Unit 12: Abnormal Psych

1. A.P. Psych Unit 12: Abnormal Psych

2. Essential Question What is a psychological disorder, what are the causes and symptoms of various psychological disorders, and how do psychologists use the DSM-IV to diagnose them?

3. Day 1 Unit 12 (A): Perspectives on Psychological Disorders

4. Do Now (Discussion) What does it mean to be normal? What separates normal from abnormal? Should we use these labels?

5. Perspectives on Psychological Disorders • Psychologists define disorder as deviant, distressful, and dysfunctional behavior. • The definitions of these words vary over time as well as across cultures.

6. Perspectives on Psychological Disorders • Psychologists use The Medical Model to understand and diagnose psychological disorders. • The Medical Model: The concept that psychological diseases/disorders have physicalcauses. Also, they can be diagnosed based on physical symptoms and treated through therapy and medication.

7. Perspectives on Psychological Disorders • Biopsychosocial Approach: Modern approach stating that disorders are caused by a combination of genetic predisposition, psychological traits, and cultural experiences.

8. Classifying Psychological Disorders How? • Psychologists use the fifth edition of the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (DSM-5) to diagnose disorders based on observable symptoms.

9. Classifying Psychological Disorders Why? • The DSM gives psychologists and insurance companies a common language to use when organizing treatment and insurance plans. Many insurance companies require a DSM diagnosis when considering how much financial assistance to give a patient for their treatment.

11. Labeling Psychological Disorders • There is a lot of controversy surrounding the use of the DSM because it puts labels on people. Labels lead to preconceptions and bias that often create ethical and moral dilemmas such as insanity pleas in serious crime cases.

12. 3 D’s of Psychological Disorders • Deviance • Distress • Dysfunction

13. Classification • 5 Axes of DSM-IV: • Axis 1:Clinical Disorders • Axis 2:Personality Disorders/Mental Retardation • Axis 3:Medical Disorders • Axis 4:Psychosocial Stressors • Axis 5:Global Assessment of Functioning (GAF) (1-100)

15. Day 2 Unit 12 (B): Anxiety Disorders

16. Do Now (Discussion) • What is anxiety? • How is it different from worry or fear?

17. Anxiety Disorders Anxiety disorders are psychological disorders characterized by distressing, persistentanxiety or maladaptive behaviors meant to reduce anxiety. People with anxiety disorders feel persistently and uncontrollably tense and apprehensive, with no apparent cause.

18. Anxiety Disorders • Generalized Anxiety Disorder - unexplainable and continuous tenseness and uneasiness. • Panic Disorder - unexplainable sudden episodes of intense dread. • Phobias - irrational and intense fear of a specific object or situation.

20. Anxiety Disorder • Obsessive Compulsive Disorder (OCD) - unexplainable repetitive thoughts or actions. • Post-Traumatic Stress Disorder (PTSD) - lingering memories, nightmares, and other symptoms after a severely threatening, uncontrollable event.

23. Anxiety Disorders What causes them? • Freud • manifestation of mental energy associated with the discharge of repressed impulses • Learning Perspective • product of fear conditioning, stimulus generalization, reinforcement of fearful behaviors, and observational learning of others’ fear.

24. Anxiety Disorders • Biological Perspective • consider the roles that life-threatening animals, objects, or situations played in natural selection and evolution; genetic inheritance of a high level of emotional reactivity; and abnormal responses in the brain’s fear circuits.

25. Anxiety Disorders http://www.youtube.com/watch?v=_Cr7IomSy8s OCD http://www.youtube.com/watch?v=tPFQMRx2l3Y Dogs and PTSD http://content.time.com/time/video/player/0,32068,671301612001_2030797,00.html Top 10 Phobias http://www.youtube.com/watch?v=hsr8JsUr6kU

26. Day 3 Unit 12 (C): Somatoform Disorders

27. Somatoform Disorders

28. Do Now (Discussion) Have you ever felt ill or as though you had a serious medical issue only to find that nothing was wrong with you?

29. Somatoform Disorders Psychological disorder in which the symptoms take a somatic (bodily) form without apparent physical cause, or “medically unexplained illnesses.” Somatoform disorders are one of the most common problems that result in doctors’ visits.

30. What causes them? Stress is a probable trigger for somatoform disorders. Stress can manifest itself in a somantic (or bodily) form without there being physical causes. People under stress are also more likely to be more bothered by normal bodily sensations, such as a slight headache.

31. Somatoform Disorders and Culture Culture plays a large role in peoples’ physical complaints. In China, for example, psychological explanations for anxiety and depression are less socially acceptable than physical symptoms of distress.

32. According to a cross national survey that screened 90,000 people for major depressive episodes using a standard set of questions 19.2 % of Americans have experienced a depressive episode, while only 6.5% of people in China have.

33. Conversion Disorder A rare somatoform disorder in which a person experiences very specific genuine physical symptoms for which no physiological basis can be found. Anxiety is presumably converted into a physical symptom.

34. Conversion Disorders Conversion disorders, while mystifying, are no less real than physiological disorders. People with conversion disorders who claim to have lost sensation in certain areas have been known to be unaffected by pins being stuck into them.

35. Hypochondriasis A somatoform disorder in which a person interprets normal physical sensations as symptoms of a disease.

36. Day 4 Unit 12 (D): Dissociative Disorders

37. Dissociative Disorders

38. Dissociative Disorders Disorders in which conscious awareness becomes separated or dissociated from previous memories, thoughts, and feelings.

39. What is dissociation? Dissociation occurs when a person’s consciousness is separated from painful memories, feelings, and thoughts. It tends to be caused by extremely stressful situations or in a response to some sort of trauma.

40. Dissociative Identity Disorder (D.I.D.) Dissociative identity disorder is often referred to as multiple personality disorder. A person with D.I.D. will have two or more distinct identities with different personalities. Often the original personality claims to be unaware of the others.

41. What causes D.I.D.? 98-99% percent of individuals with D.I.D. have recognized personal histories of recurring, overpowering, and often life-threatening disturbances at a sensitive developmental stage of childhood, usually before the age of 9.

42. http://www.youtube.com/watch?v=weLvkZGr9Tw http://www.youtube.com/watch?v=11oD_8jYy0c

43. Is it legitimate? Is D.I.D. a genuine disorder or is it an extension of our normal capacity for personality shifts?

44. Maybe Not Nicholas Spanos asked college students to pretend they were accused murderers being examined by a psychiatrist. When hypnotized, most students expressed a second personality.

45. Maybe Not Nicholas Spanos: • Are dissociative identities more extreme versions of selves we present? • Are people with D.I.D. simply prone to fantasy and convincing themselves they have other personalities? • Most people with D.I.D. are highly hypnotizable;what does this relationship mean?

46. Maybe Not D.I.D. is strangely localized by time and space. After DID was first entered in the DSM,the amount of cases in America skyrocketed. D.I.D. is more rare in Britain than it is in America, and in Japan and India, it is essentially nonexistent. Could it be a cultural phenomenon?

47. Maybe • Handedness sometimes switches with personalities • Ophthalmologists have detected shifting visual acuity and eye muscle balance with personalities • People with D.I.D. have heightened activity in brain areas associated with control and the inhibition or traumatic memories.

48. Day 5 Unit 12 (E): Mood Disorders

49. Do Now 1. I do things slowly. 2. My future seems hopeless. 3. It is hard for me to concentrate on reading. 4. The pleasure and joy has gone out of my life. 5. I have difficulty making decisions. 6. I have lost interest in aspects of life that used to be important to me. 7. I feel sad, blue, and unhappy. 8. I am agitated and keep moving around. 9. I feel fatigued. 10. It takes great effort for me to do simple things. 11. I feel that I am a guilty person who deserves to be punished. 12. I feel like a failure. 13. I feel lifeless -- more dead than alive. 14. My sleep has been disturbed -- too little, too much, or broken sleep. 15. I spend time thinking about HOW I might kill myself. 16. I feel trapped or caught. 17. I feel depressed even when good things happen to me. 18. Without trying to diet, I have lost, or gained, weight.

50. Mood Disorders