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1
 Generalized Anxiety Disorder
 Panic Disorder
 Phobias
 Obsessive-Compulsive Disorder
 Post-Traumatic Stress Disorder
 Understanding Anxiety Disorders
2
3
4
Schizophrenia
 Symptoms of Schizophrenia
 Onset and Development of
Schizophrenia
 Understanding Schizophrenia
Personality Disorders
 Antisocial Personality Disorder
 Understanding Antisocial Personality
Disorder
People are fascinated by the exceptional, the unusual,
and the abnormal. This fascination may be caused by
two reasons:
5
1. During various moments we feel, think, and act like an
abnormal individual.
2. Psychological disorders may bring unexplained physical
symptoms, irrational fears, and suicidal thoughts.
3. There are 450 million people suffering from psychological
disorders (WHO, 2004).
1. Deviant behavior
(going naked) in one
culture may be
considered normal,
while in others it
may lead to arrest.
2. Deviant behavior
must accompany
distress.
3. If a behavior is
dysfunctional it is
clearly a disorder.
6
In the Wodaabe tribe men wear
costumes to attract women. In
Western society this would be
considered abnormal.
Deviant, Distressful & Dysfunctional
Ancient Treatments of psychological disorders include
trephination, exorcism, being caged like animals, being
beaten, burned, castrated, mutilated, or transfused with
animal’s blood.
7
Trephination (boring holes in the skull to remove evil forces)
JohnW.Verano
Philippe Pinel (1745-1826) from France, insisted that
madness was not due to demonic possession, but an
ailment of the mind.
8
Dance in the madhouse.
The Medical Model
When physicians discovered that syphilis led to
mental disorders, they started using medical models to
review the physical causes of these disorders.
9
1. Etiology: Cause and development of the disorder.
2. Diagnosis: Identifying (symptoms) and distinguishing one
disease from another.
3. Treatment: Treating a disorder in a psychiatric hospital.
4. Prognosis: Forecast about the disorder.
Assumes that biological, socio-cultural, and
psychological factors combine and interact to produce
psychological disorders.
10
11
Theodore Kaczynski
(Unabomber)
ElaineThompson/APPhoto
3. “Insanity” labels raise
moral and ethical
questions about how
society should treat
people who have
disorders and have
committed crimes.
Feelings of excessive apprehension and anxiety.
12
1. Generalized anxiety disorder
2. Panic disorder
3. Phobias
4. Obsessive-compulsive disorder
5. Post-traumatic stress disorder
A PET scan of the brain of
a person with Obsessive-
Compulsive Disorder
(OCD).
High metabolic activity
(red) in the frontal lobe
areas are involved with
directing attention.
13
Brain image of an OCD
Four or more weeks of the following symptoms
constitute post-traumatic stress disorder (PTSD):
14
1. Haunting memories
2. Nightmares
3. Social withdrawal
4. Jumpy anxiety
5. Sleep problems
Bettmann/Corbis
15
•Learning theorists suggest
that fear conditioning leads to
anxiety.
•This anxiety then becomes
associated with other objects
or events (stimulus
generalization) and is
reinforced.
JohnColetti/Stock,Boston
16
Natural Selection has led our ancestors to learn to fear
snakes, spiders, and other animals. Therefore, fear
preserves the species.
Twin studies suggest that our genes may be partly
responsible for developing fears and anxiety. Twins are
more likely to share phobias.
17
Generalized anxiety, panic
attacks, and even OCD are
linked with brain circuits
like the anterior cingulate
cortex.
Anterior Cingulate Cortex
of an OCD patient.
S.Ursu,V.A.Stenger,M.K.Shear,M.R.Jones,&C.S.Carter(2003).Overactiveaction
monitoringinobsessive-compulsivedisorder.PsychologicalScience,14,347-353.
Conscious awareness becomes separated (dissociated)
from previous memories, thoughts, and feelings.
18
Symptoms
1. Having a sense of being unreal.
2. Being separated from the body.
3. Watching yourself as if in a movie.
Emotional extremes of mood disorders come in two
principal forms.
19
Mood Disorders
20
Depression is the “common cold” of psychological
disorders. In a year, 5.8% of men and 9.5% of women
report depression worldwide (WHO, 2002).
Chronic shortness of
breath
Gasping for air after a
hard run
Major Depressive DisorderBlue mood
Formerly called manic-depressive disorder. An
alternation between depression and mania signals
bipolar disorder.
21
Multiple ideas
Hyperactive
Desire for action
Euphoria
Elation
Manic Symptoms
Slowness of thought
Tired
Inability to make decisions
Withdrawn
Gloomy
Depressive Symptoms
Bipolar Disorder
22
3. Gender differences
23
 Depressive episodes
self-terminate.
 Stressful events often
precede depression.
 Depression is
increasing, especially
in the teens.
24
The most severe form of behavioral response to
depression is suicide. Each year some 1 million people
commit suicide worldwide.
1. National differences
2. Racial differences
3. Gender differences
4. Age differences
5. Other differencesSuicide Statistics
PET scans show that brain energy consumption rises and
falls with manic and depressive episodes.
25
The Depressed Brain
26
The social-cognitive perspective suggests that
depression arises partly from self-defeating beliefs and
negative explanatory styles.
27
1. Negative stressful
events.
2. Pessimistic
explanatory style.
3. Hopeless depressed
state.
4. These hamper the way
the individual thinks
and acts, fueling
personal rejection.
28
A schizophrenic person may perceive things that are
not there (hallucinations).
 Frequently such hallucinations are auditory and lesser
visual, somatosensory, olfactory, or gustatory.
29
30
Nearly 1 in a 100 suffer from schizophrenia, and
throughout the world over 24 million people suffer from
this disease (WHO, 2002).
•Schizophrenia strikes
young people as they
mature into adults.
• It affects men and
women equally, but men
suffer from it more
severely than women.
Brain scans show abnormal activity in the frontal cortex,
thalamus, and amygdala of schizophrenic patients.
31
The following shows the prevalence of schizophrenia in
identical twins as seen in different countries.
32
33
Genain Sisters
The genetically identical Genain
sisters suffer from schizophrenia.
Two more than others, thus there
are contributing environmental
factors.
34
Like mood disorders and
schizophrenia, antisocial
personality disorder has
biological and
psychological reasons.
Youngsters, before
committing a crime,
respond with lower levels
of stress hormones than
others do at their age.
35
Understanding Antisocial Personality
Disorder
PET scans of 41 murderers revealed reduced activity in
the frontal lobes. In a follow-up study, repeat offenders
had 11% less frontal lobe activity (Raine et al., 1999;
2000).
36Normal Murderer
37

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Ch 14 psychological disorders

  • 1. 1
  • 2.  Generalized Anxiety Disorder  Panic Disorder  Phobias  Obsessive-Compulsive Disorder  Post-Traumatic Stress Disorder  Understanding Anxiety Disorders 2
  • 3. 3
  • 4. 4 Schizophrenia  Symptoms of Schizophrenia  Onset and Development of Schizophrenia  Understanding Schizophrenia Personality Disorders  Antisocial Personality Disorder  Understanding Antisocial Personality Disorder
  • 5. People are fascinated by the exceptional, the unusual, and the abnormal. This fascination may be caused by two reasons: 5 1. During various moments we feel, think, and act like an abnormal individual. 2. Psychological disorders may bring unexplained physical symptoms, irrational fears, and suicidal thoughts. 3. There are 450 million people suffering from psychological disorders (WHO, 2004).
  • 6. 1. Deviant behavior (going naked) in one culture may be considered normal, while in others it may lead to arrest. 2. Deviant behavior must accompany distress. 3. If a behavior is dysfunctional it is clearly a disorder. 6 In the Wodaabe tribe men wear costumes to attract women. In Western society this would be considered abnormal. Deviant, Distressful & Dysfunctional
  • 7. Ancient Treatments of psychological disorders include trephination, exorcism, being caged like animals, being beaten, burned, castrated, mutilated, or transfused with animal’s blood. 7 Trephination (boring holes in the skull to remove evil forces) JohnW.Verano
  • 8. Philippe Pinel (1745-1826) from France, insisted that madness was not due to demonic possession, but an ailment of the mind. 8 Dance in the madhouse. The Medical Model
  • 9. When physicians discovered that syphilis led to mental disorders, they started using medical models to review the physical causes of these disorders. 9 1. Etiology: Cause and development of the disorder. 2. Diagnosis: Identifying (symptoms) and distinguishing one disease from another. 3. Treatment: Treating a disorder in a psychiatric hospital. 4. Prognosis: Forecast about the disorder.
  • 10. Assumes that biological, socio-cultural, and psychological factors combine and interact to produce psychological disorders. 10
  • 11. 11 Theodore Kaczynski (Unabomber) ElaineThompson/APPhoto 3. “Insanity” labels raise moral and ethical questions about how society should treat people who have disorders and have committed crimes.
  • 12. Feelings of excessive apprehension and anxiety. 12 1. Generalized anxiety disorder 2. Panic disorder 3. Phobias 4. Obsessive-compulsive disorder 5. Post-traumatic stress disorder
  • 13. A PET scan of the brain of a person with Obsessive- Compulsive Disorder (OCD). High metabolic activity (red) in the frontal lobe areas are involved with directing attention. 13 Brain image of an OCD
  • 14. Four or more weeks of the following symptoms constitute post-traumatic stress disorder (PTSD): 14 1. Haunting memories 2. Nightmares 3. Social withdrawal 4. Jumpy anxiety 5. Sleep problems Bettmann/Corbis
  • 15. 15 •Learning theorists suggest that fear conditioning leads to anxiety. •This anxiety then becomes associated with other objects or events (stimulus generalization) and is reinforced. JohnColetti/Stock,Boston
  • 16. 16 Natural Selection has led our ancestors to learn to fear snakes, spiders, and other animals. Therefore, fear preserves the species. Twin studies suggest that our genes may be partly responsible for developing fears and anxiety. Twins are more likely to share phobias.
  • 17. 17 Generalized anxiety, panic attacks, and even OCD are linked with brain circuits like the anterior cingulate cortex. Anterior Cingulate Cortex of an OCD patient. S.Ursu,V.A.Stenger,M.K.Shear,M.R.Jones,&C.S.Carter(2003).Overactiveaction monitoringinobsessive-compulsivedisorder.PsychologicalScience,14,347-353.
  • 18. Conscious awareness becomes separated (dissociated) from previous memories, thoughts, and feelings. 18 Symptoms 1. Having a sense of being unreal. 2. Being separated from the body. 3. Watching yourself as if in a movie.
  • 19. Emotional extremes of mood disorders come in two principal forms. 19 Mood Disorders
  • 20. 20 Depression is the “common cold” of psychological disorders. In a year, 5.8% of men and 9.5% of women report depression worldwide (WHO, 2002). Chronic shortness of breath Gasping for air after a hard run Major Depressive DisorderBlue mood
  • 21. Formerly called manic-depressive disorder. An alternation between depression and mania signals bipolar disorder. 21 Multiple ideas Hyperactive Desire for action Euphoria Elation Manic Symptoms Slowness of thought Tired Inability to make decisions Withdrawn Gloomy Depressive Symptoms Bipolar Disorder
  • 23. 23  Depressive episodes self-terminate.  Stressful events often precede depression.  Depression is increasing, especially in the teens.
  • 24. 24 The most severe form of behavioral response to depression is suicide. Each year some 1 million people commit suicide worldwide. 1. National differences 2. Racial differences 3. Gender differences 4. Age differences 5. Other differencesSuicide Statistics
  • 25. PET scans show that brain energy consumption rises and falls with manic and depressive episodes. 25 The Depressed Brain
  • 26. 26 The social-cognitive perspective suggests that depression arises partly from self-defeating beliefs and negative explanatory styles.
  • 27. 27 1. Negative stressful events. 2. Pessimistic explanatory style. 3. Hopeless depressed state. 4. These hamper the way the individual thinks and acts, fueling personal rejection.
  • 28. 28
  • 29. A schizophrenic person may perceive things that are not there (hallucinations).  Frequently such hallucinations are auditory and lesser visual, somatosensory, olfactory, or gustatory. 29
  • 30. 30 Nearly 1 in a 100 suffer from schizophrenia, and throughout the world over 24 million people suffer from this disease (WHO, 2002). •Schizophrenia strikes young people as they mature into adults. • It affects men and women equally, but men suffer from it more severely than women.
  • 31. Brain scans show abnormal activity in the frontal cortex, thalamus, and amygdala of schizophrenic patients. 31
  • 32. The following shows the prevalence of schizophrenia in identical twins as seen in different countries. 32
  • 33. 33 Genain Sisters The genetically identical Genain sisters suffer from schizophrenia. Two more than others, thus there are contributing environmental factors.
  • 34. 34
  • 35. Like mood disorders and schizophrenia, antisocial personality disorder has biological and psychological reasons. Youngsters, before committing a crime, respond with lower levels of stress hormones than others do at their age. 35
  • 36. Understanding Antisocial Personality Disorder PET scans of 41 murderers revealed reduced activity in the frontal lobes. In a follow-up study, repeat offenders had 11% less frontal lobe activity (Raine et al., 1999; 2000). 36Normal Murderer
  • 37. 37