PSYC 1315 1st Edition Lecture 20 Outline of Last Lecture I Bipolar Disorder A Mania B Depression C Glutamate and Lithium II Unipolar Disorder Depression A Endogenous B Hippocampal Cells C Learned Helplessness D Treatment E Controversy F Other Treatments Outline of Current Lecture I Psychopath A Snakes in Suits B Characteristics C Autonomic Nervous System and Fear II Antisocial Personality Disorder III Sociopath IV Anxiety Disorders A Panic Disorder B Generalized Anxiety Disorder C Post Traumatic Stress Disorder D Phobias E Obsessive Compulsive Disorder V Somatoform Disorders A Somatization B Hypochondriasis C Conversion VI Dissociative Disorders Current Lecture l 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 A Robert Hare wrote a book called Snakes in Suits where he talks about psychopaths who avoid ever going to prison Psychopaths are only 1 of the population B Psychopaths understand social rules of society but they don t care Psychopaths are unsocialized incapable of loyalty selfish callous and irresponsible They are also exploitive manipulative extremely charming and they have high empathy but low sympathy They only harm someone when they think it s necessary C Psychopaths have an impaired ability to experience fear and an impaired ability to experience guilt Low fear is common in all psychopaths They also have low sympathetic autonomic nervous system reactivity When faced with a painful stimulus they have no anticipatory autonomic signs usually associated with fear ll Antisocial personality disorder involves people who have little impulse control someone who understands the community s moral standards and feels guilty for breaking them They do acts of aggression on impulse and have anger problems and low frustration tolerance lll A sociopath is only a disorder in the eyes of the community They don t break their community s rules but they ll break rules in other communities They abide by group rules that are in conflict with larger community standards lV Some anxiety disorders don t involve experiencing anxiety while others do Anxiety is intense fear without any object They experience trembling a feeling of impending death and have an intense activation of the sympathetic component of the autonomic nervous system A Panic Disorder has episodes of extreme anxiety B Generalized Anxiety Disorder has persisting low levels of anxiety C Post Traumatic Stress Disorder has episodes of extreme anxiety associated with recall of an extremely stressful event D Phobias can be of school fear of flying etc We avoid this anxiety by avoiding the circumstance but this interferes with other aspects of living We can t just stop going to school because we re scared of it E Obsessive Compulsive Disorders are difficult to treat because these people are resistant to change They avoid disturbing thoughts by thinking about material Ex reading a dictionary from front to back They engage in behaviors that fill time V A Somatization is when someone thinks they have imaginary problems They act and dress like a child and avoid doing adult things to make people take care of them B Hypochondriasis has the same strategy but there is something actually wrong with them They point to something trivial like a mole on their skin and blow it up saying its cancer They over interpret minor physical problems C Conversion is a dramatic disabling imaginary physically limiting ailment such as psychic blindness This is not malingering Vl Dissociative Disorders include Psychogenic Amnesia Psychogenic Fugue and Dissociative Identity Disorder The first two are where someone can completely forget who they are and just up and leave and the last one is also called Multiple Personality Disorder If this disorder exists it is extremely rare and is when a person assumes multiple personalities in the same body