Novaco+P102+2010+Fall++lectures+1+++2

Novaco+P102+2010+Fall++lectures+1+++2 - 10/1/2010 Primary...

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10/1/2010 1 Abnormal Psychology in Context Raymond W. Novaco University of California, Irvine Abnormal Behavior P102 Fall 2010 Primary Text Recommended books: 7 th Ed 6 th Ed or Teaching Assistants Arpine Hovasapian office hour: Wednesday 1:00 – 2:00 Rupa Jose office hour: Monday 5:00 – 6:00 Discussion Sections Tuesday: 3:00 – 4:00 (AH) Tuesday: 4:00 – 5:00 (RJ) Wednesday: 11:00 – 12:00 (AH) Wednesday: 5:00 – 6:00 (RJ) National Co-Morbidity Study Kessler et al. (2005) Archives of General Psychiatry. Lifetime Prevalence of DSM-IV Disorders World Health Organization Composite Diagnostic Interview c 9,282 respondents, aged 18 yrs. and older (response rate 70.9%; one-hour interview) % anxiety disorder (any) 28.8 mood disorder (any) 20.8 impulse control disorder (any) 24.8 substance use disorder (any) 14.6 any disorder 46.4 Severe Mental Illness in LA County Jail (TT) Lamb, Weinberger, Marsh, and Gross (2007) Psychiatric Services. random sample of 106 inmates March 2002 – August 2002 (after mental health screening) Psychiatric Diagnoses -- 75% severe MI biploar disorder 23% MDD with psychotic features 5% schizophrenia 32% schizoaffective disorders 15% MDD w/o psychotic features 6% 95 % had prior arrests (72% of these were for violent crimes) 92% had history of non-compliance with psych medications 28% homeless • 76% history of SA 95% had presence of overt psychotic symptoms in the jail Rosenhan (1973)“On Being Sane in Insane Places” Science c The study concerned “pseudo-patients” who were admitted to psychiatric hospitals Research Question: Do the salient characteristics that lead to diagnosis reside in the patients themselves or in the environments or contexts in which we find them? Rosenhan concludes: “We cannot distinguish the sane from the insane in psychiatric hospitals” (echoed by many textbook writers)
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10/1/2010 2 Rosenhan (1973)“On Being Sane in Insane Places” Science Research Question : Do the salient characteristics that lead to diagnosis reside in the patients themselves or in the environments or contexts in which we find them? Study Method and Results : 8 pseudopatients , admitted to 12 hospitals their presenting problems : auditory hallucinations (voices:“empty”, “hollow”, “thud”) nervousness and nothing more r 11 diagnosed at hospital admission as schizophrenic; 1 as manic-depressive upon admission to the ward : ceased simulating any symptoms behaved as they normally would; did things like take notes r average length of stay was 19 days, ranging from 7-52 days r all 12 diagnosed at discharge as “schizophrenia in remission” Rosenhan concludes: “We cannot distinguish the sane from the insane in psychiatric hospitals” (echoed by many textbook writers) the Rosenhan “study” – a bit of scrutiny it is not an “experiment” in the scientific sense its procedures are not clearly specified ( indeed, only remotely ) r what exactly did the patients say and do on admission? what is the validation evidence for this?
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This note was uploaded on 11/29/2010 for the course PSYCH SY BEH 102 taught by Professor Raymondw.novaco during the Spring '10 term at UC Irvine.

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Novaco+P102+2010+Fall++lectures+1+++2 - 10/1/2010 Primary...

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