HD 3700 1st Edition Lecture 1 Outline of Current Lecture I The Strange Case of Dr Z II Considering Dr Z most broadly III Who are we Current Lecture I The Strange Case of Dr Z Dr Zarkin carved his initials into the abdomen of his patient after performing a C section to deliver her baby The lawyer was the first person to diagnose Dr Z claiming the doctor was suffering from a frontal lobe disorder affecting his personality and behavior at the time of the incident In the New York Times it was reported that according to the lawyer Dr Zarkin was suffering from a brain disease similar to Alzheimer s that could explain his behavior o The lawyer claimed that Dr Zarkin was suffering from Pick s disease a frontal lobe dementia similar to Alzheimer s o What is Pick s disease A form of dementia characterized by a slowly progressive deterioration of social skills and changes in personality along with impairment of intellect memory and language These symptoms include loss of memory lack of spontaneity difficulty in thinking or concentrating and disturbances of speech Other symptoms include gradual emotional dullness loss of moral judgment and progressive dementia It is more likely that Dr Zarkin was suffering from a manic episode o When an individual experiences a discrete period of persistent and pervasive manic elated irritable or euphoric mood this term may be applied o Symptoms Inflated self esteem or grandiosity Decreased need for sleep Flight of ideas or racing thoughts Distractibility These notes represent a detailed interpretation of the professor s lecture GradeBuddy is best used as a supplement to your own notes not as a substitute Psychomotor agitation Excessive involvement in pleasurable activities that have a high potential for painful consequences o The mood disturbance is sufficiently severe to cause marked impairment in occupational functioning or in usual social activities or relationships with others or to necessitate hospitalization to prevent harm to self or others or there are psychotic features o Psychotic features delusions or hallucinations mood congruent or moodincongruent Mood Congruent Psychotic Features Delusions or hallucinations whose content is entirely consistent with the typical manic themes of inflated worth power knowledge identity or special relationship to a deity or famous person Mood Incongruent Psychotic Features Delusions or hallucinations whose content does not involve typical manic themes of inflated worth power knowledge identity or special relationship to a deity or famous person Included are such symptoms as persecutory delusions not directly related to grandiose ideas or themes thought insertion and delusions of being controlled II Considering Dr Z most broadly Societal misunderstanding o Society is very ignorant of mental health issues o Even the NY Times took the diagnosis of the attorney Psychotic disorder o Clearly Dr Zarkin suffered an episode that affected his judgment and behavior o He was most likely suffering from a manic episode any psychologist would know that but he was never examined by a psychologist everyone accepted the diagnosis by Dr Zarkin s lawyer o He was in a psychotic state when a person is unable to distinguish internal reality from external reality His symptoms make sense o What he did was madness and yet he didn t leave random marks on his patient o He left his initials it had meaning Because his symptoms were associative o They were an expression of his ideational and emotional relationship to his patient o We are creatures of mental association our current associations are always linked to our precious associations o There is always a reason in things such as shootings of children school shootings shooter in Colorado at the Dark Knight These events are not a product of violence They are a result of a paranoid schizophrenic break III Who are we Human beings with a consciousness sitting uneasily on our biology desires histories fears and futures We have all known psychological pain and will no doubt experience more as well as love and happiness We all know people in more psychological pain than we are now fueled by their biology their histories their conflicts and their repetitions