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Assessment, Disorders and Therapy
Modules 22,23,24
Alicia: I need to believe, that something extraordinary is possible.
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Health & Human ServicesDifference cultures?
Problems in living
Disease/Disorder
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Mental Disorder*…is generally defined as a prolonged or recurring problem
that seriously interferes with an individual’s ability to live a satisfying personal life and function adequately in society.
*Psychḗ -Gk.- “mind, soul”; Gk. pathologikos "treating of disease," from pathos "suffering" (see pathos)
Psychopathology
Diagnose*Gk: a distinguishing, from diagignōskein to
distinguish, from gignōskein to know ]
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Defining AbnormalityStatistical Frequency
Deviation from Social Norms
Maladaptive Behavior
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Causes of AbnormalityCognition
Affect
Behavior
Biology
Environment
Neurological TestingClinical InterviewsPsychological Testing
p.510 p.512
-Familial
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Understanding DiagnosisDSM (Diagnostic and Statistical
manual of Mental Disorders- American Psychiatric Association)Clinical diagnosis- is the process of
matching an individuals specific symptoms to those of a particular Mental Disorder
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DSM-V: Getting close to a Pathology for Everyone…
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A Critical Len on DiagnosisDavid Rosenhan’s Experiment
http://www.youtube.com/watch?v=j6bmZ8cVB4o
http://www.youtube.com/watch?v=xAsqKCQDgmA
Background
The Experiment
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Axis I- Clinical, recent disorders of infancy and
childhood, adolescence organic disorders Substance-related
disorders Schizophrenia and other
psychotic disorders p.538
Understanding Problems & Disorders
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Type I Schizophrenia (positive symptoms)Type II schizophrenia (negative symptoms)1. Thought2. Attention3. Perception4. Motor5. Emotional
Schizophrenia
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Axis I- Clinical, recent Anxiety Disorders (p.517-
519) Somatoform disorders
(p.520) Mood Disorders (p. 532-
535) Dissociative disorders
(p.544) Eating/Sleeping disorders Impulse control Disorders Sexual and gender-identity
disorders Adjustment disorders
Understanding Problems & Disorders
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Bad week vs. disorder
Weather vs. Climate
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Axis II (chronic, chaotic history)
Personality disorders p.536 Mental retardation
(Intellectual Disability-DSM-V)Axis III- Medical ProblemsAxis IV- Psychosocial
Axis V- Global Functioning Scale
Understanding Problems & Disorders
Clifford OlsonPaul Bernardo and Karla Homolka
Robert Pickton
Antisocial Personality Disorder
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Labelling…refers to identifying and naming differences among individuals. The label, which places individuals into specific categories, may have either positive or negative associations.
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Historical Context
Pheno-thi-a-zines and Deinstitutionalization
Mental Illness as demon possession-trephination
Institutionalization- chained, bound
1814 Londonpenny “Zoo”
Douglas Hospital, near Montreal
p.557
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THERAPIES
Psychotherapy
Psychopharmacology
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Psychotherapy – “mind”; “attending, curing, healing”
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Psychotherapy has three basic characteristics: 1. Verbal interaction betweentherapist and client(s); 2. The development of a supportive relationship to discuss traumatic or bothersome experiences that mayhave led to current problems; 3. Analysis of the client’s experiences and/or suggested to deal with or overcome his or her problems.
Psychotherapy
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Psychopharmacology is the study of drug-induced changes in mood, thinking, and behavior.
Psychopharmacology
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Different Approaches: Small Group Read and DiscussInsight Therapy Cognitive- Behavioral
Eclectic
Medical therapyNon directive- directive
C. Rogers S. Freudp.560p.564
p.565,568
p.573