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___________________________________ ___________________________________ ___________________________________ PSYCHOLOGY ___________________________________ (8th Edition, in Modules) David Myers ___________________________________ PowerPoint Slides Aneeq Ahmad Henderson State University Worth Publishers, © 2007 ___________________________________ ___________________________________ 1 ___________________________________ ___________________________________ ___________________________________ Introduction to Psychological Disorders ___________________________________ ___________________________________ ___________________________________ Module 47 ___________________________________ 2 ___________________________________ Psychological Disorders ___________________________________ Introduction to Psychological Disorders ___________________________________ ___________________________________ Defining Psychological Disorders Understanding Psychological Disorders ___________________________________ Classifying Psychological Disorders ___________________________________ Labeling Psychological Disorders ___________________________________ Rates of Psychological Disorders 3 Psychology 8 ed., David Myers Module 47 PowerPoint Slides, Aneeq Ahmad 1 ___________________________________ Psychological Disorders ___________________________________ I felt the need to clean my room … spent four to five hours at it … At the time I loved it but then didnʹt want to do it any more, but could not stop … The clothes hung … two fingers apart …I touched my bedroom wall before leaving the house … I had constant anxiety … I thought I might be nuts. ___________________________________ ___________________________________ ___________________________________ Marc, diagnosed with obsessive‐compulsive disorder (from Summers, 1996) ___________________________________ ___________________________________ 4 ___________________________________ Psychological Disorders ___________________________________ People are fascinated by the exceptional, the unusual, the abnormal. This fascination can be due to two reasons: 1. During various moments we feel, think and act like an abnormal individual. 2. Psychological disorders may bring unexplained physical symptoms, irrational fears, and suicidal thoughts. ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ 5 ___________________________________ Psychological Disorders ___________________________________ To study the abnormal is the best way of understanding the normal. ___________________________________ William James (1842‐1910) 1. There are 450 million people suffering from psychological disorders (WHO, 2004). 2. Depression and schizophrenia exist in all cultures of the world. ___________________________________ ___________________________________ ___________________________________ ___________________________________ 6 Psychology 8 ed., David Myers Module 47 PowerPoint Slides, Aneeq Ahmad 2 OBJECTIVE 47‐1| Identify criteria for judging Defining Psychological Disorders whether behavior is psychologically disordered. Mental health workers view psychological disorders as persistently harmful thoughts, feelings and action. ___________________________________ ___________________________________ When behavior is deviant, distressful, and dysfunctional psychiatrists and psychologists label it as disordered (Comer, 2004). ___________________________________ ___________________________________ ___________________________________ 7 ___________________________________ Deviant, Distressful & Dysfunctional ___________________________________ ___________________________________ Carol Beckwith 1. Deviant behavior (going naked) in one culture may be considered normal while in others leads to arrest. 2. Deviant behavior must accompany distress. 3. If a behavior is dysfunctional it is clearly a disorder. ___________________________________ In Wodaabe tribe men wear costumes to attract women. In Western society this would be considered abnormal. ___________________________________ ___________________________________ ___________________________________ 8 OBJECTIVE 47‐2| Contrast the medical model Understanding Psychological Disorders of psychological disorders with the biopsychosocial perspective on disordered Ancient Treatments of psychological disorders include trephination, exorcism, being caged like animals, beaten, burned, castrated, mutilated, and transfused with animal’s blood. behavior. ___________________________________ ___________________________________ John W. Verano ___________________________________ ___________________________________ Trephination (boring holes in the skull to remove evil forces) 9 ___________________________________ Psychology 8 ed., David Myers Module 47 PowerPoint Slides, Aneeq Ahmad 3 ___________________________________ Medical Perspective ___________________________________ Philippe Pinel (1745‐1826) from France, insisted that madness was not due to demonic possession but an ailment of the mind. George Wesley Bellows, Dancer in a Madhouse, 1907. © 1997 The Art Institute of Chicago Dance in the madhouse. ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ 10 ___________________________________ Medical Model ___________________________________ When physicians discovered that syphilis led to mental disorders, the medical model started looking at physical causes of these disorders. 1. 2. 3. 4. ___________________________________ ___________________________________ Etiology: Causation and development of the disorder. Diagnosis: Identifying (symptoms) and distinguishing one disease from another. Treatment: Treating a disorder in a psychiatric hospital. Prognosis: Forecast about the disorder. ___________________________________ ___________________________________ ___________________________________ 11 ___________________________________ Biopsychosocial Perspective ___________________________________ Assumes that biological, socio‐cultural, and psychological factors combine and interact to produce psychological disorders. ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ 12 Psychology 8 ed., David Myers Module 47 PowerPoint Slides, Aneeq Ahmad 4 OBJECTIVE 47‐3| Describe the goals and Classifying Psychological Disorders content of the DSM‐IV‐TR. ___________________________________ American Psychiatric Association rendered a Diagnostic and Statistical Manual of Mental Disorders (DSM) to describe psychological disorders. ___________________________________ ___________________________________ Most recent edition, DSM‐IV‐TR (Text Revision, 2000) describe 400 psychological disorders compared to 60 in the 1950s. ___________________________________ ___________________________________ ___________________________________ 13 ___________________________________ Multiaxial Classification ___________________________________ Is a Clinical Syndrome (cognitive, anxiety, mood disorders [16 syndromes]) present? ___________________________________ Is a Personality Disorder or Mental Retardation present? ___________________________________ Axis III Is a General Medical Condition (diabetes, hypertension or arthritis etc) also present? ___________________________________ Axis IV Are Psychosocial or Environmental Problems (school or housing issues) also present? ___________________________________ Axis I Axis II ___________________________________ What is the Global Assessment of the person’s Axis V functioning? 14 ___________________________________ Multiaxial Classification ___________________________________ Note 16 syndromes in Axis I ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ 15 Psychology 8 ed., David Myers Module 47 PowerPoint Slides, Aneeq Ahmad 5 ___________________________________ Multiaxial Classification ___________________________________ Note Global Assessment for Axis V ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ 16 ___________________________________ Goals of DSM 1. 2. ___________________________________ Describe (400) disorders. Indicate how prevalent the disorder is. ___________________________________ ___________________________________ Disorders outlined by DSM‐IV‐TR are reliable thus diagnosis by different professional are similar. Others criticize DSM‐IV‐TR for “putting any kind of behavior within the compass of psychiatry.” ___________________________________ ___________________________________ ___________________________________ 17 OBJECTIVE 47‐4| Discuss the potential Labeling Psychological Disorders dangers and benefits of using diagnostic labels. 1. Critics of the DSM‐IV‐TR argue that labels can stigmatize individuals. ___________________________________ Elizabeth Eckert, Middletown, NY. From L. Gamwell and N. Tomes, Madness in America, 1995. Cornell University Press. ___________________________________ Asylum baseball team (labeling) ___________________________________ ___________________________________ ___________________________________ 18 Psychology 8 ed., David Myers Module 47 PowerPoint Slides, Aneeq Ahmad 6 ___________________________________ Labeling Psychological Disorders ___________________________________ 2. Labels can be helpful for health care professionals, communicating with one another and establishing therapy. ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ 19 ___________________________________ Labeling Psychological Disorders ___________________________________ 3. “Insanity” labels raise moral and ethical questions about how society should treat people who have disorders and have committed crimes. ___________________________________ ___________________________________ ___________________________________ Elaine Thompson/ AP Photo Theodore Kaczynski (Unabomber) ___________________________________ ___________________________________ 20 OBJECTIVE 47‐5| Discuss the prevalence of Rates of Psychological Disorders psychological disorders, and summarize the findings on the link between poverty and serious psychological disorders. ___________________________________ ___________________________________ ___________________________________ ___________________________________ 21 Psychology 8 ed., David Myers Module 47 PowerPoint Slides, Aneeq Ahmad 7 ___________________________________ Rates of Psychological Disorders ___________________________________ Prevalence of psychological disorders during previous year (WHO, 2004). ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ 22 ___________________________________ Risk and Protective Factors ___________________________________ Risk and protective factors for mental disorders (WHO, 2004). ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ 23 ___________________________________ Risk and Protective Factors ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ 24 Psychology 8 ed., David Myers Module 47 PowerPoint Slides, Aneeq Ahmad 8