Psychological Disorders and Treatment Approaches

The Medical Model

  • Concept that diseases, particularly psychological disorders, have physical causes that can be diagnosed, treated, and cured, often through treatment in a hospital.

  • May involve treatment in a psychiatric hospital.

  • Suggests issues with neurotransmitters associated with disorders.

  • Emphasizes a biological and medical perspective, asserting that many genes collectively influence brain and biochemical abnormalities that contribute to major psychological disorders.

Biopsychosocial Approach

  • A method emphasizing the interplay of biological, psychological, and sociocultural influences on psychological disorders.

  • Posits that the mind and body are inseparable.

Diathesis Stress Model / Vulnerability Stress Model

  • Concept stating that genetic predispositions interact with environmental stressors to influence the development of psychological disorders.

DSM (Diagnostic and Statistical Manual of Mental Disorders)

  • Provides a standardization of symptoms for psychological disorders.

  • Cons:
      - Labels can be subjective or represent value judgments posing as scientific data.
      - Labels can alter reality by priming individuals to confirm their expectations.

Panic Disorder

  • An anxiety disorder characterized by sudden episodes of intense dread.

  • Symptoms include terror and anxiety-related sensations like chest pain and feelings of choking.

  • Episodes usually last for minutes and are often followed by worries of having another attack, causing individuals to develop a fear of fear itself.

Specific Phobia

  • Marked by a persistent, irrational fear and avoidance of specific objects, activities, or situations.

  • Agoraphobia: Fear of situations where escape may be difficult.

  • Common specific phobias:
      - Acrophobia: Fear of heights
      - Arachnophobia: Fear of spiders

Obsessive Compulsive Disorder (OCD)

  • Characterized by obsessive thoughts that are unwanted and unending.

  • Compulsive behaviors are a response to these obsessive thoughts.

Natural Selection in Relation to Anxiety

  • Suggests that humans are biologically predisposed to fear specific threats faced by our ancestors (e.g., spiders, snakes).

  • Anxiety is generally a response to anticipated future loss, while depression is an often reactive response to past and current stressors.

Depressive Disorders

  • Group of disorders defined by persistent feelings of sadness, emptiness, irritability, and cognitive or physical changes impacting functionality.

  • Major Depressive Disorder:
      - Diagnosis requires 5 or more symptoms lasting at least 2 weeks without substance use.
      - Symptoms include depressed mood and loss of interest in pleasurable activities.

  • Persistent Depressive Disorder (Dysthymia):
      - Customer experiences a depressed mood more often than not for at least 2 years.
      - Main difference between the two disorders is duration.

Bipolar Disorders

  • Bipolar I:
      - Most severe form, marked by episodes of mania (euphoria, excessive talkativeness, high energy) lasting a week or longer.

  • Bipolar II:
      - Less severe; involves cycles of depression and milder forms of mania (hypomania).

  • Major depressive episodes can naturally resolve, but therapy is effective in speeding recovery.

  • In depression, serotonin levels are often found to be scarce or inactive.

Social Cognitive Perspective on Depression

  • This perspective explores how individuals' assumptions and expectations shape their perceptions and experiences.

  • Many individuals suffering from depression hold intensely negative self-views, beliefs about their situations, and pessimistic outlooks on their futures.

  • Both self-defeating beliefs and a negative explanatory style contribute to the perpetuation of depression.

Schizophrenia

  • Positive Symptoms:
      - Presence of inappropriate or disorganized behavior, including disorganized speech.

  • Negative Symptoms:
      - Absence of appropriate behavior, such as affecting a flat emotional state, expressionless faces, and mutism.

  • Hallucinations:
      - Perceptions of stimuli (visual, auditory, tactile, gustatory, olfactory) that do not exist.
      - These are positive symptoms.

  • Delusions:
      - Characterized by disorganized, fragmented thoughts often influenced by false beliefs.

Parental Environment and Risk Factors for Schizophrenia

  • Possible influences on schizophrenia include prenatal factors, such as viral infections during mid-pregnancy that impair fetal brain development.

Dissociative Disorders

  • Defined by a disconnection of a person's consciousness from painful memories, thoughts, and feelings.

  • Example: A Vietnam War veteran experiences amnesia and dissociation after trauma, being discovered in a homeless shelter.

  • Dissociative Identity Disorder:
      - Involves a person exhibiting two or more distinct identities or personality states, leading to a dissociated self from ordinary consciousness.

Antisocial Personality Disorder

  • Characterized by a disregard for others' rights, impulsivity, and criminal behaviors.

  • Antisocial:
      - Refers to behaviors that are harmful and remorseless rather than simply being unsociable.

Eating Disorders

  • Anorexia Nervosa:
      - Characterized by extreme weight loss, prevalent among female adolescents, involving excessive exercise and an intense fear of gaining weight.

  • Bulimia Nervosa:
      - Involves cycles of binge eating alternated with compensatory behaviors (e.g., excessive exercise), leading to significant weight fluctuations.

  • Binge Eating Disorder:
      - Defined by episodes of binge eating without compensatory weight-loss behaviors.

  • Variations in family environments and levels of body satisfaction can influence the development of these disorders.

Autism Spectrum Disorder (ASD)

  • Characterized by impaired theory of mind, including difficulties in understanding body language and the intuitive capacity to infer others' thoughts.

Psychoanalysis

  • Focuses on releasing pent-up energies involved in id, ego, and superego conflicts, with an understanding that individuals may have unconscious, repressed aspects of themselves.

  • Patients engage in free associations, explore resistances, and interpret dreams to unearth repressed feelings and acquire insight.

  • Founded by Sigmund Freud, who highlighted the influence of childhood experiences on adult behavior, noting that mental blocks indicate resistance, drawing the analyst's attention.

  • Focuses on releasing pent-up energies involved in id, ego, and superego conflicts, with an understanding that individuals may have unconscious, repressed aspects of themselves.

  • We do not fully know ourselves, and there are threatening things we repress.

  • Patients engage in free associations, explore resistances, and interpret dreams to unearth repressed feelings allowing the patient to gain self insight.

  • Founded by Sigmund Freud, who emphasized the power of childhood experiences to mold adult behavior.

  • Mental blocks indicate resistance, which the analyst will note.

  • Humanistic therapies are part of the psychodynamic tradition.

  • Views individuals as responding to unconscious forces and childhood experiences and seeks to enhance self insight.

  • Aims to improve psychological functioning by increasing awareness of underlying motives and defenses.