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Abnormal Psych Lec 3.docx

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University of Toronto Scarborough
Konstantine Zakzanis

Abnormal psych lec 3  Classification and Diagnosis o Diagnostic and Statistical manual of mental disorders. (DSM-IV-TR) o Necessary in order to prescribe the right treatment o Allows us to communicate efficiently o Must be interrater reliability  When two people look at something, they should be able to come up with the same diagnosis o Ability to differentiate between disorders  Allows to be more certain in diagnoses o Having a book like this allows for research and to expand on past research o A clinically significant behavioral or psychological syndrome or pattern that occurs in an individual  A syndrome is a constellation of symptoms that usually occur together  Includes present distress or disability, or  A significantly increased risk of suffering death, pain, disability, or an important loss of freedom.  Psychological vs behavioural impairment  Feeling anxious vs visibly seeing someone running around being hyperactive and shit  Excludes  An expectable and culturally sanctioned response to a particular event  Deviant behavior  Conflicts that are primarily between the individual and society o Five dimensions of classification (back inside cover of your textbook)  Axis I- all diagnostic categories  Axis II – personality disorders and retardation  Axis III- general medical conditions  Axis IV – psychosocial and environmental problems  Axis V – current level of functioning (GAF reading (global assessment of functioning, numerical summary severity of functional disabilities)) o Diagnostic categories  Disorders usually first diagnosed in infancy, childhood, or adolescence  Separation anxiety disorder  Conduct disorder  Attention-deficit/hyperactive disorder  Mental retardation  Pervasive developmental disorders  Learning disorders o Body dimorphic disorder  When we are preoccupied with a part of our body that we feel is inadequate o Dissociative disorders  Definition: Psychological dissociation or a sudden alteration in consciousness that affects memory and identity  Dissociate amnesia  Temporarily and transiently has no memory for an event  No physiological explanation  May forget the entire past or lose memory for a particular time period  Dis. Fugue  Picks up suddenly and unexpectedly travels to a new locale, starts a new life, and cannot remember their personal identity  Tend to confabulate their past, they don’t remember so they make things up to fill in gaps  We don’t know what the prevelance of these disorders are because they don’t go to a doctor.  Dis. Identity disorder  Used to be called multiple personality disorder  At least 2 different personalities that shift back and forth  Person wants to dissociate from the personality they are in because it is causing them stress  Different personalities can even have different alergies  Depersonalization disorder  Person is distraught and feeling that everything around them is unreal.  No sense that anything is real around them  Feel astranged o Sexual and gender identity disorders  Paraphilia  The source of sexual gratification is unconventional  Ex: the poo study prof talked about (the case of the person who took the feces of the men he found attractive in washrooms and boil it and masturbate to it)  Sexual dysfunctions  People who cannot complete the sexual response cycle o Starts with arousal and ends with orgasm  Ex: premature ejaculation, erectile dysfunction  Gender Identity Disorder  Person who experiences discomfort with their anatomical sex (that they were born with) and identify themselves as a member of the opposite sex o Sleep disorders  Dyssomnias  Sleep is disrupted in amount (too little or too much), quality (sleep a lot
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