Chapter 15: Psychological disorders Flashcards
(80 cards)
Mental disorder
-Psychopathology
-No universal agreement
-Persistent disturbance or dysfunction in behavior, thoughts, or emotions
-Cause significant distress or impairment
Psychopathology throughout histroy
-God’s punishment
-Evil Spirits (Chisel holes in peoples heads)
-“Crime” deviates from the normal
Medical model
-Abnormal psychological experiences are illnesses like physical illnesses
-Biological and environmental causes
-Defined symptoms
-Possible cures
Signs
Objectively observed indicators of a disorder
Symptoms
Subjectively reported behaviors, thoughts and emotions
Disorder VS Disease VS Diagnosis
Disorder: Common set of signs or symptoms
-Disease: Pathological process affecting the body
-Diagnosis: Determination as to whether a disorder or disease is present
Physiognomy
-Mental disorders could be diagnosed from facial features
-NOT VALID
DSM-5
-The Diagnostic and Statistical Manual, 5th edition
-Official book with all the major mental disorders by the American Psychiatric Association
ICD-11
-International classification of diseases, 11th edition
-International classification of all diseases (Including mental disorders) by the World Health Organization
DSM (1952)
-Classification system
-Describes the features used to diagnose each recognized mental disorder
-Indicates how the disorder can be distinguished from other similar problems
DSM-ll
-1968
-First revision
-Provides common language about disorders
DSM-lll + DSM-IV
-1994
-Moved from vague disorder descriptions
-Provided detailed list of symptoms/diagnostic criteria for more than 200 disorders
-Improved reliability in diagnosis of mental disorders
Current DSM
-DSM-5; DSM-5-TR, 2022
-Includes fully revised text and references of the DSM-5 and updated diagnostic criteria and ICD-10-CM insurance codes
-It also features a new disorder, prolonged grief disorder and codes for suicidal vs non suicidal behavior
-Provides framework for thinking about differences in cultural concepts of distress
Comorbidity
-Most of those with a mental disorder report Comorbidity
-Co-occurrence of two or more disorders in a single individual
Cultural context
-Influences how mental disorders are
-Experienced
-Described
-Assessed
-Treated
Cultural syndromes
-Taijin kyofusho: Japanese syndrome in which a person fears and avoids contact with others due to the belief that they are inadequate or offensive in some way
-Combines 2 DSM-5-TR conditions
-Social anxiety and body dysmorphic disorder
Medical model of mental disorder
-Knowing a persons diagnosis is useful because any given category of mental illness is likely to have distinctive cause
-Specific etiology (Pattern of causes)
-Common prognosis (Course over time and susceptibility to treatment and cure)
Biopsychological perspective
-Mental disorders are a result of interaction among biological, psychological and social factors
-Different individuals may experience a similar psychological disorder for other reasons
-rarely a single cause that is internal to the person with a single cure
Psychological disorders caused by
-Diathesis (vulnerability factor):
-Genetic/developmental risk factor
-Brain structure
-Social support
and
-Stressors: Traumatic or upsetting event that triggers disorder
RdoC
-Research domain criteria project
-New initiative to guide classification and understanding of mental disorders by revealing the basic processes that give rise to them
-Long-term goal: Better understand what abnormalities cause different disorders
-Classify disorders based on those underlying causes rather than on observed symptoms
Cause of abnormal functioning
-Biological factors
-Psychological domains
-Social processes and behavior
Dangers of labelling
-Psychiatric labels can have negative consequences because of their association with negative stereotypes and stigma
-may prevent seeking help
-May create negative self view
-May contribute to lower self esteem and self-efficacy
-Higher levels of depressive symptoms
Anxiety disorder
-Anxiety is the predominant feature
-More than one type of anxiety at a time
-Comorbid with depression
DSM-5-TR
-Phobic disorders
-Panic disorders
-generalized anxiety disorders