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Criteria to Identify Abnormal
Behavior
•  Unusualness
•  Social deviance
•  Emotional distress
•  Maladaptive behavior
•  Dangerousness
•  Faulty perceptions or interpretations of reality
–  Hallucinations
–  Delusions
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13–1
Psychological Models of
Abnormal Behavior
•  Psychodynamic model (Freud)
–  Unconscious conflicts
•  Behaviorist model (Pavlov)
–  Role of learning
•  Humanistic model (Rogers, Maslow)
–  Conscious choices and self-actualization
•  Cognitive theories (Ellis, Beck)
–  Distorted thinking and maladaptive behavior
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13–2
How do we diagnose
psychological disorders?
•  American Psychiatric Association
–  Diagnostic and Statistical Manual of Mental
Disorders – 4th ed. (DSM - IV)
•  Multi-axial system
– 5 axes or dimensions
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13–3
Psychodiagnosis: The
Classification of Disorders
•  Axis I – Clinical Syndromes
•  Axis II – Personality Disorders or Mental
Retardation
•  Axis III – General Medical Conditions
•  Axis IV – Psychosocial and Environmental
Problems
•  Axis V – Global Assessment of Functioning
Psychological Disorders
•  Distinctive patterns of abnormal behavior
–  Mental disorders or illnesses
•  Rates of disorders
–  Rather common
–  About 50% in lifetime
•  Classification
–  Diagnostic and Statistical Manual of Mental
Disorders (DSM-IV-TR)
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13–5
Types of Anxiety Disorders
•  Phobias
–  Social phobias
–  Specific phobias (acrophobia, claustrophobia)
–  Agoraphobia
•  Panic disorder
•  Generalized anxiety disorder (GAD)
•  Obsessive-compulsive disorder (OCD)
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13–6
Causes of Anxiety Disorders
•  Biological factors
–  Disturbances in neurotransmitter functioning
–  Genetic influences
•  Psychological factors
–  Classical and operant conditioning
–  Cognitive factors
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13–7
Mood Disorders
•  Severe or persistent disturbances of mood
–  Limit ability to function
•  Include
–  Depressive disorders
–  Bipolar disorders
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13–8
Depressive Disorders
•  Major depressive disorder
–  Depressed mood for at least two weeks
•  Sadness
•  Worthlessness
•  Changes in sleep, appetite
•  Lethargy
•  Loss of interest, concentration
•  Seasonal affective disorder (SAD)
•  Dysthymic disorder
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13–9
Bipolar Disorders
•  Bipolar disorder
–  Alternate between
•  Depression
•  Manic episodes
– Euphoria
– Restlessness, excitement
– Reckless behavior
•  Cyclothymic disorder
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13–10
Causes of Mood Disorders:
Psychological Factors
•  Cognitive view
–  Negative way of interpreting events
–  Distorted or biased way of thinking
–  Cognitive distortions, such as
•  All-or-nothing thinking
•  Misplaced blame
•  Jumping to conclusions
•  Catastrophizing
•  Shouldisms
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13–11
Causes of Mood Disorders:
Biological Factors
•  Chemical imbalances in brain
(neurotransmitters)
–  Norepinephrine
–  Serotonin
•  Treatment with antidepressants
–  Prozac
•  Hereditary influences
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13–12
Schizophrenia
•  About one of one hundred people
•  Psychotic disorder
•  Symptoms
–  Hallucinations
–  Delusions
–  Thought disorder, loose associations
–  Positive versus negative symptoms
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13–13
Types of Schizophrenia
•  Disorganized type
–  Confused behavior, incoherent speech
–  Vivid, frequent hallucinations
•  Catatonic type
–  Bizarre movements, postures, grimaces
–  Waxy flexibility
•  Paranoid type
–  Delusions of grandeur, persecution, jealousy
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13–14
Causes of Schizophrenia
•  Genetic factors- concordance rate for identical twins.
(A quantitative statistical measurement for the
presence of a given genetic trait in both members of
a pair of twins. )
•  Biochemical imbalances
–  Neurotransmitter dopamine -Effects of antipsychotic drugs
•  Brain abnormalities- Prefrontal cortex, limbic system
•  Psychosocial influences
–  Diathesis-stress model
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13–15
Personality Disorders
•  Rigid patterns of behavior, personality
–  Self-defeating
–  Deeply ingrained maladaptive personality traits
•  Various disorders (10 in DSM) including
–  Narcissistic personality disorder
–  Paranoid personality disorder
–  Schizoid personality disorder
–  Borderline personality disorder
–  Antisocial personality disorder
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13–16
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