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Lecture 4_PSY341.docx

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Hywel Morgan

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Lecture 4: INTRO TO CLINICAL SYNDROMES – DSM IV DSM IV CLASSIFICATION - 10 child categories st mental retardation: 1 category, will be changed for DSM V because it shouldn’t be solely based on IQ – agree that mental retardation shouldn’t be based on IQ – iq below 70 – 1 standard deviation – the benchmark for abnormal is usually 1 standard deviation – 2 standard deviation sis usually referred to as disordered - mild mental retardation, DSM IV – IQ below 70 and 55 - moderate mental retardation – IQ 55-40 - severe mental retardation – IQ 40-20 - profound is IQ below 20 - coded on axis II, acknowledgement that this is not going anywhere – agreement that you need to include the assessment of adaptive behaviour when considering this diagnosis – adaptive means that you can adapt to new situations – everything varies in our environment – ability to adapt to those changes is very important because there are no constants – ability to adapt to change is one of the proposed definitions of mental retardation learning disorders - reading, writing, mathematics - any deficits where the child falls behinds his or her developmental norms - if you fall behind your developmental norm, you are labeled with mental illness motor skills disorder - coordination disorder - children at certain ages are expected to perform certain motor tasks communication disorders - divided in to speaking: expressive language disorder (unclear language, poorly pronounced words, unusual words for age, poor grammar), speaking & understanding: mixed receptive – expressive disorders, phonological understanding: substituting sounds for others, stuttering Pervasive developmental disorders - over a long period of time – the “psychotic” disorders - autistic like disorders - autistic disorder: hallmark symptom is an almost complete lack of social interaction – can see right from infancy - Rett’s disorder: like autism, unlike autism it doesn’t appear until age of 2 & characteristic symptom is hand ringing - childhood disintegrative disorder: the disorder that’s replaced the diagnosis for childhood schizophrenia – doesn’t show up right away – slow, insidious progression from infancy towards a non responsive/non interactive state - Asperger’s disorder: mildest of all the pervasive disorders – apparent at birth like autism, characterized by a rejection of social interaction, and misunderstanding of emotional expression, don’t look autistic except for the fact that they are totally social retarded – are verbal and will interact bu
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