HD 3700 1st Edition Lecture 1 Outline of Current Lecture I. The Strange Case of Dr. ZII. Considering Dr. Z most broadlyIII. Who are we?Current LectureI. 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’so 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 episodeo When an individual experiences a discrete period of persistent and pervasive manic (elated, irritable or euphoric) mood, this term may be appliedo 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 consequenceso 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 mood-incongruent 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 whosecontent 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 ofbeing controlled. II. Considering Dr. Z most broadly- Societal misunderstanding o Society is very ignorant of mental health issueso Even the NY Times took the diagnosis of the attorney- Psychotic disordero Clearly Dr. Zarkin suffered an episode that affected his judgment and behavioro 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 patiento He left his initials—it had meaning- …Because his symptoms were associativeo They were an expression of his ideational and emotional relationship to his patiento We are creatures of mental association, our current associations are always linked to our precious associationso 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 breakIII. 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 loveand happiness)- We all know people in more psychological pain than we are now, fueled by their biology, their histories, their conflicts, and their