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1 Notes available at:

2 Abnormal Psychology

3 How would you diagnose this one? Psychiatrist: You will pay this bill for the counseling? Patient: Don't worry doc. You'll get your money or my name isn't King Henry VIII

4 How would your diagnose this one? Patient: I can't sleep My sister thinks she is a refrigerator She sleeps with her mouth open and that little light keeps me awake. Why not Doctor: How does that keep you from sleeping?

5 How would you diagnose this one? Patient: I keep hallucinating I am Mickey Mouse, doctor. Doctor: You are having Disney Spells

6 Terms for Abnormality

7 Names Reflect Intolerance They call him "Jigsaw". Every time he faces a problem he goes to pieces.

8 Mental Retardation The Other Sister

9 What is Normal?

10 What is Abnormal?

11 Function of Diagnosis Etiology Diagnosis Treatment Prognosis Symptoms only Specific Diagnosis Symptomatic Treatment Prognosis Causes unknown Treatment depends on Therapist No medical cure

12 Issues in Diagnosis Agree Essential to treatment

13 Issues in Diagnosis Agree Essential to treatment Important for research

14 Issues in Diagnosis Agree Essential to treatment Important for research Disagree

15 Issues in Diagnosis Agree Essential to treatment Important for research Disagree Loss of information Even Odd

16 Issues in Diagnosis Agree Essential to treatment Important for research Disagree Loss of information Disregards continuum: Quantitative vs. Qualitative Normal Abnormal

17 Qualitative vs. Quantitative

18 Issues in Diagnosis Agree Essential to treatment Important for research Disagree Loss of information Disregards continuum: Quantitative vs. Qualitative Tendency to see pathology

19 The Alternatives Statistical Low frequency behavior None

20 The Statistical Perspective Two ended. Cut offs? Which traits? How developed?

21 The Alternatives Statistical Psychoanalytic Low frequency behavior Unconscious Conflict None Psychoanalysis

22 Major Proponent of the Psychoanalytic Perspective?

23 Major Proponent of the Psychoanalytic Perspective? Sigmund Freud

24 The Alternatives Statistical Low frequency None behavior Psychoanalytic Unconscious Psychoanalysis Conflict Bio-medical Physical Disorders Medication, surgery

25 Biomedical Perspective Mental Illness is hereditary You get it from your children.

26 The Alternatives Statistical Low frequency None behavior Psychoanalytic Unconscious Psychoanalysis Conflict Bio-medical Physical Disorders Medication, surgery Behavioral Improper Socialization Learn new skills

27 Behavioral Perspective Dagwood: Why aren't your in school Elmo? Elmo: My teacher sent me home. Dagwood: What did you do? Elmo: I bit Freddie Dagwood: Why did you do that? Elmo: I always bite Freddie when I want to be sent home.

28 Major Proponent of the Behavioral Perspective?

29 Major Proponent of the Behavioral Perspective? B.F. Skinner

30 The Alternatives Statistical Low frequency None behavior Psychoanalytic Unconscious Psychoanalysis Conflict Bio-medical Physical Disorders Medication, surgery Behavioral Moral Improper Socialization Violation of personal standards Learn new skills Confession, restitution

31 Abnormality for Freud Sociopath Normal Neurotic

32 Abnormality for Mowrer Sociopath Neurotic Normal

33 The Alternatives Statistical Low frequency None behavior Psychoanalytic Unconscious Psychoanalysis Conflict Bio-medical Physical Disorders Medication, surgery Behavioral Improper Learn new skills Socialization Moral Violation of personal Confession, standards restitution Humanistic Conditions of worth Unconditional acceptance

34 Major Proponents of the Humanist Perspective?

35 Major Proponents of the Humanist Perspective? Abraham Maslow Carl Rogers

36 The Alternatives Statistical Low frequency None behavior Psychoanalytic Unconscious Psychoanalysis Conflict Bio-medical Physical Disorders Medication, surgery Behavioral Improper Learn new skills Socialization Moral Violation of personal Confession, standards restitution Humanistic Conditions of worth Unconditional acceptance Social Diagnostician Increase tolerance

37 Social Perspective I have often been tempted to abbreviate Mental Disorder "MD" but I was afraid someone might understand.

38 The Alternatives Statistical Low frequency None behavior Psychoanalytic Unconscious Psychoanalysis Conflict Bio-medical Physical Disorders Medication, surgery Behavioral Improper Learn new skills Socialization Moral Violation of personal Confession, standards restitution Humanistic Conditions of worth Unconditional acceptance Social Diagnostician Increase tolerance Diasthesis-stress Genetic & Envirnmt Medication & Learn Biblical Violate God's Stds. Grace & Obedience

39 DSM-IV Diagnostic and Statistical Manual of Disorders Fourth Edition of the American Psychiatric Association

40 DSM IV Axis 1 Clinical Disorders Axis 2 Personality Disorders Mental Retardation Axis 3 General Medical Conditions Axis 4 Psychosocial Problems Axis 5 Global Assessment of Functioning

41 Sample DSM-IV Diagnosis Axis I Major Depression, Single Episode, Severe Without Psychotic Features Alcohol Abuse Axis II Dependent Personality Disorder Frequent use of denial Axis III Alcoholic cirrhosis of liver Axis IV Psychosocial Stressors: Threat of job loss Axis V Current GAF: 35 (Current)

42 Organic vs. Functional

43 Awakenings Encephalitis Lethargica

44 Neurotic vs. Psychotic

45 Psychotic Disorders Hallucinations vs. Delusions

46 Psychotic Disorders Schizophrenia Disorganized Catatonic Paranoid Undifferentiated Residual Delusional Disorder

47 Ideas of Reference Every time the guy watches a football game, when they go into a huddle he thinks they are talking about him.

48 Delusions of Grandeur Passenger to Bus driver: That man thinks he is George Washington Bus Driver: I will fix it. "All out for Mt. Vernon."

49 Functional Psychoses Affective Disorders

50 Functional Psychoses Affective Disorders Bipolar M T W R F S S M T W R F S S

51 Functional Psychoses Affective Disorders Bipolar Cyclothymic M T W R F S S M T W R F S S

52 Functional Psychoses Affective Disorders Bipolar Cyclothymic Major Depression

53 Functional Psychoses Affective Disorders Bipolar Cyclothymic Major Depression Dysthymic Disorders

54 Common Phobias Acrophobia Heights

55 Common Phobias Acrophobia Agoraphobia Heights Open Places

56 Common Phobias Acrophobia Agoraphobia Claustrophobia Heights Open Places Closed Places

57 Common Phobias Acrophobia Agoraphobia Claustrophobia Nyctophobia Heights Open Places Closed Places Darkness

58 Common Phobias Acrophobia Agoraphobia Claustrophobia Nyctophobia Pathophobia Heights Open Places Closed Places Darkness Disease

59 Common Phobias Acrophobia Agoraphobia Claustrophobia Nyctophobia Pathophobia Zoophobia Heights Open Places Closed Places Darkness Disease Animals

60 Friend-or-phobia Uncommon Phobias Fear of forgetting the password

61 Uncommon Phobias Friend-or-phobia Fear of forgetting the password Claustrophobia

62 Claustrophobia Fear of Christmas Uncommon Phobias

63 Super Phobia Uncommon Phobias Fear of missing while leaping over tall buildings in a single bound.

64 Charmin Phobia Uncommon Phobias Fear of being squeezed.

65 Neuroses -- Anxiety Disorders Anxiety States

66 Neuroses -- Anxiety Disorders Anxiety States Post-tramatic Stress Disorder

67 Neuroses -- Anxiety Disorders Anxiety States Post-tramatic Stress Disorder Somatiform Disorders

68 Neuroses -- Anxiety Disorders Anxiety States Post-tramatic Stress Disorder Somatiform Disorders Somatization

69 Neuroses -- Anxiety Disorders Anxiety States Post-tramatic Stress Disorder Somatiform Disorders Somatization Conversion

70 Neuroses -- Anxiety Disorders Anxiety States Post-tramatic Stress Disorder Somatiform Disorders Somatization Conversion Psychogenic pain

71 Neuroses -- Anxiety Disorders Anxiety States Post-tramatic Stress Disorder Somatiform Disorders Somatization Conversion Psychogenic pain Hypocondriasis Obsessive Compulsive Disorder

72 As Good As it Gets Obsessive Compulsive Disorder

73 Dissociative Disorders Psychogenic amnesia Amnesia Clinic Amnesia Clinic Amnesia Clinic Amnesia Clinic

74 Retrograde Amnesia Overboard

75 Dissociative Disorders Psychogenic amnesia Psychogenic fugue

76 Dissociative Disorders Psychogenic amnesia Psychogenic fugue Dissociative Identity Disorder

77 Dissociative Disorders Psychogenic amnesia Psychogenic fugue Multiple Personality Depersonalization disorder

78 Personality Disorders Antisocial Personality Disorder Borderline Personality Disorder Obsessive Compulsive Personality Disorder

79 The Odd Couple Obsessive Compulsive Personality

80 Personality Disorders Antisocial Personality Disorder Borderline Personality Disorder Obsessive Compulsive Personality Disorder Narcissitic Personality Disorder Histrionic Personality Disorder

81 Sunset Boulevard Histrionic Personality Disorder

82 Conclusion on Diagnosis Helpful If used to treat if meaningful Dangerous if used to lock people up if used to look down on people

83 Sickness What is the problem?

84 What is the problem? Sickness Sin

85 What is the problem? Sickness Sin Socialization

86 What is the problem? Sickness Sin Socialization Salvationism

87 What is the problem? Sickness Sin Socialization Salvationism Higher State of Consciousness

88 Keep an OpenMind

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