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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 diagnosis: The Value and Danger of Labels--Categorization and psychiatric 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 Insane Videoclip on David Rosenhans Classic Study: On Being Sane in Insane Places Places *( Science, 1973, Vol. 179, pp. 250-258) 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? *Impact of Study on the 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: *Axis II: *Axis III: *Axis IV: *Axis V: 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 causes The Diathesis-Stress Model: A general framework for explaining the causes (etiology) of psychopathological conditons: (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, defense mechanisms and coping strategies, health-behavior styles, etc.) being actualized-precipitated-triggered by environmental conditions under particular circumstances of life (stressors) Mood disorders are based on, but separate from, the Mood disorders are based on, but separate from, the Mood Mood Episodes Episodes described in DSM-IV: described in DSM-IV: *Major Depressive Episode *Manic Episode *Hypomanic Episode...
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- Spring '08