Thinking About Psychology: The Science of Mind and Behavior

1. Thinking About Psychology: The Science of Mind and Behavior Charles T. Blair-Broeker Randal M. Ernst

2. Dissociative, Schizophrenia, and Personality Disorders Module 29

3. Dissociative Disorders Module 29: Dissociative, Schizophrenia, and Personality Disorders

4. Dissociative Disorders • Disorders in which the sense of self has become separated (dissociated) from previous memories, thoughts, or feelings

5. Types of Dissociative Disorders • Three main types: • Dissociative Amnesia • Dissociative Fugue • Dissociative Identity Disorder

7. Dissociative Disorders:Dissociative Amnesia Module 29: Dissociative, Schizophrenia, and Personality Disorders

8. Dissociative Amnesia • A dissociative disorder characterized by loss of memory in reaction to a traumatic event • Example: soldiers in combat

9. Dissociative Disorders:Dissociative Fugue Module 29: Dissociative, Schizophrenia, and Personality Disorders

10. Dissociative Fugue • A dissociative disorder characterized by loss of identity and travel to a new location • The person may develop a new identity and begin a new life.

11. Dissociative Disorders:Dissociative Identity Disorder Module 29: Dissociative, Schizophrenia, and Personality Disorders

12. Dissociative Identity Disorder • A rare and controversial dissociative disorder in which an individual experiences two or more distinct and alternating personalities • Formerly called multiple personalities • Personalities can be different ages, sex, and self perception of characteristics

13. Dissociative Identity Disorder • Insert “Multiple Personality Disorder” Video #31 from Worth’s Digital Media Archive for Psychology. • Instructions for importing the video file can be found in the ‘Readme’ file on the CD-ROM. • This same clip is on the Brain Series.

14. Dissociative Identity Disorder • Play “Multiple Personality” (9:00) Module #23 from The Brain: Teaching Modules (2nd edition). • This same clip is on the Worth Digital Media Archive CD-ROM.

15. Schizophrenia Disorders Module 29: Dissociative, Schizophrenia, and Personality Disorders

16. Schizophrenia • A group of severe disorders characterized by disorganized and delusional thinking, disturbed perceptions, and inappropriate emotions and actions • Is not one disorder but a family of disorders • Is not “split personality” • Occurs in about 1% of the population

17. Schizophrenia • Play “Schizophrenia: Symptoms” (5:39) Module #26 from The Brain: Teaching Modules (2nd edition).

18. Schizophrenia Disorders:Symptoms of Schizophrenia Module 29: Dissociative, Schizophrenia, and Personality Disorders

19. Symptoms of Schizophrenia • Symptoms of schizophrenia include: • Delusions (false beliefs) • Hallucinations (false perceptions) • Inappropriate emotions or behaviors

21. Delusions • False beliefs of schizophrenia and other serious psychological disorders • Four major types of delusions: • Grandeur • Persecution • Sin or guilt • Influence

22. Delusions of Grandeur • False beliefs that a person is more important than they really are • Patients may believe they are a famous person (e.g. Napoleon)

23. Delusions of Persecution • False beliefs that people are out to get the person • Believe they are being followed, the phone is wiretapped, etc.

24. Delusions of Sin or Guilt • False beliefs that the person is responsible for some misfortune

25. Delusions of Influence • False beliefs of being controlled by outside forces

26. Hallucinations • False perceptions of schizophrenia or other serious psychological disorders • Types of hallucinations: • Auditory (hearing voices) • Visual (seeing things) • Tactile (feeling skin sensations) • Can also have distorted smell and taste

27. Inappropriate Emotions/Behaviors • Flat affect – showing little or no emotional response • Word salad – nonsense talk • Waxy flexibility – the person’s arms and legs will remain in place after being moved there

28. Schizophrenia Disorders:Types of Schizophrenia Module 29: Dissociative, Schizophrenia, and Personality Disorders

30. Paranoid Schizophrenia • Characterized by delusions, especially grandeur and persecution. Auditory and other hallucinations support the delusions.

31. Catatonic Schizophrenia • Characterized by variations in voluntary movement • Catatonic excitement – rapid movements with delusions and hallucinations • Catatonic stupor – little or no activity, movement, or speech (waxy flexibility)

32. Disorganized Schizophrenia • Characterized by bizarre behavior, delusions, and hallucinations. • Very disturbed thought and language (word salad)

33. Undifferentiated Schizophrenia • Symptoms that don’t clearly fit into one of the other types of schizophrenia but still show clear symptoms of schizophrenia

34. Schizophrenia in the Real World • Play “Cop Psychiatrists” (10:30) Segment #32 from Scientific American Frontiers: Video Collection for Introductory Psychology (2nd edition).

35. Schizophrenia Disorders:Causes Module 29: Dissociative, Schizophrenia, and Personality Disorders

36. Schizophrenia • Play “Schizophrenia: Etiology” (14:45) Module #27 from The Brain: Teaching Modules (2nd edition).

37. Biological Factors - Genetics • Schizophrenia tends to run in families. • Genetics appears to produce a predisposition (increased likelihood) to develop schizophrenia.

39. Biological Factors – Brain Structure • Brain structure of those with schizophrenia is different than the normal brain • Those with schizophrenia have smaller amounts of brain tissue and larger fluid filled spaces. • The thalamus is smaller in those with schizophrenia.

40. Biological Factors – Brain Function • The brain of those with schizophrenia operates differently than the normal brain. • The frontal lobes show less activity. • Those with schizophrenia have a larger number of receptor sites for the neurotransmitter dopamine.

41. Schizophrenia • Insert “The Schizophrenic Brain” Video #29 from Worth’s Digital Media Archive for Psychology. • Instructions for importing the video file can be found in the ‘Readme’ file on the CD-ROM.

42. Biological Factors – Prenatal Viruses • A viral infection during the middle of pregnancy may increase schizophrenia risk.

43. Psychological Factors • Two main areas: • Stress • Disturbed family • It’s unclear whether these are causes or consequences of schizophrenia.

44. Personality Disorders Module 29: Dissociative, Schizophrenia, and Personality Disorders

45. Personality Disorders • Psychological disorders characterized by inflexible and lasting behavior patterns that disrupt social functioning • Divided into three clusters: • Related to anxiety • With odd and eccentric behaviors • With dramatic or impulsive behaviors

47. Personality Disorders Related to Anxiety Module 29: Dissociative, Schizophrenia, and Personality Disorders

48. Avoidant Personality Disorder • So sensitive about being rejected that personal relationships become difficult

49. Dependent Personality Disorder • Behave in clingy, submissive ways and displays a strong need to have others take care of them

50. Personality Disorders with Odd or Eccentric Behaviors Module 29: Dissociative, Schizophrenia, and Personality Disorders