CHAPTER 12 - CHAPTER 12: EMOTIONS AND MENTAL HEALTH IN...

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CHAPTER 12: EMOTIONS AND MENTAL HEALTH IN CHILDHOOD I. EMOTIONS AND DISORDERS a. Classifying childhood disorders i. Disorders: states in which young people are no longer able  successfully to cope, concerned with extremes of emotions:  intense and long-lasting states of anxiety, depression, anger. ii. Widely used diagnostic schemes: DSM-IV-TR, ICD-10CM iii. Another way of conceptualizing emotional disorders: to  accept that there are no sharp distinctions between having  and not having a disorder. There is a continuum.  iv. Assessment: checklists of symptoms or behavior patterns,  and sometimes questionnaires, which a parent or teacher  completes for a particular child v. Externalizing disorders : defined by anger, hostility,  aggression, stealing, and lying vi. Internalizing disorders : anxiety and depression with  tendencies to withdraw b. How are emotions involved in children’s disorders? i. Two principal emotion-based externalizing disorders of  childhood are:  oppositional defiant disorder  and  conduct  disorder ii. Criterion for oppositional defiant disorder: loses temper,  argues with adults, defies or refuses adult requests or rules,  deliberately does things that will annoy other people, blames  others for his or her own mistakes, is touchy or easily  annoyed by others, is angry and resentful, is spiteful or  vindictive iii. Criteria for conduct disorder include more seriously  antisocial behavior such as truanting before 13, stealing,  firesetting, sexual assault, physical fights, physical cruelty,  and use of weapons iv. Internalizing disorder of  anxiety  disorders: fears that are  abnormal in intensity, duration, and how they are elicited.  One disabling syndrome is  overanxious disorder , in which 
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there is excessive or unrealistic anxiety or worry, with  marked tension for > 6 months v. Separation anxiety disorder : excessive anxiety for at least  two weeks about separation from the child’s main  attachment figures vi. for a diagnosis the child must also have four other  symptoms: weight changes, sleep disturbance, fatigue,  feelings of worthlessness, inability to concentrate, and  recurrent thoughts of death or suicide c. What is disordered? i. Predominance of one emotion system : one emotion  becomes prominent and dominates other possible  experiences ii. a disorder would be a balance among emotions which,  instead of being responsive to what happened in the world,  is biased towards pre-established patterns of certain kinds iii. depressogenic attribution : depressed children are more likely  to make attributions for negative events that are stable (it will 
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This note was uploaded on 02/25/2009 for the course PSYCH 3850 taught by Professor Pizarro, d during the Fall '08 term at Cornell.

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CHAPTER 12 - CHAPTER 12: EMOTIONS AND MENTAL HEALTH IN...

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