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Psychological Disorder
It is a psychological dysfunction within an individual that is associated with distress or impairment in functioning and a response that is not typical or culturally expected.
Criteria for Psychological Disorder
1. psychological dysfunction
2. distress or impairment
3. atypical response
Psychological Dysfunction
breakdown in cognitive, emotional, or behavioral functioning
Distress or Impairment
behavior must be associated with _______ to be classified as a disorder
Distress and suffering
are a natural part of life and do not in themselves constitute a psychological disorder
Atypical or Not Culturally Expected
Actions outside cultural norms or deviates from average
Psychopathology
Scientific study of psychological disorders
Psychopathology
Study of the nature, symptomatology, development, and treatment of psychological disorders
Challenges to the study of Psychopathology
1. Objectivity
2. Avoiding preconceived notions
3. Reducing stigma
Three major categories make up the study and discussion of psychological disorders
1. Clinical description
2. Causation (etiology)
3. Treatment and outcome
Presents
presenting problem of the client
Clinical Description
Unique combination of behaviors, thoughts and feelings that make up a specific disorder
Prevalence
How many people in the population as a whole have the disorder
Incidence
how many new cases occur during a given period, such as a year
2 types of onset
1. acute onset
2. insidious onset
insidious onset
any disease that comes on slowly and does not have obvious symptoms at first
acute onset
meaning that illness begin suddenly
Course
most disorders follow a somewhat individual pattern, or _____
Types of course
1. chronic
2. episodic
3. time-limited
chronic course
meaning that they tend to last a long time, sometimes a lifetime.
episodic course
course in that the individual is likely to recover within a few months only to suffer a recurrence of the disorder at a later time.
time-limited course
meaning the disorder will improve without treatment in a relatively short period with little or no risk of recurrence.
Prognosis
The anticipated course of a disorder
Etiology
the study of origins, has to do with why a disorder begins (what causes it) and includes biological, psychological, and social dimensions
Conversion Hysteria
The viewpoint, originally advanced by Freud
Biopsychosocial Model
The view that biological, psychological, and social factors are all involved in any given state of health or illness.
Asylum
Establishment for the confinement and care of the mentally ill
Moral Therapy
a system originated with the well-known French psychiatrist Philippe Pinel and his close associate Jean-Baptiste Pussin
Moral Therapy
During the first half of the 19th century, a strong psychosocial approach to mental disorders called ______
Dorothea Dix
began the mental hygiene movement and spent much of her life campaigning for reform in the treatment of the mentally ill.
Sigmund Freud
founder of psychoanalytic theory
sex and aggression
Human behavior as determined by unconscious forces such as ____ and ____
Psychopathology
results from conflicts among these unconscious forces
Id
Unconscious
Pleasure Principle
Immediate gratification
Libido
ego
Primarily conscious
Reality Principle
Attempt to satisfy ID's demands within reality's constraints
Superego
The conscience
Develops as we incorporate parental and societal values
Defense Mechanisms
unconscious protective processes that keep primitive emotions associated with conflicts in check so that the ego can continue its coordinating function.
Denial
Refuses to acknowledge some aspect of objective reality or subjective experience that is apparent to others
Displacement
Transfers a feeling about, or a response to, an object that causes discomfort onto another, usually less-threatening, object or person
Projection
Falsely attributes own unacceptable feelings, impulses, or thoughts to another individual or object
Rationalization
Conceals the true motivations for actions, thoughts, or feelings through elaborate reassuring or self-serving but incorrect explanations
Reaction formation
Substitutes behavior, thoughts, or feelings that are the direct opposite of unacceptable ones
Repression
Blocks disturbing wishes, thoughts, or experiences from conscious awareness
Sublimation
Directs potentially maladaptive feelings or impulses into socially acceptable behavior
Psychosexual Stages of Development
1. Oral Stage
2. Anal Stage
3. Phallic Stage
4. Latency Stage
5. Genital Stage
Major Techniques of Psychoanalysis
1. free association
2. interpretation
3. dream analysis
4. analysis of transference
Free Association
patients are instructed to say whatever comes to mind without the usual socially required censoring
Free Association
is intended to reveal emotionally charged material that may be repressed because it is too painful or threatening to bring into consciousness
dream analysis
(still quite popular today), in which the therapist interprets the content of dreams, supposedly reflecting the primary-process thinking of the id, and systematically relates the dreams to symbolic aspects of unconscious conflicts
Interpretation
Analyst points out to the patient the real meaning of the patient's certain behaviors
Analysis of transference
The patient responds to the analyst in ways that the patient has previously responded to other important figures is his or her life, and the analyst helps the patient understand and interpret these responses
Humanistic Theorists
Abraham Maslow
Carl Rogers
Neo-Freudians
Carl Jung
Alfred Adler
Melanie Klein
Erik Erikson
Karen Horney
Humanistic Theory
all about reaching one's potential and free will
Self-actualizing
was the watchword for this movement. The underlying assumption is that all of us could reach our highest potential, in all areas of functioning, if only we had the freedom to grow.
Behavioral Model
Emphasis on Learning rather than innate tendencies and focuses on observable behavior
Classical conditioning
a type of learning in which a neutral stimulus is paired with a response until it elicits that response.
classical conditioning
Learning through association
Operant Conditioning
Learning through consequences