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dysfunctional distress
occurs when person is much more distressed than others would be
impairment
must be pervasive and/or significant
mental disorders
often exaggerations of normal processes
culture
Consider normalcy relative to the behavior of others in the same cultural context
rule of thumb
mental disorder=harmful dysfunction
dysfunction
disruption socially and occupationally
distress
upsetting, unpleasant to most everyone around
deviance
statistical and cultural devaince from the norm
danger
risk of harm to self/others
DSM - 5
diagnostic and statistical manual of mental disorders
psychological disorder
behavioral, psychological, or biological dysfunction that is unexpected in their cultural context and associated with present distress and/or impairment in functioning, or increased risk of suffering, death, pain, or impairment
psychopathology
scienctific study of psychological disorders
PhD
clinical and counseling psychologist (trained in research and delivering treatment)
PsyD
clinical and counseling “doctor of psychology” (trained for delivering treatment)
MD
psychiatrist — RX
psychiatric nurse
sometimes can give mends
LCSW
licensed clinical social worker (trained in delivering treatment)
scientist-practitioner
stays current with research in field, evaluates own assement and treatment, conducts research
mental health professional — consumer of science
enhancing the practice
mental health professional — evaluator of science
determining the effectiveness of the practice
mental health professional — creator of science
conducting research that leads to new procedures useful in practice
clinical description
starts with a presenting problem (a symptom)
clinical description aims to
distinguish clinically significant dysfunction from common human experience
clinical description describes
prevalence an incidence of disorders
prevalence
how many people in a population have the disorder
incidence
number of new cases over a period of time
acute onset
sudden onset - waking up to a panic attack for the first time
insidious onset
gradual - emotion that builds over time
course of disorders
episodic (here/there), time-limited (4-week depression cycle), or chronic (long-term)
prognosis
good vs. guarded, the anticipated course
etiology
what contributes to the development of psychopathy
treatment development
How can we help alleviate psychological suffering? This includes: pharmacological, psychosocial, and/or combined treatments
historical concepts of abnormal behavior
supernatural, biological, psychological
supernatural tradition
Deviant behavior as a battle of good/evil. Believed to be caused by demonic possession, witchcraft, or sorcery. Treatment included exorcism, torture, religious services
supernatural tradition treatment
rest, sleep, health, environment, baths, potions
treatment for possession
shocking or scaring the spirits
emotion cognition
experience of an emotion seems to spread to those around us
mob psychology
if one person identifies a “cause” of a problem, others may assume that their own reactions have the same source
paracelsus
swiss physician suggested that mental health problems are affected by the pull of the moon and stars (lunatic)
the biological tradition
Hipppocrites (460-377 BC)
Father of modern Western medicine
Linked abnormality with brain chemical imbalances
etiology of mental disorders
physical disease
the wondering uterus
Psychological symptoms were a result of the uterus moving around the body
humoral theory of disorders
functioning is related to having too much or too little of four key bodily fluids (blood, phlegm, black bile, yellow bile)
sanguine
blood, cheerful and optimistic, insomnia and delirium caused by too much blood in the brain
melancholic
black bile, depressive
phlegmatic
phlegm, apathy and sluggishness
choleric
yellow bile, hot tempered
choleric treatment
treated by changing environmental conditions or bloodletting/vomiting
John P. Grey and the reformers
A psychiatrist who believed mental illness had physical roots.
Championed the biological tradition in the U.S.
Led to reforms of hospitals to give psychiatric patients better care.
the psychological tradition
the rise of moral therapy
more humane treatment of institutionalized patients
encouraged and reinforced social interactions
treat patients as normally as possible in normal environment
Philippe Pinel and Jean-Baptiste Pussin
patients should not be restrained
Benjamin Rush
led reforms in US
Dorothea Dix
mental hygiene movement
asylum reform
more patients getting care
Freudian theory of the structure and function of the mind
unconscious
catharsis (helpful release of emotions)
psychoanalytic model sought to explain development and personality
structure of the mind
ID (pleasure principle; illogical, emotional, irrational)
superego (moral principles)
ego (rational; mediates between superego/id)