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Transcript
Psychological Disorders
notes 16-1
objectives 1-4
1
A.) Defining Psychological Disorders
1.) Mental health workers view psychological
disorders as persistently harmful thoughts,
feelings, and actions.
2.) When behavior is deviant, distressful, and
dysfunctional psychiatrists and psychologists
label it as disordered (Comer, 2004).
2
B.) Deviant, Distressful & Dysfunctional
1. Deviant behavior
(going naked) in one
culture may be
considered normal,
while in others it may
lead to arrest.
2. Deviant behavior must
accompany distress.
3. If a behavior is
dysfunctional it is
clearly a disorder.
In the Wodaabe tribe men
wear costumes to attract
women. In Western society
this would be considered
abnormal.
3
B.) Understanding Psychological
Disorders
1.) Ancient Treatments of psychological disorders
include trephination, exorcism, being caged like
animals, being beaten, burned, castrated, mutilated,
or transfused with animal’s blood.
****Trephination (boring holes in the skull to remove evil forces)4
****Medical Perspective
Philippe Pinel (1745-1826) from France, insisted
that madness was not due to demonic possession,
but an ailment of the mind.
Dance in the madhouse.
5
C.) Medical Model
When physicians discovered that syphilis led to
mental disorders, they started using medical models
to review the physical causes of these disorders.
1.
2.
3.
4.
Etiology: Cause 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.
6
D.) Classifying Psychological Disorders
The American Psychiatric Association rendered
a Diagnostic and Statistical Manual of Mental
Disorders (DSM) to describe psychological
disorders.
The most recent edition, DSM 5, describes 400
psychological disorders compared to 60 in the
1950s.
7
E.) Multiaxial Classification
Axis I
Axis II
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?
What is the Global Assessment of the person’s functioning?
Axis V
8
****Note 16 syndromes in Axis I
9
****Note Global Assessment for Axis V
10
F.) Goals of DSM
1.
2.
Describe (400) disorders.
Determine how prevalent the
disorder is.
Disorders outlined by DSM-5 are reliable.
Therefore, diagnoses by different professionals
are similar.
Others criticize DSM-5 for “putting any kind of
behavior within the compass of psychiatry.”
11
G.) Labeling Psychological
Disorders
1. Critics of the DSM-5 argue that labels may
stigmatize individuals.
Asylum baseball team (labeling)
12
2. Labels may be helpful for healthcare
professionals when communicating with
one another and establishing therapy.
13
3. “Insanity” labels
raise moral and
ethical questions
about how society
should treat
people who have
disorders and have
committed crimes.
Theodore Kaczynski
(Unabomber)
14