psych

5.3: Introduction to Psychological Disorders

  • Psychological Disorder: A syndrome marked by a clinically significant disturbance in cognition, emotion regulation, or behavior. From a biopsychosocial perspective, it arises from biological predispositions, psychological stressors, and social influences.

  • Maladaptive: Behaviors or thoughts that hinder a person's ability to function in daily life—like avoiding work due to anxiety.

  • Dysfunctional: A breakdown in normal functioning—physically, mentally, or socially.

  • Distress: Emotional suffering caused by a disorder, such as sadness or fear.

  • Subjective Discomfort: The personal experience of emotional pain, even if there's no visible dysfunction.

  • Diathesis-Stress Model: A theory suggesting that a predisposition (genetic or biological) combines with stress (environmental triggers) to result in a disorder.

  • Epigenetics: The study of how environmental factors affect gene expression, explaining how life experiences can activate or suppress genetic risks.

  • DSM-5-TR: The Diagnostic and Statistical Manual of Mental Disorders, used by clinicians to classify and diagnose disorders.

Perspectives on Disorders:

  • Psychodynamic: Disorders stem from unresolved unconscious conflicts (e.g., repressed childhood trauma).

  • Behavioral: Focuses on learned behaviors and conditioning—like phobias learned through association.

  • Humanistic: Disorders result from blocked personal growth or lack of unconditional positive regard.

  • Cognitive: Emphasizes irrational or maladaptive thought patterns as causes (e.g., catastrophizing in anxiety).

  • Biological: Views disorders as stemming from brain chemistry, genetics, or neuroanatomy.

  • Evolutionary: Some disorders may be exaggerated versions of adaptive behaviors (e.g., anxiety as overactive threat detection).

  • Sociocultural: Considers how culture, environment, and societal norms shape disorders and their expression.

  • Biopsychosocial: Integrates all perspectives to explain how biology, psychology, and environment interact.


5.4a: Anxiety and Trauma-Related Disorders

  • Anxiety Disorders: Disorders marked by excessive fear and anxiety and related behavioral disturbances.

  • Social Anxiety Disorder: Fear of being judged in social situations; cognitive view emphasizes distorted beliefs about embarrassment.

  • Generalized Anxiety Disorder (GAD): Persistent, uncontrollable worry about multiple areas of life.

  • Panic Disorder: Recurrent panic attacks with physical symptoms (e.g., heart palpitations).

  • Agoraphobia: Fear of situations where escape might be difficult; often co-occurs with panic disorder.

  • Specific Phobia: Intense, irrational fear of a specific object/situation (e.g., spiders).

  • Obsessive-Compulsive Disorder (OCD): Intrusive thoughts (obsessions) and repetitive behaviors (compulsions) to reduce anxiety.

  • Post-Traumatic Stress Disorder (PTSD): Persistent re-experiencing of a traumatic event, avoidance, and heightened arousal.


5.4b: Mood Disorders

  • Depressive Disorders: Characterized by persistent feelings of sadness or loss of interest.

  • Bipolar Disorders: Involve alternating episodes of depression and mania.

  • Major Depressive Disorder (MDD): Severe and long-lasting sadness with cognitive and physical symptoms.

  • Persistent Depressive Disorder (Dysthymia): Chronic, less intense depression lasting at least two years.

  • Bipolar I Disorder: Includes full manic episodes and usually depressive episodes.

  • Bipolar II Disorder: Includes hypomanic (less severe) episodes and major depressive episodes.

  • Mania: A hyperactive, wildly optimistic state with poor judgment and impulsivity.


5.4c: Schizophrenia and Psychosis

  • Schizophrenia Spectrum Disorder: A group of severe disorders involving distorted thoughts, perceptions, emotions, and behaviors.

  • Psychotic Disorders: Involve a break from reality, often with hallucinations and delusions.

  • Delusions: False beliefs (e.g., believing you are being watched or controlled).

  • Positive Symptoms: Excesses or distortions (e.g., hallucinations).

  • Negative Symptoms: Absence of normal behavior (e.g., flat affect, social withdrawal).

Biological theories focus on dopamine dysregulation and brain abnormalities. Cognitive approaches explore misinterpretations of reality.


5.4d: Dissociative, Personality, and Other Disorders

  • Dissociative Disorders: Involve disruptions in consciousness, memory, identity, or perception.

  • Dissociative Identity Disorder (DID): Two or more distinct identities within one individual.

  • Dissociative Amnesia: Inability to recall personal information, often after trauma.

  • Personality Disorders: Enduring maladaptive personality traits.

  • Antisocial Personality Disorder: Disregard for others, lack of empathy, impulsivity.

  • Feeding and Eating Disorders: Disturbed eating patterns.

  • Anorexia Nervosa: Intense fear of gaining weight, severe restriction.

  • Bulimia Nervosa: Binge eating followed by purging.

  • Neurodevelopmental Disorders: Originate in childhood and impact development.

  • Specific Learning Disorders: Difficulties in reading, writing, or math.

  • Motor Disorders: Involve movement abnormalities like tics.

  • Autism Spectrum Disorders: Deficits in social interaction, communication, and repetitive behaviors.

  • ADHD: Inattention, hyperactivity, impulsivity.


5.5a: Approaches to Treatment

  • Psychotherapy: Talk-based treatment aiming to change thoughts, emotions, and behaviors.

  • Biomedical Therapy: Uses medication or medical procedures.

  • Eclectic Approach: Combines methods from different psychological perspectives.

  • Psychoanalysis: Freudian method focused on unconscious motives and conflicts.

  • Insight Therapies: Help clients gain deeper self-understanding.

  • Person-Centered Therapy: Humanistic therapy by Carl Rogers emphasizing self-growth.

  • Active Listening: Therapist echoes and restates feelings.

  • Unconditional Positive Regard: Accepting the client without judgment.


5.5b: Behavioral and Cognitive Therapies

  • Behavioral Therapist: Focuses on changing maladaptive behaviors.

  • Counterconditioning: Pairs a trigger with a new response (e.g., relaxation).

  • Exposure Therapies: Gradual exposure to feared object or context.

  • Systematic Desensitization: Step-by-step exposure paired with relaxation.

  • Aversion Therapy: Pairs unwanted behavior with discomfort.

  • Token Economy: Uses reinforcement tokens to encourage behavior.

  • Cognitive Therapy: Challenges negative thought patterns.

  • Rational Emotive Behavior Therapy (REBT): Helps clients dispute irrational beliefs (Albert Ellis).

  • Cognitive Behavioral Therapy (CBT): Combines cognitive and behavioral techniques to change thinking and behavior.

  • Group Therapy: Involves treating multiple clients together to benefit from group interaction.


5.5d: Biomedical Therapies

  • Antipsychotic Drugs: Treat schizophrenia by reducing dopamine activity.

  • Antianxiety Drugs: Depress central nervous system activity (e.g., benzodiazepines).

  • Antidepressant Drugs: Typically SSRIs, increase serotonin availability.

  • Electroconvulsive Therapy (ECT): Used in severe depression; induces a brief brain seizure under anesthesia.