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Psych 101 March 28 2013 Clinical Psychology

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University of Waterloo
Stephanie Denison

Psychology 101 March 28 2013: Clinical Psychology Video  Legal and ethical issues go beyond what we traditionally think Mental Disorders  What are mental disorders  Intensity of felt misery  Arousal vs. despondency cases of high or low  Irrationality in the person’s thinking  Mental Disorder controversy: hard to decide to figure out if someone actually has the disorder  Symptom (individuals characteristics in term of thoughts behaviours) o Dimensional, categorical  Syndrome (constellation of symptoms an individual shows) o Only if the effect is clinically significant detriment, the problem derives from an internal source, not under voluntary control Issue with Diagnosis  DSM-IV o Reliability: give same diagnosis o Validity: the categories are clinically meaningful, are the disorders real  The current state of DSM o New in may most significant changes in 20 years  Labeling people o Dangerous and useful o Labeling theory: because of the stigma, being officially labeled has negative consequences o Critics say they earn much more from labeling in diagnosis and treatment Perspective on Mental Disorders  Biological Perspective o Physical disease analogy o More/less useful for certain disorders o Brain abnormalities (alztimers) o Chemical imbalances o Birth difficulties (cerebral palsy) o Heritability (genetics e.g. eating disorders)  Also interaction with environment is a factor  Psychodynamic Perspective: unconscious, unresolved conflicts of the mind o Sigmund Freud o Unconscious conflicts and drives o insight oriented therapy: get client to become self-aware, past experiences and their influence on the now o Early childhood trauma o Large role for therapy  Cognitive Perspective: originate from an interruption in our basic cognitive functioning o Learned maladaptive thoughts  Behaviour Perspectives: learned maladaptive behaviours  How do we separate these?  Sociocultural Perspective: larger culture important to the development of mental disorders o Evidence: culture bond syndromes, only exists in a significant amount in certain cultures and doesn’t exist cross culturally o Koro: rural SE Asia: intense fear that young men think penis will shrink into stomach and they will die o Menopause in Japan: not reports of hot flashes, less than 5% report compared to 50% in Canada Multiple Causation  Most occur later in life (not all)  Some threshold: at least __ things from a list, lots of people are close but haven’t met that level yet  Predisposing causes : before onset of mental disorder  Precipitating Cause: immediate events that bring on disorder o ‘Stressors’  Perpetuating causes: cons
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