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1. ©John Wiley & Sons, Inc. 2007 Huffman: Psychology in Action (8e) Psychology in Action (8e)by Karen Huffman PowerPoint ? Lecture Notes Presentation
Chapter 14:
Psychological Disorders
Karen Huffman, Palomar College
2. ©John Wiley & Sons, Inc. 2007 Huffman: Psychology in Action (8e) Lecture Overview Studying Psychological Disorders
Anxiety Disorders
Mood Disorders
Schizophrenia
Other Disorders
3. ©John Wiley & Sons, Inc. 2007 Huffman: Psychology in Action (8e) Studying Psychological Disorders Abnormal Behavior: patterns of emotion, thought, and action considered pathological for one or more of four reasons:
statistical infrequency
disability or dysfunction
personal distress
violation of norms
4. ©John Wiley & Sons, Inc. 2007 Huffman: Psychology in Action (8e) Studying Psychological Disorders: Four Criteria for Abnormal Behavior
5. ©John Wiley & Sons, Inc. 2007 Huffman: Psychology in Action (8e) Culture-General Symptoms: shared symptoms across cultures
6. ©John Wiley & Sons, Inc. 2007 Huffman: Psychology in Action (8e) Studying Psychological Disorders (Continued) Historical perspectives:
In ancient times, people believed demons were the cause of abnormal behavior.
In the 1790s, Pinel and others began to emphasize disease and physical illness, which later developed into the medical model.
7. ©John Wiley & Sons, Inc. 2007 Huffman: Psychology in Action (8e) Psychological Disorders Historical Classifications can be products of their culture
Homosexuality: 1952-Dec 9, 1973
ADHD or simply rambunctious kids?
8. ©John Wiley & Sons, Inc. 2007 Huffman: Psychology in Action (8e) Studying Psychological Disorders (Continued)
Modern psychology includes seven major perspectives on abnormal behavior.
9. ©John Wiley & Sons, Inc. 2007 Huffman: Psychology in Action (8e) Studying Psychological Disorders: Classifying Abnormal Behavior The Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR):
provides detailed descriptions of symptoms
contains over 200 diagnostic categories grouped into 17 major categories and five dimensions (or axes)
10. ©John Wiley & Sons, Inc. 2007 Huffman: Psychology in Action (8e) Studying Psychological Disorders: Classifying Abnormal Behavior (Cont.) Five Axes of DSM-IV-TR (guidelines for making decisions about symptoms)
Axis I (current clinical disorders)
Axis II (personality disorders and mental retardation)
Axis III (general medical information)
Axis IV (psychosocial and environmental problems)
Axis V (global assessment of functioning)
11. ©John Wiley & Sons, Inc. 2007 Huffman: Psychology in Action (8e)
12. ©John Wiley & Sons, Inc. 2007 Huffman: Psychology in Action (8e) DSM: Pros and Cons To Label or Not to Label…that is the question?
13. ©John Wiley & Sons, Inc. 2007 Huffman: Psychology in Action (8e) “UN-DSM” Divided into clusters of “Strengths”
Wisdom/Knowledge
Courage (i.e. integrity, honesty)
Love (i.e. kindness)
Justice (i.e. leadership/team work)
Temperance (i.e. humility, self control)
Transcendence (i.e. hope, optimism)
14. ©John Wiley & Sons, Inc. 2007 Huffman: Psychology in Action (8e) Anxiety Disorders Anxiety Disorder: characterized by unrealistic, irrational fear
Four Major Anxiety Disorders
1. Generalized Anxiety Disorder: persistent, uncontrollable, and free-floating anxiety
2. Panic Disorder: sudden and inexplicable panic attacks
15. ©John Wiley & Sons, Inc. 2007 Huffman: Psychology in Action (8e) “Basket Case” by Billy Joe Armstrong of Green Day Do you have the timeTo listen to me whineAbout nothing and everythingAll at onceI am one of thoseMelodramatic foolsNeurotic to the boneNo doubt about itSometimes I give myself the creepsSometimes my mind plays tricks on meIt all keeps adding upI think I'm cracking upAm I just paranoid?Or I'm just stonedI went to a shrinkTo analyze my dreamsShe says it's lack of sexThat's bringing me down I went to a whoreHe said my life's a boreSo quit my whining causeIt's bringing her down
Sometimes I give myself the creepsSometimes my mind plays tricks on meIt all keeps adding upI think I'm cracking upAm I just paranoid?Uh, yuh, yuh, yaGrasping to controlSo I better hold onSometimes I give myself the creepsSometimes my mind plays tricks on meIt all keeps adding upI think I'm cracking upAm I just paranoid?Or I'm just stoned
16. ©John Wiley & Sons, Inc. 2007 Huffman: Psychology in Action (8e) Anxiety Disorders (Continued) 3. Phobia: intense, irrational fear of a specific object or situation
4. Obsessive-Compulsive Disorder (OCD): intrusive, repetitive fearful thoughts (obsessions), urges to perform repetitive, ritualistic behaviors (compulsions), or both
17. ©John Wiley & Sons, Inc. 2007 Huffman: Psychology in Action (8e) PTSD Anxiety disorder characterized by haunting memories, social withdrawl, jumpy anxiety, and/or insomonia that lingers for four weeks or more after a traumatic experience.
(eg. Wars, accidents, disasters, sexual assault victims)
More severe the exposure, the longer the disorder occurs
18. ©John Wiley & Sons, Inc. 2007 Huffman: Psychology in Action (8e) Anxiety Disorders (Continued) Explanations of Anxiety Disorders:
Psychological--faulty cognitions, maladaptive learning
Biological--evolution, genetics, brain functioning, biochemistry
Sociocultural—environmental stressors, cultural socialization
19. ©John Wiley & Sons, Inc. 2007 Huffman: Psychology in Action (8e) Common OCD: Adolescents OBSESSIONS:
Germs, Dirt (40%)
Terrible things will happen to them (24%)
Order and exactness (17%)
COMPULSIONS:
Hand Washing, grooming, cleaning (85%)
Rituals--i.e. in/out of doors. (51%)
Check Doors, locks, homework (46%)
20. ©John Wiley & Sons, Inc. 2007 Huffman: Psychology in Action (8e) Mood Disorders Mood Disorders: characterized by extreme disturbances in emotional states
Two Main Types of Mood Disorders:
Major Depressive Disorder: long-lasting depressed mood that interferes with the ability to function, feel pleasure, or maintain interest in life
Bipolar Disorder: repeated episodes of mania and depression
21. ©John Wiley & Sons, Inc. 2007 Huffman: Psychology in Action (8e) Mood Disorders (Continued)
Using this hypothetical graph, note how major depressive disorders differ from bipolar disorders.
22. ©John Wiley & Sons, Inc. 2007 Huffman: Psychology in Action (8e) Mood Disorders (Continued) Explanations of Mood Disorders:
Biological--brain functioning, neurotransmitter imbalances, genetics, evolution
Psychosocial--environmental stressors, disturbed interpersonal relationships, faulty thinking, poor self-concept, learned helplessness, faulty attributions
23. ©John Wiley & Sons, Inc. 2007 Huffman: Psychology in Action (8e) Mood Disorders (Continued) Gender and Cultural Diversity:
Culture-general symptoms for depression (e.g., sad affect, lack of energy)
Women more often depressed. Why? Combination of biological, psychological, and social forces (biopsychosocial model)
24. ©John Wiley & Sons, Inc. 2007 Huffman: Psychology in Action (8e) Dealing with Depression Medication vs. Therapy??
SSRI (Selective Serotonin Reuptake Inhibitor)
Paxil, Zoloft, Prozac
MAOI (Monoamine Oxidase Inhibitor)
Marplan, Parnate
25. ©John Wiley & Sons, Inc. 2007 Huffman: Psychology in Action (8e) Schizophrenia Schizophrenia: group of psychotic disorders, characterized by a general loss of contact with reality
Five areas of major disturbance:
Perception (hallucinations)
Language (word salad, neologisms)
Thoughts (psychosis, delusions)
Emotion (exaggerated or flat affect)
Behavior [unusual actions (e.g., catalepsy, waxy flexibility)]
26. ©John Wiley & Sons, Inc. 2007 Huffman: Psychology in Action (8e) Symptoms of Schizophrenia Hallucinations (most common hear voices)
Language and Thought (i.e. Word Salad)
Emotional Disturbances (Flattened affect)
Behavioural Disturbances (i.e. Cataleptic)
Delusions:
Paranoid Delusion
Delusion of Grandeur
Delusion of Persecution
Delusion of Reference
27. ©John Wiley & Sons, Inc. 2007 Huffman: Psychology in Action (8e) Symptoms of Schizophrenia Symptoms are divided into positive and negative symptoms:
Negative: Absence of appropriate behaviour
Expressionless face, rigid body, no tone in voice
Positive: Presence of inappropriate behaviour
Hallucinations, inappropriate emotions
28. ©John Wiley & Sons, Inc. 2007 Huffman: Psychology in Action (8e) Schizophrenia (Continued)
29. ©John Wiley & Sons, Inc. 2007 Huffman: Psychology in Action (8e)
30. ©John Wiley & Sons, Inc. 2007 Huffman: Psychology in Action (8e) Schizophrenia (Continued) Explanations of Schizophrenia:
Biological--genetic predisposition, disruptions in neurotransmitters, brain abnormalities
Psychosocial--stress, disturbed family communication
Diathesis Stress Model
31. ©John Wiley & Sons, Inc. 2007 Huffman: Psychology in Action (8e)
32. ©John Wiley & Sons, Inc. 2007 Huffman: Psychology in Action (8e) Schizophrenia (Continued) Gender and Cultural Diversity: Numerous culturally general symptoms, but significant differences exist in:
prevalence
form
onset
prognosis
33. ©John Wiley & Sons, Inc. 2007 Huffman: Psychology in Action (8e) Other Disorders (Continued) Dissociative Disorders: splitting apart (dis-association) of experience from memory or consciousness
Types of Dissociative Disorders:
Dissociative Amnesia
Dissociative Fugue
Dissociative Identity Disorder (DID)
34. ©John Wiley & Sons, Inc. 2007 Huffman: Psychology in Action (8e) Other Disorders (Continued) Best known and most severe dissociative disorder:
Dissociative Identity Disorder (DID): presence of two or more distinct personality systems in the same person at different times (previously known as multiple personality disorder)
35. ©John Wiley & Sons, Inc. 2007 Huffman: Psychology in Action (8e) Dissociative Disorders: Causes
Need for escape
History of extreme trauma (abuse)
36. ©John Wiley & Sons, Inc. 2007 Huffman: Psychology in Action (8e) Other Disorders (Continued) Personality Disorder: inflexible, maladaptive personality traits causing significant impairment of social and occupational functioning
Types of personality disorders:
Antisocial Personality Disorder
Borderline Personality Disorder
37. ©John Wiley & Sons, Inc. 2007 Huffman: Psychology in Action (8e) Antisocial Personality Disorder: profound disregard for, and violation of, the rights of others
Key Traits: egocentrism, lack of conscience, impulsive behavior, and superficial charm
Other Disorders (Continued)
38. ©John Wiley & Sons, Inc. 2007 Huffman: Psychology in Action (8e) Other Disorders (Continued) Explanations of Antisocial Personality Disorder
Biological--genetic predisposition, abnormal brain functioning
Psychological--abusive parenting, inappropriate modeling
39. ©John Wiley & Sons, Inc. 2007 Huffman: Psychology in Action (8e)
Borderline Personality Disorder (BPD): impulsivity and instability in mood, relationships, and self-image
Explanations of BPD:
Psychological--childhood history of neglect, emotional deprivation, abuse
Biological--genetic inheritance, impaired brain functioning Other Disorders (Continued)
40. ©John Wiley & Sons, Inc. 2007 Huffman: Psychology in Action (8e) Other Disorders Substance-related disorder (abuse of, or dependence on, a mood- or behavior-altering drug)
Two general groups:
Substance abuse (interferes with social or occupational functioning)
Substance dependence (shows physical reactions, such as tolerance and withdrawal)
41. ©John Wiley & Sons, Inc. 2007 Huffman: Psychology in Action (8e) Other Disorders: Substance-Related Disorder
42. ©John Wiley & Sons, Inc. 2007 Huffman: Psychology in Action (8e) Other Disorders (Continued) People with substance-related disorders also commonly suffer from other psychological disorders, a condition known as comorbidity.
43. ©John Wiley & Sons, Inc. 2007 Huffman: Psychology in Action (8e) Psychology in Action (8e)by Karen Huffman PowerPoint ? Lecture Notes Presentation
End of Chapter 14:
Psychological Disorders
Karen Huffman, Palomar College