Chapter 14. Psychological Disorders

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1 Chapter 14 Psychological Disorders

2 We ve Come a Long Way Trepanning Ancient priests or medicine men cut holes into the skills of living persons, to release the demons.

3 What is Abnormality Psychopathology Study of abnormal behavior. Less Normal More Normal Statistical definition Functioning Social norms

4 Psychological Disorder Abnormal behavior includes 2 of the 5: 1. Is the behavior unusual? 2. Does the behavior go against social norms? 3. Does the behavior cause the person significant subjective discomfort? 4. Is the behavior maladaptive or result in an inability to function? 5. Does the behavior cause the person to be dangerous to self or others?

5 Abnormality VS Insanity

6 Models of Abnormality Biological Model Medial causes for psychological disorders Psychological Models Psychodynamic view hidden problems Behaviorism learning problems Cognitive Perspective thinking problems

7 Diagnostic Statistical Manual DSM IV TR Axis I Clinical disorders Axis II Personality Disorders Axis III - Medical Disorders Axis IV - Life domains Axis V Global Assessment of Functioning (GAF) DSM 5

8 Axis I Disorders

9 Yearly Occurrence in US 2004

10 1 out of 5 People Suffer From Some Psychological Disorder

11 Axis I Disorders: Anxiety Anxiety Keyed up Restless.Sleep Concentration Phobias Agoraphobia not leave the house Claustrophobia small / enclosed spaces Post Traumatic Stress Disorder (PTSD) war, accident, fire Obsessive Compulsive obsession though compulsion - behavior Panic Disorder Panic attack Generalized Anxiety Disorder (GAD) Fear interacting with people / social situations

12 Common Phobias

13 Major Depression Sleep Eating Energy Helplessness Hopelessness Tearful Axis I: Mood Disorders Dysthymia more down days than not Cyclothymic more elevated days than not Bipolar Bipolar I - Mania and sadness Bipolar II - Anger & sadness Seasonal Affect Disorder (SAD)

14 Dissociative Disorders Dissociative fugue from Latin Flight travel away from home and not remember Dissociative amnesia can not remember personal information Dissociative Identity Disorder (DID) Multiple Personality Disorder Sybil Depersonalization Disorder Feel detached & disconnected from self, bodies &surroundings

15 Schizophrenia: Altered Reality Delusions false beliefs; refuse to accept evidence of falseness Delusional Disorder psychotic disorder w/ symptom of delusions Hallucinations false sensory perceptions Hearing voices Seeing things Flat Affect lack of emotional responsiveness Dr. John Nash Nobel Peace Prize Mathematics A Beautiful Mind

16 Types of Schizophrenia Disorganized Very confused in speech Frequent hallucinations Very inappropriate affect or flat affect Catatonic Periods of statue-like immobility Bursts of energetic and frantic movement and talking Paranoid Hallucinations and delusions Persecution, grandeur or extreme jealousy God or Napoleon Symptoms Positive (present) in addition to Negative (absent) less than

17 Axis II: Personality Disorders Odd or eccentric behaviors Paranoid Schizotypal Schizoid Dramatic or erratic behaviors Antisocial Borderline Histrionic Narcissistic Anxious behaviors Avoidant Dependent Obsessive Compulsive

18 Axis II: Paranoid Personality Extreme suspicion People are watching & listening Mistrustful Jealousy

19 Axis II: Schizotypal Personality Eccentric behavior Difficulty forming relationships

20 Axis II: Schizoid Personality Loners Cold or distant Unable or unwilling to form relationships

21 Axis II: Antisocial Personality Lack conscience or moral Con artists & users No remorse or regret No emotions Serial killers Dexter

22 Axis II: Histrionic Personality Attention seeking Center of attention Over react Excessive emotions Manipulate Drama

23 Axis II: Narcissistic Personality Disorder Entitlement Vain Self importance

24 Axis II: Borderline Personality Moody Lack of sense of self Cling to others You + me = 1

25 Axis II: Avoidant Personality Avoid social situations Fearful of social contact

26 Axis II: Dependent Personality Needy Wants others to make decisions for them

27 Axis II: Obsessive Compulsive Personality Needs control Extreme neatness & cleanliness

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