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Psychological disorders (Chapter 16) Second Lecture Outline: Depression Personality Disorders Dissociative Identity Disorder Mood Disorders • Unipolar depression • 10-20% depressed at some point in life • multiple causes • low self-esteem, loss of motivation, pessimism • women > men • • • • Bipolar disorder 1% of population genetically mediated depressive and manic symptoms • mania related to high energy and shifts of attention Symptoms of depression Persistent sad, anxious, or "empty" mood Loss of interest or pleasure in activities Restlessness, irritability, crying Feelings of guilt, worthlessness, helplessness, hopelessness Sleeping disruption, early-morning awakening Appetite and/or weight loss or overeating and weight gain Decreased energy, fatigue, feeling "slowed down" Thoughts of death or suicide Difficulty concentrating, remembering, or making decisions Causes of Depression • Attachment explanations: Depression results from loss of a significant relationship • Behavioral: Learned helplessness due to uncontrollable punishment. Dogs. • Cognitive: Beck’s errors in thinking – – – – Arbitrary inference “They hate me.” Selective abstraction “Lawn has weeds” Stability “I am a failure” Lack of control: “Nothing I do will help my situation” Psychophysiology of Depression • Low levels of neurotransmitters are linked to depression • Drugs affect serotonin reuptake (SRIs) • Prozac • Mania treated with lithium carbonate: mood-leveling drug • Epinephrine decreased during depression -- hormonal factors Biological basis: NMR Scans Who were the lambs, Clarice? Personality Disorders • Stable & extreme personality features that affect happiness or adjustment • Examples: – – – – – Paranoid: suspicious of others Borderline: Mood and self-image unstable Narcissistic: Self-centred, no empathy Histrionic: Dramatic, manipulative, shallow Antisocial: Break law, cheat & lie, no concern for others, lack empathy, impulsive, brain involvement Dissociative Disorders • Dissociative amnesia: Memory loss for specific events or people • Fugue: Total memory loss after stress, relocation and starting a new life • Dissociative Identity Disorder (MPD) – two or more identities that coexist – associated with child trauma such as abuse – abused children “leave their bodies” – hearing voices