THERAPIES FOR MOOD DISORDERS:
- Because depression is considered to be derived from repressed sense of loss and from
anger unconsciously turned inward, psychoanalytic treatment tries to help the patient
These disorders only appeared in the DSM for the first time in 1980 as one subcategory of disorders
beginning in childhood or adolescence
Stat Canada 2002, 0.5% of Canadians 15 yrs of age or older reported that they had been diagnosed with an
Cuz BN is often comorbid with depression it has been treated with various antidepressants. Instead has
focused on fluoxetine (Prozac)
Fluoxetine was shown to be superior to a placebo in reducing binge eating and vomiting; it also
Psychological treatment of BN
The cognitive behavioural therapy approach is the best validated and current standard for the
treatment of bulimia. In fairburns therapy the patient is encouraged to question societies
standards for physical attractiveness.
Have shown that AN and BN patients are characterized by high levels of narcissism that persist even
when the eating disorder is in remission
Perfectionism is believed to be highly relevant to an understanding of eating disorder. Confirmed that
PSYCHODYANMIC VIEWS (imp one)
Most propose that the core cause lies in disturbed parent-child relationships and agree that certain core
personality traits such as low self esteem and perfectionism, are found among individuals with eating
Ms Bs beh is BN. Bulimia from a Greek word means ox hunger.
This disorder involves episodes of rapid consumption of a large amount of food, followed by
compensatory beh such as vomiting, fasting or excessive exercise to prevent weight ga
ETIOLOGY OF EATING DISORDERS
A single factor is unlikely to cause an eating disorder
including genetics, the role of the brain, socio-cultural pressures to be thin, the role of the family and
the role of the environment
table 9.1 pg 257 and table 9.2 pg
Playboy magazine centrefolds became thinner between 1959 and 1978
Although one study found that the trend toward portrayals of increasing thinness was levelling off an
analysis of playboy centrefolds were becoming even thinner.
FORMAL DIAGNOSTIC LISTINGS OF MOOD DISORDERS:
Diagnosis of Depression:
The formal diagnosis of a major depressive disorder MDD) requires the presence of
five of the following symptoms for at least two weeks.
sad, depressed mood, most of the day, nearly e
CHRONIC MOOD DISORDERS:
Cyclothymic disorder: the person has frequent periods of depressed mood and hypomania,
which may be mixed with, may alternate with, or may be separated by periods of normal mood
lasting as long as two months.
during depression, the
Schizophrenia and comorbidity
Comorid conditions appear to play a role in the development, severity and course of schito. Comorbid
substance abuse is a major problem for patients with schizto occurring in as many as 70% of them
37% of the sample of ppl
A negative thought disorder, alogia can take several forms. In poverty of speech, the sheer amount of
speech is greaydly reduced.
In poverty of content of speech the amount if discourse is adequate but it conveys little info and tends to be
The DSM-IV-TR Diagnosis
the US concept of s shifted from broad def to a def that narrows the range of patients diagnosed as s in 5
1) the diagnostic criteria are presented in explicit and considerable detail
2) patients with symptoms of a mood di
Perfection and Moderator Hypothesis:
Perfectionism is a personality trait that poses a dispositional vulnerability
to negative outcomes, and components of perfectionism may interact with
negative life events or other factors such as coping strategies or
Drugs are the most commonly used treatments biological or otherwise for mood
There is evidence of a better response among people with higher levels of social support.
Specific Drug Therapies For Depression:
Three major categori
An individuals passivity and sense of being unable to act and control his or her own life
is acquired through unpleasant experiences and traumas that the individual tried
unsuccessfully to control
BIOLOGICAL THEORIES OF MOOD DISORDERS:
THE GENETIC DATA:
bipolar disorder is one of the mot heritable of disorders. Genes account for possibly 85% of
variance in whether a person becomes manic.
Evidence favouring the hypothesis that bipolar disorder resul
Chapter 1: Biological Psychology: Scope and Outlook:
What is Biological Psychology?
-biological psychology: the study of the biological bases of psychological processes and behaviour
-aka behavioural neuroscience: the field of study concerned with