Definition: The scientific study of mental disorders and their treatment.
Diagnostic and Statistical Manual (DSM):
Most widely used diagnostic system for disorders.
DSM-V, published in 2013 by the American Psychiatric Association.
First edition appeared in 1952, listing about 60 disorders; now over 300 known disorders.
Health insurance companies require DSM-V classification for therapy coverage.
Criticism:
Blurs line between normal behavior and pathology.
Atypical (statistically infrequent).
Maladaptive (prevents successful functioning).
Personally distressing.
Irrational (distorted cognitions).
Three Major Categories:
Anxiety Disorders
Mood Disorders
Schizophrenic Disorders
Overview:
Excessive anxiety leads to personal distress and atypical, maladaptive, and irrational behavior.
Specific Disorders:
Specific Phobia
Social Phobia & Agoraphobia
Panic Disorder
Generalized Anxiety Disorder
Obsessive-Compulsive Disorder
Definition:
Marked and persistent fear of specific objects/situations.
Example:
Woman housebound due to fear of birds, irrational thoughts about threats.
Classical conditioning: Little Albert study.
Biological predispositions.
Definition:
Marked fear of social performance situations.
Example:
Avoids eating in public.
Definition:
Fear of situations where escape may be difficult.
Example:
Avoids crowded buses/trains and prefers to stay home.
Definition:
Recurrent panic attacks that may occur unexpectedly.
Explanation:
Fear-of-fear hypothesis related to agoraphobia.
Panic Attack Effects:
Can mimic heart attacks.
Definition:
Excessive, uncontrollable anxiety about various aspects of life for at least 6 months.
Biological Basis:
Involves GABA neurotransmitter dysfunction.
Definition:
Recurrent obsessions (intrusive thoughts) and compulsions (ritualistic behaviors).
Neurotransmitter Involvement:
Possible serotonin imbalance.
Brain Regions:
Elevated activity in the orbital frontal cortex and caudate nucleus.
Case Study:
Severe OCD patient improved after brain injury that removed affected regions.
Overview:
Involve excessive and unwarranted emotional changes.
Types of Mood Disorders:
Major Depressive Disorder
Bipolar Disorder
Definition:
One or more major depressive episodes lasting at least two weeks with symptoms such as:
Intense hopelessness, low self-esteem, extreme fatigue, mood changes.
Distinction:
Normal sadness after life events vs. major depressive disorder.
Biological Explanations:
Neurotransmitter imbalances, especially serotonin and norepinephrine.
Higher concordance rates in identical twins vs. fraternal twins.
Definition:
Mood swings between depression and mania.
Manic Episodes:
Elevated mood, decreased need for sleep, impulsivity.
Types:
Bipolar I (full-blown manic/depressive episodes)
Bipolar II (milder manic episodes).
Biological Explanations:
Strong genetic factors; research on specific vulnerability genes.
Lithium:
Mineral salt used to stabilize mood.
Must be monitored for toxicity.
Alternative Medications:
Anticonvulsants for patients with side effects from lithium.
Prevalence:
1% of the population; more initiate in late adolescence/young adulthood.
Characteristics:
Loss of reality contact, termed "split mind".
Positive Symptoms:
Hallucinations and delusions.
Negative Symptoms:
Lack of emotions, reduced energy, social withdrawal.
Disorganized Symptoms:
Disorganized speech and behavior, emotional flatness.
Hallucinations
Delusions
Disorganized speech
Disorganized/catatonic behavior
Negative symptoms
Types Include:
Disorganized, Catatonic, Paranoid, Undifferentiated, Residual.
Type I: Positive symptoms; better recovery chances.
Type II: Negative symptoms; often linked to permanent brain abnormalities.
Definition:
Pervasive patterns of maladaptive behavior beginning in childhood/adolescence.
Prevalence:
Affects 10-14% of the population.
Paranoid
Schizotypal
Schizoid
Antisocial
Borderline
Histrionic
Narcissistic
Avoidant
Dependent
Obsessive-Compulsive
Antisocial Personality Disorder:
Lack of regard for others; impulsive and aggressive behavior.
Borderline Personality Disorder:
Intense, unstable relationships and fear of abandonment.