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CP PSYCHOLOGY CHAPTER 15 Abnormal Behavior Section 15Q1 Common Psychological Disorders Mr. Freccia, NHS Glencoe Publishers Abnormal Psychology (15Q1) • Abnormal refers to a deviance from the norm, inability to adjust, or poor mental health • Psychological Disorder is a “harmful dysfunction” in which behavior is judged by mental health professionals to be: • atypical (plus behaviors below) • disturbing (for the time period/culture) • maladaptive (harmful to self/others) • unjustifiable (not rational to others) • Example - Smoking is a disorder/homosexuality is not Abnormal Psychology (15Q1) Historically Perceived Causes movements of sun or moon evil spirits/demon possession Ancient Treatments harsh/ineffective - exorcism, caged like animals, beaten, burned, castrated, mutilated, blood replaced with animal’s blood Abnormal Psychology (15Q1) Admission fees were charged to observe mentally ill at St. Mary’s hospital (1700’s) Mental patients were restrained as a humane way to regain sensibility Abnormal Psychology (15Q1) • Prior to 1980 disorders were classified as either “neurosis” or “psychosis” Neurotic Disorder (term seldom used today) usually distressing but person thinks rationally and functions socially less debilitating than a “psychosis” Psychotic Disorder person loses contact with reality experience irrational ideas and distorted perceptions Similar to living out a daydream Abnormal Psychology (15Q1) DSM-IV: American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (4th Edition) • the system for classifying psychological disorders • describes but does not explain the cause of psychological disorders • critics argue these labels are too arbitrary and misused • labels may cause more harm than good for the individual Abnormal Psychology (15Q1) Anxiety Based Disorders can cause excessive worrying, mood swings, and fear • Generalized Anxiety: Generalized apprehension or feeling that one is in danger • Physical symptoms include muscle tension, inability to relax, indigestion, diarrhea • Phobias: Fear of an object or situation that is out of proportion to the actual danger • (Acrophobia/Heights) • (Nyctophobia/Darkness) • (Social Phobia/Embarrassment) • Panic Disorders: Sudden unexplainable attacks of intense fear and impending doom Abnormal Psychology (15Q1) Abnormal Psychology (15Q1) • Obsessive-Compulsive Disorder: Causes unwanted anxiety driven thoughts/actions • Obsession: Uncontrollable, repetitive pattern of thoughts caused by anxiety • Compulsion: Irrational actions that are repeatedly performed to reduce anxiety Abnormal Psychology (15Q1) Abnormal Psychology (15Q1) • Post-Traumatic Stress Disorder: Longlasting anxiety caused by a traumatic event • Overwhelms a person’s sense of normal reality and ability to cope with the world CP PSYCHOLOGY CHAPTER 15 Abnormal Behavior Section 15Q2 Additional Disorders Mr. Freccia, NHS Glencoe Publishers Abnormal Psychology (15Q2) • Somatoform Disorders: Anxiety based physical ills with no apparent physical cause • Conversion Disorder: Emotional difficulties converted into loss of physical function • Examples include deafness, partial paralysis, blindness, numbness, ghost pain • La belle indifference: Person accepts the physical loss with relative calm Abnormal Psychology (15Q2) • Hypochondria: Person in good health becomes preoccupied with imaginary ailments • Occurs mainly during young adulthood, equally common to men and women Abnormal Psychology (15Q2) • Dissociative Disorders: Involves a disturbance of a person’s conscious experience “Movie” • Psychogenic Amnesia: Loss of identity “3 Faces of Eve” possible attempt to escape life’s problems • Psychogenic Fugue: Amnesia that is coupled with active flight to a new environment • Multiple Personality: Person assumes two or more distinct and separate identities • Eve White, a famous example, displayed 24 personalities; no more than 3 at a time Abnormal Psychology (15Q2) Mood Disorders Abnormal Psychology (15Q2) • Mood Disorders: Exaggerated happy or depressed moods hamper ability to function • Depressive Disorder: Deep sadness, anxiety, fatigue, with reduced ability to interact • Single Episode Depression: Strikes deeply and seriously in one dramatic episode • Recurrent Depression: An extended or cyclical pattern of serious depression Abnormal Psychology (15Q2) Abnormal Psychology (15Q2) Canadian depression rates Abnormal Psychology (15Q2) Few people who talk about suicide attempt it but most who attempt it have talked about it (warning sign) More Whites Vs Blacks and Men Vs women commit suicide Abnormal Psychology (15Q2) • Bipolar Disorder: • Person becomes excessively or inappropriately happy or depressed • Manic-Type Reaction: • Extreme elation, confusion, distraction, with racing thoughts • Depressive-Type Reaction: • Overcome by feeling of failure, worthlessness, despair Abnormal Psychology (15Q2) PET scans show that brain energy consumption rises and falls with emotional switches Depressed state Manic state Depressed state CP PSYCHOLOGY CHAPTER 15 Abnormal Behavior Section 15Q3 Schizophrenia Mr. Freccia, NHS Glencoe Publishers Abnormal Psychology • Schizophrenia: Cognitive disorder resulting in a considerable lost contact with reality • Person is often confused with disordered thoughts and perceptions, “like a dream” • Delusions: False beliefs maintained contrary to obvious evidence otherwise • Hallucinations: False sensations in the absence of appropriate stimulation Abnormal Psychology • Schizophrenia is classified into several subtypes according to exhibited behavior • Paranoid: Has “delusions of grandeur”, or “feels persecuted” by people watching them • Catatonic: May remain “motionless” for long periods, unresponsive to external stimuli • Disorganized: Incoherent speech, inappropriate emotions, (giggle, laugh, cry) • Undifferentiated: Primarily hallucinatory and delusional with scrambled speech • Remissive: Symptoms have completely gone away, but will inevitably return Abnormal Psychology • Schizophrenia is a serious and permanent disorder normally requiring hospitalization • 1% of population develops schizophrenia • 17% probability if mother is Schizo • 48% if both parents are Schizo • Indicates a strong genetic link Abnormal Psychology Schizophrenia affects about 1 in 100 people worldwide Genetic predisposition/transmission found in current research Abnormal Psychology • Dopamine Hypothesis: • Excess dopamine at synapses is related to diagnosis of Schizophrenia • Difficult to tell if chemical imbalance is the cause or result of schizophrenia Dopamine Pathways Abnormal Psychology • Family Interaction Hypothesis: • Pathogenic, unhealthy families contribute to Schizophrenia The Osbournes … Dysfunctional Family? Abnormal Psychology • Diathesis-Stress Hypothesis: Genetic predisposition plus the environment causes Schizo •Nature Nurture (Genetic/Environment) debate over the cause of Schizophrenia continues Dysfunctional Family Excess Dopamine CP PSYCHOLOGY CHAPTER 15 Abnormal Behavior Section 15Q4 Personality Type Disorders Mr. Freccia, NHS Glencoe Publishers Abnormal Psychology • Autism: Infantile cognitive disorder; child does not respond normally to outside stimuli • Doesn’t respond to people; is slow to communicate; has limited interests and behaviors Abnormal Psychology • Personality Disorders: Inability to form meaningful relationships with other people Antisocial Personality Disorder person (usually man) exhibits a lack of conscience for wrongdoing, even toward friends and family members (the jerk/thug) Often aggressive/ruthless/clever con artist Includes psychopaths/sociopaths Psychopathic cases are rare but do exist Hannibal Lechter Jeffrey Daumer Ted Bundy Abnormal Psychology • Personality Disorders are characterized by inflexible and enduring behavior patterns that impair social function • Histrionic: Shallow attention-getting emotions in order to gain praise/reassurance (drama queen) • Narcissistic: exaggerate self-importance, may act with rage or shame to any criticism (cocky/vain) • Borderline: unstable identity, emotions (lost soul) • Personality disorders are fairly common in our society, and often goes untreated Abnormal Psychology • Drug Addiction: Disorder causing physical, social, and psychological dysfunction Abnormal Psychology • Psychological Dependence: • Users mentally rely on artificial sense of well-being • Person becomes restless, irritable, and uneasy when deprived of the drug Abnormal Psychology • Addiction: The drug induced state becomes the body’s “normal” state • Without the drug the person experiences extreme physical discomfort/illness Abnormal Psychology • Tolerance: Body adapts to the drug so that increased dosages are required for a “high” • Withdrawal: physical and psychological upset as body revolts against the lack of drugs Abnormal Psychology • Alcoholism: The country’s most serious drug addiction problem. There is no cure • Produces psychological and physical dependence, tolerance and addiction • Delirium Tremens: Violent withdrawal symptoms associated with alcoholism • Alcoholics Anonymous (AA): Organization that helps alcoholics to recover Abnormal Psychology Abnormal Psychology • DSM IV: Uses five dimensions (Axes I-V) to describe a person’s mental functioning ` • • • • • Axis I: Classification Categories Axis II: Developmental aspects of disorder Axis III: Physical Dysfunction/medical conditions Axis IV: Current functioning level Axis V: Level of adaptation (Social, Occupational, Leisure)