First+Lecture+P477 - Psychology 477 Psychopathology of...

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Psychology 477 Psychology 477 Psychopathology of Childhood and Adolescence Psychopathology of Childhood and Adolescence Welcome! Instructors Override situation Course objectives Text Grading Class climate issues Questions?
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Children’s Mental Health: Children’s Mental Health: U.S. in the 21st century U.S. in the 21st century 1/5 U.S. children have mental health problems that significantly impair functioning ~U.S. Public Health Service, 2000 10-20% have at least one psychological disorder ~Angold et al., 2002 3/4 children who require MH services DO NOT receive them ~ Costello et al., l998
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Child and Adolescent Psychopathology Child and Adolescent Psychopathology Study of child psychopathology relatively young; Rooted in evolving social concepts of “children”and “childhood” Adultomorphism : View that childhood behavior disorders represent downward extensions of adult disorders ~ strongly discredited, but we will see many modern examples in current diagnostic practices!
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Defining Psychopathology in Children and Youth Defining Psychopathology in Children and Youth What do we mean when we say that a child or adolescent has a “psychological disorder”? How do we determine clinical significance? ~ Phone call to clinic. Mother requesting mental health evaluation of her son: “ My son won’t obey me. When I ask him to do simple things around the house, he refuses becomes angry with me, and often throws a tantrum.”
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Defining Psychopathology in Children and Youth Defining Psychopathology in Children and Youth Deviance from developmental norms • Normal development: continuous change and reorganization Cannot label a child as “deviant” without knowing what is normally expected for his/her age group Concept of developmental norm ~ There are many ways in which a child’s behavior can depart from age norms….
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Case example: developmental delay Case example: developmental delay James, age 3, was referred for developmental evaluation by his pediatrician. He did not begin to use spoken language until age 2 I/2, and even at age 3 rarely spoke and had a receptive vocabulary of less than 20 words.
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Case example: developmental regression Case example: developmental regression According to her worried mother’s report, Sonya had been a “normal, healthy” baby in every respect, and she was much loved by her parents. Until age 2, all of her developmental milestones (walking, talking, social behavior) were in the normal range. Shortly after her second birthday, however, Sonya became withdrawn and stopped talking. When someone addressed her, she would “look through them” or echo their words back. She also began flapping her hands for no apparent reason.
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Case example: developmental deviance Case example: developmental deviance Mary had always been a very shy child. She had severe difficulties making friends. At age 10 she became depressed, felt that the devil was trying to hurt her, and became preoccupied with
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This note was uploaded on 09/14/2008 for the course PSYCH 477 taught by Professor Olson during the Fall '08 term at University of Michigan.

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First+Lecture+P477 - Psychology 477 Psychopathology of...

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