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Psychological Disorders Diagnosing and Identifying Some of Chapter 14 & all of Chapter 15 How do you know if somebody is mentally ill? Personality Inventories Objective Minnesota Multiphasic Personality Inventory-2 (MMPI-2) Projective Rorschach Inkblot Test Thematic Apperception Test (TAT) What is a psychological disorder? A harmful dysfunction marked by atypical, disturbing, maladaptive and unjustifiable behavior Perspective Therapy Medical Perspective Philippe Pinel (1800ish) Bio-Psycho-Social Perspective Learning Perspective Psychoanalytic Humanistic Classifying Disorders DSM-IV-TR Neurotic vs. psychotic DSM-IV Diagnoses David Rosenhan and Thomas Szasz Major Classes Anxiety Affect Dissociative Disorders Schizophrenia Personality Anxiety Disorders Generalized Anxiety Disorder (GAD) Panic Disorder Phobia AgoraSimple (Specific) Social Obsessive-Compulsive Disorder Obsession Compulsion Explaining Anxiety Disorders Learning Perspective Conditioning of Fear Biological Perspective Evolution – Fear of Snakes Genes – Identical Twins develop similar phobias Physiology – Frontal lobe – Serotonin – Amygdala Affective Disorders Major Depression Dysthymia Bipolar Mania Depression – Mark Twain, Walt Whitman, Virginia Woolf, Edgar Allan Poe Cyclothymia Explaining Affective Disorders Psychoanalytic Perspective – Childhood maladaptivity Biological Perspective – Genetic – runs in families – Biochemical » Norepinephrine – overabundant during mania, scarce during depression » Serotonin – SSRIs » Frontal Lobes – less active in depression Cognitive Perspective Learned helplessness self-defeating beliefs – M.E.P. Seligman Electro-Convulsive Therapy (ECT) Dissociative Disorders Depersonalization Dissociative Amnesia Dissociative Fugue Dissociative Identity Disorder (DID) Schizophrenia Disorganized thinking – Hallucinations & delusions » Grandeur » Paranoid » Reference – Clanging & word salad Flat Affect Types of Schizophrenia Positive Symptoms & Negative Symptoms Chronic vs. acute – Paranoid – Disorganized – Catatonic Explaining Schizophrenia Brain Abnormalities Dopamine Overactivity – Movement, learning, attention, emotion Glutamate Overactivity Brain Activity – Low frontal lobe activity » Planning and organization – Fluid-filled sinuses » Hippocampus, amygdala, thalamus Birth Factors – Virus or starvation during pregnancy Genetics Behavioral Approach Token Economy Personality Disorders Avoidant Personality – Withdrawn b/c of anxiety Schizoid Personality Disorder – Socially disengaged b/c of “eccentricity” Histrionic Personality – Dramatic and impulsive Narcissistic – Exaggerate own importance Borderline – Unstable Antisocial Personality Disorder – Prisoner Paranoid Personality Disorder Explaining Personality Disorders Chemistry of Crime Low autonomic response Unresponsive to standard rewards Low frontal lobe activity – Phineas Gage Social-Biological Interaction – State-Trait Theory Rates of Disorder Percentage of Americans Who Have Ever Experienced Psychological Disorders Ethnicity Gender Disorder White Black Hispanic Men Women Totals Alcohol abuse or dependence 13.6% 13.8% 16.7% 23.8% 4.6% 13.8% Generalized anxiety 3.4 6.1 3.7 2.4 5.0 3.8 Phobia 9.7 23.4 12.2 10.4 17.7 14.3 Obsessive-compulsive disorder 2.6 2.3 1.8 2.0 3.0 2.6 Mood disorder 8.0 6.3 7.8 5.2 10.2 7.8 Schizophrenic disorder 1.4 2.1 0.8 1.2 1.7 1.5 Antisocial personality disorder 2.6 2.3 3.4 4.5 0.8 2.6