(PS 371) Exam 2 Review Topics

(PS 371) Exam 2 Review Topics - Exam 2 Review Topics I....

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Exam 2 Review Topics I. Classification System (Chapter 3) o Advantages: 1. Provides nomenclature (a naming system) 2. Structure information in a more helpful way 3. Allows us to study the different disorders 4. Delineates disorders which warrant insurance reimbursements o Disadvantages: 1. Stereotyping and pejorative labeling Thomas Szasz – misuse by society of psychological issues 2. Stigma *can be self-sulfilling and other-fulfilling) Rosenhan in 1973 o First part; sent pseudo-patients who faked auditory hallucinations (3 women, 5 men) into psychiatric hospital. All were admitted and diagnosed. After admission, all acted normal again, showed no symptoms of disorder and told staff they felt fine and had not had hallucinations since. Hospitals failed to detect a single one of the pseudo-patients and maintained that they had ongoing mental illnesses. Several confined for month, other had to admit a disorder and take antipsychotics in order to be released. o Second part; Rosenhan was challenged by a n offended hospital and asked to send pseudo-patients which they would pick out. He didn’t send a single imposter, yet the hospital identified 41 as imposter and suspected 42 more, out of a total 195 patients sent by Rosenhan. The study concluded, "It is clear that we cannot distinguish the sane from the insane in psychiatric hospitals" Illustrated the dangers of dehumanization and labeling in psychiatric institutions. Suggested that the use of community mental health facilities which concentrated on specific problems and behaviors rather than psychiatric labels might be a solution; recommended education to make psychiatric workers more aware of the social psychology of their facilities. 3. Loss of contact with people Contact Hypothesis: (Couture & Penn, 2003) Less negative and inaccurate beliefs about mental illness patients when exposed to them Researchers findings (i.e. Schizophrenics) DSM – 4 TR o In US, the accepted standard o Clinically significant behavioral or psychological syndrome or pattern o Associated with distress or disability o Not a predictable and culturally sanctioned response to a particular event o Behavioral, Psychological, or Biological dysfunction
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Multi-axial system o Axis 1- o Clinical Disorders (primary, secondary) o Axis 2- o Personality/ Developmental Disorders (childhood – MR, BIF) o Axis 3- o Medical Conditions i.e. brain injury o Axis 4- o Psychosocial and environmental stressors (mild/ moderate/ severe) o Axis 5- o GAF Global Assessment of Functioning Categorical vs. dimensional models o Classical Categorical Approach o Classification method founded on the assumption of clear-cut differences among disorders, each with a different known cause
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(PS 371) Exam 2 Review Topics - Exam 2 Review Topics I....

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