Novaco+P102+2010+Fall++lecture+4 - Van Gogh Colors of Night...

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1 Abnormal Behavior Raymond W. Novaco University of California, Irvine Mood Disorders P102 Fall 2010 Van Gogh, Colors of Night “there is hope in the stars” “Starry Night over the Rhone” 1888 PTSD : Case of Sarah I domestic violence victimization became “extremely depressed” major sleep disturbances hypervigilance; hyperstartle panic anger c most intense symptoms occurred at night, starting in early evening, then at bedtime on “red alert” PTSD, Anxiety, and Depression c PTSD is grouped with Anxiety Disorders, hence anxiety symptoms appear on many PTSD assessment devices however, c there are many depression symptoms on PTSD instruments : e.g. Mississippi Scale for Combat PTSD “I feel as though I cannot go on” “I still enjoy doing many things that I use to enjoy” (R) “I have cried for no good reason” “I enjoy the company of others” (R) “No one understands how I feel, not even my family” also, sleep disturbance, trouble concentrating, and guilt items comparable to items on BDI, CESD, PHQ depression measures Depression and Dissociation: Case of Sarah II Depression and Self-Harm c experienced abuse at young age; recurrent cutting helped her calm down would feel a knot in her stomach and chest c she would dissociate during the cutting “pain was coming out through my blood” afterward, would fall asleep for hours c conducive to Freudian psychodynamic interpretation of “anger turns inwards” b “ball inside” is symbolic of anger; ball of rage Van Gogh self-portrait with bandaged ear 1889 – this was two years before he shot himself in the chest
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2 Mood Disorders c disturbances in mood that are severe or prolonged and that impair ability to function in meeting normal responsibilities Major Depressive Disorder Dysthymic Disorder (milder type of depression) Bipolar Disorder Cyclothymic Disorder (milder type of mood swings) A Mood Thermometer Mood states can be conceptualized as varying along a spectrum or continuum. One end represents severe depression and the other end severe mania, which is a cardinal feature of bipolar disorder. Mild or moderate depression is often called “the blues” but is classified as “dysthymia” when it becomes chronic. In the middle of the spectrum is normal or balanced mood. Mild or moderate mania is called hypomania, which characterizes cyclothymic disorder. Depression – CESD measure Center for Epidemiological Studies – depression screening tool Respondent provides ratings for past week on 4-point scale (0-3) [rarely/none; some/little; occasionally/moderate; most/always] Sample items : “I did not feel like eating; my appetite was poor” “I felt that I was just as good as other people” (R) “I felt depressed” “I felt sad” “I felt hopeful about the future” (R) “I felt my life had been a failure “I felt lonely” “I felt fearful” “I had crying spells” “My sleep was restless” “ I felt that people disliked me”
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Novaco+P102+2010+Fall++lecture+4 - Van Gogh Colors of Night...

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