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Psychological Disorders

Psychological Disorders - Psychological Disorders I...

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Psychological Disorders I. Psychopathology 1. Study of abnormal thoughts, feeling, and behaviors II. Early Explanations of Mental Illness 1. Ancient times – evil spirits (cured via trepanning – holes in skull) i. Hippocrates – mental illness from imbalance of body’s 4 humors 1. Flem 2. Black bile 3. Yellow bile 4. Blood 2. Middle Ages – mentally ill labeled witches III. What Is Abnormal? 1. Statistically Rare 2. Social Norm Deviance 3. Subjective Discomfort i. Is person uncomfortable as a result of what they’re experiencing 4. Inability to Function 5. Danger to themselves/others 6. Thoughts 7. Feelings 8. Behaviors 9. Frequency 10. Intensity 11. Duration 12. Situation, age, cognitive abilities IV.Medical Model 1. Etiology: Cause and development of the disorder 2. Diagnosis: Identifying symptoms and distinguishing one disorder from another V. Abnormality In Various Cultures 1. 2. Culture-bound syndromes i. Koro – China and South-Asia 1. Concerned that genitalia is shrinking ii. Susto – Andes 1. Magical fright, manifested in people losing weight, depression, losing self iii. Anorexia Nervosa – Western cultures 1. Eating disorder, restricting food intake VI.Biological Model: 1. Behavior caused by biological changes in chemical, structural, or genetic systems of the body VII. Psychological Models 1. Psychodynamic i. Stems from repressed conflicts/urges fighting to become conscious
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2. Behavioral i. Symptoms are learned (from impact of environment) 3. Cognitive i. Irrational beliefs and illogical thinking VIII. Diagnosis 1. DSM-IV-TR i. Describes symptoms ii. Gives criteria set iii. Gives sense of progression of disorder iv. DOES NOT talk about treatment 2. 5 Axes of Diagnosis i. AXIS I 1. What brought person into office? 2. Focus of clinical attention 3. What’s presenting problem 4. Expect improvement ii. AXIS II 1. Personality disorders 2. Mental retardation 3. Don’t expect improvement iii. AXIS III 1. Describe medical conditions affecting mental disorder iv. AXIS IV 1. Social and environmental issues v. AXIS V 1. GAF (Global Assessment of Functioning) (0-100) 2. Indicating function IX.How Common Are Disorders? 1.
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