abnormal psychology - current trends

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Deinstitutionalization movement, psychotropic drugs, etc.

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    CurrentTrends

    PSYCH 205 - Abnormal

    Psychology

    Fundamentals of Abnormal Psychology

    Chapter 1: The Present

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    Current Trends - Deinstitutionalization

    VIDEO: Deinstitutionalization Movement of the 60s [and its effects] a

    Mental Health Issues

    http://youtube.com/v/vnPLpq-xfeY
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    Researchers develop a host ofpsychotropic drugs.

    o ex. Thorazine - antipsychotic

    Mental health professions aroundthe world enact policies of

    deinstitutionalization.

    Releasing 100,000s of patientsinto the general population

    o Oh No They Didnt !!!

    Medicaid & Medicare

    Current Trends - Deinstitutionaliz

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    Antipsychotic drugs

    corrects extremely confused and distorted thinking.

    Antidepressant drugs

    lifts the mood of depressed people.

    Antianxiety drugs

    reduces tension and worry.

    Current Trends - Deinstitutionaliz

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    Short-term hospitalization (ifinstitutionalization is needed)

    Outpatient psychotherapy andmedication in community programs

    and residences. (communitymental health approach)

    o lack of programming +

    o lack of follow-up care after

    release

    = minimal long-term recovery

    Current Trends - How Are People with SDisturbances Cared Fo

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    At least 100,000 indsevere mental distuhomeless on any g

    135,000 or more arjails and prisons

    ( Kooyman & Walsh, 2011;

    Current Trends - How Are People withSDisturbances Cared Fo

    Short-term hospitalization (ifinstitutionalization is needed)

    Outpatient psychotherapy andmedication in community programs

    and residences. (communitymental health approach)

    o lack of programming +

    o lack of follow-up care after

    release

    = minimal long-term recovery

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    Current Trends - How Are People withMDisturbances Cared Fo

    Before the 1950s

    Instituitonalized, or referred to ... Outpatient care = private psychotherapy,

    An individual directly pays a psychotherapist for counseling serv

    Since the 1950s

    Health insurance coverage expanded (including psychotherapy)

    Outpatient care = Dominant

    Offered in a number of less expensive

    settings

    community mental health centers,

    crisis intervention centers, and

    other social service agencies.

    Programs devoted ex

    kind of psychologica

    suicide preventio

    substance abuse

    eating disorder p

    sexual dysfunctio

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    Current Trends -

    positive psychology

    The study and enhancement of positive feelings, tra

    abilities.

    prevention

    Methods aimed at deterring mental disorders before

    develop. (via the opening of community mental heal

    centers)

    A Growing Emphasis on P

    Disorders and Promoting M

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    VIDEO: Community Mental Health Centers: Prevention and Intervent

    Current Trends -

    Community Mental Hea

    http://youtube.com/v/F3jGuYFi7y8
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    Current Trends - Community Mental Hea

    Prevention Intervent Goal = keeping people fromdeveloping a mental illness.

    Educational programs aimed at

    preventing particular behaviors and

    responses that could or are knownto lead to psychological disorder.

    Addiction

    Eating Disorders

    Body Dysmorphic Disorder

    Post-traumatic Stress Disorder

    Goal = preventing or

    symptoms or side-eff

    existing psychologica

    Increase a pers

    function in socie

    Suicide Hotlines

    Schizophrenia

    Autism

    Post-traumatic Stress

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    Current Trends - Multicultural Psy

    Multicultural psychologists

    Responding to an increasing rise in diversity

    seek to understand how culture, race, ethngender affect behavior and thought and

    how people of different cultures, races, and

    may differ relative to one another psycholo

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    Current Trends - The Growing InfluencInsurance Coverage.

    Today the dominant form of coverage is the ma

    care program

    ( Domino, 2012; Glasser, 2010).

    a program in which the insur

    company determines such key issues as

    which therapists its clients may choose, the cost of sessions, and

    the number of sessions for which a client may b

    reimbursed

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    What do Clinical

    Researchers Do?

    Fundamentals of Abnormal Psychology

    Chapter 1: The Present

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    3 Methods of Clinical Investigat

    What Do Clinical Researchers

    Correlational study researchers determine the degree in which two variab

    one another.

    Case Study researchers compile a detailed account of a persons l

    psychological problems.

    Experimental Study researchers manipulate suspected causes to see

    whether expected effects will result.

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    The Case Study:

    What Do Clinical Researchers

    Collects a persons ... history,

    present circumstances, and

    possible symptoms

    Helps in determining ... how and why specific

    problems have developed

    possible treatments for

    diagnosis

    How are they helpful to

    Develop newideas, the

    discoveries in behavior,

    Offer support for ... a current existing t

    a new therapeutic

    Challenge existing theor

    Offer insight into unusua

    are difficult to observe.

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    The Case Study:

    What Do Clinical Researchers

    Limitations

    Observer Bias Personal opinions of the therapist affecting proper dia

    treatment

    Subjective Evidence Are problems caused by what the patient or therapist

    Little basis for generalization Circumstances in one case may NOT be useful in und

    another (perhaps similar) case.

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    The Correlational Study:

    What Do Clinical Researchers

    Positive Correlation variables change in the same directions.

    Ex.As temperatures increase, the sales

    of ice cream also increases.

    Negative Correlation one variable increases; another variable

    decreases.

    Ex. The greaterthe depression, the

    lowerthe number of activities a person

    engages in.

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    The Correlational Study:

    What Do Clinical Researchers

    Magnitude (Strength) how closely do the two variables relate or

    correspond to another.

    Strong / High = variables relate to one

    another very closely

    Correlation Co-efficient- number term used

    to express strength and direction.

    + 1.00 = perfect positive correlation

    - 1.00 = perfect negative correlation

    +/- = direction

    number = magnitude/strength

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    The Correlational Study:

    What Do Clinical Researchers

    http://youtube.com/v/RZYmrSLWLBs
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    The Experimental Study:

    What Do Clinical Researchers

    Independent Variable

    Manipulated to determine whether it

    has an effect on another variable.

    Dependent variable

    The variable in an experiment that is

    expected to change as the

    independent variable is manipulated.

    Control Group

    Participants who are

    the independent var

    Experimental Group

    Participants who are

    independent variable

    investigation.

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    The Experimental Study:

    What Do Clinical Researchers

    Researcher must guard against . . .

    confounds a variable other than the independent variable that is also acting on

    variable.

    . . . by including 3 key features: control group

    random assignment

    participants are randomly placed in the control group OR the e

    group.

    blind (double-blind) design

    participants do not know whether they are in the experimental =

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    What are Todays Leadin

    Theories and Professions

    Fundamentals of Abnormal Psychology

    Chapter 1: The Present

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    Perspectives

    What Are Todays Leading Theories and Pro

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    What Are Todays Leading Theories and Pro

    Perspectives

    Biological - Psychotropic drugs

    Behavioral

    Psychodynamic - Before 1950s

    Cognitive

    Humanistic-Existential

    Sociocultural

    Wh A T d L di Th i d P

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    VIDEO: Evolution of Mental Health Professions: Counseling, Therapy

    What Are Todays Leading Theories and Pro

    Wh t A T d L di Th i d P

    http://youtube.com/v/Y3uirUUjqeM
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    Psychiatrist (M.D.)

    Clinical Social Workers (M.S.W./D.S.W)

    Psychologists (Ph.D/Psy.D)

    Professions

    Counselors and therapists (M.A./M.S.)

    Psychiatric nurses (RN)

    - Mental health medical doctor; counsels

    can prescribe medication.

    - Practice in both cou

    social work

    - Engage in academic, research an

    counsels patients without prescribi

    - Specialize in a specific ar

    - Extensive practice in treating patients w

    What Are Todays Leading Theories and Pro

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    What Are Todays Leading Theories and P

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    What Are Todays Leading Theories and P

    The End