Psychological Disorders and Diagnosis

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PSYCHOLOGICAL
DISORDERS
 
 
MEDICAL MODEL APPLIED TO
ABNORMAL BEHAVIOR
 
Medical model
 
proposes that it is useful to think
of abnormal behavior as a disease
Critics: Thomas Szasz—mind can’t be sick
Diagnosis
: distinguish one illness from another
Etiology
: causation and developmental history of
an illness
Prognosis
: forecast about probable course of an
illness
 
CRITERIA OF ABNORMAL BEHAVIOR
 
Deviance
: deviating from society’s norms
Maladaptive behavior
: struggling to adapt
Personal distress
: usually depression and/or
anxiety disorders
Evolutionary psychs believe mental disorders
should be referred to as 
evolutionary dysfunctions
 
STEREOTYPES OF PSYCHOLOGICAL
DISORDERS
 
1) Psych disorders are incurable
2) People w/psych disorders are often violent and
dangerous
3) People w/psych disorders behave in bizarre
ways and are very different from normal people
 
PSYCHODIAGNOSIS:
CLASSIFICATION OF DISORDERS
 
1952: 
Diagnostic and Statistical Manual of
Mental Disorders (DSM)
 describes 100 disorders
1980: DSM-III---new classification system
Axes I and II diagnose disorders
Axes III-V are supplemental info
 
PREVALENCE OF PSYCHOLOGICAL
DISORDERS
 
Epidemiology
: the study of the distribution of
mental or physical disorders
Prevalence
: percentage of population that
exhibits a disorder during a specific time period
DSM criteria: 1/3 of pop. has some psych disorder
undefined
 
ANXIETY DISORDERS
 
A class of disorders marked by feelings of
excessive apprehension and anxiety
 
GENERALIZED ANXIETY DISORDER
 
DEF: marked by a chronic, high level of anxiety
that is not tied to any specific threat
Called “free-floating anxiety”
Worry about minor matters
Physical symptoms: trembling, muscle tension,
diarrhea, dizziness, faintness, sweating, heart
palpitations
 
PHOBIC DISORDERS
 
DEF: marked by a persistent and irrational fear
of an object or situation that presents no realistic
danger
Even imagining the object can trigger anxiety
 
PANIC DISORDER AND
AGORAPHOBIA
 
Panic disorder
: characterized by recurrent
attacks of overwhelming anxiety that usually
occur suddenly and unexpectedly
Agoraphobia
: fear of going out to public places
Majority who suffer from one or both are female
 
OBSESSIVE-COMPULSIVE
DISORDER
 
OCD: marked by persistent, uncontrollable
intrusions of unwanted thoughts and urges to
engage in senseless rituals
Obsessions are 
thoughts
Compulsions are 
actions
undefined
 
ETIOLOGY OF ANXIETY
DISORDERS
 
 
BIOLOGICAL FACTORS
 
Concordance rate
: indicates the percentage of
twin pairs or other pairs of relatives that exhibit
the same disorders
Anxiety sensitivity
Neurotransmitters
 
CONDITIONING AND LEARNING
 
Anxiety responses are acquired by classical
conditioning
They are maintained by operant conditioning
Phobias could be evolutionary
Observational learning may also play a part
 
COGNITIVE FACTORS
 
Some are more likely to have anxiety b/c they
tend to:
1) misinterpret harmless situations as
threatening
2) focus excessive attention on perceived threats
3) selectively recall info that seems threatening
 
PERSONALITY AND STRESS
 
Certain personality traits appear to be related to
likelihood of anxiety
Neuroticism---nervous, jittery, insecure, guilt-
prone, gloomy
undefined
 
SOMATOFORM DISORDERS
 
Physical ailments that cannot be fully explained
by organic conditions and are largely due to
psychological factors
 
SOMATIZATION DISORDER
 
DEF: marked by a history of diverse physical
complaints that appear to be psychological in
origin
Usually a very diverse array of symptoms
 
CONVERSION DISORDER
 
DEF: characterized by a significant loss of
physical function (w/no apparent organic basis),
usually in a single organ system
 
HYPOCHONDRIASIS
 
DEF: characterized by excessive preoccupation
w/health concerns and incessant worry about
developing physical illnesses
Usually coupled w/ anxiety disorders and
depression
undefined
 
ETIOLOGY OF
SOMATOFORM DISORDERS
 
 
PERSONALITY FACTORS
 
Histrionic personality most prevalent
Self-centered, suggestible, excitable, highly
emotional, overly dramatic
Neuroticism also common
 
THE SICK ROLE
 
Being sick is a way to avoid life’s challenges
Creates an excuse for failure
Gets attention from others
undefined
 
DISSOCIATIVE DISORDERS
 
Class of disorders in which people lose contact
w/portions of their consciousness or memory,
resulting in disruptions in their sense of identity
 
DISSOCIATIVE AMNESIA AND
FUGUE
 
Dissociative Amnesia
: sudden loss of memory for
important personal info that is too extensive to
be due to normal forgetting
Dissociative Fugue
: loss of memory for entire life
along with sense of identity
 
DISSOCIATIVE IDENTITY DISORDER
 
DID: involves the coexistence in one person of 2
or more largely complete, and usually very
different, personalities
Personalities usually unaware of each other
Alternate personalities exhibit traits unusual for
original personality
 
ETIOLOGY OF DISSOCIATIVE
DISORDERS
 
Nicholas Spanos: DID patients are merely role-
playing to mask personal failure
Trauma does seem to be the main cause of
development of DID
undefined
 
MOOD DISORDERS
 
Class of disorders marked by emotional
disturbances of varied kinds that may spill over to
disrupt physical, perceptual, social, and thought
processes
 
MAJOR DEPRESSIVE DISORDER
 
DEF: show persistent feelings of sadness and
despair and a loss of interest in previous sources
of pleasure
Depression can occur at any point in life
Dysthynic disorder
: chronic depression that is
insufficient in severity to justify diagnosis of a
major depressive episode
 
BIPOLAR DISORDER
 
DEF: characterized by the experience of one or
more manic episodes usually accompanied by
periods of depression
Cyclothymic disorder
: exhibit chronic but
relatively mild symptoms of bipolar disturbance
undefined
 
ETIOLOGY OF MOOD
DISORDERS
 
 
GENETIC VULNERABILITY
 
Heredity can create a predisposition
Environmental factors may determine if it
becomes an actual disorder
 
NEUROCHEMICAL FACTORS
 
Norepinephrine and serotonin thought to be the
main NT’s
Recent studies are showing that other NT’s may
be involved
 
COGNITIVE FACTORS
 
Depression caused by 
Learned helplessness
---a
passive “giving up”
People with 
pessimistic explanatory style
 are
most susceptible to depression
Hopelessness theory
: pessimistic style, high
stress, low self-esteem, etc… create depression
Basically…negative thoughts and emotions lead
to and maintain depression
 
INTERPERSONAL ROOTS
 
Behaviorist approach
Inadequate social skills lead to depression
Depressed people are depressing
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Explore key concepts like the medical model applied to abnormal behavior, criteria of abnormal behavior, stereotypes of psychological disorders, psychodiagnosis, prevalence of psychological disorders, and a specific focus on anxiety disorders such as generalized anxiety disorder. Learn about different perspectives, classifications, and prevalence rates of mental health conditions.

  • Psychological Disorders
  • Diagnosis
  • Medical Model
  • Abnormal Behavior
  • Anxiety Disorders

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  1. PSYCHOLOGICAL DISORDERS

  2. MEDICAL MODEL APPLIED TO ABNORMAL BEHAVIOR Medical model proposes that it is useful to think of abnormal behavior as a disease Critics: Thomas Szasz mind can t be sick Diagnosis: distinguish one illness from another Etiology: causation and developmental history of an illness Prognosis: forecast about probable course of an illness

  3. CRITERIA OF ABNORMAL BEHAVIOR Deviance: deviating from society s norms Maladaptive behavior: struggling to adapt Personal distress: usually depression and/or anxiety disorders Evolutionary psychs believe mental disorders should be referred to as evolutionary dysfunctions

  4. STEREOTYPES OF PSYCHOLOGICAL DISORDERS 1) Psych disorders are incurable 2) People w/psych disorders are often violent and dangerous 3) People w/psych disorders behave in bizarre ways and are very different from normal people

  5. PSYCHODIAGNOSIS: CLASSIFICATION OF DISORDERS 1952: Diagnostic and Statistical Manual of Mental Disorders (DSM) describes 100 disorders 1980: DSM-III---new classification system Axes I and II diagnose disorders Axes III-V are supplemental info

  6. PREVALENCE OF PSYCHOLOGICAL DISORDERS Epidemiology: the study of the distribution of mental or physical disorders Prevalence: percentage of population that exhibits a disorder during a specific time period DSM criteria: 1/3 of pop. has some psych disorder

  7. ANXIETY DISORDERS A class of disorders marked by feelings of excessive apprehension and anxiety

  8. GENERALIZED ANXIETY DISORDER DEF: marked by a chronic, high level of anxiety that is not tied to any specific threat Called free-floating anxiety Worry about minor matters Physical symptoms: trembling, muscle tension, diarrhea, dizziness, faintness, sweating, heart palpitations

  9. PHOBIC DISORDERS DEF: marked by a persistent and irrational fear of an object or situation that presents no realistic danger Even imagining the object can trigger anxiety

  10. PANIC DISORDER AND AGORAPHOBIA Panic disorder: characterized by recurrent attacks of overwhelming anxiety that usually occur suddenly and unexpectedly Agoraphobia: fear of going out to public places Majority who suffer from one or both are female

  11. OBSESSIVE-COMPULSIVE DISORDER OCD: marked by persistent, uncontrollable intrusions of unwanted thoughts and urges to engage in senseless rituals Obsessions are thoughts Compulsions are actions

  12. ETIOLOGY OF ANXIETY DISORDERS

  13. BIOLOGICAL FACTORS Concordance rate: indicates the percentage of twin pairs or other pairs of relatives that exhibit the same disorders Anxiety sensitivity Neurotransmitters

  14. CONDITIONING AND LEARNING Anxiety responses are acquired by classical conditioning They are maintained by operant conditioning Phobias could be evolutionary Observational learning may also play a part

  15. COGNITIVE FACTORS Some are more likely to have anxiety b/c they tend to: 1) misinterpret harmless situations as threatening 2) focus excessive attention on perceived threats 3) selectively recall info that seems threatening

  16. PERSONALITY AND STRESS Certain personality traits appear to be related to likelihood of anxiety Neuroticism---nervous, jittery, insecure, guilt- prone, gloomy

  17. SOMATOFORM DISORDERS Physical ailments that cannot be fully explained by organic conditions and are largely due to psychological factors

  18. SOMATIZATION DISORDER DEF: marked by a history of diverse physical complaints that appear to be psychological in origin Usually a very diverse array of symptoms

  19. CONVERSION DISORDER DEF: characterized by a significant loss of physical function (w/no apparent organic basis), usually in a single organ system

  20. HYPOCHONDRIASIS DEF: characterized by excessive preoccupation w/health concerns and incessant worry about developing physical illnesses Usually coupled w/ anxiety disorders and depression

  21. ETIOLOGY OF SOMATOFORM DISORDERS

  22. PERSONALITY FACTORS Histrionic personality most prevalent Self-centered, suggestible, excitable, highly emotional, overly dramatic Neuroticism also common

  23. THE SICK ROLE Being sick is a way to avoid life s challenges Creates an excuse for failure Gets attention from others

  24. DISSOCIATIVE DISORDERS Class of disorders in which people lose contact w/portions of their consciousness or memory, resulting in disruptions in their sense of identity

  25. DISSOCIATIVE AMNESIA AND FUGUE Dissociative Amnesia: sudden loss of memory for important personal info that is too extensive to be due to normal forgetting Dissociative Fugue: loss of memory for entire life along with sense of identity

  26. DISSOCIATIVE IDENTITY DISORDER DID: involves the coexistence in one person of 2 or more largely complete, and usually very different, personalities Personalities usually unaware of each other Alternate personalities exhibit traits unusual for original personality

  27. ETIOLOGY OF DISSOCIATIVE DISORDERS Nicholas Spanos: DID patients are merely role- playing to mask personal failure Trauma does seem to be the main cause of development of DID

  28. MOOD DISORDERS Class of disorders marked by emotional disturbances of varied kinds that may spill over to disrupt physical, perceptual, social, and thought processes

  29. MAJOR DEPRESSIVE DISORDER DEF: show persistent feelings of sadness and despair and a loss of interest in previous sources of pleasure Depression can occur at any point in life Dysthynic disorder: chronic depression that is insufficient in severity to justify diagnosis of a major depressive episode

  30. BIPOLAR DISORDER DEF: characterized by the experience of one or more manic episodes usually accompanied by periods of depression Cyclothymic disorder: exhibit chronic but relatively mild symptoms of bipolar disturbance

  31. ETIOLOGY OF MOOD DISORDERS

  32. GENETIC VULNERABILITY Heredity can create a predisposition Environmental factors may determine if it becomes an actual disorder

  33. NEUROCHEMICAL FACTORS Norepinephrine and serotonin thought to be the main NT s Recent studies are showing that other NT s may be involved

  34. COGNITIVE FACTORS Depression caused by Learned helplessness---a passive giving up People with pessimistic explanatory style are most susceptible to depression Hopelessness theory: pessimistic style, high stress, low self-esteem, etc create depression Basically negative thoughts and emotions lead to and maintain depression

  35. INTERPERSONAL ROOTS Behaviorist approach Inadequate social skills lead to depression Depressed people are depressing

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