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Name That Disorder This activity presents case studies in which individuals suffer from symptoms of psychological disorders. ActivePsych: Classroom Activities Project / Copyright © 2007 by Worth Publishers Case Study 1 Irene occasionally experiences unpredictable episodes of intense dread, accompanied by chest pains and a sensation of smothering or choking. Her symptoms have no apparent physical cause. ActivePsych: Classroom Activities Project / Copyright © 2007 by Worth Publishers Case Study 1: DIAGNOSIS Irene suffers from panic disorder ActivePsych: Classroom Activities Project / Copyright © 2007 by Worth Publishers Case Study 2 Jason is so preoccupied with staying clean that he showers as many as 10 times each day. ActivePsych: Classroom Activities Project / Copyright © 2007 by Worth Publishers Case Study 2: DIAGNOSIS Jason suffers from obsessive-compulsive disorder ActivePsych: Classroom Activities Project / Copyright © 2007 by Worth Publishers Case Study 3 Although she escaped from war-torn Iraq two years ago, Lila still has detailed haunting memories and nightmares. ActivePsych: Classroom Activities Project / Copyright © 2007 by Worth Publishers Case Study 3: DIAGNOSIS Lila suffers from post-traumatic stress disorder ActivePsych: Classroom Activities Project / Copyright © 2007 by Worth Publishers Case Study 4 One day Matt felt optimistic, energetic, and on top of the world. A few days later he felt hopeless and lethargic. He thought that the future looked very grim. ActivePsych: Classroom Activities Project / Copyright © 2007 by Worth Publishers Case Study 4: DIAGNOSIS Matt suffers from bipolar disorder ActivePsych: Classroom Activities Project / Copyright © 2007 by Worth Publishers Case Study 5 Claiming that she heard a voice commanding her to warn other people that eating is harmful, Sandy attempts to convince other restaurant patrons not to eat. The psychiatrist to whom she is referred finds that Sandy’s thinking and speech are often fragmented and incoherent. In addition, Sandy has an unreasonable fear that someone is “out to get her.” Consequently, she trusts no one. ActivePsych: Classroom Activities Project / Copyright © 2007 by Worth Publishers Case Study 5: DIAGNOSIS Sandy suffers from paranoid schizophrenia ActivePsych: Classroom Activities Project / Copyright © 2007 by Worth Publishers Case Study 6 Bob has never been able to keep a job. He’s been in and out of jail for charges such as theft, sexual assault, and spousal abuse however if you were to meet Bob he can at times seem very charming. ActivePsych: Classroom Activities Project / Copyright © 2007 by Worth Publishers Case Study 6: DIAGNOSIS Bob suffers from antisocial personality disorder ActivePsych: Classroom Activities Project / Copyright © 2007 by Worth Publishers Case Study 7 Sadie is so fearful of being overwhelmed by anxiety that she rarely steps outside her apartment. The thought of going shopping and getting lost in a crowd terrifies her, so she has her groceries delivered. Because of her fear, she earns her living as a freelance writer and works at home. ActivePsych: Classroom Activities Project / Copyright © 2007 by Worth Publishers Case Study 7: DIAGNOSIS Sadie suffers from agoraphobia ActivePsych: Classroom Activities Project / Copyright © 2007 by Worth Publishers Case Study 8 For the last month Gabrielle has felt lethargic and has been unable to get out of bed in the morning. She has withdrawn from friends and family because she feels worthless and unlovable. ActivePsych: Classroom Activities Project / Copyright © 2007 by Worth Publishers Case Study 8: DIAGNOSIS Gabrielle suffers from major depressive disorder ActivePsych: Classroom Activities Project / Copyright © 2007 by Worth Publishers Case Study 9 Lorna’s thoughts are extremely random and when she speaks it is often in a very confusing manner with words out of order and meaningless. She seems to have totally lost touch with reality. ActivePsych: Classroom Activities Project / Copyright © 2007 by Worth Publishers Case Study 9: DIAGNOSIS Lorna suffers from Disorganized Schizophrenia ActivePsych: Classroom Activities Project / Copyright © 2007 by Worth Publishers Case Study 10 Bob has an irrational fear of feathers. Whenever he sees one he shakes and cries and looks for a way to escape. As a result he avoids any place where he might see a feather on the ground. ActivePsych: Classroom Activities Project / Copyright © 2007 by Worth Publishers Case Study 10: DIAGNOSIS Bob suffers from Phobia ActivePsych: Classroom Activities Project / Copyright © 2007 by Worth Publishers Case Study 11 After the death of his wife from cancer, Robert wakes up one day thinking he is a different person, moves to another state and starts a new life. ActivePsych: Classroom Activities Project / Copyright © 2007 by Worth Publishers Case Study 11: DIAGNOSIS Robert suffers from Dissociative Fugue ActivePsych: Classroom Activities Project / Copyright © 2007 by Worth Publishers Case Study 12 Richard loses the ability to use his left hand. Doctors can find no physical cause for this. ActivePsych: Classroom Activities Project / Copyright © 2007 by Worth Publishers Case Study 12: DIAGNOSIS Richard suffers from Conversion Disorder ActivePsych: Classroom Activities Project / Copyright © 2007 by Worth Publishers Case Study 13 Jordan constantly worries over his work, relationships and finances for no particular reason. This has been lasting for more than 6 months. ActivePsych: Classroom Activities Project / Copyright © 2007 by Worth Publishers Case Study 13: DIAGNOSIS Jordan suffers from Generalized Anxiety Disorder (GAD) ActivePsych: Classroom Activities Project / Copyright © 2007 by Worth Publishers Case Study 14 Daniel has a cough that he is convinced means he is suffering from Tuberculosis. He also has an upset stomach which he feels is probably a sign of stomach cancer. ActivePsych: Classroom Activities Project / Copyright © 2007 by Worth Publishers Case Study 14: DIAGNOSIS Daniel suffers from Hypochondriasis ActivePsych: Classroom Activities Project / Copyright © 2007 by Worth Publishers Case Study 15 James stares off into the distance and rarely moves his body. At times he suddenly becomes agitated and then resumes standing in uncomfortable positions for long periods of time. ActivePsych: Classroom Activities Project / Copyright © 2007 by Worth Publishers Case Study 15: DIAGNOSIS James suffers from Catatonic Schizophrenia ActivePsych: Classroom Activities Project / Copyright © 2007 by Worth Publishers Case Study 16 Harold really wants to have a relationship with another person but he is so scared that he may say or do something embarrassing that he retreats from social contact. Harold is extremely shy. ActivePsych: Classroom Activities Project / Copyright © 2007 by Worth Publishers Case Study 16: DIAGNOSIS Harold suffers from Avoidant Personality Disorder ActivePsych: Classroom Activities Project / Copyright © 2007 by Worth Publishers Case Study 17 Julie has no interest in having relationships with other people. She seems to lack emotion when it comes to other people. She considers herself a loner and has few friends. ActivePsych: Classroom Activities Project / Copyright © 2007 by Worth Publishers Case Study 17: DIAGNOSIS Julie suffers from Schizoid Personality Disorder ActivePsych: Classroom Activities Project / Copyright © 2007 by Worth Publishers Case Study 18 Jan is extremely distrustful and suspicious of others and constantly thinks that people are “out to get her.” She sees people’s behaviors as threatening even when they obviously are not. She does however have a good understanding of reality and does not have hallucinations. ActivePsych: Classroom Activities Project / Copyright © 2007 by Worth Publishers Case Study 18: DIAGNOSIS Jan suffers from Paranoid Personality Disorder ActivePsych: Classroom Activities Project / Copyright © 2007 by Worth Publishers Case Study 19 Following a horrible light saber fight with his recently revealed father, Luke cannot remember the fight or the fact that his father revealed himself to be the evil Darth Vader. ActivePsych: Classroom Activities Project / Copyright © 2007 by Worth Publishers Case Study 19: DIAGNOSIS Luke suffers from Dissociative Amnesia ActivePsych: Classroom Activities Project / Copyright © 2007 by Worth Publishers Case Study 20 While Jimmy was being severely abused as a child he would pretend to be another person. Later, as an adult Jimmy switches back and forth between different personalities whenever he is under severe stress. ActivePsych: Classroom Activities Project / Copyright © 2007 by Worth Publishers Case Study 20: DIAGNOSIS Jimmy suffers from Dissociative Identity Disorder ActivePsych: Classroom Activities Project / Copyright © 2007 by Worth Publishers Case Study 21 While waiting for the ambulance to arrive after his car crash, Tim feels as if he is having an out of body experience and observing the entire accident scene from above. Afterwards he finds himself doing this whenever he is under great stress. ActivePsych: Classroom Activities Project / Copyright © 2007 by Worth Publishers Case Study 21: DIAGNOSIS Tim suffers from Depersonalization Disorder ActivePsych: Classroom Activities Project / Copyright © 2007 by Worth Publishers Causes of Disorder Tell which school of psychology would agree with the following descriptions Biology – Learning/Behavioral – Cognitive - Psychoanalytic Causes This perspective would say that disorders are caused by some sort of chemical imbalance in the brain or a genetic flaw. ActivePsych: Classroom Activities Project / Copyright © 2007 by Worth Publishers Causes Answer Biological ActivePsych: Classroom Activities Project / Copyright © 2007 by Worth Publishers Causes Disorders are caused by hidden urges or anxiety in the unconsciousness usually caused by childhood issues. ActivePsych: Classroom Activities Project / Copyright © 2007 by Worth Publishers Causes Answer Psychoanalytic ActivePsych: Classroom Activities Project / Copyright © 2007 by Worth Publishers Causes Disorders are the result of a child observing a disordered role model behave and then copying those behaviors. ActivePsych: Classroom Activities Project / Copyright © 2007 by Worth Publishers Causes Answer Learning/Behavioral – Observational Learning ActivePsych: Classroom Activities Project / Copyright © 2007 by Worth Publishers Causes This perspective says that abnormal behavior is rewarded or reinforced making the person more likely to do it in the future. ActivePsych: Classroom Activities Project / Copyright © 2007 by Worth Publishers Causes Answer Learning/Behavior – Operant Conditioning ActivePsych: Classroom Activities Project / Copyright © 2007 by Worth Publishers Causes This perspective blames a person’s irrational thoughts and beliefs as the reason for their disorder. People’s thoughts are causing them to misread situations. ActivePsych: Classroom Activities Project / Copyright © 2007 by Worth Publishers Causes Answer Cognitive ActivePsych: Classroom Activities Project / Copyright © 2007 by Worth Publishers Causes This explanation says that something that was previously neutral (car) can become something you are scared of if it is paired with something (accident) that causes fear. ActivePsych: Classroom Activities Project / Copyright © 2007 by Worth Publishers Causes Answer Learning/Behavior – Classical Conditioning ActivePsych: Classroom Activities Project / Copyright © 2007 by Worth Publishers TREATMENT Which treatment is being described? Biomedical – Behaviorist – Cognitive – Psychoanalysis Humanistic Treatment This treatment would traditionally treat someone with a drug to help them with a neurotransmitter deficiency or over abundance. ActivePsych: Classroom Activities Project / Copyright © 2007 by Worth Publishers Treatment Answer Biomedical ActivePsych: Classroom Activities Project / Copyright © 2007 by Worth Publishers Treatment This treatment uses unconditional positive regard, active listening and empathy to help create an environment where the patient will be able to understand themselves better and use this to make better decisions in the future. ActivePsych: Classroom Activities Project / Copyright © 2007 by Worth Publishers Treatment Answer Humanistic ActivePsych: Classroom Activities Project / Copyright © 2007 by Worth Publishers Treatment This Treatment would be when a therapist would challenge a client’s irrational beliefs or thoughts and help the client to first recognize and then change these to be more realistic and less harmful. ActivePsych: Classroom Activities Project / Copyright © 2007 by Worth Publishers Treatment Answer Cognitive ActivePsych: Classroom Activities Project / Copyright © 2007 by Worth Publishers Treatment This treatment would use electroconvulsive therapy for treatment of severely depressed and suicidal patients. ActivePsych: Classroom Activities Project / Copyright © 2007 by Worth Publishers Treatment Answer Biomedical ActivePsych: Classroom Activities Project / Copyright © 2007 by Worth Publishers Treatment This treatment would use free association, dream analysis and hypnosis in an effort to get the client to transfer their unconscious conflicts onto the therapist where they can then be worked out. ActivePsych: Classroom Activities Project / Copyright © 2007 by Worth Publishers Treatment Answer Psychoanalytic ActivePsych: Classroom Activities Project / Copyright © 2007 by Worth Publishers Treatment This treatment aims to teach the client a new behavior using modeling techniques, progressive relaxation and visualization, reinforcement and counter conditioning. ActivePsych: Classroom Activities Project / Copyright © 2007 by Worth Publishers Treatment Answer Behavioral ActivePsych: Classroom Activities Project / Copyright © 2007 by Worth Publishers Defining Terms How do we define “abnormal behavior”? –Typicality –Maladaptive –Emotional Discomfort –Socially Unacceptable Behavior ActivePsych: Classroom Activities Project / Copyright © 2007 by Worth Publishers Defining Terms What is the DSM-IV and how is it used? Diagnostic Statistical Manual used for categorizing and diagnosing mental disorders. ActivePsych: Classroom Activities Project / Copyright © 2007 by Worth Publishers A Concluding Thought A medical model is when a disease has physical causes that can be diagnosed, treated, and, in most cases, cured. With psychological disorders, the medical model assumes that these mental illnesses can be diagnosed on the basis of their symptoms and cured through therapy, which may include treatment in a psychiatric hospital. ActivePsych: Classroom Activities Project / Copyright © 2007 by Worth Publishers Consider This… How do we define “abnormal behavior”? Why are personality disorders different from the other “common” psychological disorders? Can you truly make a diagnoses based on short descriptions such as these? ActivePsych: Classroom Activities Project / Copyright © 2007 by Worth Publishers