Sociology of Medicine and Health CLASS 6

Sociology of Medicine and Health CLASS 6 - Epidemiology...

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Epidemiology lecture 6 I. Diagnostic and statistical manual of the American Psychiatric Association, version 4 revised (DSM-IVR) A. DSM-II – “neuroses” & “Oedipal conflict” 1. Meta-diagnosis – abstract concept – neuroses 2. Freud lobed Oedipal conflict a. boys wanted to become like their father to get there mother b. if they did not have a date they became homosexual B. DSM-III – behavioral description of mental illness 1. diagnosis based on behavioral symptoms (clusters) 2. more reliable for observers 3. did not help much with treatment – no connection C. DSM-IV – refined and improved 1. homosexuality no longer mental illness 2. PTSD – post traumatic stress disorder added to this version II. Post Traumatic Stress Disorder (PTSD) A. Diagnosis – anxiety can relive the traumatic emotion triggered by emotional memory B. World Trade Center 1. many people suffered 2. scientist thought that more people would get PTSD (1/4) but less people got it 3. most people who get PTSD are soldiers and people in crashes III. Definition of Epidemiology A. Study of distribution of disease – 25% who gets sick?, M or F, where?
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