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Assessment, Disorders and Therapy. Modules 22,23,24. Alicia : I need to believe, that something extraordinary is possible. Health & Human Services. Difference cultures?. Disease/Disorder. Problems in living.
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Assessment, Disorders and Therapy Modules 22,23,24 Alicia: I need to believe, that something extraordinary is possible.
Health & Human Services Difference cultures? Disease/Disorder Problems in living
…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. Diagnose • Gk: a distinguishing, from diagignōskein to distinguish, from gignōskein to know ] Mental Disorder Psychopathology • Psȳchḗ -Gk.- “mind, soul”; Gk. pathologikos "treating of disease," from pathos "suffering" (see pathos)
Defining Abnormality Statistical Frequency Deviation from Social Norms Maladaptive Behavior
Causes of Abnormality Neurological Testing Clinical Interviews Psychological Testing Cognition Affect Behavior Biology Environment -Familial p.510 p.512
Understanding Diagnosis • DSM (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
A Critical Len on DiagnosisDavid Rosenhan’s Experiment http://www.youtube.com/watch?v=j6bmZ8cVB4o Background http://www.youtube.com/watch?v=xAsqKCQDgmA The Experiment
Understanding Problems & Disorders • Axis I- Clinical, recent • disorders of infancy and childhood, adolescence • organic disorders • Substance-related disorders • Schizophrenia and other psychotic disorders p.538
Schizophrenia • Type I Schizophrenia (positive symptoms) • Type II schizophrenia (negative symptoms) • Thought • Attention • Perception • Motor • Emotional
Understanding Problems & Disorders • 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
Bad week vs. disorder Weather vs. Climate
Understanding Problems & Disorders • Axis II (chronic, chaotic history) • Personality disorders p.536 • Mental retardation (Intellectual Disability-DSM-V) • Axis III- Medical Problems • Axis IV- Psychosocial • Axis V- Global Functioning Scale Antisocial Personality Disorder Paul Bernardo and Karla Homolka Clifford Olson Robert Pickton
Labelling …refers to identifying and naming differences among individuals. The label, which places individuals into specific categories, may have either positive or negative associations.
Historical Context 1814 London penny “Zoo” Institutionalization- chained, bound Mental Illness as demon possession- trephination Douglas Hospital, near Montreal Pheno-thi-a-zines and Deinstitutionalization p.557
Therapies Psychopharmacology Psychotherapy
Psychotherapy Psychotherapy has three basic characteristics: 1. Verbal interaction between therapist and client(s); 2. The development of a supportive relationship to discuss traumatic or bothersome experiences that may have led to current problems; 3. Analysis of the client’s experiences and/or suggested to deal with or overcome his or her problems.
Psychopharmacology Psychopharmacology is the study of drug-induced changes in mood, thinking, and behavior.
Different Approaches: Small Group Read and Discuss Cognitive- Behavioral p.565,568 Insight Therapy C. Rogers S. Freud p.560 p.564 Medical therapy Non directive- directive Eclectic p.573