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Overview of abnormal psych

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Overview of abnormal psych

  1. 1. Overview of Abnormal PsychOverview of Abnormal Psych Unit 9 Lesson 1
  2. 2. ObjectivesObjectives Define abnormality. Review historical approaches to abnormality. Compare how different schools explain abnormal behavior. Identify how disorders are classified and problems with system. Discuss how society views mental illness.
  3. 3. What is normal?What is normal? “Normal” “Abnormal” ◦ Standard ◦ Socially acceptable behavior w/in a culture ◦ Deviation from normality ◦ Maladaptive behavior ◦ Distress
  4. 4. ReviewReview: History of Abnormal Behaviors: History of Abnormal Behaviors Earliest Explanation? ◦ Evil Spirits – Trephining Ancient World ◦ Greeks – (Humors) Natural not supernatural forces Middle Ages ◦ Demonic possession Renaissance ◦ Scientific approach – mind can be sick American Reform ◦ Benjamin Rush & Dorothea Dix – humane treatment, asylums Scientific Advances ◦ Biological Basis, Imaging & Genetics, Psychopharmacology http://www.youtube.com/watch?v=Bi-3LufJKVs&feature=related
  5. 5. TPS: Perspectives of DisordersTPS: Perspectives of Disorders Illness is the result of…. Can be treated by… Conceptual Model Psychoanalytic Behavioral Cognitive Psychosocial Neurobiology
  6. 6. Perspectives of DisordersPerspectives of Disorders Illness is the result of…. Can be treated by… Conceptual Model Psycho- analytic Unconscious conflicts over aggressive & sexual impulses. Psychotherapy (“talking cure”) Psychodynamic Model Behavioral Reinforcement of inappropriate or extinction of appropriate behaviors. Behavior Therapy: Apply principles of learning to change/modify behavior Learning Model Cognitive Irrational or maladaptive thought processes Cognitive Therapy: Change thought processes Psychosocial Biological, psychological, and sociocultural factors. Medication, Behavioral , Cognitive Therapies Vulnerability-Stress Model Neurobiology Genetic abnormalities in brain structure & biochemistry. Medication Medical Model
  7. 7. Conceptual ModelsConceptual Models Medical Model: Diagnose, treat, and cure mental illness. ◦ Diagnosis – distinguish among disorders ◦ Etiology – cause/origin of disorder ◦ Prognosis – course & outcome of disorder
  8. 8. Diagnosing Mental IllnessDiagnosing Mental Illness Objective & Projective Tests Diagnostic & Statistical Manual of Mental Disorders ◦ Classification system ◦ Psychologists & Psychiatrists
  9. 9. DSMDSM DSM-I (1952): ~60 mental disorders DSM-II (1968): Used Freudian terms psychoses (severe) & neuroses (mild) DSM-III (1980): Disorders caused by underlying psychological diseases. Intro 5 axes DSM-IV (1994): ~300 disorders, eliminated others (ex homosexuality)
  10. 10. DSM-IVDSM-IV Axis 1 –Severe Mental Disorders Axis 2 – Personality Disorders Axis 3 – Physical Disorders Axis 4 – Social Stress Scale Axis 5 – Global Assessment of Functioning (GAF)
  11. 11. Major DSM-IV DisordersMajor DSM-IV Disorders Anxiety Mood Eating Somatoform Substance-Related Schizophrenia Dissociative Personality Impulse Control Sleep Disorders Sexual & Gender Identity Disorders Delirium, Dementia & Amnesia Disorders Disorders Diagnosed in Childhood or Adolescence
  12. 12. Criticisms of DSMCriticisms of DSM Over diagnosis ◦ Normal behaviors classified as disease (hyperactivity normal in kids = ADHD) Huge spectrum ◦ Lump minor (caffeine-induced sleep disorder) with major disorders (schizophrenia) Labels Harmful ◦ Self-fulfilling prophecy Reliability ◦ Diagnosis seems scientific but it’s not, subjective Controversial Disorders
  13. 13. Mental Illness vs. InsanityMental Illness vs. Insanity Sane and Insane are legal terms Insanity – inability of defendant to distinguish right from wrong at time of crime TPS - Should the insanity plea be allowed or not?
  14. 14. Why Study Abnormal Psych?Why Study Abnormal Psych? Prevalence Stigma / Misconceptions http://www.youtube. com/watch? v=WUaXFlANojQ
  15. 15. Organizations & GoalsOrganizations & Goals APA National Mental Health Assoc NAMI – Family Org for People w/ Brian Disorders Educate public Confront discrimination Challenge negative stereotypes Emphasize treatment works Achieve parity w/physical diseases
  16. 16. ClosureClosure What steps can high school students take to lessen the stigma often associated with psychological disorders?

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