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Modern Perspectives
Modern Models

• Biological

• Psychological

• Sociocultural

• Diathesis-Stress
Biological

• Emphasises role of:
  i) nervous system in mental disorders
  ii) brain malfunction
  iii) neurotransmitter imbalance
  iv) genetic factors

• Many mental disorders show a high degree of
  concordance amongst close relatives.

• Techniques for observing brain functions have
  improved (MRI, PET)
Psychological

• Often, disorders occur without any apparent
  underlying biological cause.

• Psychological model emphasises the role of basic
  psychological processes, cognitive factors, and
  unconscious forces and conflicts within the
  individual
Sociocultural

• Emphasis on the role of social variables (external
  factors) as potential causes of mental disorders.

• E.g. poverty, unemployment, education, prejudice.
How do you think living in this environment would influence your psychological health?
Diathesis-Stress Model

• Suggests disorders result from the joint effects of:
  i) a predisposition for a given disorder, termed a
  diathesis
  ii) stressors in an individual’s environment that tend
  to activate or stimulate the predisposition or
  vulnerability
• Other words – for various reasons, individuals show
  varying degrees of vulnerability to specific disorders
  and whether (and to what extent) it surfaces depends
  on the environment.
• E.g. PTSD
Assessment and
             Diagnosis
• Assessment – When the psychologist gather
  information on a new patient (kind of problems, current
  conditions, responses to various psychological tests).

• Diagnosis – identification of the person’s problem(s).

• Psychologists and other mental health professionals
  have an agreed-upon system for describing and
  classifying mental disorders.

• Most widely used – Diagnostic and Statistical Manual
  of Mental Disorders – IV (DSM-IV)
Diagnostic and Statistical Manual of Mental
          Disorders – IV (DSM-IV)


• Published by the American Psychiatric Association
  (1994).

• Designed to help all mental health practitioners
  correctly diagnose specific disorders.

• Describes about 250 disorders that are divided
  along five different categories, called axes.

• Psychologist/Psychiatrist then assesses the
  person on each of these axes
Axis       Type of Info                   Brief Description
Axis I     Clinical Disorders and Other   Includes factors that are not
           Conditions That May Be a       disorders, but may affect
           Focus of Clinical Attention    functioning.
                                          i.e. social problems
Axis II    Personality Disorders, Mental Rigid, enduring, maladaptive
           Retardation                   personality patterns
Axis III   General Medical Conditions     Includes physical disorders that
                                          affect one’s psychological
                                          adjustment.
Axis IV    Psychosocial and               Info about problems in the person’s
           Environmental Problems         life that might affect adjustment (ie.
                                          Loss of loved one, unemployment or
                                          poverty).
Axis V     Global Assessment of           Overall judgment of current
           Functioning                    functioning, literally a rating on a
                                          scale of 0-100.
Prevalence in Australia

• The National Survey of Mental Health and Wellbeing
  by ABS (2007)
• Sample of 8,841 respondents aged between 16 and
  85.
• Women were more likely than men to have
  experienced symptoms of a mental disorder (22% of
  women compared to 18% of men) and young women
  reported the highest rates (30% for those women aged
  16 to 24).
• Young people were much more likely to report a
  mental disorder in the previous twelve-months (26%)
  and there was a steady reduction in this rate with
  increasing age.
PREVALENCE OF 12 MONTH DISORDERS
SERVICE USE BY DISORDER TYPE
SERVICE USE BY AGE AND SEX
MEDICATION USE BY DISORDER TYPE

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Models and prevalence

  • 2. Modern Models • Biological • Psychological • Sociocultural • Diathesis-Stress
  • 3. Biological • Emphasises role of: i) nervous system in mental disorders ii) brain malfunction iii) neurotransmitter imbalance iv) genetic factors • Many mental disorders show a high degree of concordance amongst close relatives. • Techniques for observing brain functions have improved (MRI, PET)
  • 4. Psychological • Often, disorders occur without any apparent underlying biological cause. • Psychological model emphasises the role of basic psychological processes, cognitive factors, and unconscious forces and conflicts within the individual
  • 5. Sociocultural • Emphasis on the role of social variables (external factors) as potential causes of mental disorders. • E.g. poverty, unemployment, education, prejudice.
  • 6. How do you think living in this environment would influence your psychological health?
  • 7. Diathesis-Stress Model • Suggests disorders result from the joint effects of: i) a predisposition for a given disorder, termed a diathesis ii) stressors in an individual’s environment that tend to activate or stimulate the predisposition or vulnerability • Other words – for various reasons, individuals show varying degrees of vulnerability to specific disorders and whether (and to what extent) it surfaces depends on the environment. • E.g. PTSD
  • 8. Assessment and Diagnosis • Assessment – When the psychologist gather information on a new patient (kind of problems, current conditions, responses to various psychological tests). • Diagnosis – identification of the person’s problem(s). • Psychologists and other mental health professionals have an agreed-upon system for describing and classifying mental disorders. • Most widely used – Diagnostic and Statistical Manual of Mental Disorders – IV (DSM-IV)
  • 9. Diagnostic and Statistical Manual of Mental Disorders – IV (DSM-IV) • Published by the American Psychiatric Association (1994). • Designed to help all mental health practitioners correctly diagnose specific disorders. • Describes about 250 disorders that are divided along five different categories, called axes. • Psychologist/Psychiatrist then assesses the person on each of these axes
  • 10. Axis Type of Info Brief Description Axis I Clinical Disorders and Other Includes factors that are not Conditions That May Be a disorders, but may affect Focus of Clinical Attention functioning. i.e. social problems Axis II Personality Disorders, Mental Rigid, enduring, maladaptive Retardation personality patterns Axis III General Medical Conditions Includes physical disorders that affect one’s psychological adjustment. Axis IV Psychosocial and Info about problems in the person’s Environmental Problems life that might affect adjustment (ie. Loss of loved one, unemployment or poverty). Axis V Global Assessment of Overall judgment of current Functioning functioning, literally a rating on a scale of 0-100.
  • 11. Prevalence in Australia • The National Survey of Mental Health and Wellbeing by ABS (2007) • Sample of 8,841 respondents aged between 16 and 85. • Women were more likely than men to have experienced symptoms of a mental disorder (22% of women compared to 18% of men) and young women reported the highest rates (30% for those women aged 16 to 24). • Young people were much more likely to report a mental disorder in the previous twelve-months (26%) and there was a steady reduction in this rate with increasing age.
  • 12. PREVALENCE OF 12 MONTH DISORDERS
  • 13.
  • 14. SERVICE USE BY DISORDER TYPE
  • 15. SERVICE USE BY AGE AND SEX
  • 16. MEDICATION USE BY DISORDER TYPE