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Psych 2Ap3 lecture Jan 14.pdf

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Richard B Day

Abnormal Psych Lecture - Jan 4 ▯ Changes in DSM-5▯ - OCD is now its own category▯ - disorders presented earlier in life presented before disorders occurring later in life▯ - some disorders dropped, some added▯ - subcategories of schizophrenia are gone▯ ❖ paranoid/disorganized/simple… all gone▯ - new categories: hoarding disorder, excoriation (skin-picking) disorder▯ - no longer a label for asbergers - you would be labeled with autism spectrum disorder▯ - approx 300 categories in 900 pages▯ ▯ What if Medicine were like Psychiatry?? ***midterm▯ - the categories are not categorized according to causes▯ ❖ we don’t know anything for certain about the aetiology▯ ❖ disorder categories are organized according to symptoms, even if the cause is different▯ - what if median categorized in the same way??▯ ❖ Pain: by location? sensation type? by organ system?▯ ❖ Inflammation: ▯ ❖ Fever▯ ❖ Motor Disturbance: by limb?▯ ❖ Digestion Abnormalities: diarrhea…▯ - because we would know nothing about the causes… we label by symptom not cause▯ ▯ What is a Mental Disorder in DSM-5▯ - problems in emotion, thinking and behaviour that are clinically significant..▯ - it is undefined in the DSM however what clinically significant means▯ - What is normalcy? - not a testable situation▯ ❖ it has not been possible to completely separate normal and pathological symptoms in diagnostic criteria… such as anxiety▯ - a generic diagnostic criterion requiring distress or disability has been used to establish disorder thresholds usually worded:▯ “ the disturbance causes clinically significant distress or impairment in social, occupational or other important areas of functioning”▯ - CS is a subjective judgment of the clinician▯ ▯ What is DSM-5?▯ - set of labels to describe and classify presenting problems▯ ❖ similar to labeling head pain as a “headache”▯ ❖ you are putting a label on a pattern of symptoms▯ - identify dysfunction based on personal distress, impaired functioning, increased risk of impaired functioning▯ - However…the labels may help us select treatments known to be effective on certain symptoms▯ ❖ a “guide” to treatment selection▯ - facilitates communication between clinicians and researchers ▯ ❖ allows them to understand the same things about the labels
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