copyright © allyn & bacon 2005 1 chapter 14 psychological disorders copyright © allyn and...

28
Copyright © Allyn & Bacon 2005 1 Chapter 14 Psychological Disorders Copyright © Allyn and Bacon 2005. Developed and prepared by Joseph A. Davis, Ph.D. This Allyn and Bacon multimedia product and its contents are protected under copyright law. The following are prohibited by law: any public performance or display, including transmission over any network; preparation of any derivative work, including the extraction, in whole or part, of any images; any rental, lease, or lending of the program.

Upload: ashlyn-rose

Post on 12-Jan-2016

219 views

Category:

Documents


1 download

TRANSCRIPT

Page 1: Copyright © Allyn & Bacon 2005 1 Chapter 14 Psychological Disorders Copyright © Allyn and Bacon 2005. Developed and prepared by Joseph A. Davis, Ph.D

Copyright © Allyn & Bacon 2005 Copyright © Allyn & Bacon 2005 11

Chapter 14Chapter 14

Psychological DisordersPsychological Disorders

Copyright © Allyn and Bacon 2005. Developed and prepared by Joseph A. Davis, Ph.D. This Allyn and Bacon multimedia product and its contents are protected under copyright law. The following are prohibited by law: any public performance or display, including transmission over any network; preparation of any derivative work, including the extraction, in whole or part, of any images; any rental, lease, or lending of the program.

Copyright © Allyn and Bacon 2005. Developed and prepared by Joseph A. Davis, Ph.D. This Allyn and Bacon multimedia product and its contents are protected under copyright law. The following are prohibited by law: any public performance or display, including transmission over any network; preparation of any derivative work, including the extraction, in whole or part, of any images; any rental, lease, or lending of the program.

Page 2: Copyright © Allyn & Bacon 2005 1 Chapter 14 Psychological Disorders Copyright © Allyn and Bacon 2005. Developed and prepared by Joseph A. Davis, Ph.D

Copyright © Allyn & Bacon 2005 Copyright © Allyn & Bacon 2005 22

Chapter 14 Main PointsChapter 14 Main Points

The Nature of Psychological Disorders Classifying Psychological Disorders Psychology in Your Life: Is “Insanity”

Really a Defense? Major Types of Psychological Disorders Psychology in the 21st Century: Pinpointing

Interactions of Nature and Nurture Schizophrenic Disorders The Stigma of Mental Illness

The Nature of Psychological Disorders Classifying Psychological Disorders Psychology in Your Life: Is “Insanity”

Really a Defense? Major Types of Psychological Disorders Psychology in the 21st Century: Pinpointing

Interactions of Nature and Nurture Schizophrenic Disorders The Stigma of Mental Illness

Page 3: Copyright © Allyn & Bacon 2005 1 Chapter 14 Psychological Disorders Copyright © Allyn and Bacon 2005. Developed and prepared by Joseph A. Davis, Ph.D

Copyright © Allyn & Bacon 2005 Copyright © Allyn & Bacon 2005 33

What is Abnormal?What is Abnormal?

Distress or Disability Maladaptiveness Irrationality Unpredictability Unconventionality and Statistical Rarity Observer Discomfort Violation of Moral and Ideal Standards

Distress or Disability Maladaptiveness Irrationality Unpredictability Unconventionality and Statistical Rarity Observer Discomfort Violation of Moral and Ideal Standards

Page 4: Copyright © Allyn & Bacon 2005 1 Chapter 14 Psychological Disorders Copyright © Allyn and Bacon 2005. Developed and prepared by Joseph A. Davis, Ph.D

Copyright © Allyn & Bacon 2005 Copyright © Allyn & Bacon 2005 44

Historical PerspectivesHistorical Perspectives

Hysteria Emergence of the Medical Model

– Possession– Mental illness

Emergence of the Psychological Model– Animal Magnetism– Hypnotism

Hysteria Emergence of the Medical Model

– Possession– Mental illness

Emergence of the Psychological Model– Animal Magnetism– Hypnotism

Page 5: Copyright © Allyn & Bacon 2005 1 Chapter 14 Psychological Disorders Copyright © Allyn and Bacon 2005. Developed and prepared by Joseph A. Davis, Ph.D

Copyright © Allyn & Bacon 2005 Copyright © Allyn & Bacon 2005 55

Etiology of PsychopathologyEtiology of Psychopathology

Biological Approaches Psychological Approaches

– Psychodynamic– Behavioral– Cognitive– Sociocultural

Biological Approaches Psychological Approaches

– Psychodynamic– Behavioral– Cognitive– Sociocultural

Page 6: Copyright © Allyn & Bacon 2005 1 Chapter 14 Psychological Disorders Copyright © Allyn and Bacon 2005. Developed and prepared by Joseph A. Davis, Ph.D

Copyright © Allyn & Bacon 2005 Copyright © Allyn & Bacon 2005 66

Classifying Psychological DisordersClassifying Psychological Disorders

Goals of Classification– Common shorthand language used by

clinicians and treatment specialists– Understanding of etiology (causes)– Treatment planning

Goals of Classification– Common shorthand language used by

clinicians and treatment specialists– Understanding of etiology (causes)– Treatment planning

Page 7: Copyright © Allyn & Bacon 2005 1 Chapter 14 Psychological Disorders Copyright © Allyn and Bacon 2005. Developed and prepared by Joseph A. Davis, Ph.D

Copyright © Allyn & Bacon 2005 Copyright © Allyn & Bacon 2005 77

Classifying Psychological DisordersClassifying Psychological Disorders

DSM-IV (1994) and DSM-IV-TR (2000)– Axis I – Clinical Disorders– Axis II – Personality Disorders, Mental

Retardation– Axis III – General Medical Conditions– Axis IV – Psychosocial and Environmental

Problems (Psychosocial Stressors)– Axis V – Global Assessment of Functioning

(GAF Scale)

DSM-IV (1994) and DSM-IV-TR (2000)– Axis I – Clinical Disorders– Axis II – Personality Disorders, Mental

Retardation– Axis III – General Medical Conditions– Axis IV – Psychosocial and Environmental

Problems (Psychosocial Stressors)– Axis V – Global Assessment of Functioning

(GAF Scale)

Page 8: Copyright © Allyn & Bacon 2005 1 Chapter 14 Psychological Disorders Copyright © Allyn and Bacon 2005. Developed and prepared by Joseph A. Davis, Ph.D

Copyright © Allyn & Bacon 2005 Copyright © Allyn & Bacon 2005 88

Classifying Psychological DisordersClassifying Psychological Disorders

Evolution of Diagnostic Categories– Neurotic Disorders– Psychotic Disorders– Homosexuality– Culture-bound Syndromes

Evolution of Diagnostic Categories– Neurotic Disorders– Psychotic Disorders– Homosexuality– Culture-bound Syndromes

Page 9: Copyright © Allyn & Bacon 2005 1 Chapter 14 Psychological Disorders Copyright © Allyn and Bacon 2005. Developed and prepared by Joseph A. Davis, Ph.D

Copyright © Allyn & Bacon 2005 Copyright © Allyn & Bacon 2005 99

Major Types of Psychological DisordersMajor Types of Psychological Disorders

Anxiety Disorders Mood Disorders Personality Disorders Dissociative Disorders Schizophrenic Disorders

Anxiety Disorders Mood Disorders Personality Disorders Dissociative Disorders Schizophrenic Disorders

Page 10: Copyright © Allyn & Bacon 2005 1 Chapter 14 Psychological Disorders Copyright © Allyn and Bacon 2005. Developed and prepared by Joseph A. Davis, Ph.D

Copyright © Allyn & Bacon 2005 Copyright © Allyn & Bacon 2005 1010

Anxiety Disorders: TypesAnxiety Disorders: Types

Generalized Anxiety Disorder (GAD)– Individual feels anxious and worried most

of the time without specific threat or danger

Panic Disorder– Unexpected, severe panic attacks

Agoraphobia– Extreme fear of being in public places

from which escape may be difficult

Generalized Anxiety Disorder (GAD)– Individual feels anxious and worried most

of the time without specific threat or danger

Panic Disorder– Unexpected, severe panic attacks

Agoraphobia– Extreme fear of being in public places

from which escape may be difficult

Page 11: Copyright © Allyn & Bacon 2005 1 Chapter 14 Psychological Disorders Copyright © Allyn and Bacon 2005. Developed and prepared by Joseph A. Davis, Ph.D

Copyright © Allyn & Bacon 2005 Copyright © Allyn & Bacon 2005 1111

Anxiety Disorders: TypesAnxiety Disorders: Types

Phobias– Persistent and irrational fear of an object,

activity, or situation

Social Phobia– Arises in anticipation of a public situation

Specific Phobia– Occurs in response to specific types of

objects or situations

Phobias– Persistent and irrational fear of an object,

activity, or situation

Social Phobia– Arises in anticipation of a public situation

Specific Phobia– Occurs in response to specific types of

objects or situations

Page 12: Copyright © Allyn & Bacon 2005 1 Chapter 14 Psychological Disorders Copyright © Allyn and Bacon 2005. Developed and prepared by Joseph A. Davis, Ph.D

Copyright © Allyn & Bacon 2005 Copyright © Allyn & Bacon 2005 1212

Anxiety Disorders: TypesAnxiety Disorders: Types

Obsessive-Compulsive Disorder (OCD)– Obsessions – recurrent thoughts, images,

or impulses– Compulsions – repetitive, purposeful acts

performed according to certain rules or rituals

Obsessive-Compulsive Disorder (OCD)– Obsessions – recurrent thoughts, images,

or impulses– Compulsions – repetitive, purposeful acts

performed according to certain rules or rituals

Page 13: Copyright © Allyn & Bacon 2005 1 Chapter 14 Psychological Disorders Copyright © Allyn and Bacon 2005. Developed and prepared by Joseph A. Davis, Ph.D

Copyright © Allyn & Bacon 2005 Copyright © Allyn & Bacon 2005 1313

Anxiety Disorders: TypesAnxiety Disorders: Types

Posttraumatic Stress Disorder (PTSD)– The persistent re-experiencing of traumatic

events, i.e., war, combat, crime, disaster.

Posttraumatic Stress Disorder (PTSD)– The persistent re-experiencing of traumatic

events, i.e., war, combat, crime, disaster.

Page 14: Copyright © Allyn & Bacon 2005 1 Chapter 14 Psychological Disorders Copyright © Allyn and Bacon 2005. Developed and prepared by Joseph A. Davis, Ph.D

Copyright © Allyn & Bacon 2005 Copyright © Allyn & Bacon 2005 1414

Anxiety Disorders: CausesAnxiety Disorders: Causes

Biological Psychodynamic Behavioral Cognitive

Biological Psychodynamic Behavioral Cognitive

Page 15: Copyright © Allyn & Bacon 2005 1 Chapter 14 Psychological Disorders Copyright © Allyn and Bacon 2005. Developed and prepared by Joseph A. Davis, Ph.D

Copyright © Allyn & Bacon 2005 Copyright © Allyn & Bacon 2005 1515

Mood Disorders: TypesMood Disorders: Types

Major Depressive Disorder– Intense feeling of depression

over an extended time Bipolar Disorder

– Alternating periods of depression and mania

Manic Episode– Extreme elation, euphoria,

grandiose thoughts or feelings

Major Depressive Disorder– Intense feeling of depression

over an extended time Bipolar Disorder

– Alternating periods of depression and mania

Manic Episode– Extreme elation, euphoria,

grandiose thoughts or feelings

Page 16: Copyright © Allyn & Bacon 2005 1 Chapter 14 Psychological Disorders Copyright © Allyn and Bacon 2005. Developed and prepared by Joseph A. Davis, Ph.D

Copyright © Allyn & Bacon 2005 Copyright © Allyn & Bacon 2005 1616

Mood Disorders: CausesMood Disorders: Causes

Biological Psychodynamic Behavioral Cognitive

– Beck’s Cognitive Triad– Seligman’s Learned

Helplessness Theory

Biological Psychodynamic Behavioral Cognitive

– Beck’s Cognitive Triad– Seligman’s Learned

Helplessness Theory

Page 17: Copyright © Allyn & Bacon 2005 1 Chapter 14 Psychological Disorders Copyright © Allyn and Bacon 2005. Developed and prepared by Joseph A. Davis, Ph.D

Copyright © Allyn & Bacon 2005 Copyright © Allyn & Bacon 2005 1717

Beck’s Cognitive Triad ModelBeck’s Cognitive Triad ModelBeck’s Cognitive Triad Model suggests that depressed individuals have the following:

(1) a negative view of themselves;

(2) a negative view of the world; and,

(3) a negative view of the future

Beck’s Cognitive Triad Model suggests that depressed individuals have the following:

(1) a negative view of themselves;

(2) a negative view of the world; and,

(3) a negative view of the future

Page 18: Copyright © Allyn & Bacon 2005 1 Chapter 14 Psychological Disorders Copyright © Allyn and Bacon 2005. Developed and prepared by Joseph A. Davis, Ph.D

Copyright © Allyn & Bacon 2005 Copyright © Allyn & Bacon 2005 1818

Learned HelplessnessLearned Helplessness

Seligman and Learned Helplessness– Similarities between Depression and

Helplessness– Hopelessness Theory of Depression

Seligman and Learned Helplessness– Similarities between Depression and

Helplessness– Hopelessness Theory of Depression

Page 19: Copyright © Allyn & Bacon 2005 1 Chapter 14 Psychological Disorders Copyright © Allyn and Bacon 2005. Developed and prepared by Joseph A. Davis, Ph.D

Copyright © Allyn & Bacon 2005 Copyright © Allyn & Bacon 2005 1919

Mood DisordersMood Disorders

Gender Differences in Depression Suicide

Gender Differences in Depression Suicide

Page 20: Copyright © Allyn & Bacon 2005 1 Chapter 14 Psychological Disorders Copyright © Allyn and Bacon 2005. Developed and prepared by Joseph A. Davis, Ph.D

Copyright © Allyn & Bacon 2005 Copyright © Allyn & Bacon 2005 2020

Personality DisordersPersonality Disorders

Paranoid Personality Disorder Histrionic Personality Disorder Narcissistic Personality Disorder Antisocial Personality Disorder

Paranoid Personality Disorder Histrionic Personality Disorder Narcissistic Personality Disorder Antisocial Personality Disorder

Page 21: Copyright © Allyn & Bacon 2005 1 Chapter 14 Psychological Disorders Copyright © Allyn and Bacon 2005. Developed and prepared by Joseph A. Davis, Ph.D

Copyright © Allyn & Bacon 2005 Copyright © Allyn & Bacon 2005 2121

Dissociative DisordersDissociative Disorders Dissociative Disorder

– Notion of Multiple Personality– Disturbance in integration

of identity, memory, or consciousness

– Dissociative Amnesia– Inability to remember personal experiences

Dissociative Identity Disorder (DID)– Two or more distinct personalities– Cases of “Sybil,” “Three Faces of Eve”

Dissociative Disorder– Notion of Multiple Personality– Disturbance in integration

of identity, memory, or consciousness

– Dissociative Amnesia– Inability to remember personal experiences

Dissociative Identity Disorder (DID)– Two or more distinct personalities– Cases of “Sybil,” “Three Faces of Eve”

Page 22: Copyright © Allyn & Bacon 2005 1 Chapter 14 Psychological Disorders Copyright © Allyn and Bacon 2005. Developed and prepared by Joseph A. Davis, Ph.D

Copyright © Allyn & Bacon 2005 Copyright © Allyn & Bacon 2005 2222

Schizophrenic DisordersSchizophrenic Disorders

Schizophrenic Disorder– Breakdown of integrated personality

functioning, withdrawal from reality, emotional distortions, disturbed thought

Hallucinations– False perceptions

Delusions– False or irrational beliefs

Schizophrenic Disorder– Breakdown of integrated personality

functioning, withdrawal from reality, emotional distortions, disturbed thought

Hallucinations– False perceptions

Delusions– False or irrational beliefs

Page 23: Copyright © Allyn & Bacon 2005 1 Chapter 14 Psychological Disorders Copyright © Allyn and Bacon 2005. Developed and prepared by Joseph A. Davis, Ph.D

Copyright © Allyn & Bacon 2005 Copyright © Allyn & Bacon 2005 2323

Major Types of SchizophreniaMajor Types of Schizophrenia

Disorganized Type Catatonic Type Paranoid Type Undifferentiated Type Residual Type

Disorganized Type Catatonic Type Paranoid Type Undifferentiated Type Residual Type

Page 24: Copyright © Allyn & Bacon 2005 1 Chapter 14 Psychological Disorders Copyright © Allyn and Bacon 2005. Developed and prepared by Joseph A. Davis, Ph.D

Copyright © Allyn & Bacon 2005 Copyright © Allyn & Bacon 2005 2424

Causes of SchizophreniaCauses of Schizophrenia

Genetic Approaches Diathesis-stress Hypothesis Brain Function and Biological Markers Family Interaction as Environmental

Stressor

Genetic Approaches Diathesis-stress Hypothesis Brain Function and Biological Markers Family Interaction as Environmental

Stressor

Page 25: Copyright © Allyn & Bacon 2005 1 Chapter 14 Psychological Disorders Copyright © Allyn and Bacon 2005. Developed and prepared by Joseph A. Davis, Ph.D

Copyright © Allyn & Bacon 2005 Copyright © Allyn & Bacon 2005 2525

Stigma of Mental IllnessStigma of Mental Illness

Stigma defined– Negative reaction to an individual or group

because of some assumed inferiority

Stigma defined– Negative reaction to an individual or group

because of some assumed inferiority

Page 26: Copyright © Allyn & Bacon 2005 1 Chapter 14 Psychological Disorders Copyright © Allyn and Bacon 2005. Developed and prepared by Joseph A. Davis, Ph.D

Copyright © Allyn & Bacon 2005 Copyright © Allyn & Bacon 2005 2626

Recapping Chapter 14 Main PointsRecapping Chapter 14 Main Points

The Nature of Psychological Disorders Classifying Psychological Disorders Psychology in Your Life: Is “Insanity”

Really a Defense? Major Types of Psychological Disorders Psychology in the 21st Century: Pinpointing

Interactions of Nature and Nurture Schizophrenic Disorders The Stigma of Mental Illness

The Nature of Psychological Disorders Classifying Psychological Disorders Psychology in Your Life: Is “Insanity”

Really a Defense? Major Types of Psychological Disorders Psychology in the 21st Century: Pinpointing

Interactions of Nature and Nurture Schizophrenic Disorders The Stigma of Mental Illness

Page 27: Copyright © Allyn & Bacon 2005 1 Chapter 14 Psychological Disorders Copyright © Allyn and Bacon 2005. Developed and prepared by Joseph A. Davis, Ph.D

Copyright © Allyn & Bacon 2005 Copyright © Allyn & Bacon 2005 2727

End of Chapter 14End of Chapter 14

Psychological DisordersPsychological Disorders

Page 28: Copyright © Allyn & Bacon 2005 1 Chapter 14 Psychological Disorders Copyright © Allyn and Bacon 2005. Developed and prepared by Joseph A. Davis, Ph.D

Copyright © Allyn & Bacon 2005 Copyright © Allyn & Bacon 2005 2828