ICD diagnostic

Question 1

ICD

Answer 1

build up in tension, relieved when person engages in certain behaviour

leads to euphoric rush of please, short lives

kleptomania, pyromania, gambling disorder

Question 2

kleptomania

Answer 2

affects 0.6% of pop @ any age
more fem than male
don’t want/need the items they steal

bradford and balmaceda 1983 4% of shoplifters only kleptos

behaviour reinforced by the short term relief but usually long term depression anxiety bc shame and guilt

diagnosis = rule out other causes like hearing voices

Question 3

pyromania

Answer 3

fascination with fire
don’t intent to cause damage
relief and pleasure

3-6% psychiatric inpatients thought to meet criteria (burton et al 2012)

age of onset young - teens
but severity increases over time

risk = boredom, stress, inadequacy, conflict

mood substance disorders common
90% of pyros feel guilty

> 30% suicidal

Question 4

gambling disorder

Answer 4

4% lifetime prevalence in USA black and shaw 2019

build up of tension that starts w placing a bet

people who gamble show similar physical and behavioural signs and symptoms
^ griffiths 1993
found tolerance in gamvlers whose heart rates returned back to nnormal
so need gamble longer to feel same arousal when theyre regular gamblers

65% withdrawals like insomnia headaches upset stomach

diagnosis = impaired control over gambling
> where and when it happens
how often and how much is bet

persistance for 12 mnths b4 diagnosis
eliminate mania as a cause bc gambling seen in BPD

Question 5

kleptomania symptom assessment scale (K-SAS)

Answer 5

11 item self report scale
over past week
0-4 score
max score 44

> 31 = severe
21 = moderate
most people 22-37

grant et al 2003; K-SAS can assess change in severity

Question 6

K-SAS strength

Answer 6

accessibility and use in everyday life

ten mins to complete, dont need training to administer

covrs all aspects: thoughts, urges. behaviour, distress (hollander and berlin 2007)

no delays in treatment

Question 7

K-SAS strength OBJECTIVE

Answer 7

qualitative data
interview=subjective
reduces bias > objective diagnosis more standardised

Question 8

K-SAS weakness

Answer 8

social desirability bias
self report ques
might lie
people usually ashamed
under-report the extent
reduce VALIDITY

Question 9

K-SAS idiographic vs nomothetic

Answer 9

nomothetic approach
large amounts of data collected over the years
can compare w normative data

but symptoms can be seen out of context, no bg to it

case studies use triangulation
idiographic methods also like interviews
> glover case study glover 1985

quantitative data alone may not be helpful