Chapter 12: Psychological disorders- Called ‘abnormal psychology’- When is a person’s behavior abnormal vs. odd or weird?o Societal perspective – behavior that does not fit in with what is socially acceptedo Individual perspective – behavior that fosters personal sense of unhappinesso Mental health professional perspective – behavior which keeps a person from functioning wello There is no exact distinguishing factor, often it is a quantitative difference- Prevalence – frequency with which a given disorder occurs at a given timeo In US mental health issues are 15% prevalento Most common disorders are anxiety, phobias, and mood disorders- Incidence – how many new cases are in a given time- Historical viewso Until 1800’s people with mental disorders were viewed as witches, or possessed by demons Treatment was cruelo In 1790’s Philippe Pinel instituted first humane treatment with asylums- Contemporary viewso Biological model – physiological malfunctions of brain or endocrine system lead to mental illnesso Psychoanalytic model – mental illness as symbolic expression of childhood conflicto Cognitive model – behavioral modelo Diathesis – Stress model – mental illness arises from biological predispositions and stressful circumstances- Classifying psychological disorderso Diagnostic and statistical manual of mental disorders is the main tool for classifying disorderso Mood disorders – peoples emotional experiences are very restricted Depression – most common. Clinical depression is longer lasting and more severe. Symptoms are self blame, sleep disturbance, loss of interest. 2-3 times more prevalent in females Mania/bipolar- Mania – euphoric, talkative, unrealistic thoughts- Bipolar – depression and mania alternate back and forth Causes – genetic, biochemical, environmental, developmentalo Anxiety disorders – people feel anxious for no reason Specific phobia – paralyzing fear of something. Fear is unreasonable and excessive - Social, agora, etco Panic disorders - recurring episodes of sudden, unpredictable and overwhelming terroro Generalized anxiety disorder – prolonged, vague fears, closest to ‘neurotic’. Inability to relax OCD – involuntary, repetitive, ritualistic behavioro Causes – evolutionary basis, genetics, psychological distress- Psychosomatic and somatoform disorders – physical ailments caused by psychological stresso Tension headacheso Conversion disorder – when psychological distress is converted to physical symptoms o Hypochondriasis – when minor symptoms are interpreted as signs of a serious diseaseo Causes – traumatic past experiences, symptomatic behavior is rewarded, sometimes there are real health issues- Dissociative disorders – when a part of a person’s personality is separatedo Dissociative amnesia – memory loss for certain eventso Dissociative fugue - complete, temporary change in identity o Dissociative identity disorder – several distinct personalities emerge at different timeso Depersonalization disorder – most common, feeling that you have changed, left your body, actions are dream like or mechanical.- Sexual and gender identity disorderso Sexual dysfunction Males –ED Females – arousal disorder Sexual desire disorder – lake of interest Orgasmic disorders- Premature ejaculation- Vaginismus – muscle spasm which makes sex impossibleo Paraphilia’s – unusual situations used to obtain sexual arousal Fetishes – repeated use of nonhuman objects for sexual activity. Voyeurism – watching others have sex Exhibitionism – exposing yourself to others Frotterism – touching/rubbing others in public Transvestic Fetishism – wearing clothes of opposite sex Sexual sadism – inflicting pain or humiliation on your partner Sexual masochism – receiving pain from your partner Pedophilia – sexual attraction to children under age 13o Gender identity disorders – desire to become the opposite sex- Personality disorders – disordered personality ranging from eccentrics to murderso Schizoid personality disorder – odd, eccentric behavior. Socially awkwardo Paranoid personality disorder – suspicious, mistrustful, secretive o Dependent personality disorder – inability to make your own decisions, fear of rejectiono Avoidant personality disorder – fearful of rejection, timid, isolated, want social contact.o Narcissistic personality disorder – sense of self importance, need for constant attentiono Borderline personality disorder – impulsive and self destructive, manipulative, trouble with personal boundarieso Antisocial personality disorder – charming on the surface, but constantly lying, stealing, prone to violence and crime- Schizophrenic disorders – does not mean split personality. Thoughts are disorderso Those with schizophrenia are psychotic Psychotic does not equal insanity.o Schizophrenia is characterized by hallucinations such as hearing voices or delusionso Disorganized schizophrenia – active but aimless, giggling, grimacing, frantic gesturingo Catatonic schizophrenia – severely disturbed motor activity. Mute, immobileo Paranoid schizophrenia – extreme suspiciousness, complex delusions, angry reactionso Undifferentiated schizophrenia – delusions, hallucinations, incoherence in absence of paranoia o Causes – genetic predisposition, faulty regulation of neurotransmitters, diathesis/stress model- Childhood disorderso ADHD Present in 3-5% of the population More prevalent in boys than girls Treated with psychostimulantso Autistic disorder – failure to form strong attachments to parent. Delays in speech and disturbed motor behavior. Autism falls on a spectrum from severe to mild (Asperger’s) Cannot understand emotions- Gender and cultural differences o Women more likely to seek help then meno Strong genetic basis occurs in both men and womeno With environmental components, there a difference between the sexes Men have more substance abuse and antisocial disorder Men who are single have a higher rate of mental disorder, women who are married have a higher rate of mental disordero Atagne de nervious – seen in Latinos, feeling out of control, fainting, tremblingo Taijin Kyofusho – Japanese, morbid fear of being offensive to otherso Latah – South East Asia, socially created enhancement of startle
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