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MENTAL DISORDER I. DEFINING ABNORMALITY 1. STATISICAL NORMS: statistical frequency , being extremely happy or sad abnormal? 2. SOCIAL NORMS: social standards , time and place. 3. MALADAPTIVENESS: most important , does it harm others? 4. COGNITIVE/PERCEPTUAL DISTORTIONS: own view of themselves. High self esteem abnormal? 5. PERSONAL DISTRESS: subjective feelings , (cancer patient who lost husband, normal to be depressed). Miserable, anxious, agitated, etc normal? II. WHAT'S NORMAL? 1. EFFICIENT PERCEPTION OF REALITY: understanding what the real world is like, good and bad. 2. VOLUNTARY CONTROL OVER BEHAVIOR: if you have a donut, you can choose to eat it or leave it. If you can’t, you are abnormal. 3. SELF-ESTEEM & ACCEPTANCE: everyone has faults, understand what yours are and being able to accept them. 4. ABILITY TO FORM AFFECTIONATE RELATIONSHIPS: have a connection with others, not demanding. EX: killers kill because they feel no guilt, they are abnormal. 5. PRODUCTIVITY: being able to channel energy to something productive. III. CLASSIFYING ABNORMALITY: THE DSM-IV (5 AXES) 1. AXIS I: THE DIAGNOSTIC CATEGORY: acute psychological problem, what is wrong right now. Why seek help? 2. AXIS II: PERSONALITY DISORDERS & MENTAL RETARDATION: Long term psychological problems. May influence how short term problems play out. Axis 3,4, and 5 are not psychological based. 3. AXIS III: RELEVANT PHYSICAL DISORDERS: medicinal factor: like Alzheimer is medicinal with high blood pressure, but causes psychological problems like forgetting. 4. AXIS IV: DOCUMENTATION OF STRESSFUL EVENTS: Social things: lady who lost everything in a year and a half. 5. AXIS V: EVALUATION OF SOCIAL AND OCCUPATIONAL FUNCTIONING: global assessments: how are you coping? Can you make it to work?
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Laundry list: memorize childhood events, mental retardation, separation anxiety, cognitive disorder: they are permanent or transient (temporary). Could be a result of aging, slowing reflexes. Substance abuse: Tobacco under disorders on DSM-IV, even though they know the harm it causes, they still do it. Schizophrenia: caused by inheritance or by severe emotional trauma. Schizo is a break from reality, problem with thought, perception, and attention. Mood Disorder: depression, mania, bipolar disorders. Anxiety Disorder: Panic attacks or Phobias Somatoform disorder: no feeling only in the hand. (Glove Anesthesia) his mom and bacon grease. Disassociative disorder: split personalities, disassociative amnesia and identity. Sexual disorder: transsexualism (sexual identity) man trapped in a woman. Sexual aim = pedophile, sadist, etc. Eating disorder: anorexia, NoT0riOuSxKrn bulimia. Sleep disorders: insomnia, can be cured. They think bed isn’t a resting
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