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Unformatted text preview: Introduction to Psychopathological Conditions of Adulthood and their Introduction to Psychopathological Conditions of Adulthood and their Treatment Treatment The Value and Danger of Labels--Categorization and psychiatric The Value and Danger of Labels--Categorization and psychiatric diagnosis: diagnosis: facilitates professional communication leads to shorthand description, rich with implicative meaning entails predictive/postdictive probabilistic implications can assist planning maximally relevant treatments can trick us into thinking we understand when we dont can stigmatize and lead to self-fulfilling prophesies Videoclip on David Rosenhans Classic Study: On Being Sane in Videoclip on David Rosenhans Classic Study: On Being Sane in Insane Places Insane Places ( Science, 1973, Vol. 179, pp. 250-258) - admitted to mental hospitals on claims of hearing voices saying empty, thud, dull. made up the claim to study psych wards. results incredibly sad. average of 6.5 minutes/day spent with staff. Critique, and Impact on Development of DSMs: Critique, and Impact on Development of DSMs: Critique: Was it unreasonable to label them insane? After admitted, we acted the way we usually behaved? took notes Impact of Study on the Diagnostic Statistical Manual (DSM) and Diagnostic Practice: single symptoms are inadequate bases for diagnosis DSMs subsequently articulated detailed diagnostic criteria see p. 86 Jamison for list of diagnostic questions, the answers to which form the basis for the clinical judgment about presence/absence of criteria DSM-IVs multiaxial diagnostic system: DSM-IVs multiaxial diagnostic system: Axis I: anxiety, alcohol and substance abuse, mood disorders, schizophrenia, depression, eating disorders Axis II: mental retardation, personality disorders Axis III: medical conditions Axis IV: stress is indicated Axis V: Global Assessment of Functioning (GAF) high number- doing well Axes I and II are Descriptive,A-theoretical, Non-Explanatory Axes I and II are Descriptive,A-theoretical, Non-Explanatory The Diathesis-Stress Model: A general framework for explaining the The Diathesis-Stress Model: A general framework for explaining the causes (etiology) of psychopathological conditons: causes (etiology) of psychopathological conditons: Diathesis = Predisposing Factors (e.g., genetics; personality trait dispositions developed via the combination of genetics and environmental influence; early and prolonged stressors and stress-responses resulting in emotionally and behaviorally maladaptive circuits in the brain) Stress = Precipitating Factors or Triggering Factors (e.g., stressful major life events associated with the onset of psychopathological symptoms in adulthood) Psychopathological Symptoms (and physical health symptoms for that matter!) are the product of predispositions (traits, genetic dispositions, learned patterns of behavior, emotional processing, conflict management,...
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This note was uploaded on 04/25/2008 for the course PSY 202 taught by Professor Henriques during the Fall '08 term at Wisconsin.
- Fall '08