Notes 1-24 - Lecture 3 how to classify behavior start with...

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Lecture 3    1-24-08        how to classify behavior  start with talking about diagnostic system  DSM4 - used to diagnose different psychiatric disorders       its atheorhetical, without theory?       has specific criteria to describe specific disorders       aim of researchers that developed book: is to make distinctive criteria for different disorders           ex. social phobia and anxiety...overlap?           ex. major depressive episode: 5 or more of the following present in the same 2 week time, depressed mood or  loss of interest in pleasure and activities[use a clinical interview: a guided discussion, ask what brings them in, talk  about how things have been going] 1) depressed mood most of the day almost every day 2)? 3) significant weight loss  or gain 4) excessive sleep - hypersomnia, or insomnia - inability to sleep 5) psychomotor agitation - cant sit still, or  psychomotor retardation - slow down in movement and tone 6)fatigue or loss of energy nearly everyday 7) feelings of  worthlessness or guilt 8)diminished ability to concentrate 9)recurrent thoughts of death ...... nothing that talks about  theories like NTs       another feature of DSM4, is abnormal behaviors are grouped together, in chapters .... 1st chapter refers to childhood,  another to substance abuse/mood disorders/personality disorders       it is considered to be multiaxial - has many axis, doesn't just look at a persons clinical symptoms, look at 5 different  things of how they function...has 5 axis (1,2,3,4,5)           1) clinical symptoms/syndromes..what is the problem that they are having; root of diagnostic system...ADD,  Schizophrenia, etc           2) document people that have personality disorders and mental retardation           3) general medical conditions...is there anything medically going on with the person...do they have a thyroid  problem?           4) psycho.social.and.environmental problems...what is going on in the persons life?               different from axis 1? in 1 you label, in 2 you see what is going on in the persons life           5) global assessment of functioning, GAF...0-100, on pg 74               30-40 needing clinical attention 
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             <30 think about hospitalizing that person, usu. made if they are dangerous to themselves or others, or if they  have psychotic thinking               70-81 ?       tripartite? model of depression           most people that are depressed have anxious symptoms, co-existing anxiety           66-70% have mixed depression and anxiety issues...everyone else has one or the other 
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