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In early history, what was thought to be the cause of “abnormal” behavior?
being possessed by evil spirits, alignment of the stars, godlike powers, etc.
What was treatment for abnormal behavior like in early history?
barbaric and cruel
trephination or exorcisms
beating, burning, castration( removal
of the intestines), animal blood
transfusions, cauterizing the clitoris,
and imprisonment
What are the 3 D’s of abnormality?
deviant, distressful, dysfunctional
Deviant
being different from others or one’s typical cultural population
“statistical infrequency”
Distressful
causes the individual discomfort, neurosis, etc.
Dysfunctional
impairs the individual’s day-to-day ability to work/live
When was mental illness finally viewed in a new light?
the 1800s
Medical Model
identify mental illness by symptoms presented and cure it through treatment and therapy
focused changed from the individual being the problem to the illness being the problem
Biopsychosocial Approach
focuses more on the causes of the disorder rather than treatment
Primary Prevention
measures taken to prevent he disease from occurring in the first place
wearing sun block to prevent skin cancer
Secondary Prevention
measures used after disease has occurred but before the person notices anything
a doctor checking for new moles
Tertiary Prevention
targets a person who already has symptoms of a disease
surgery, chemotherapy, etc.
DSM-5
Diagnostic and Statistical Manual of Mental Disorders; widely used system for classifying psychological disorders
known as the “psychiatrist’s bible”
latest version came out in 2013
People-First Language
seeing individuals as people first and not as being defined by their disorder
Biological Perspective
disorders due to genetics, out of balance neurotransmitters
low serotonin in people with depression
Evolutionary Perspective
traits of disorders might be aids to survival
locking door repeatedly in people with OCD
Psychoanalytic Perspective
disorders result from unconscious internal conflicts
panic disorder caused by unconscious fear
Behavioral Perspective
disorder behaviors are rewarding
“thinness” is admired in people with anorexia
Cognitive Perspective
symptoms of disorders due to maladaptive thinking
depression caused by negative explanations
Humanistic Perspective
inability to reach full potential causes disorders
depression caused by gap between actual and ideal self
Social-Cultural Perspective
cultural differences affects disorder and diagnosis rates
higher rate of disorders diagnosed in America due to media depicting disorders in TV and film
Where are the most disorders diagnosed?
united states
Labeling Issues
when does behavior go beyond “normal”?
labels can negatively affect the way we see people
labels can create self-fulfilling prophecies
Controversies of Diagnosis
diagnosis Isn’t Always Reliable (Rosenhan Study/ 8 fakes)
legal system intersection
Panic Disorder
frequent panic attacks (incidents of intense terror)
a person experiences dread and accompanying frightening physiological sensations such as chest pain and choking
Separation Anxiety Disorder
an individual experiences excessive anxiety regarding time spent apart from people
Specific Phobia
persistent, irrational fear of a specific object, event, or person
Agoraphobia
Claustrophobia
Agoraphobia
anxiety due to dangerous or uncomfortable environments, often due to vast openness or crowdedness
Social Anxiety Disorder
fear in one or more social situations (potential social interactions)
Selective Mutism
does not speak in specific situations or to specific people
Generalized Anixiety Disorder
excessive, uncontrollable, and often irrational worry about events or activities with no causal root
Explanations for Anxiety
fear can be…
conditioned, generalized, reinforced, observed, and/or learned
Major Depressive Disorder
persistent and pervasive low mood that is accompanied by low self-esteem and a loss of interest or pleasure in normal activities with no causal factor
Seasonal Affective Disorder
depression experienced during winter months due to lack of sunlight
Explanations for Major Depressive Disorder
alcohol abuse
genetic influence
low amount of serotonin
negative explanatory style (blame themselves)
Bipolar Disorder
periods of mania
mood and activity/energy) alternating with periods of depression
Enuresis
inability to control urination
Encopresis
repeated voluntary or involuntary fecal soiling, usually already toilet trained
Dissociative Disorders
conscious awareness becoming separated from previous memories, thoughts, and/or feelings
Dissociative Amnesia
retrograde autobiographical loss of memory with no physiological basis for the disruption
Dissociative Fugue
subset of dissociative amnesia where a person forgets their past, creates a brand new identity, and begins a new life in a different location
Depersonalization/Derealization Disorder (DDD)
feeling of watching oneself act with no control over a situation (depersonalization) and a belief that one’s external world is unreal (derealization)
Dissociative Identity Disorder (DID)
alternating personalities
“multiple personality disorders”
Pica Disorder
appetite for substances that are non-nutritive, such as paper, clay, metal, chalk, soil, glass, or sand
Anorexia Nervosa
food intake restriction, distorted body self-perception, and possible excessive exercise
Bulimia Nervosa
binge eating and purging (vomiting or taking a laxative) and possible excessive exercise
Intellectual Disability
significantly impaired intellectual and adaptive functioning defined at an IQ score below 70
Autism Spectrum Disorder
social deficits and communication difficulties, repetitive behaviors and interests, sensory issues, and in some cases, cognitive delays
Attention Deficit Hyperactivity Disorder (ADHD)
significant problems with attention and inhibition control, hyperactivity, or impulsiveness
Specific Learning Disorder
impediment of ability to learn or use specific academic skills
Tourette’s Disorder
multiple physical (motor) tics and at least one vocal (phonic) tic
Obsessive-Compulsive Disorder (OCD)
persistent, unwanted thoughts (obsessions) causing the feeling of needing to engage in a particular action (compulsion) to make the obsession stop
Body Dysmorphic Disorder (BDD)
excessive concern about and preoccupied by one or more imagined or minor defects in their physical features
Hoarding Disorder
excessive acquisition of large quantities of objects and an unwillingness or inability to discard them
Trichotillomania
urge to pull out one’s hair,
Excoriation
urge to pick at one’s own skin
Schizophrenia
failure to recognize what is real
Explanations for Schizophrenia
dopamine overactivity
low frontal lobe brain activity
pregnancy viral infections and
birth complications
genetic influence
breakdown in selective attention
Illness Anxiety Disorder
excessive worry about a serious illness
Conversion Disorder
suffering of neurological symptoms without definable organic cause
Reactive Attachment Disorder
persistent failure to initiate or respond to most social interactions in a developmentally appropriate way
Post-Traumatic Stress Disorder (PTSD)
disturbing, recurring flashbacks after exposure to a traumatic event
Post-Traumatic Growth
recovery from post traumatic events
Adjustment Disorder
unable to adjust or cope with a particular stressor, such as a major life event
Antisocial Personality Disorder
pervasive pattern of manipulation and a disregard for the rights of others
Dependent Personality Disorder
pervasive psychological dependence on other people
Histrionic Personality Disorder
excessive attention-seeking
PRAISE ME
Provocative behavior
Relationships are considered more intimate than they actually are
Attention-seeking
Influenced easily
Speech style wants to impress
Emotional instability
Make-up (drawing physical attention)
Exaggerated emotions
Avoidant Personality Disorder
sensitivity to negative evaluation and avoidance of social interaction
Narcissistic Personality Disorder
extreme egocentrism and self-importance and excessive preoccupation with power, prestige, and vanity
Borderline Personality Disorder
impulsivity and extreme instability in emotions, relationships, and self-image