Study Notes on Psychological Disorders

Psychological Disorders in Psychology

Definition of Key Terms

  • Deviant: Refers to behaviors or thoughts that are different, extreme, unusual, or bizarre.

  • Distressing: Experiences that are unpleasant and upsetting for individuals.

  • Dysfunctional: Behaviors or thoughts that interfere with daily activities.

  • Dangerous: A term indicating risk posed to oneself or others.

Approaches to Normal & Abnormal Behavior

  • Deviation from Social Norms: This concept evaluates abnormal behavior in the context of societal expectations, where actions such as those of terrorists or extreme behaviors seen in Amazon tribes are considered deviant.

  • Maladaptive Behavior: Engaging in actions that are detrimental to oneself or others, lacking the ability to adapt positively to environments or situations.

Historical Background of Psychological Disorders

  1. Supernatural & Magical Forces: Early beliefs held that mental illness was due to external supernatural forces.

  2. Biological or Organic Approach: Identifies that psychological issues arise from physical causes.

  3. Psychological Approach: Focuses on internal psychological processes rather than physical causes.

  4. Organismic Approach: Notable early thinkers include:

    • Hippocrates, Socrates, and Plato: Discussed the conflict between emotion and reason.

    • Galen: Proposed the Four Elements and their corresponding bodily fluids (blood, black bile, yellow bile, phlegm).

    • Ayurveda & Atharva Veda: Introduced the three doshas: vatta, pitta, and kapha.

  5. Middle Ages: Dominated by theories of demonology and superstition, highlighted by St. Augustine's contributions.

  6. Renaissance Period: Notable figures like Johann Weyer emphasized psychological conflicts and disturbed relationships.

  7. Age of Reason & Enlightenment: Marked by a move towards rational thought in understanding mental health.

  8. Bio-Psycho-Social Approach: A modern perspective integrating biological, psychological, and social factors.

Diagnostic Frameworks

  • DSM-5 (Diagnostic & Statistical Manual of Mental Disorders): A comprehensive manual that categorizes mental disorders.

  • ICD-10 (International Classification of Diseases): A global standard for diagnosing diseases, including mental disorders.

Factors Underlying Abnormal Behaviors

  • Biological Factors: Includes faulty genes, endocrine imbalances, malnutrition, and injuries.

    • Abnormal neurotransmitter levels, e.g., low GABA associated with anxiety, excess dopamine associated with schizophrenia, low serotonin linked to depression.

  • Genetic Factors: Conditions such as Bipolar Disorder, Schizophrenia, and Intellectual Disability have significant genetic predispositions.

  • Psychological Models:

    • Psychodynamic Model (Freud): Focuses on internal psychic forces:

      • Ego: Concerned with rational thinking and conscious decisions.

      • Superego: Involves moral standards and the morality principle.

    • Behavioral Model: Suggests that abnormal behavior is learned through classical conditioning, operant conditioning, and social learning.

    • Cognitive Model: Focuses on distorted or maladaptive thinking patterns that affect behavior.

    • Humanistic-Existential Model: Emphasizes positive growth, social connections, and an understanding collaborative dynamic.

  • Socio-Cultural Model: Considers psychological disorders a result of war & violence, group prejudice & discrimination, and economic and social changes.

Major Psychological Disorders

Anxiety Disorders
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  • Types of Anxiety Disorders:

    • Panic Disorder: Characterized by recurrent unexpected panic attacks.

    • Phobias: Include specific phobias, social phobias, and agoraphobia.

    • Separation Anxiety Disorder: Incessant fear or anxiety about separation from attachment figures.

Obsessive-Compulsive Disorder (OCD)
  • Obsessive Behavior: Inability to control intrusive thoughts that are upsetting or shameful.

  • Compulsive Behavior: The need to perform repetitive behaviors to relieve the distress from obsessions.

  • Types of OCD:

    • Hoarding Disorder: Involves the accumulation of possessions.

    • Trichotillomania: Compulsive hair-pulling disorder.

    • Excoriation: Skin-picking disorder.

Trauma and Stressor-Related Disorders
  • Post Traumatic Stress Disorder (PTSD): Emotional response after a traumatic event.

Somatic Disorders
  • Definition: Physical symptoms occur without a physical disease.

  • Types of Somatic Disorders:

    • Somatic Symptom Disorder: One or more symptoms causing significant distress.

    • Illness Anxiety Disorder: Occupation with having a serious medical condition.

    • Conversion Disorder: Neurological symptoms without a neurological condition.

Dissociative Disorders
  • Definition: Severance of connections between thoughts and feelings.

  • Types of Dissociative Disorders:

    • Dissociative Amnesia: Selective memory loss, sometimes accompanied by fugue behavior.

    • Dissociative Identity Disorder: Formerly known as multiple personality disorder.

    • Depersonalization/Derealization Disorder: Detachment from self or reality.

Major Depressive Disorder (MDD)
  • Definition: A persistent period of depressed mood with loss of interest in most activities.

  • Symptoms: Body weight changes, sleep disturbances, fatigue, difficulty in concentration, agitation, thoughts of death, excessive guilt or worthlessness.

  • Factors Contributing to Depression:

    1. Genetic predispositions

    2. Age: Women in young adulthood, men in middle age are more prone.

    3. Gender differences in prevalence.

    4. Negative life events and lack of social support.

Bipolar and Related Disorders
  • Bipolar I: Characterized by manic and depressive episodes.

  • Bipolar II: Features hypomanic episodes and depressive episodes.

  • Cyclothymic Disorder: Chronic fluctuating mood disturbance involving numerous episodes of hypomania and depressive symptoms.

Schizophrenia Spectrum Disorders
  • Positive Symptoms: Excess of thoughts, emotions, and behaviors including:

    • Delusions: False beliefs such as persecution or grandeur.

    • Disorganized Thinking: Jumping between topics (derailment) and neologisms.

    • Hallucinations: Can include auditory, visual, olfactory, gustatory, somatic, and tactile hallucinations.

  • Negative Symptoms: Lack of emotional expression, poverty of speech (alogia), blunted and flat affect, avolition (lack of motivation).

  • Psychomotor Symptoms: Includes catatonia, catatonic stupor, rigidity, and posturing.

Neurodevelopmental Disorders
  • ADHD: Characterized by inattention and hyperactivity.

  • Autism Spectrum Disorder: Challenges with social interaction and repetitive behaviors.

  • Intellectual Disability: Below-average cognitive ability with limitations in adaptive functioning.

  • Specific Learning Disorders: Difficulty in specific academic skills.

  • Aggression Types:

    • Oppositional Defiant Disorder: Pattern of angry/irritable mood, argumentative behavior.

    • Conduct Disorder: Involves a pattern of behavior violating societal norms.

Feeding and Eating Disorders
  • Anorexia Nervosa: Characterized by restriction of energy intake relative to requirements, leading to a significantly low body weight.

  • Bulimia Nervosa: Recurrent episodes of binge eating followed by inappropriate compensatory behaviors.

  • Binge Eating Disorder: Involves recurrent episodes of eating large quantities of food.

Substance Use Disorders
  • Alcoholism: Leads to big impairment socially and occupationally, tolerance, physical health issues, and affects societal reaction.

  • Opioids (e.g., Heroin): High potential for dependence and overdose risk.

  • Cocaine: Impairs cognitive function and social relationships, leading to dependence.

Additional Notes
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