. HORIZON HAS DRAWN TOGETHER TEN VOLUNTEERS OF ALL AGES AND BACKGROUNDS FROM ACROSS BRITAIN. FIVE MEMBERS OF THIS GROUP ARE CONSIDERED NORMAL, FIVE HAVE BEEN DIAGNOSED AS MENTALLY ILL. BUT WHO IS WHO? THE GROUP ARE MIDWAY THROUGH A WEEK OF INTENSIVE TESTS AND CHALLENGES.
(camera shutter clicking)
>> I THINK YOU'RE OVER. DON'T GET OFF THE TRAY.
>> Narrator: WATCHING EVERY MOVE IS A PANEL OF MENTAL HEALTH EXPERTS.
(laughter)
>> IF HE WAS ON MY TEAM I MIGHT THINK HE WAS A BIT OF A LIABILITY.
(clapping and applause)
>> I'D HAZARD A GUESS THAT SHE'S NOT SEXUALLY PHOBIC.
>> IF SHE IS THE BI-POLAR ONE, IT'S GOING TO SHOW HOW SOMEONE WITH A SEVERE MENTAL ILLNESS CAN LOOK COMPLETELY NORMAL.
>> Narrator: IT'S THE PANEL'S TASK TO JUDGE THE MENTAL HEALTH OF THE VOLUNTEERS.
>> WE THINK THAT YOU HAVE A
>> SIGNIFICANT PSYCHIATRIC PROBLEM OF SOME KIND OR ANOTHER.
>> A MOOD DISORDER.
>> BI-POLAR DISORDER.
>> Narrator: IN JUST TWO DAYS' TIME, THEY MUST PUT THEIR REPUTATIONS ON THE LINE. THEY MUST MAKE THEIR FINAL DECISION ON WHO IS MENTALLY ILL AND WHO IS NOT.
>> I JUST WANT TO EMPHASIZE THAT WE COULD BE WRONG ABOUT EVERYTHING.
>> Narrator: OUR VOLUNTEERS ARRIVED AT HEVER THREE DAYS AGO. AND THEY'VE ALREADY COMPLETED A WHOLE SERIES OF TESTS. THEY'VE RANGED FROM THE NERVE- WRACKING.... TO THE THRILLING. FROM THE CONFUSING....
>> INCORRECT.
>> Narrator: TO THE REVOLTING. IT'S A BIG GAMBLE FOR EVERY ONE OF THE VOLUNTEERS TO LAY THEIR SANITY OPEN TO QUESTION.
>> THE VOICES AS I PUT IT, OR THE WHITE NOISE IS CONSTANTLY SPEAKING TO ME.
>> Narrator: THEY HAVE JUST TWO MORE DAYS UNDER OBSERVATION. WILL ANYBODY'S BEHAVIOR REVEAL WHO IS WHO?
(laughter and clapping)
>> Narrator: DAY FOUR STARTS WITH AN OUTDOOR ACTIVITY. IT'S GUIDED BY RESIDENT PSYCHOLOGIST, DR. PETER KINDERMAN.
>> OKAY. WE'LL DO THE SAME AS BEFORE, SO WE'LL HAVE TWO TEAM LEADERS AND TODAY WE'LL HAVE RAVI AND WE'LL HAVE SCOTT.
>> YOU'RE THE MOST COMPETITIVE.
>> YOU'RE SERIOUSLY THE MOST COMPETITIVE DUDE.
>> NO, I'M NOT COMPETITIVE AT ALL. IT'S ALRIGHT, IF YOU WANT TO WIN, FINE.
>> Narrator: THE TASK AHEAD IS ORIENTEERING. A MIX OF PROBLEM SOLVING AND CROSS COUNTRY RUNNING. IT'LL REQUIRE FOCUS AND TEAMWORK.
>> PATHS ARE MARKED AS LINES, DOTTED LINES. THE SMALLER AND LESS VISIBLE THE PATH...
>> Narrator: SOME OF THE PEOPLE IN THE GROUP ARE NOT GOING TO FIND THIS EASY. THE QUESTION IS WHETHER THAT'S BECAUSE THEY HAVE A MENTAL DISORDER.
>> WE'LL WORK AT OUR OWN PACE. BRISKLY RATHER THAN SAUNTERING. BUT LOOK AT ME MATE, I'M NOT RUNNING.
>> Narrator: THIS TASK IS A RACE TO FIND 13 LOCATIONS IN THE SURROUNDING COUNTRYSIDE.
>> ALL THE CONTROLS ARE LIKE THIS. THEY'VE ALL GOT A RED AND WHITE FLAG ON THEM, AND THEY'VE ALL GOT A NUMBER ON THEM.
>> I THINK YOU'RE DONE. YOU ONLY HAVE TO DO IT ONE TIME.
>> ALRIGHT. COME ON GUYS.
>> Narrator: RAVI AND SCOTT LEAD THEIR TEAMS OFF IN OPPOSITE DIRECTIONS AROUND THE COURSE. IT SHOULD TAKE ABOUT 90 MINUTES TO COMPLETE, BUT ANY CONFUSION IN THE TEAMS COULD SLOW THEM DOWN. IT COULD ALSO ALERT THE PANEL TO ANY SIGNS OF MENTAL DISORDER AS THEY WATCH FOOTAGE OF THE RACE. THEY'RE LOOKING FOR SYMPTOMS OF SIX COMMON PSYCHIATRIC DISORDERS. DEPRESSION. OBSESSIVE COMPULSIVE DISORDER. SOCIAL ANXIETY. BI-POLAR DISORDER. SCHIZOPHRENIA. AND AN EATING DISORDER. ANOREXIA OR BULIMIA. AT THE END OF EACH DAY THE PANEL WILL BE ABLE TO INTERVIEW ONE PERSON OF THEIR CHOICE, BUT ONLY ABOUT THE EVENTS OF THE WEEK. OTHERWISE THE VIDEO FOOTAGE IS ALL THEY'LL HAVE TO BASE THEIR DIAGNOSIS'S ON. IT'S NOT HOW THEY NORMALLY WORK.
>> I EXPECT IT TO BE PARTICULARLY CHALLENGING TO RELY, ESSENTIALLY TO HAVE ALMOST NO HISTORICAL INFORMATION FROM OUR PARTICIPANTS, BUT TO DO IT STRICTLY OBSERVATIONALLY.
>> Narrator: DENIED THEIR USUAL CLINICAL PROCEDURES, EVEN THESE EMINENT SCIENTISTS ARE UNEASY ABOUT THE CHALLENGE.
>> I'M SLIGHTLY ANXIOUS ABOUT MAKING A FOOL OF MYSELF, PERHAPS.
>> MY PRIME EXPECTATION IS THIS IS GOING TO BE SOMETHING UNLIKE, YOU KNOW, ANYTHING I'VE EVER DONE BEFORE.
>> OH, ONE SEC. THIS WAY, THIS WAY.
>> Narrator: IN TODAY'S ORIENTEERING TASK, THEIR ATTENTION IS ON PEOPLE WHO PERFORMED POORLY EARLIER IN THE WEEK.
>> I THINK VICKI IN PARTICULAR WILL FIND THIS HARD BECAUSE SHE DOESN'T SEEM COMFORTABLE IN A GROUP SETTING. I WOULD THINK THE PROCESSING THE INFORMATION ON THE MAP, IF SHE HAD TO DO THAT, MIGHT BE CHALLENGING AND WORKING WITH OTHERS, AGAIN, I THINK VICKI MIGHT FIND THAT A BIT TOUGH.
>> YELLING.
>> RAVI.
>> HAVING SOMEBODY WITH SORT OF A RIGID PERSONALITY STRUCTURE BE A LEADER.
>> COULD BE A MISTAKE.
>> IT GOES BOTH WAYS. I MEAN, HE'LL HELP. YOU KNOW, HIS PERFECTIONISM AND WANTING TO GET IT RIGHT WILL HELP THEM, BUT I CAN IMAGINE SOME EMOTIONAL FLARE UPS EVEN. HIM GETTING VERY FRUSTRATED WITH SOMEONE, SOMEBODY GETTING FRUSTRATED WITH HIS BEING FRUSTRATED. I MEAN WE'LL SEE HOW THAT PLAYS OUT.
>> Narrator: BACK IN THE FIRST HALF OF THE WEEK, IT WAS A CLEANING TASK THAT HIGHLIGHTED RAVI'S PERFECTIONISM.
>> I ACTUALLY THOUGHT IT WAS INTERESTING IN THAT IS RAVI TALKING ABOUT THE STRAIGHT LINES, STRAIGHT LINES, STRAIGHT LINES.
>> CLEAN, CLEAN, CLEAN.
>> I GUESS IF YOU DID IT EVERY DAY, IT WOULD NEVER BE THAT MUCH OF A TASK.
>> Narrator: BUT HE'S NOT THE ONLY ONE WHO'S MENTAL HEALTH HAS BEEN QUESTIONED. ALEX HAD BEEN EXTREMELY ANXIOUS ABOUT TAKING TO THE STAGE.
>> MY NORMAL JOB IS A TEACHER, SO DEFINITELY NO HECKLING OR SHOUTING OUT AT ME OTHERWISE YOU'LL BE IN THE NAUGHTY CORNER.
(laughter)
>> THAT IS SOMETHING I NEVER WOULD DO AGAIN. I DIDN'T ENJOY IT, BUT I DID IT. FANTASTIC. CAN I HAVE A DRINK?
>> Narrator: WHILE HOLLY RAISED CONCERNS WITH HER NEGATIVE ATTITUDE.
>> I DON'T WANT FOUR PEOPLE WHO ARE FANTASTIC AT PAINTBALL NEXT TO ME WHO IS PETRIFIED ABOUT IT AND DOESN'T WANT TO DO IT AT ALL.
>> Narrator: AS DID STUART'S RISK TAKING HEROICS.
>> COULD HIS RECKLESSNESS BE A PREDISPOSING FACTOR TO A BI-POLAR PROBLEM?
>> Narrator: THE CHALLENGE IS TO TURN THESE SUSPICIONS INTO CONCRETE DIAGNOSIS WHICH THE PANEL MUST DELIVER TO THEIR CHOSEN SUBJECTS IN PERSON. BUT AS WELL AS FAILING TO SPOT SERIOUS DISORDERS, THEY RUN THE RISK OF LABELING SOMEONE WITH A DISORDER THEY DON'T HAVE.
>> A DIAGNOSIS OF SCHIZOPHRENIA IS SUCH A SERIOUS, SUCH A SERIOUS, IT'S LIKE IT'S THE PSYCHIATRIST PSYCHOLOGIST EQUIVALENT OF TELLING SOMEONE THEY'VE GOT CANCER. IT'S EXACTLY LIKE THAT.
>> YEAH, GOT IT.
>> YOU'VE JUST REACHED 39.
>> Narrator: AS THE ORIENTEERING CONTINUES, THE PANEL ARE WATCHING YASMIN ESPECIALLY CLOSELY.
>> BUT YOU DON'T WANT TO GO TOO FAR BACK FROM WHERE WE'VE COME.
>> SHE JUST STRIKES ME AS A, AS QUITE A FORCE AND A PRESENCE IN THE GROUP.
>> YES, DEFINITELY. CHARISMA. I MEAN I FEEL IT'S CHARISMA.
>> YEAH, SHE HAS THAT.
>> SEE, WE'RE GOING UP ACROSS THE BRIDGE WHICH IS HERE PATH GOES AROUND IT AND LEADS US STRAIGHT ONTO SEVEN.
>> OH YEAH, CAUSE SEVEN'S IN THE CENTER. GOT IT.
>> YEAH.
>> Narrator: BACK ON DAY THREE, THEY SELECTED HER AS THE PERSON LEAST LIKELY TO HAVE A PSYCHIATRIC DISORDER. BUT THEIR DIAGNOSIS WAS WRONG. NOW THEY'RE LOOKING FOR ANYTHING THAT WILL HELP THEM WORK OUT WHAT HER DISORDER IS, BUT SHE'S NOT GIVING MUCH AWAY.
>> IT SHOULD BE KIND OF VISIBLE FROM HERE.
>> GUYS, IF WE SPLIT UP.
>> Narrator: SCOTT'S TEAM HAVE HIT A NAVIGATION PROBLEM, AND IT'S YASMIN TO THE RESCUE. SHE'S A MEAN MAP READER, AND QUICKLY GETS THEM BACK ON TRACK.
>> SO IF YOU FOLLOW THE BIG PATH AROUND, THEN KIND OF GO STRAIGHT AHEAD AND WE SHOULD SEE KIND OF THAT GULLY WHERE THE STREAM IS MARKED.
>> OKAY, GOT IT. RIGHT, WE'VE FOUND IT.
>> OKAY.
>> THANK YOU, SIR.
>> SO THIS WILL TAKE US TO THE EDGE OF THE CLEARING, WHICH IS WHERE THE NEXT ONE IS.
>> SO WE WANT TO GO DOWN HERE?
>> THE BIG PATH, YEAH.
>> YEAH, RIGHT, YEAH.
>> Narrator: BUT IN RAVI'S TEAM, THERE IS REAL TROUBLE.
>> THAT'S NORTH.
>> I THINK IT'S THIS WAY.
>> IF THAT'S NORTH, TEN, TAKE TEN AS YOU GO NORTH, RIGHT? SEVEN IS.
>> LEFT.
>> IS RIGHT TO IT.
>> SO, ARE YOU HOLDING THAT COMPASS CORRECTLY?
>> IT'S A PROBLEM HERE BECAUSE SOMEBODY NEEDS TO TAKE COMMAND AND BE GIVING OUT THE DIRECTIONS. RAVI IS TRYING TO DO THAT, BUT BECAUSE IT LOOKS LIKE BECAUSE HE'S MADE SOME MISTAKES PEOPLE AREN'T SO CONFIDENT IN HIS ABILITY TO DO THAT. SO I THINK THERE'S A LITTLE BIT OF EROSION OF HIS ROLE, OF PEOPLE'S CONFIDENCE IN HIM AS A LEADER.
>> IF YOU FOLLOW THIS TRACK AND COME OUT AT THE END,
>> YEAH.
>> YOU'RE THEN INTO OPEN TREE COUNTRY
>> I, NO NO, NO NO
>> HOLD ON, HOLD ON LET ME FINISH, RIGHT? HERE IS OPEN TREEE COUNTRY. THAT IS NOW BEHIND YOU.
>> YES, SO, SO THAT DIRECTION IS NOT THE RIGHT DIRECTION?
>> OF COURSE IT IS. THAT'S WHERE WE ARE. THAT'S WHERE WE NEED TO HEAD.
>> THE POINT IS HERE. WE NEED TO REACH SOMEWHERE HERE. FIRST WE NEED TO FINISH THIS AND THEN GO TO THE PLAN.
>> UM, I'M NOT GOING TO TWELVE, I'M GOING TO ELEVEN.
>> Narrator: WHILE RAVI GETS BOGGED DOWN ARGUING WITH DAN, STUART'S GIVEN UP ON HIS CAPTAIN AND GONE ON ALONE.
>> THIS IS GOING UP HERE.
>> YEAH.
>> THAT IS GOING DOWN.
>> FOUND IT.
>> FOUND IT.
>> HEY LAD.
>> COME ON STUART.
>> WOW. CAN YOU SEE THAT? WOO HOO HOO.
(laughter)
>> IT'S POSSIBLE WHAT'S HAPPENED HERE IS A SORT OF A MUTANY EXACTLY, BUT STUART DECIDED TO DO SOMETHING ON HIS OWN.
>> LET'S GO FOR IT.
>> I KNOW THE RIGHT WAY, AND RAVI WAS "NO, I KNOW THE RIGHT WAY."
>> Narrator: SEVERAL PSYCHIATRIC DISORDERS COULD BE SHOWN UP BY THIS TASK, BUT THE PANEL'S FOCUS IS ON BI-POLAR DISORDER. ONE OF THE GROUP WAS LEFT UNABLE TO WORK, DEEPLY IN DEBT AND PHYSICALLY SCARRED BY THEIR BATTLE WITH THIS DISTURBING ILLNESS. BI-POLAR DISORDER USED TO BE CALLED MANIC DEPRESSION. IT CAUSES DRAMATIC AND DAMAGING MOOD SWINGS. THOSE WITH THE DISORDER ALTERNATE BETWEEN MANIC HIGHS AND HOPELESS DEPRESSION, OFTEN SEPARATED BY LONG PERIODS OF NORMAL MOOD. MANIA CAUSES EUPHORIA IMPATIENCE AND RECKLESSNESS, WHILE DEPRESSION MAKES YOU FEEL WORTHLESS, PESSIMISTIC, EVEN SUICIDAL. SYMPTOMS NORMALLY START IN ADOLESCENCE AND CAN GO UNNOTICED FOR YEARS, BUT TREATMENT CAN GIVE A FULL AND NORMAL LIFE.
>> HOW SOMEBODY WITH BI-POLAR DISORDER WOULD BEHAVE IN THIS TASK WOULD DEPEND A LOT ON WHICH STAGE OF THE DISORDER THEY'RE IN. SO, IF IN REMISSION, WHICH IS TO SAY THEY ARE CURRENTLY WELL, THEN THERE'S ABSOLUTELY NO REASON WHY THEY SHOULDN'T DO VERY WELL IN THE TASK, AND YOU KNOW, THAT'S ONE THING WE'VE BEEN WONDERING ABOUT IN TERMS OF YASMIN.
>> Narrator: AIDED BY YASMINE'S MAP READING, SCOTT BRINGS HIS TEAM TRIUMPHANTLY HOME.
>> GO, GO, GO, GO, GO
>> THIS WAY. THE ROAD IS HERE.
>> Narrator: MEANWHILE, RAVI'S STILL STRUGGLING TO RALLY HIS TEAM.
>> ONE, TWO, THREE.
>> YEAH!
(laughter)
>> Narrator: BUT HE FINALLY PULLS THEM TOGETHER TO CROSS THE LINE 40 MINUTES LATER WITH SMILES ALL AROUND.
>> GROUP HUG.
>> Narrator: FOR NOW, THE HARD WORK'S OVER FOR THE SUBJECTS, BUT IT'S JUST BEGINNING FOR THE PANEL WHO ARE REALLY STRUGGLING TO DRAW ANY CONCLUSIONS.
>> SO I GUESS THE QUESTION IS WHETHER WE'VE LEARNED ANYTHING NEW FROM WATCHING THEM IN THIS ORIENTEERING TASK.
>> YASMIN IS VERY SOCIALLY SKILLED.
>> SOCIALLY SKILLED, BUT ALSO ALMOST LIKE SHE COULD BE A THERAPIST. IF SHE IS THE BI-POLAR ONE IT'S GOING TO SHOW HOW SOMEONE WITH A SEVERE MENTAL ILLNESS CAN LOOK COMPLETELY NORMAL.
>> SCOTT CERTAINLY COMES ACROSS AS A COMPETENT, DEMOCRATIC LEADER.
>> YOU KNOW, GIVEN THAT WE'VE BEEN WONDERING ABOUT ALEX IN TERMS OF SOCIAL ANXIETY, THIS IS A TASK IN WHICH SOMEONE WHO IS SOCIALLY ANXIOUS PROBABLY, YOU WOULDN'T REALLY EXPECT TO HAVE TOO MUCH TROUBLE WITH, I'D SAY.
>> I THINK I'M A LITTLE BIT MORE WORRIED ABOUT HOLLY. SOMEHOW SHE DID WELL. I MEAN, SO, IT'S AGAIN, NOT ENOUGH TO MAKE ME WANT TO TAKE HER OFF.
>> VICKI BEHAVED PRETTY MUCH HOW WE EXPECTED.
>> AGAIN, THE SIGNIFICANCE OF THAT REMAINS TO BE ELUCIDATED.
>> YEAH.
>> BUT, YOU KNOW, IT DOESN'T... WHERE WE ARE WITH THE FIVE, IS STILL PRETTY MUCH...
>> IT'S PRETTY UNCHANGED, YEAH.
>> YEAH.
>> Narrator: AFTER THE FIRST THREE DAYS, THE PANEL HAD A SHORT LIST OF FIVE PEOPLE THEY BELIEVED COULD HAVE A MENTAL DISORDER. DESPITE RAVI'S LEADERSHIP STRUGGLE, THEY'VE SEEN LITTLE IN THE ORIENTEERING TO ALTER THAT LIST. DAN'S PLACE IS FIXED AFTER THEY CORRECTLY DIAGNOSED HIS O.C.D. ON DAY THREE.
>> WE THINK THAT YOU HAVE OBSESSIVE COMPULSIVE DISORDER.
>> YOU'D BE SPOT ON. YOU ARE RIGHT.
>> Narrator: YASMIN, THEY NOW BELIEVE, MAY HAVE BI-POLAR DISORDER. AND BASED ON EARLIER TESTS, ALEX, HOLLY, AND VICKI MAKE UP THE LAST THREE ON THEIR LIST.
(laughter)
>> Narrator: THERE WILL BE ONE MORE TASK TODAY, AFTER WHICH THE PANEL WILL BE CHOOSING SOMEONE FROM THE GROUP TO SPEAK TO IN PERSON. EVERYONE KNOWS THAT THE PANEL'S SELECTION COULD BE SWAYED BY THEIR BEHAVIOR IN THE ORIENTEERING.
>> SCOTT WAS VERY GOOD, ACTUALLY, AT GETTING EVERYBODY IN AND WE WOULD ALL LOOK AT THE MAPS AND DO THE COMPASSES, AND HOLLY JUST DIDN'T KNOW ANYTHING ABOUT IT AND I THINK IS SPENT SOME TIME WITH HER, SO, YOU KNOW, THIS IS WHERE WE ARE AND THAT FELT GOOD TO ME.
>> I HAD ALREADY FOUND OUT THAT THERE WAS TWO PEOPLE IN OUR TEAM WHO HAD SKILLS ABOUT MAP READING, AND SO I DIDN'T THINK THERE WAS ANY NEED FOR ME TO
REALLY GO INTO IT, ALSO TO LEARN IT. PLUS, THE FACT THAT I DIDN'T HAVE MY SPECS WITH ME.
>> Narrator: THE DAY'S SECOND TASK WILL TEST OUR SUBJECT'S COMFORT WITH THEIR OWN BODIES. IT'LL BE AWKWARD FOR EVERYONE, BUT FOR AT LEAST ONE OF THE GROUP IT COULD BE AGONY.
>> THIS AFTERNOON WE'RE GOING TO DO A LITTLE TASK, A LITTLE TEST ABOUT BODY IMAGE, AND IN ORDER TO TAKE YOU THROUGH THAT I'D LIKE TO INTRODUCE DOCTOR MARTIN TOBY.
>> HI GUYS.
>> HELLO.
>> I'M AFRAID THE FIRST STAGE IS YOU'RE GOING TO HAVE TO PUT ON THESE RATHER FETCHING T-SHIRTS AND LEGGINGS.
>> WHEN YOU SAY FETCHING YOU MEAN THE OPPOSITE OF?
>> HE MEANS VERY UN-FETCHING.
>> OKAY.
>> AND THEN YOU'RE GOING TO TAKE PICTURES OF EACH OTHER, WHICH WE WILL THEN USE THE PICTURES IN THE NEXT STAGE.
>> Narrator: FOR DECADES, A SEVERELY DISTORTED BODY IMAGE HAS LEFT ONE PERSON IN THIS GROUP BATTLING WITH A LIFE THREATENING EATING DISORDER. EATING DISORDERS HAVE THE HIGHEST DEATH RATES OF ALL MENTAL ILLNESSES. UNDER EATING, OR ANOREXIA NERVOSA, IS ABOUT CONTROL. THOSE WITH THE DISORDER OBSESSIVELY RESTRICT WHAT THEY EAT AND LOSE SO MUCH WEIGHT IT CAN BE FATAL. BULIMIA NERVOSA CAUSES UNCONTROLLED OVER-EATING. IMPULSIVE BINGES ARE FOLLOWED BY PANICKED VOMITING, EXERCISE OR LAXATIVE ABUSE TO PURGE THE EXCESS FOOD. ANOREXIA MAINLY AFFECTS ADOLESCENT WOMEN, BUT ONE IN TEN WITH THE DISORDER ARE MALE. TEN PERCENT OF ADULT WOMEN SUFFER FROM BULIMIA AT SOME TIME IN THEIR LIVES. THE PROSPECT OF FLAUNTING THEIR BODIES IN FIGURE HUGGING LYCRA IS PAINFUL FOR ALL THE GROUP, BUT DOES THAT MAKE THEM MENTALLY ILL? AS THEY WATCH THE PHOTO SHOOT BEGIN, THAT'S THE QUESTION IN OUR PANEL'S MINDS.
(camera shutter clicks)
>> NOBODY IN THIS GROUP HAS CURRENT ANOREXIA. YOU CAN JUST SEE FROM RIGHT OFF THE BAT, THERE'S NOBODY THAT'S ABNORMALLY THIN. ANYONE COULD HAVE BULIMIA THOUGH.
(camera shutter clicks)
>> Narrator: THE PAIN OF THE PHOTO SHOOT MAY BE COMING TO AN END, BUT THE REAL TEST IS STILL TO COME. PRESENTED WITH A STRETCHED PHOTO OF THEMSELVES, THE PARTICIPANTS MUST ADJUST IT TO WHAT THEY BELIEVE ARE THE TRUE PROPORTIONS.
>> WE WILL EXPECT SOMEONE WITH A HISTORY OF EATING DISORDERS TO HAVE A DISTORTED BODY IMAGE, SO WE WILL EXPECT THEM TO SHOW A VERY HIGH SCORE ON THIS TEST. BUT, I GUESS ALL OF US ALSO THINK THAT THIS SORT OF, JUST THE EMOTIONAL
REACTION TO THE TEST ACTUALLY MIGHT BE QUITE INTERESTING AS WELL. THAT MIGHT BE AS INFORMATIVE AS THE NUMBERS.
>> OKAY, SO, VERY SIMPLE AND VERY QUICK. DON'T WORRY. JUST PUSH IT BACK TO WHERE YOU THINK YOU ARE. WHAT YOUR ACTUAL BODY SIZE IS.
>> OKAY, SO JUST ON THAT BIT THERE, YEAH?
>> YEAH. THAT'S FINE.
>> OOPS. IT WOULD BE ABOUT THERE.
>> OKAY. ARE YOU HAPPY WITH DOING THIS KIND OF TEST? IT'S ALL RIGHT FOR YOU?
>> NO.
>> WHY WERE YOU UNHAPPY?
>> I DON'T LIKE HAVING TO DO THAT.
>> PUTTING ON THOSE CLOTHES OR STANDING THERE?
>> YEAH. PUTTING ON THOSE CLOTHES, STANDING LIKE THAT, I JUST DIDN'T LIKE ANYTHING ABOUT IT.
>> ABOUT THERE.
(laughter)
>> IT'S REALLY DIFFICULT.
>> IT IS DIFFICULT.
>> I REALLY DON'T KNOW, BECAUSE...
>> WHERE I THINK I SHOULD BE OR HOW I THINK I AM OR I ACTUALLY DO LOOK LIKE?
>> WHAT YOU ACTUALLY LOOK LIKE.
>> ALRIGHT. PROBABLY ABOUT THERE.
>> (sigh) THIS IS REALLY HARD. REALLY HARD.
>> OKAY.
>> YUP.
>> OKAY?
>> ABOUT THAT, I THINK.
>> OKAY.
>> DID EVERYONE ELSE TAKE THIS LONG?
>> NO, IT DOESN'T MATTER HOW LONG YOU TAKE. TAKE AS MUCH TIME AS YOU NEED.
>> OKAY.
>> THIS HAS DEFINITELY BEEN MY LEAST FAVORITE THING THIS WEEK, BY A VERY LONG WAY.
>> Narrator: EVERY ONE OF THE SUBJECTS, MALE AND FEMALE, OVERESTIMATED THEIR BODY SIZE. IT'S WHAT NEARLY ALWAYS HAPPENS IN THIS TEST. MOST MISJUDGE BY LESS THAN TEN PERCENT, BUT EVEN YASMIN AFTER HER PAINFUL STRUGGLE WAS JUST 8% OVER. BUT THERE WERE TWO REMARKABLE RESULTS. RAVI OVERESTIMATED HIS SIZE BY OVER 25%. BUT HE WAS OVERSHADOWED BY ALEX, WHO WAS 30% OVER, TAKING THE PANEL COMPLETELY BY SURPRISE.
>> UP TO THIS POINT WE'VE, OF COURSE, WE'VE BEEN THINKING THAT SHE MIGHT HAVE SOCIAL ANXIETY DISORDER.
>> RIGHT, YEAH. HOLLY...
>> Narrator: TONIGHT THE PANEL HAVE ANOTHER CHANCE TO TALK FACE TO FACE WITH ONE PARTICIPANT. THE QUESTION IS WHETHER THE BODY IMAGE TEST WILL INFLUENCE THEIR CHOICE.
>> IT'S VERY POSSIBLE THAT HER SOCIAL ANXIETY IS RELATED TO THE BODY IMAGE, SO THE BODY IMAGE THING MAY BE THE CORE. SO THIS MAY MEAN SHE HAS AN EATING DISORDER, BUT THAT'S FAR FROM CONCLUSIVE. SO I THINK THIS WOULD BE AN OPPORTUNITY TO ASK HER WHAT SHE THINKS ABOUT HER BODY, I MEAN, WHAT THIS TASK MADE HER FEEL.
>> I SUPPOSE IT'S ALSO INTERESTING TO NOTE THAT THE PERSON ALSO, YOU KNOW, WHO KIND OF LABORED WITH THAT TEST WAS YASMIN, BUT THAT WAS PROBABLY IN RESPONSE TO HOW SHE FEELS ABOUT SOCIAL MESSAGES ABOUT BEING OVER WEIGHT IN OUR CULTURE, AND THAT WASN'T SUFFICIENTLY OUT OF CONTEXT OR UNUSUAL TO MAKE US FEEL.
>> PATHOLOGICAL, RIGHT?
>> IT WASN'T PATHOLOGICAL. WE DIDN'T FEEL, WELL THEN THEREFORE WE NEED TO TALK TO HER ABOUT THAT.
>> OKAY, SO WE ALL AGREE?
>> YEAH. I THINK WE ALL AGREE.
>> OKAY, WELL WE'D LIKE TO CALL ALEX.
>> Narrator: OUT IN THE CORRIDOR, ALEX GETS THE CALL.
>> HI.
>> HI, ALEX.
>> I DON'T KNOW IF YOU'VE BEEN TOLD YOUR RESULTS, BUT ACTUALLY YOU OVER ESTIMATED YOUR BODY SIZE QUITE CONSIDERABLY.
>> AH, YEAH, I HAD BEEN TOLD THAT.
>> BY ABOUT 30%. NOW ARE FEELING WAS YOU DON'T LOOK ANYTHING LIKE THE PICTURE WHICH APPEARED, AND I CAN WONDER WHAT WAS GOING THROUGH...
>> I DIDN'T TAKE MUCH TIME TO DO IT TO BE HONEST.
>> OKAY.
>> I MEAN I KIND OF JUST WENT, AND THAT WAS IT.
>> BECAUSE I THINK WE HEARD YOU SAY YOU THOUGHT THIS WAS THE WORST AND MOST DIFFICULT TASK OF ALL.
>> YES. WELL, I THINK IT WAS PARTICULARLY DIFFICULT BECAUSE I THOUGHT WEARING WHITE, FORM FITTING CLOTHES AND STANDING IN A GARDEN AND HAVING A PICTURE TAKEN WAS JUST, A - POINTLESS AND B - NOT SOMETHING I WOULD CHOOSE TO DO.
>> DO YOU FEEL THAT IT DID MAKE YOU MORE UNCOMFORTABLE THAN THE OTHER WOMEN; DO YOU THINK EVERYONE'S EQUALLY?
>> NO, I THINK THERE WAS AT LEAST ONE OTHER THAT FELT AS UNCOMFORTABLE AS ME.
>> I SEE. HOW DO YOU FEEL ABOUT YOUR BODY?
>> I THINK EVERY WOMAN HAS ISSUES, BUT I, I SAY, I DON'T LOOK IN THE MIRROR AND SEE MYSELF AS BIG, NO.
>> DOES YOUR WEIGHT FLUCTUATE? DO YOU FEEL THAT YOU'RE AT NORMAL WEIGHT NOW?
>> YES.
>> Narrator: ALEX'S ANSWERS HAVE PROMPTED A CHANGE OF PLAN. RATHER THAN DELAY ANY FURTHER, THE PANEL CONSIDER MAKING AN ON THE SPOT DIAGNOSIS.
>> I'M JUST WONDERING WHETHER, PERHAPS, WE SHOULD SHARE WITH ALEX WHAT OUR THINKING HAS BEEN ON THE BASIS OF THAT TEST. I DON'T KNOW.
>> TOGETHER, IT LOOKED LIKE FROM THAT THAT YOU HAVE, YOU HAVE ISSUES WITH BODY WEIGHT, SHAPE AND EATING. SO I GUESS BASED UPON THAT, WE HAD FELT THAT IT SEEMED MOST LIKELY THAT YOU HAD A HISTORY OF EATING DISORDER. IS THAT CORRECT?
>> THAT IS CORRECT.
>> THANK YOU.
>> OKAY.
>> WELL.
>> I WAS 14 WHEN OTHER PEOPLE FIRST NOTICED. I THINK I HAD THOUGHTS OF FEELING TOO FAT AND WANTED TO LOSE WEIGHT FOR LONGER THAN THAT, BUT I WAS 14 WHEN I REMEMBER THINKING, "I'M GOING TO DO SOMETHING ABOUT THIS" AND I ACTUALLY STOPPED EATING.
>> Narrator: ALEX'S ANOREXIA IS THE SECOND PSYCHIATRIC DISORDER TO BE SUCCESSFULLY IDENTIFIED BY THE PANEL.
>> I LOST ABOUT FOUR AND A HALF STONE IN, I SUPPOSE, ABOUT 18 MONTHS. HUNGER WAS THE THING I LIKED BEST, ACTUALLY. I MEAN, IT SOUNDS REALLY BIZARRE, BUT ACTUALLY IF YOU WERE HUNGRY YOU KNEW THAT YOUR BODY WASN'T GETTING ENOUGH CALORIES
SO YOU WERE GOING TO BE LOSING WEIGHT. SO YOU'D WELCOME THAT FEELING. YOU NEVER STOPPED FEELING HUNGRY. I WAS COLD ALL THE TIME, MY FINGERS WERE BLUE, MY TOES WERE BLUE. I WAS STARTS MY A LEVELS, AND I WAS GOING TO SCHOOL BUT COULDN'T EVER MAKE A LESSON SO I WAS JUST TOO LACKING IN ENERGY TO GET OUT OF THE COMMON ROOM. AND THEN, JUST SORT OF THE LAST STRAW I GUESS WAS GETTING UP ONE MORNING FOR SCHOOL AND REALIZING I JUST WASN'T GOING TO MAKE IT. EVEN THOUGH EVERYBODY TOLD ME I WAS GOING TO DIE, I JUST KNEW I COULDN'T DO IT. SO, MY MOM GOT ANOTHER PSYCHIATRIST TO COME TO THE HOUSE, AND HE SAID I NEED TO GO INTO HOSPITAL, AND I AGREED. THE ONLY REASON I GOT BETTER WAS BECAUSE AFTER TEN YEARS I HAD TO SAY TO MYSELF THE ONLY WAY FROM HERE IS BASICALLY DYING, BECAUSE I DIDN'T WANT TO GO THROUGH ANOTHER CYCLE OF, YOU KNOW, LOSING WEIGHT OR TAKING TOO MANY DRUGS AND ENDING UP IN HOSPITAL, SO I HAD TO SAY TO MYSELF ITS, YOU KNOW, YOU'VE GOT TO PULL YOURSELF TOGETHER.
>> Narrator: FOR MOST OF THE LAST TEN YEARS ALEX HAS MANAGED TO PUT THE ANOREXIA BEHIND HER. TO THE WORLD AT LARGE, SHE'S A NORMAL MOTHER OF THREE WITH A HEALTHY DIET. EVEN OUR PANEL DIDN'T SPOT HER DISORDER FOR FOUR DAYS.
>> I LIKE THE FACT THAT I DON'T PORTRAY ANY SIGNS OF IT NOW, BECAUSE I THINK THAT SHOWS THAT I AM HEALTHY AND MY MIND IS HEALTHY AS WELL, YOU KNOW, WHICH IS IMPORTANT.
>> Narrator: AS THE FOURTH DAY OF THE STUDY DRAWS TO A CLOSE, THE PANEL IS STILL WRESTLING WITH THEIR THOUGHTS.
>> LOOK AT ANYBODY AND YOU'LL FIND SOME ECCENTRICITY, USUALLY, AND, YOU KNOW, THAT ECCENTRICITY IN THE RIGHT CONTEXT COULD BE MISTAKEN FOR EVIDENCE OF A PSYCHIATRIC CONDITION.
>> WHAT I THINK AS WELL, RICHARD, WE'VE TALKED VERY MUCH ABOUT A CONTINUUM, HAVEN'T WE, OVER THE LAST FEW DAYS. THIS ISN'T A CONTINUUM THAT ONLY PEOPLE WITH MENTAL HEALTH PROBLEMS ARE ON, IT'S A CONTINUUM THAT WE'RE ALL ON. AND CONSISTENTLY, CERTAINLY IN THE U.K., ONE IN FOUR PEOPLE WILL HAVE A MAJOR OR SIGNIFICANT CLINICAL EPISODE OF MENTAL ILL HEALTH IN THEIR LIFE, AND IF WE LOOK AROUND THE ROOM NOW, YOU KNOW, HOW MANY OF US ARE THERE HERE ON THE BASIS OF ONE AND FOUR. SO, WE'RE NOT TALKING ABOUT THEM. WE'RE TALKING ABOUT US.
>> I'LL PUT MY HAND UP TO JUST SAY THAT MANY YEARS AGO IN MY LATE TWENTIES, I HAD, I GOT MARRIED VERY EARLY, I HAD A DIVORCE, I BECAME VERY DEPRESSED AFTER THIS. AND I WENT, ACTUALLY, TO SEE A PSYCHIATRIST WHO, ACTUALLY IRONICALLY, GAVE ME SOME PSYCHOTHERAPY. AND, YOU KNOW THAT WAS VERY HELPFUL, BUT IF YOU HAD SEEN ME THEN YOU WOULD HAVE SEEN SOMEONE WHO, WHO, YOU KNOW, LOOKED HOPEFULLY QUITE A LOT DIFFERENT THAN I AM NOW.
>> Narrator: TO CONCLUDE THE ACTIVITIES, THE SUBJECTS FACE A TEST OF DECISION MAKING. WE ALL MAKE DECISIONS CONSTANTLY, BUT SOME MENTAL ILLNESSES CAN MAKE RATIONAL THINKING VERY HARD. IN THIS TEST, THE PARTICIPANTS JUST HAVE TO DECIDE WHICH JAR A SELECTION OF COLORED BEADS ARE BEING TAKEN FROM.
>> THE IDEA IS TO FIND OUT HOW MANY BITS OF INFORMATION A PERSON REQUESTS BEFORE THEY ARE CONFIDENT TO MAKE A DECISION. PEOPLE WHO HAVE MAYBE A DIAGNOSIS OF SCHIZOPHRENIA, PEOPLE WHO HAVE DELUSIONAL BELIEFS TEND TO REQUEST FEWER BITS OF INFORMATION BEFORE THEY COME TO THEIR CONCLUSIONS. SO, THEY JUMP TO CONCLUSIONS. HI THERE, ALRIGHT. COME IN AND HAVE A SEAT. SIT DOWN. SIMPLE, STRAIGHT FORWARD THING. IT'S ABOUT DECISION MAKING. IT'S ABOUT
CONFIDENCE. IT'S ABOUT FORMING CONCLUSIONS. A HUNDRED BALLS, A HUNDRED BEADS, WHATEVER. 20 BLUE AND 80 RED. AND, EXACTLY THE OPPOSITE. WE'VE GOT 80 BLUE BALLS AND 20 RED BALLS. IT'S THE MAINLY RED LOT, AND THE MAINLY BLUE LOT.
>> ALRIGHT.
>> WHAT I'M GOING TO DO IS I'M GOING TO CHOSE ONE OF THESE AND START DRAWING BEADS FROM EITHER THIS JAR OR THAT JAR AND YOUR JOB IS WHEN YOU'RE CONFIDENT YOU KNOW WHICH OF THE JARS IT IS THAT I'M CHOOSING FROM THEN YOU SAY "I'VE GOT ENOUGH BEADS" AND WE STOP.
>> OKAY. ARE WE READY?
>> I THINK I AM.
>> OKAY. FIRST BEAD.
>> HMMM. IT'S TRICKIER NOW.
>> OKAY?
>> NEXT BEAD.
>> MMMM. WAS THAT LUCK, OR WAS THAT SOMETHING ELSE? HMMM. NO WAY OF GUESSING.
>> OKAY?
>> OKAY.
>> OH, FOR GOODNESS SAKE. OKAY, I'LL WAIT A LITTLE BIT LONGER. OKAY. TRY ONE MORE AND WE'LL SEE WHAT HAPPENS. I'VE GOT AN IDEA NOW. AH, THIS IS THE 80 PERCENT BLUE.
>> THAT'S IT?
>> THAT'S IT.
>> YOU'RE DONE. YOUR SCORE IS EIGHT.
>> KEEP GOING.
>> NOT VERY HELPFUL SO FAR.
>> COULD YOU ADD SOME MORE?
>> OKAY?
>> ANOTHER ONE?
>> YES.
(laughs)
>> STOP. I WOULD SAY THAT'S MAINLY THE BLUE JAR.
>> FINE, THAT'S IT. THE SCORE THAT WILL BE PASSED TO THE PANEL IS FIVE.
>> BLUE JAR.
>> ELEVEN.
>> I'D SAY THE BLUE JAR.
>> EIGHT.
>> ALRIGHT, FIRST BALL. AND SECOND BALL.
>> THE RED ONE.
>> CONFIDENT?
>> YEAH, I'M JUST SAY, I'LL GO FOR THE RED.
>> FINE.
>> ALL I CAN TELL YOU IS THAT ABOUT 50% OF PATIENTS WHO SUFFER FROM DELUSIONS WILL DO THAT.
>> PICK AFTER ONE BEAD?
>> PICK AFTER ONE BEAD AND FURTHERMORE THOUGH, IF YOU REPEAT THE TEST THEY'LL STILL DO THAT.
>> IF YOU ASK THEM WHY DID YOU PICK AFTER SO FEW, WHY WOULD THEY SAY WAS THE EXPLANATION?
>> THEY SEEM TO THINK THAT'S SUFFICIENT.
>> IT'S A REASONABLE WAY TO.
>> YEAH, A REASONABLE WAY TO OPERATE. YEAH. IT SEEMS TO BE SOMETHING LINKED TO DELUSIONALITY, BUT, YOU KNOW, IT'S ALSO WORTH SAYING THAT RARELY YOU GET NON- DILUTED PEOPLE TO MAKE THAT RESPONSE.
>> Narrator: YOU MIGHT BE THINKING THAT THIS TEST LEAVES TOO MUCH TO CHANCE. BUT ACTUALLY, IT'S NOT QUITE WHAT IT SEEMS.
>> YOU DROPPED SOMETHING INTO THE CONVERSATION EARLIER WHERE YOU SAID IT'S THE LUCK OF THE DRAW, AND, UM, IT WASN'T THE LUCK OF THE DRAW AT ALL. IT'S ALL SET UP IN SEQUENCE. THERE'S NO LUCK INVOLVED AND I LIED.
>> YOU DECEIVED ME IS CORRECT.
>> I DID NOT TELL YOU THE WHOLE TRUTH IN EVERY DETAIL.
>> OKAY.
>> THERE'S NOT A SEQUENCE BECAUSE I'M FOOLING YOU, THERE'S A SEQUENCE BECAUSE EVERYBODY GETS THE SAME.
>> YEAH.
>> AND THE TEST IS NOBODY RIGHT OR WRONG. THE INTERESTING QUESTION IS HOW MANY BEADS DO YOU FEEL YOU WANT BEFORE YOU'RE CONFIDENT.
>> Narrator: THE PARTICIPANTS HAVE COMPLETED ALL THEIR TASKS. NOW THE PANEL HAVE A LAST CHANCE TO INTERVIEW ONE OF THEM BEFORE THEY MUST MAKE THEIR FINAL DIAGNOSIS. AND THE SPOTLIGHTS TURN VERY MUCH ONTO VICKI.
>> WELL, WE'VE GOT A CHOICE, HAVEN'T WE, IN TERMS OF DECIDING WHO WE...
>> WELL, NOT MUCH OF A CHOICE. WE'VE SPOKEN TO HOLLY, WE'VE SPOKEN TO ALEX, WE'VE SPOKEN TO DAN, WE'VE SPOKEN TO YASMIN. VICKI HAS TO BE.
>> YES.
>> IF WE SPEAK TO VICKI, WE CAN ASK HER WHAT WAS GOING ON IN HER HEAD. YOU KNOW, WE SAW YOU PICK THE BALL AFTER ONLY ONE. THAT MEANS THEREFORE THAT YOU WERE CONFIDENT WHAT JAR THIS CAME FROM AFTER ONE BALL. COULD YOU EXPLAIN YOUR REASONING? LET'S HEAR WHAT SHE SAYS.
>> OKAY, WELL WE WOULD LIKE TO SEE VICKI.
>> Narrator: THERE'S A SHORT RELEASE OF TENSION FOR MOST OF THE GROUP, BUT NOW VICKI'S MENTAL HEALTH IS UNDER QUESTION.
>> HELLO, VICKI.
>> HELLO.
>> HI.
>> Narrator: WITH JUST FIVE MINUTES TO CONFIRM THEIR SUSPICIONS, THE PANEL WASTES NO TIME.
>> WHAT ABOUT GETTING ON WITH A GROUP OF COMPLETE STRANGERS? HOW'S THAT BEEN FOR YOU?
>> IT'S BEEN FINE FOR ME.
>> YEAH. GOOD.
>> YEP. IT'S BEEN FINE. I DON'T TALK AS MUCH AS EVERYONE ELSE, BUT I'VE ALWAYS BEEN LIKE THAT AND I'M FINE ABOUT THAT.
>> OKAY.
>> AND I'M COMFORTABLE WITH THAT.
>> THAT'S VERY HELPFUL, THANK YOU.
>> VICKI, CAN I JUST ASK YOU.
>> YEAH.
>> ONE OF THE THINGS WE'VE NOTICED IS THAT YOU SEEM TO FIND SOME OF THESE PSYCHOLOGICAL TESTS QUITE CHALLENGING. DO YOU THINK THAT'S FAIR?
>> WHICH ONE ARE YOU THINKING OF?
>> WELL, THERE'S THE ONE WITH THE CARDS. DO YOU REMEMBER THE CARDS?
>> YES, YEAH.
>> INCORRECT.
>> INCORRECT.
>> HOW DID YOU FEEL THAT WENT?
>> I FELT THAT DIDN'T GO VERY WELL. I WAS THINKING THAT, THAT IT WAS GOING TO GET, LIKE, COMPLICATED.
>> OKAY, SO.
>> I LIKE JUST THINGS THAT ARE SIMPLE AND TO THE POINT SOMEHOW.
>> ACTUALLY, THE VERY LAST THING WE SAW WAS THE BEAD TEST.
>> YEAH.
>> WITH THE BOTTLES OF THE BEADS.
>> AND SECOND BALL.
>> THE RED ONE.
>> COULD YOU TELL US A LITTLE BIT ABOUT WHY YOU WERE SO CONFIDENT IN WHAT YOUR THINKING WAS?
>> I DON'T KNOW WHAT IT WAS, IT WAS, IT JUST HAPPENED LIKE THAT.
>> SO.
>> IT WASN'T PLANNED OR ANYTHING, YOU KNOW.
>> IT WASN'T PLANNED OR ANYTHING.
>> NO.
>> OKAY, IS THERE ANYTHING YOU WOULD LIKE TO TELL US ABOUT YOUR EXPERIENCE OF THE LAST FEW DAYS?
>> UM, JUST THAT I'VE ENJOYED IT. THAT'S ALL.
>> OKAY.
>> NOTHING MORE THAN THAT.
>> WE'RE OUT OF TIME NOW.
>> OH, OKAY. THANK YOU.
>> IS THAT IT?
>> THAT'S IT.
>> THANK YOU VERY MUCH.
>> THANK YOU VERY MUCH FOR TALKING TO US.
>> Narrator: AS THE TENSION BUILDS ALL THE GROUP CAN DO IS SIT BACK AND WAIT TO HEAR THE PANEL'S FINAL VERDICT. WILL ALL FIVE WITH PSYCHIATRIC DISORDERS BE IDENTIFIED, OR WILL THE PANEL PICK ANY OF THE HEALTHY SUBJECTS? EARLIER IN THE WEEK THEY GOT IT WRONG, MISTAKING YASMIN AS THE HEALTHIEST IN THE GROUP.
>> WE THINK THAT YOU DO NOT HAVE A HISTORY OF PSYCHIATRIC PROBLEMS.
>> YOU'RE WRONG.
>> Narrator: BUT DECIDING WHICH DISORDER YASMIN MIGHT HAVE IS FAR FROM EASY.
>> BUT, YOU KNOW, SOMETIMES.
>> THAT'S TRUE FOR DEPRESSION AS WELL.
>> YEAH, DEPRESSION.
>> YEAH, BUT DEPRESSION'S OFF THE TABLE BECAUSE WE'VE ALLOCATED THAT TO SOMEONE WHO'S HAD PERSISTENT PRESENTATIONS...
>> WELL, BUT HOLLY'S A PERFECT EXAMPLE. HOLLY COULD HAVE BI-POLAR DISORDER.
>> WE COULD EXCHANGE THE LABELS THEN.
>> WELL THAT'S THE POINT.
>> THAT'S THE POINT.
>> THAT'S ONE OF THE IMPORTANT THINGS IS THIS IDEA OF A CONTINUUM IN MENTAL HEALTH. AT THE BORDERLINES, IT'S VERY DIFFICULT TO DECIDE WHETHER SOMEBODY HAS A PSYCHIATRIC DISORDER OR NOT, AND INDEED WHERE THE BORDERLINE IS MIGHT, TO SOME EXTENT, BE ARBITRARY.
>> WE'VE SEEN WITH YASMIN COULD BE BECAUSE OF ANY OF THE DISORDERS LEAST WITH SCHIZOPHRENIA, SO WE'RE GOING WITH THE MOOD DISORDERS. I THINK WE CAN DO A LITTLE BETTER THAN THAT BECAUSE OF THE STEREOTYPE AT LEAST THAT BI-POLAR REMITTED CAN LOOK LIKE SOMEONE LIKE YASMIN, CLASSICALLY. BUT THAT COULD BE COMPLETELY WRONG AS WELL.
>> IN THE CASE OF HOLLY THERE SEEMS TO BE A SORT OF PESSIMISM, CONCERN ABOUT WHAT OTHER PEOPLE THINK ABOUT HER. IN THE CASE OF VICKI WHAT WE'VE SEEN IS A LOT OF DIFFICULTY DEALING WITH ABSTRACT TASKS AND THAT WOULD BE MORE IN THE CATEGORY OF A PSYCHOTIC DISORDER, YOU KNOW, MORE SEVERE.
>> OR A NEUROLOGICAL DISORDER.
>> OR A NEUROLOGICAL DISORDER, FOR THAT MATTER. A DIAGNOSIS OF SCHIZOPHRENIA IS SUCH A SERIOUS, SUCH A SERIOUS, IT'S LIKE IT'S THE PSYCHIATRIST PSYCHOLOGIST EQUIVALENT OF TELLING SOMEONE THEY'VE GOT CANCER. IT'S EXACTLY LIKE THAT.
>> THE IMPLICATIONS ARE SO SERIOUS IF WE'RE WRONG.
>> WE HAD THE SAME ISSUE GOING ON WITH HOLLY. MAJOR DEPRESSION IS A SERIOUS ILLNESS.
>> YEAH.
>> SO WE HAVE THE SAME RISK WITH HER, SO I THINK THE SAME ISSUE APPLIES FOR BOTH.
>> I'D AGREE, BUT I, YOU KNOW, I JUST WANT TO EMPHASIZE THAT WE COULD BE WRONG ABOUT EVERYTHING.
>> Narrator: OVER FIVE DAYS, THE PANEL HAVE WATCHED AND DEBATED MANY HOURS OF FOOTAGE. THEIR NEXT MOVE IS CRITICAL. THEY MUST CHOOSE THREE PEOPLE TO APPEAR BEFORE THEM, AND TO HEAR WHAT MENTAL DISORDERS THE PANEL THINKS THEY HAVE. FOR THESE PROFESSIONALS IT'S THE FINAL CHANCE TO IDENTIFY THOSE WITH PSYCHIATRIC DISORDERS.
>> OKAY, WE'VE COME TO A DECISION. WE'D LIKE TO CALL VICKI, YASMIN, AND HOLLY.
>> Narrator: FIRST TO FACE THE PANEL, YASMIN.
>> HELLO AGAIN.
>> HI, YASMIN. NICE TO SEE YOU AGAIN. SO BASED ON THE LIMITED EVIDENCE THAT WAS AVAILABLE TO US, WE THINK THAT IT'S LIKELY THAT YOU'VE HAD A HISTORY OF BI-POLAR DISORDER. IS THAT CORRECT?
>> YOU'RE WRONG.
>> OKAY.
>> Narrator: NEXT, HOLLY.
>> HI AGAIN, HOLLY.
>> HI.
>> WE'VE COME TO THE CONCLUSION THAT AT SOME TIME YOU'VE BEEN DIAGNOSED WITH A MOOD DISORDER.
>> YOU'RE WRONG.
>> OKAY.
>> OKAY.
>> THERE WE GO.
>> Narrator: THE PANEL HAVE ONE LAST CHANCE TO MAKE A CORRECT DIAGNOSIS. CAN THEY RAISE THEIR SCORE ABOVE TWO OUT OF FIVE? VICKI IS THEIR FINAL CHOICE.
>> HELLO, VICKI.
>> HELLO.
>> ANYTHING WE SAY IS REALLY VERY TENTATIVE, BUT ON THE BASIS OF THE RESULTS, PARTICULARLY OF THE PSYCHOLOGICAL TEST, WE WERE WONDERING WHETHER AT SOME POINT IN YOUR LIFE, MAYBE THAT YOU HAD SUFFERED FROM A SIGNIFICANT PSYCHIATRIC PROBLEM OF SOME KIND OR ANOTHER.
>> UH, NO.
>> NOT AT ALL?
>> YOU'RE WRONG.
>> ALRIGHT, OKAY.
>> WELL, THANK YOU VERY MUCH FOR THAT. THANK YOU.
>> Narrator: THREE WRONG DIAGNOSIS IN A ROW. AFTER A WHOLE WEEK OF OBSERVATION, THE PANEL HAVE IDENTIFIED JUST TWO OUT OF FIVE DISORDERS. SO, ALONG SIDE YASMIN TWO MORE PEOPLE WITH CLINICALLY DIAGNOSED ILLNESSES REMAIN UNDISCOVERED IN THE GROUP. THE PANEL HAVE COMPLETELY MISSED THEM, AND AS A RESULT VICKI AND HOLLY ARE LEFT REFLECTING WHY THE PANEL PICKED THEM INSTEAD.
>> THE PEOPLE WITH MENTAL ILLNESS HAVE GOT THEMSELVES INTO THIS PROGRAM KNOWING THAT THEIR MENTAL ILLNESS WILL COME OUT ON CAMERA. THE PEOPLE WITHOUT MENTAL ILLNESS HAVE GOT THEMSELVES INTO THIS PROGRAM KNOWING THAT THEY MIGHT COME OUT WITH A LABEL WHICH THEY'VE NEVER HAD BEFORE.
>> I WAS QUITE HAPPY ABOUT THAT, JUST BECAUSE I KNOW IN MYSELF THAT I'M FINE. I DON'T HAVE ANY DISORDER. SO, I'M HAPPY THAT, THAT IT'LL KIND OF LIKE SHOW PEOPLE JUST HOW FINE THIS LINE IS.
>> I'VE NOT WORKED OUT THE FIVE WHO HAVE MENTAL ILLNESS, AND SO I'M GLAD THAT IT'S OVER BECAUSE I REALLY WANT TO KNOW.
>> Narrator: FIVE DAYS AGO, TEN STRANGERS ARRIVED AT HEVER, THEIR HISTORIES UNKNOWN. THEY'VE ENDURED A SERIES OF TESTS. THEIR BEHAVIOR CONTINUALLY SCRUTINIZED BY THREE PSYCHIATRIC SPECIALISTS. AT FIRST, THE PANELISTS PREDICTIONS OF WHAT PARTICIPANTS HAD MENTAL DISORDERS PROVED CORRECT, BUT THAT EARLY SUCCESS SOON DWINDLED AS THEY REPEATEDLY PICKED OUT WRONG MEMBERS FROM THE GROUP.
>> YOU'RE WRONG.
>> YOU'RE WRONG.
>> YOU'RE WRONG.
>> Narrator: NOW OUR STUDY IS OVER, AND THE PANEL LEAVE THEIR ROOM TO MEET THE GROUP AS A WHOLE FOR THE VERY FIRST TIME.
>> HELLO.
>> HI THERE.
>> HI THERE.
>> Narrator: AT LAST, THOSE WHO'S MENTAL DISORDERS WERE MISSED ARE GOING TO COME FORWARD AND REVEAL THEM TO EVERYBODY. STILL ON THE LIST ARE SCHIZOPHRENIA, DEPRESSION, BI-POLAR DISORDER, AND SOCIAL ANXIETY. FIRST, YASMIN.
>> I HAVE A HISTORY OF DEPRESSION. I WAS OFF WORK FOR THREE AND A HALF YEARS. I BECAME VERY WITHDRAWN FROM EVERYBODY. THE WORST DAYS WERE DAYS WHEN I
COULDN'T EVEN GET OUT OF BED JUST BECAUSE THERE WAS NO REASON TO. WHY WOULD I? WHY SHOULD I? WHAT'S THE POINT?
>> DO YOU CONSIDER YOURSELF A HAPPY PERSON?
>> NOT REALLY, BUT I DON'T THINK I EVER HAVE.
>> DEPRESSION OBVIOUSLY WASN'T WHAT YOU THOUGHT, AND I'M QUITE INTERESTED IN YOUR THOUGHT PROCESSES BOTH FOR THE FIRST TIME WE MET AND THE SECOND.
>> WE HAD TO PUT OUR CARDS ON THE TABLE AND PICK THE PERSON WHO SEEMED TO HAVE THE LEAST LIKELIHOOD OF ANY SYMPTOMS. BASED UPON EVERYTHING WE SAW YOU WERE THE TOP CANDIDATE. SO THAT'S WHY WE PICKED YOU THE FIRST TIME. SO, THEN, THE SECOND GO AROUND, LOOK AT THE ODDS, BI-POLAR DISORDER IS PROBABLY THE DISORDER WHERE WHEN SOMEONE GETS BETTER THEY'RE COULD LOOK LIKE YOU.
>> BUT YOU LOOKED REALLY PLEASED WHEN YOU SAID FIRST TIME, "YOU'RE WRONG." AND WE WERE VERY IMPRESSED BY HOW PLEASED YOU WERE.
(laughter)
>> WELL, FOR ME IT WAS KIND OF...
>> IT WAS VINDICATION, ABSOLUTELY AND WE COULD SEE THAT.
>> YOU DESERVED TO BE PLEASED.
>> YOU DID DESERVE TO BE PLEASED.
>> OKAY.
>> THESE HIGHLY QUALIFIED, EXTREMELY EXPERIENCED PROFESSIONALS COULDN'T HIDE THE SHOCK THAT THEY HAD BEEN SO WRONG, AND I LOVED THAT. I REALLY LOVED THAT. I, THAT WAS A REAL HIGH FOR ME OUT OF ALL THE THINGS WE'VE DONE. THAT IS POSSIBLY MY HIGH POINT OF THE WEEK.
>> Narrator: NOW TO REVEAL THE FIRST OF THE TWO MISSING DIAGNOSIS.
>> WHO'S NEXT?
>> WHO'S NEXT?
>> HELLO, GENTLEMEN.
>> HELLO.
>> I'M KAMILI FEELINGS, I GUESS YOU KNOW THAT ALREADY, AND I HAVE SOCIAL ANXIETY, I'VE BEEN DIAGNOSED WITH IT. I'VE BEEN DIAGNOSED WITH SOCIAL ANXIETY ABOUT THREE YEARS AGO NOW, AND IT WAS SOMETHING I NEVER REALLY REALIZED ABOUT MYSELF THAT OTHER PEOPLE DIDN'T HAVE AND I'M VERY UNCOMFORTABLE AROUND LARGE GROUPS OF PEOPLE AND THE WEARINESS SOMETIMES BECOMES FEAR. ANXIETY.
>> I'M CURIOUS WHY YOU GUYS DIDN'T PICK ME. JUST FOR ANYTHING.
>> BECAUSE APPEAR TO BE VERY SOCIALLY ANXIOUS.
>> YOU DON'T SEEM ANXIOUS IN SOCIAL SITUATIONS. I MEAN, IT'S AS SIMPLE AS THAT.
>> YOU DON'T SHOW ANY SYMPTOMS OF SOCIAL ANXIETY.
>> NOT A BIT?
>> NO.
>> STAND UP COMEDY'S GOT TO BE THE NIGHTMARE OF SOMEBODY WITH SOCIAL ANXIETY, AND YOU JUST DID FINE WITH YOUR TEAMS.
>> WE THOUGHT YOU WERE SOCIALLY COOL.
(laughter)
>> YEAH. YEAH. SOCIALLY COOL. NOT ANXIOUS, AND IT, IT WAS GREAT TO SEE YOU ENJOY WHAT YOU DID.
>> Narrator: KAMILI MAKES FOUR. LEAVING JUST ONE LAST PERSON TO COME FORWARD. IT'S STUART.
>> AH.
>> I HAVE A HISTORY AND I'M CURRENTLY BEING TREATED FOR BI-POLAR DISSAFFECTIVE DISORDER. IT GOT TO THE POINT WHERE I KNEW THAT I HAD TO GET HELP. I HAD LOST MY RELATIONSHIP. I WAS THOUSANDS OF POUNDS IN DEBT. I WAS UNEMPLOYED, NO DIRECTION, AND IT WAS JUST ONE HUGE VOID. SELF-HARM PROVED TO BE A MAJOR RELEASE. WHEN I CUT OR BURNT MYSELF HELPED ME FEEL ALIVE WHEN I FELT DEAD. I CAN GO FROM EXTREMELY LOW TO EXTREMELY HIGH IN THE SPACE OF A DAY. WHEN I'M IN A LOW PLACE, LIFE JUST SEEMS HOPELESS. I FEEL EMPTY. I FEEL LIKE A COMPLETE UTTER SENSE OF FAILURE, AND JUST DON'T REALLY WANT TO LIVE LIFE WHEN I'M IN THOSE MOODS.
>> I CAN'T SAY WE'RE SURPRISED. THAT WAS IN THERE. YOU'LL SEE WHEN YOU WATCH THE SHOW THAT VERY EARLY ON WE WERE GUESSING THAT AND THEN YOU DROPPED OUT. IN FACT, ONE OF THE THINGS WE HAD SAID, WE HAD HEARD IN YOUR HISTORY ABOUT YOUR RISK TAKING AND THRILL SEEKING BEHAVIOR AND THAT'S OFTEN SEEN IN PEOPLE WHO ARE BI-POLAR.
>> CAUSE I WAS KIND OF WORRIED AFTER THE STAND UP ACT WHEN I THOUGHT ABOUT WHAT I ACTUALLY SAID THAT I MAY HAVE GIVEN THE GAME AWAY BY MENTIONING MY RISK TAKING.
>> SO THAT WASN'T A TIP OFF AS MUCH AS AN ODDS THING. IT'S LIKE THE ODDS WERE STARTING TO MOVE IN THAT DIRECTION, BUT THEN IT RECEDED WHEN OTHER INFORMATION CAME AND BASICALLY MUCKED IT UP AS FAR AS WE'RE CONCERNED.
>> SWEET. THANK YOU GUYS.
>> OKAY, THANK YOU.
>> YOU'RE WELCOME.
>> Narrator: IT'S BEEN A TESTING WEEK. THERE'S NO DOUBT IT'S LEFT EVERYONE INVOLVED REFLECTING ON THE COMPLEXITY OF MENTAL HEALTH AND ON WHAT IT MEANS TO BE SEEN AS NORMAL BY SOCIETY.
>> I KNOW WHAT PEOPLE SAY ABOUT MENTAL HEALTH PROFESSIONALS, YOU KNOW NURSES, PSYCHIATRISTS, AND PSYCHOLOGISTS, BUT WE WERE REALLY HAPPY WE GOT IT WRONG FROM THAT POINT OF VIEW. IT MAKES A VERY IMPORTANT POINT TO THE PUBLIC. KEEPS US HUMBLE, BUT IT ALSO MEANS THAT THE PUBLIC NEEDS TO REALIZE THAT YOU CANNOT JUST LOOK AT SOMEONE AND MAKE ASSUMPTIONS. AND WHEN SOMEONE HAS BEEN LABELED WITH A MENTAL DISORDER OR EPISODE OF MENTAL ILLNESS, YOU KNOW, IT'S A VERY UNHELPFUL THING TO INTERPRET EVERYTHING THEY DO THROUGH A POORLY UNDERSTOOD LABEL. SO, I THINK YOU'VE DONE TREMENDOUSLY, ALL OF YOU FROM THAT POINT OF VIEW.
>> I WAS SURPRISED THAT THEY GOT IT WRONG. AND IT JUST GOES TO SHOW, REALLY, THAT YOU CAN'T JUDGE A BOOK BY ITS COVER.
>> JUST SHOWS HOW WELL MY RECOVERY IS GOING AND HOW FAR I'VE COME, CAUSE I THINK, MAYBE, A YEAR AGO OR SO THEY WOULD HAVE PICKED UP ON IT, BECAUSE I WAS DISPLAYING ALL THE SYMPTOMS. SO, FOR ME, IT'S JUST, I THINK IT'S JUST A TESTAMENT THAT I'M WELL. I'M WELL. I'M NOT ILL AT THIS MOMENT IN TIME.
>> I DON'T WEAR IT AS A T-SHIRT, BUT I'M PROUD TO HAVE O.C.D., CAUSE AT THE END OF THE DAY O.C.D. IS PART OF MY MAKE UP AND I AM WHO I AM. YOU KNOW? SO YEAH, I WAS REALLY RELIEVED ACTUALLY. I WAS REALLY PLEASED THAT THEY GOT IT.
>> THE GROUP HAVE BEEN VERY SUPPORTIVE. I THINK WE'VE ALL SUPPORTED EACH OTHER AND AT TIMES, YOU KNOW, WHEN OTHER PEOPLE ARE BEING DISTRESSED, I'VE BEEN THERE FOR THEM AND EQUALLY THEY'VE BEEN THERE FOR ME.
>> I MEAN, STUART IS AN INSPIRATION TO ME BECAUSE THE GUY IS BATTLING A HELL OF A LOT WORSE ILLNESS THAN MINE AND HE'S OUT THERE DOING EXACTLY WHAT IT IS I'M HOLDING BACK FROM. SO, I CAN GO AWAY WITH THAT, PUT IT INTO A PLAN, AND DO SOMETHING ABOUT IT NOW. YOU KNOW?
>> AT THE MOMENT I'M JUST REALLY, REALLY HAPPY THAT, YOU KNOW, THEY DIDN'T PICK ME AND HOPEFULLY PEOPLE WILL BE ABLE TO RELATE TO ME AND NOT, YOU KNOW, PUT PEOPLE WITH MENTAL ILLNESSES IN BOXES AND HOPEFULLY SEE THE PERSONALITY AND THE PEOPLE BEHIND THE ILLNESS. AND, YEAH, IT JUST ROCKS REALLY. THAT'S ALL I CAN SAY. I'M JUST REALLY HAPPY ABOUT IT.
>> Narrator: IF YOU'D LIKE TO FIND OUT MORE ABOUT STUART AND THE OTHER PARTICIPANTS IN THIS PROGRAM, VISIT OUR WEBSITE AT BBC.CO.UK FORWARD SLASH HEADROOM. ?
