SOCIAL PSYCHOLOGY 1
Ultra social organisms
Humans are amongst the most social living species
humans may be considered ultrasocial, along with a few types of insects and rodents
Ants and bees, termites, mole rats
Ultra social organisms form large societies, divide labour, and cooperate for mutual benefit
they have food management systems (agriculture)
Social psychology - study of the causes and consequences of being social
focusing on a few aspects of being social:
Cooperation and competition
Group behaviour
Altruism
Reproduction/ romantic relationships
Competition and Cooperation
animals social behaviour is determined by the scarcity of their resources
Cooperation - working together toward common goals
Competition - struggling with one another to obtain limited resources
—> Aggression—behaviour with the purpose of harming another
competition and cooperation both serve the same purpose: survival
Cooperation
behaviour by two or more individuals that leads to mutual benefit
cooperation is one way of solving the problem of scarcity or resources
cooperation can also be risky
Group Cognition
Groups - are collections of people that have something in common that distinguishes them from others
ex. families, teams, religions, cults, ethnicities, nations
We tend to have positive prejudices and exhibit positive discrimination toward members of our in-group
group biases may be deeply ingrained in human evolution
present in non-human primates
shirt colour, arm band colour
Group Cognition pt2
experience with diversity in childhood decreases group biases
ex. white students with black teachers in Chicago
SOCIAL PSYCHOLOGY PT 2
kinzer, Dupoux, and Spelke examined in-group preferences amongst infants and kindergarten-aged children in Chicago and Paris
Implicit Association Test
one measure of implicit bias is called the Implicit Association Test
it measures biases that we are unable to prepare ourselves…
these differ from biases that we are unwilling to report ourselves
Group Cognition
Group cognition comes with other risks…
Group polarization
groups sometimes make decisions that are more extreme than any member would have made alone
Groupthink
groups can sometimes reach consensus too easily
Diffusion of responsibility
individuals feel diminished responsibility for their actions when surrounded by others acting the same way
Common knowledge effect
group discussions sometimes revolve around information that everyone shares
Aggression
One hypothesis for why humans and other animals agrees is the frustration-aggression
hypothesis: animals are aggressive when their desires are frustrated
BUT researchers argue that this hypothesis is UNTRUE
humans sometimes agrees when they are feeling negative emotional states or experiencing physical discomfort
Individual Differences in Aggression
humans are more likely to aggress:
Genetics, biological factors, sex, culture, environmental factors, testosterone levels, societal expectations
Biology and Aggression
The greatest predictors of an individual's level of aggression are…
their immediate family members, sex
males are significantly more aggressive than females
Testosterone and Aggression
Why does testosterone make ppl more aggressive?
it actually decreases individuals threat assessments when in danger
ppl with more testosterone may be less afraid of retaliation
Culture and Aggression
aggression is evolutionarily adaptive
Altruism
cooperation helps us acquire and protect our resources
It’s adaptive for our survival
altruism - is behaviour that benefits another without benefiting oneself
Kinship selection - extending “altruistic” behaviour to related individuals, this increasing the likelihood that one’s genetic material will be passed on
Recreation - extending “altruistic” behaviour with the expectation that the favour will be returned
Reproduction
Reproduction is one way in which almost all animals are social
Selection
humans are very selective in terms of their sexual partners
females (sex) tend to be more selective than males are..
Biological factors: sperm count, egg count, physical requirements/ changes of pregnancy, males can keep reproducing constantly; females can only reproduce approximately once a year
women are more selective than men because of societal pressure..
Cultural courtship rituals can affect this selectivity
Attraction
ppl tend to choose sexual partners based on:
Physical
Situational
Psychological
Physical attraction
one of the first thing we notice about a social partner is their physical appearance
this factor is the most powerful at first
beauty is universally beneficial but it’s not universal
Situational attraction
exposure effect is the tendency for humans to become more attracted to each other with repeated exposure
Capilano Bridge experiment - researchers conducted research on two bridges…
Capilano bridge - high, unstable, and wobbly
A low, stable bridge - safe and not arousing
Procedure
male participants crossing the bridge were approached by an attractive women who asked them to complete a survey and gave them their phone number
Results
men on the unstable bridge were more likely to call the attractive female then the ones on the stable
Conclusion
men on the unstable bridge experienced physical arousal (fear, adrenaline) and mistaken it for romantic or sexual attraction to the woman
Psychological attraction
we are more attracted to ppl who are similar to ourselves…
level of education, religion, personality
SOCIAL PSYCHOLOGY PT 3
Controlling other People
we often attempt to influence other individuals, this is called social influence
we will explore two motivations for this susceptibility:
The hedonic motivation & Approval motivation
Hedonic Motivation
the greatest motivation that humans have is attraction to pleasure and aversion to pain
hedonic principle in emotion chapter was that..”all emotion is rooted in approach to pleasure and avoidance of pain”
Why do we attend university?
University -> better job -> high income -> more physical comfort and security -> pleasure
appealing to the hedonic principle is one of the most powerful ways to control others
government fines/ jail sentences appeal to the hedonic principle, bonuses at work, and teachers giving stickers to good students
appealing to the hedonic principle can backfire when it's intrinsically motivated…
In a study with children, pepper and colleagues (1973) divided into two groups:
Procedure
Children were given a prize for drawing
Children who were allowed to draw but not given a prize
Result
Children who were given no prize were interested in the markers rather than children who already received them..
Approval Motivation
normative influence - obeying norms because they make us more likeable
normative influence causes us to conform to the behaviour of others
Asch’s conformity study:
asch asked participants to complete a very easy experiment
the seven other participants were research assistants
he found that despite the obvious answer a significant percentage of the participants conformed to the groups incorrect judgment even when they knew it was wrong
75% of asch's participants answered incorrectly, even though they clearly knew the correct answers because they chose to follow the participants before them - conforming to the groups incorrect judgment
CLINICAL PSYCHOLOGY PT 1
Mental disorder
persistent disturbance or dysfunction in behaviour, thoughts, or emotions that causes significant distress or impairment
Medical Model
atypical, distressing psychological experiences are classified as illnesses that have biological causes
Biopsychosocial model
atypical distressing psychological experiences are classified as illnesses that have biological, psychological, and social causes
Psychopathology
the scientific study of mental disorders
psychopathy = a specific term used in describing aspects of antisocial personality disorder
Overpathologizing
attributing diverse or atypical behaviours or thoughts to psychological illness, particularly when diagnostic criteria are not met
Diagnostic criteria
a set of symptoms, behaviours, or characters that must be present in order to diagnose an individual with a disorder
diagnostic criteria for physiological disorders can sometimes be quite simple
for most psychological disorders, there is usually not a black-and-white diagnostic test
clinicians rely on a set of criteria evaluated with a number of different instruments:
questionnaires and interviews
behavioural observation
Patient history
DSM-5
the diagnostic and statistical manual of mental disorders is in its fifth edition
used predominantly in North America
uses a biopsychosocial model
only used for diagnosis by clinicians
DSM-5 divides mental disorders into 22 categories, including:
anxiety disorders
depressive disorders
bipolar disorders
personality disorders
obsessive-compulsive disorders
includes information about each disorder that it classifies:
diagnostic criteria
onset
prognosis
risk factors / etiology
comorbidities
Diagnostic criteria
most dsm have three diagnostic criteria in common:
causes significant distress/ affects functioning
cannot be attributed to substance use or other medical condition
cannot be better described by another dsm diagnosis
Onset: the chronological age or situational period when the symptoms of a disorder first appear in an individual
When does it usually start?
Prognosis: the likely course (trajectory, development) of a disorder
What will happen next? When will the disorder go into remission?
Risk factors and Etiology
Risk factors: a set of biological, psychological and social characteristics that increase the likelihood of having a disorder
Etiology: the biological, psychological and/ or social causes of a disorder
Diathesis-stress model: risk for a disorder combines with life circumstances to lead to the disorder
What causes the disorder? What makes one individual more likely to have the disorder than another individual
Comorbidities: other psychological or physical disorders that frequently co-occur with the disorder in question
what other disorders often appear with this one?
Complains of the DSM-5
the dsm-5 can lead to overpathologizing, many disorders are likely more spectral
CLINICAL PSYCHOLOGY PT 2
Learning specific disorders
Anxiety disorders
fear and anxiety are adaptive reactions to threats
It is typical to be fearful of a lion or anxious about an upcoming exam.
anxiety that interferes with normal functioning is maladaptive
pathological anxiety is classified as one of the many anxiety disorders
30% of ppl in Canada will experience one, only 5% are actually diagnosed
DSM-5 recognizes 12 types of anxiety disorders:
Generalized anxiety disorder
Specific phobia
Social anxiety disorder
Panic disorder
Generalized anxiety disorder: a disorder (GAD) is an anxiety disorder in which worries are not focused on any specific threat
we can use GAD to examine the different parts of the DSM
Generalized anxiety disorder: criteria
Diagnostic criteria
excessive anxiety and worry, occurring more days than for at least 6 months, about more than one event/ stressor
Individual finds it difficult to control the worry
Three or more of these symptoms:
Restlessness
Fatigue
Concentration deficiency
Irritability
Muscle tension
Sleepy disturbance
Diagnostic criteria (three things common to all psychological disorders)
4. causes significant distress/ affects functioning
5. cannot be attributed to substance use or other medical conditions
6. cannot be better described by another DSM diagnosis
Generalized anxiety disorder: Onset
onset of GAD rarely occurs prior to adolescence
median age for diagnosis is age 30
many patients report having anxiety symptoms for a long time before reporting them
level of anxiety is constant throughout the lifespan
worries change from education, getting good grades, money and financial situations, aging
Generalized anxiety disorder: Prognosis
for individuals, severity of symptoms waxes and wanes across the lifespan
Phobic disorders: phobic disorder is a disorder characterized by marked, persistent, excessive fear of specific objects, activities or situations
a person recognizes the irrationality of their fear but cannot control it…
Preparedness theory: Phobic Disorders
preparedness theory: we may be evolutionarily adapted to fear certain types of stimulus
Evidence of this hypothesis is conditioning:
it is difficult to eradicate primates’ fear of snakes via exposure
it is difficult to condition fear of other objects, even if they can be dangerous (electrician outlets, poisonous plants)
there fears may be overdeveloped in some individuals
CLINICAL PSYCHOLOGY PT 3
Intro to Schizophrenia Spectrum Disorders
Serious mental illness
serious/ severe mental illness (SMI) are characterized by significant disturbances in thinking, emotional regulation, or behaviour, leading to significant distress and/ or impairment in social, educational or occupational functioning (WHO, 2022)
schizophrenia, bipolar disorder, and major depressive disorder
SMI’s involve Psychosis
experience in which a person's perceptions, thoughts, and mood are significantly altered
Psychosis Vs. Schizophrenia
Hallmark experience of schizophrenia
Individuals who develop schizophrenia or psychosis will each have their own unique combination of symptoms and experiences
everyone with schizophrenia experiences psychosis but not everyone who has experienced psychosis has experienced schizophrenia
DSM-5 SSDs (schizophrenia spectrum disorders)
Schizophrenia
chronic disorder with persistent psychotic symptoms like delusions, and disorganized thinking
Schizoaffective Disorder
mix of schizophrenia and mood disorder symptoms
Delusional Disorder
persistent delusions without other major schizophrenia symptoms
Schizophreniform Disorder
similar to schizophrenia but lasts 1 to 6 months
Brief Psychotic Disorder
sudden onset of psychotic symptoms; last 1 day > 1 month
Substance / Medicine-induced psychotic disorder
disorder where psychotic symptoms are directly caused by use and/or withdrawal or substance or medication
Psychosis OUTSIDE the schizophrenia spectrum:
Bipolar disorder, major depressive disorder, dementia
Schizophrenia: DSM-5 Criteria
core symptoms (at least 2 required, with at least 1 being delusions, hallucinations or disorganized speech)
continuous signs of disturbance for at least 6 months (1 month active phase)
Common Positive Symptoms
Hallucinations
hearing voices, noises - can give orders or commands
Delusions
Persecutory (paranoia): someone is poisoning my food
Grandiose: I am the chosen one to save humanity
Referential: that song on the radio is trying to send me a special message
Thought control: the fbi is placing thoughts into my mind that aren’t my own
Schizophrenia Phases: Proximal period, Active/Acute Phase, Residual Phase
Proximal period
Initial deterioration in functioning, problems with thinking, memory, and attention
Active / Acute Phase
core psychotic symptoms are the most prominent and severe, positive and negative symptoms can be present
Residual Phase
occurs after symptom improvement, reduced positive symptoms, prominent negative symptoms
Comorbid (Co-occurring) experiences:
depression
Social anxiety disorder
Post-traumatic stress disorder
Autism spectrum disorder
Medical comorbidity
Forensic Mental Healthcare System
integrates both mental health system and criminal justice system, care for ppl with mental illnesses convicted of crimes
goals: serve the unique needs of people with mental illness who come into contact with the law
Clinical Psychologists
• Conduct specialized psychological assessments as part of broader forensic assessments to assess issues related to intelligence, personality, and malingering (determining if someone is pretending/exaggerating
symptoms of mental illness)
Mental health professionals in the Forensic Mental Healthcare system
Psychiatrists
• Lead forensic assessments (criminal responsibility, fitness to stand trial)
• Prescribe medications
Nurses
• Look after daily needs of clients in the system; provide daily healthcare
(e.g., medications), assist with activities of daily living, etc
Recreational Therapists
• Help clients in the system meaningfully participate in recreational
activities to improve physical and mental well-being (e.g., crafts, sports,
group outings)
Social Workers
• Assist with the transition into the community, getting financial and community support.
Occupational Therapists
• Assist with improving daily functioning, including the ability to complete activities of daily living (e.g., cooking, taking medication) and employment skills
psychology final exam pt 1
SOCIAL PSYCHOLOGY 1
Ultra social organisms
Humans are amongst the most social living species
humans may be considered ultrasocial, along with a few types of insects and rodents
Ants and bees, termites, mole rats
Ultra social organisms form large societies, divide labour, and cooperate for mutual benefit
they have food management systems (agriculture)
Social psychology - study of the causes and consequences of being social
focusing on a few aspects of being social:
Cooperation and competition
Group behaviour
Altruism
Reproduction/ romantic relationships
Competition and Cooperation
animals social behaviour is determined by the scarcity of their resources
Cooperation - working together toward common goals
Competition - struggling with one another to obtain limited resources
—> Aggression—behaviour with the purpose of harming another
competition and cooperation both serve the same purpose: survival
Cooperation
behaviour by two or more individuals that leads to mutual benefit
cooperation is one way of solving the problem of scarcity or resources
cooperation can also be risky
Group Cognition
Groups - are collections of people that have something in common that distinguishes them from others
ex. families, teams, religions, cults, ethnicities, nations
We tend to have positive prejudices and exhibit positive discrimination toward members of our in-group
group biases may be deeply ingrained in human evolution
present in non-human primates
shirt colour, arm band colour
Group Cognition pt2
experience with diversity in childhood decreases group biases
ex. white students with black teachers in Chicago
SOCIAL PSYCHOLOGY PT 2
kinzer, Dupoux, and Spelke examined in-group preferences amongst infants and kindergarten-aged children in Chicago and Paris
Implicit Association Test
one measure of implicit bias is called the Implicit Association Test
it measures biases that we are unable to prepare ourselves…
these differ from biases that we are unwilling to report ourselves
Group Cognition
Group cognition comes with other risks…
Group polarization
groups sometimes make decisions that are more extreme than any member would have made alone
Groupthink
groups can sometimes reach consensus too easily
Diffusion of responsibility
individuals feel diminished responsibility for their actions when surrounded by others acting the same way
Common knowledge effect
group discussions sometimes revolve around information that everyone shares
Aggression
One hypothesis for why humans and other animals agrees is the frustration-aggression
hypothesis: animals are aggressive when their desires are frustrated
BUT researchers argue that this hypothesis is UNTRUE
humans sometimes agrees when they are feeling negative emotional states or experiencing physical discomfort
Individual Differences in Aggression
humans are more likely to aggress:
Genetics, biological factors, sex, culture, environmental factors, testosterone levels, societal expectations
Biology and Aggression
The greatest predictors of an individual's level of aggression are…
their immediate family members, sex
males are significantly more aggressive than females
Testosterone and Aggression
Why does testosterone make ppl more aggressive?
it actually decreases individuals threat assessments when in danger
ppl with more testosterone may be less afraid of retaliation
Culture and Aggression
aggression is evolutionarily adaptive
Altruism
cooperation helps us acquire and protect our resources
It’s adaptive for our survival
altruism - is behaviour that benefits another without benefiting oneself
Kinship selection - extending “altruistic” behaviour to related individuals, this increasing the likelihood that one’s genetic material will be passed on
Recreation - extending “altruistic” behaviour with the expectation that the favour will be returned
Reproduction
Reproduction is one way in which almost all animals are social
Selection
humans are very selective in terms of their sexual partners
females (sex) tend to be more selective than males are..
Biological factors: sperm count, egg count, physical requirements/ changes of pregnancy, males can keep reproducing constantly; females can only reproduce approximately once a year
women are more selective than men because of societal pressure..
Cultural courtship rituals can affect this selectivity
Attraction
ppl tend to choose sexual partners based on:
Physical
Situational
Psychological
Physical attraction
one of the first thing we notice about a social partner is their physical appearance
this factor is the most powerful at first
beauty is universally beneficial but it’s not universal😭
Situational attraction
exposure effect is the tendency for humans to become more attracted to each other with repeated exposure
Capilano Bridge experiment - researchers conducted research on two bridges…
Capilano bridge - high, unstable, and wobbly
A low, stable bridge - safe and not arousing
Procedure
male participants crossing the bridge were approached by an attractive women who asked them to complete a survey and gave them their phone number
Results
men on the unstable bridge were more likely to call the attractive female then the ones on the stable
Conclusion
men on the unstable bridge experienced physical arousal (fear, adrenaline) and mistaken it for romantic or sexual attraction to the woman
Psychological attraction
we are more attracted to ppl who are similar to ourselves…
level of education, religion, personality
SOCIAL PSYCHOLOGY PT 3
Controlling other People
we often attempt to influence other individuals, this is called social influence
we will explore two motivations for this susceptibility:
The hedonic motivation & Approval motivation
Hedonic Motivation
the greatest motivation that humans have is attraction to pleasure and aversion to pain
hedonic principle in emotion chapter was that..”all emotion is rooted in approach to pleasure and avoidance of pain”
Why do we attend university?
University -> better job -> high income -> more physical comfort and security -> pleasure
appealing to the hedonic principle is one of the most powerful ways to control others
government fines/ jail sentences appeal to the hedonic principle, bonuses at work, and teachers giving stickers to good students
appealing to the hedonic principle can backfire when it's intrinsically motivated…
In a study with children, pepper and colleagues (1973) divided into two groups:
Procedure
Children were given a prize for drawing
Children who were allowed to draw but not given a prize
Result
Children who were given no prize were interested in the markers rather than children who already received them..
Approval Motivation
normative influence - obeying norms because they make us more likeable
normative influence causes us to conform to the behaviour of others
Asch’s conformity study:
asch asked participants to complete a very easy experiment
the seven other participants were research assistants
he found that despite the obvious answer a significant percentage of the participants conformed to the groups incorrect judgment even when they knew it was wrong
75% of asch's participants answered incorrectly, even though they clearly knew the correct answers because they chose to follow the participants before them - conforming to the groups incorrect judgment
CLINICAL PSYCHOLOGY PT 1
Mental disorder
persistent disturbance or dysfunction in behaviour, thoughts, or emotions that causes significant distress or impairment
Medical Model
atypical, distressing psychological experiences are classified as illnesses that have biological causes
Biopsychosocial model
atypical distressing psychological experiences are classified as illnesses that have biological, psychological, and social causes
Psychopathology
the scientific study of mental disorders
psychopathy = a specific term used in describing aspects of antisocial personality disorder
Overpathologizing
attributing diverse or atypical behaviours or thoughts to psychological illness, particularly when diagnostic criteria are not met
Diagnostic criteria
a set of symptoms, behaviours, or characters that must be present in order to diagnose an individual with a disorder
diagnostic criteria for physiological disorders can sometimes be quite simple
for most psychological disorders, there is usually not a black-and-white diagnostic test
clinicians rely on a set of criteria evaluated with a number of different instruments:
questionnaires and interviews
behavioural observation
Patient history
DSM-5
the diagnostic and statistical manual of mental disorders is in its fifth edition
used predominantly in North America
uses a biopsychosocial model
only used for diagnosis by clinicians
DSM-5 divides mental disorders into 22 categories, including:
anxiety disorders
depressive disorders
bipolar disorders
personality disorders
obsessive-compulsive disorders
includes information about each disorder that it classifies:
diagnostic criteria
onset
prognosis
risk factors / etiology
comorbidities
Diagnostic criteria
most dsm have three diagnostic criteria in common:
causes significant distress/ affects functioning
cannot be attributed to substance use or other medical condition
cannot be better described by another dsm diagnosis
Onset: the chronological age or situational period when the symptoms of a disorder first appear in an individual
When does it usually start?
Prognosis: the likely course (trajectory, development) of a disorder
What will happen next? When will the disorder go into remission?
Risk factors and Etiology
Risk factors: a set of biological, psychological and social characteristics that increase the likelihood of having a disorder
Etiology: the biological, psychological and/ or social causes of a disorder
Diathesis-stress model: risk for a disorder combines with life circumstances to lead to the disorder
What causes the disorder? What makes one individual more likely to have the disorder than another individual
Comorbidities: other psychological or physical disorders that frequently co-occur with the disorder in question
what other disorders often appear with this one?
Complains of the DSM-5
the dsm-5 can lead to overpathologizing, many disorders are likely more spectral
CLINICAL PSYCHOLOGY PT 2
Learning specific disorders
Anxiety disorders
fear and anxiety are adaptive reactions to threats
It is typical to be fearful of a lion or anxious about an upcoming exam.
anxiety that interferes with normal functioning is maladaptive
pathological anxiety is classified as one of the many anxiety disorders
30% of ppl in Canada will experience one, only 5% are actually diagnosed
DSM-5 recognizes 12 types of anxiety disorders:
Generalized anxiety disorder
Specific phobia
Social anxiety disorder
Panic disorder
Generalized anxiety disorder: a disorder (GAD) is an anxiety disorder in which worries are not focused on any specific threat
we can use GAD to examine the different parts of the DSM
Generalized anxiety disorder: criteria
Diagnostic criteria
excessive anxiety and worry, occurring more days than for at least 6 months, about more than one event/ stressor
Individual finds it difficult to control the worry
Three or more of these symptoms:
Restlessness
Fatigue
Concentration deficiency
Irritability
Muscle tension
Sleepy disturbance
Diagnostic criteria (three things common to all psychological disorders)
4. causes significant distress/ affects functioning
5. cannot be attributed to substance use or other medical conditions
6. cannot be better described by another DSM diagnosis
Generalized anxiety disorder: Onset
onset of GAD rarely occurs prior to adolescence
median age for diagnosis is age 30
many patients report having anxiety symptoms for a long time before reporting them
level of anxiety is constant throughout the lifespan
worries change from education, getting good grades, money and financial situations, aging
Generalized anxiety disorder: Prognosis
for individuals, severity of symptoms waxes and wanes across the lifespan
Phobic disorders: phobic disorder is a disorder characterized by marked, persistent, excessive fear of specific objects, activities or situations
a person recognizes the irrationality of their fear but cannot control it…
Preparedness theory: Phobic Disorders
preparedness theory: we may be evolutionarily adapted to fear certain types of stimulus
Evidence of this hypothesis is conditioning:
it is difficult to eradicate primates’ fear of snakes via exposure
it is difficult to condition fear of other objects, even if they can be dangerous (electrician outlets, poisonous plants)
there fears may be overdeveloped in some individuals
CLINICAL PSYCHOLOGY PT 3
Intro to Schizophrenia Spectrum Disorders
Serious mental illness
serious/ severe mental illness (SMI) are characterized by significant disturbances in thinking, emotional regulation, or behaviour, leading to significant distress and/ or impairment in social, educational or occupational functioning (WHO, 2022)
schizophrenia, bipolar disorder, and major depressive disorder
SMI’s involve Psychosis
experience in which a person's perceptions, thoughts, and mood are significantly altered
Psychosis Vs. Schizophrenia
Hallmark experience of schizophrenia
Individuals who develop schizophrenia or psychosis will each have their own unique combination of symptoms and experiences
everyone with schizophrenia experiences psychosis but not everyone who has experienced psychosis has experienced schizophrenia
DSM-5 SSDs (schizophrenia spectrum disorders)
Schizophrenia
chronic disorder with persistent psychotic symptoms like delusions, and disorganized thinking
Schizoaffective Disorder
mix of schizophrenia and mood disorder symptoms
Delusional Disorder
persistent delusions without other major schizophrenia symptoms
Schizophreniform Disorder
similar to schizophrenia but lasts 1 to 6 months
Brief Psychotic Disorder
sudden onset of psychotic symptoms; last 1 day > 1 month
Substance / Medicine-induced psychotic disorder
disorder where psychotic symptoms are directly caused by use and/or withdrawal or substance or medication
Psychosis OUTSIDE the schizophrenia spectrum:
Bipolar disorder, major depressive disorder, dementia
Schizophrenia: DSM-5 Criteria
core symptoms (at least 2 required, with at least 1 being delusions, hallucinations or disorganized speech)
continuous signs of disturbance for at least 6 months (1 month active phase)
Common Positive Symptoms
Hallucinations
hearing voices, noises - can give orders or commands
Delusions
Persecutory (paranoia): someone is poisoning my food
Grandiose: I am the chosen one to save humanity
Referential: that song on the radio is trying to send me a special message
Thought control: the fbi is placing thoughts into my mind that aren’t my own
Schizophrenia Phases: Proximal period, Active/Acute Phase, Residual Phase
Proximal period
Initial deterioration in functioning, problems with thinking, memory, and attention
Active / Acute Phase
core psychotic symptoms are the most prominent and severe, positive and negative symptoms can be present
Residual Phase
occurs after symptom improvement, reduced positive symptoms, prominent negative symptoms
Comorbid (Co-occurring) experiences:
depression
Social anxiety disorder
Post-traumatic stress disorder
Autism spectrum disorder
Medical comorbidity
Forensic Mental Healthcare System
integrates both mental health system and criminal justice system, care for ppl with mental illnesses convicted of crimes
goals: serve the unique needs of people with mental illness who come into contact with the law
Clinical Psychologists
• Conduct specialized psychological assessments as part of broader forensic assessments to assess issues related to intelligence, personality, and malingering (determining if someone is pretending/exaggerating
symptoms of mental illness)
Mental health professionals in the Forensic Mental Healthcare system
Psychiatrists
• Lead forensic assessments (criminal responsibility, fitness to stand trial)
• Prescribe medications
Nurses
• Look after daily needs of clients in the system; provide daily healthcare
(e.g., medications), assist with activities of daily living, etc
Recreational Therapists
• Help clients in the system meaningfully participate in recreational
activities to improve physical and mental well-being (e.g., crafts, sports,
group outings)
Social Workers
• Assist with the transition into the community, getting financial and community support.
Occupational Therapists
• Assist with improving daily functioning, including the ability to complete activities of daily living (e.g., cooking, taking medication) and employment skills