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Psyc 300 Midterm

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University of British Columbia
PSYC 300
Julia Ting

PSYC 300 MIDTERM JUNE 18 CHAPTER 1 Abnormal psychScientific study diagnosisUses psychodiagnosismanual with all criteria in order to diagnosis DSM psychodiagnostic manual o attempt to describe assess systematically draw inferences about an individuals psych disordertherapy used to control abnormal behaviourProfessions in mental healthClinical psych mostly w sicker people sick enough to be in hospitalCounseling psychdeal more with everyday problems Marriage and family counseling usually MAMental health counseling usually MA mostly weveryday pop cant diagnosis just therapyPsychiatry prescribe medication some therapy but mostly medsPsychiatric social work some therapy planning for dischargeall of above can do theraphy talk therapy but differs on pop Determining abnormalityPsychologists use diagnostic and statistical manual of mental disorders DSMIVTR defn of abnormal behaviour clinically significant behaviouralpsychological syndrome or pattern that is associated wresent distressdisabilitywith significantly increased risk of suffering death pain disabilityloss of freedomLimitations of DSMIV definition o When is syndrome significant enough to have meaning not specific enough in terms of when something is intense enough to diagnose hard for people who almost meet requirements but not quite o how do we know what present distress or painful syndrome is o What criteria do we use in ascertaining an underlying psychobiological dysfxn and not merely an expectable response to common stressors o More cultural universality than relativism Now moved to DSMV4 ways of judging abnormal behaviour 4 Ds o 1 Distressare they in distress o 2 Deviance does this person deviates from what society thinks is normalDisorientationHallucinations false impressions involve sensesDelusions false beliefsdelusion of grandeurpersecution o 3 Dysfunction o 4 Dangerousness harming yourselfsomeone else Contextual and cultural limitations in defining abnormal psychThomas Szasz mental illness is myth o 1 Abnormal behaviour labeled because its diffo 2 Unusual belief sys not necessarily wrong o 3 Abnormal behaviour frequently reflection of something wrong wsociety rather than windividualCulture Need to be aware of background before diagnosis o configuration of shared learned behaviour that is transmitted from one generation to another by members of particular groupincludes values beliefs attitudes in worldview symbolized by artifacts roles expectations and institutions1 Culture not synonymous wrace or ethnic group2 Every societygroup that shares and transmits behaviours to its members possess culture3 Culture is powerful determinant of worldviewsCultural universality school assume all mental illness comes from same placeCultural relativism school understanding mental has to come from understanding of cultural backgroundboth views have validity Freq and burden of mental disordersPrevalencepop wdisorder at any given timeLifetime prevalenceppl at some pt in their lives have had this mental illnessIncidencenew cases usually per yearAccording to recent NCSR study lifetime prevalence rates o Anxiety disorder288 o Mood disorder 208 o Impulsecontrol disorder24 o Substance abuse disorders146Lifetime prevalence rates for all 4 disorders464 Stereotypes about mental illnessPpl w mental illness often stereotypedcommon myths o media says ppl wmental illness always recognizable they act funny o mental ill ppl genetically inherited problems o mental illness is incurable o ppl only mentally ill because theyre weak historical perspectives on abnormal behaviourprehistoric and ancient beliefs treated by exorcismppl wmental illness possessed by demonsGrecoroman o More about spirits o Hippocrates first to suggest maybe its to do with brain3 categories mania melancholia phrenitisMiddle ages Supernaturalwitch group hysteriaRenaissance Uniqueness of ea individual celebratedso not so focused on mental illness but just that that person is unique in own way thth 1819 centuries more humanemoral treatments Causes early viewpointsBiological view o Mental disorders have a physicalphysio basis sto Kraepelin 1 person to look at bio basis of mental disordersclassified based on organic symptoms and clustered symptoms father of DSMPsychologicalo Psychological and emotional not bioorganic factors cause many disorders o Mesmerism and hypnotism to treat hysteriaThe Nancy school o Josef Breuer cathartic method and Freud relief by talking about traumatic experiences o Behaviourism more scientific lab introduced Contemporary trendsThe drug revolution 1950s deinstitutionalization of ppl wmental illness and just gave medications workedPrescription privileges for psychologists New Mexico LouisianaIndustrialization of health care has brought about major trends o Business interests are exerting increasing control over psychotherapy o Current business practices are depression income of practitioners o Psychologists are being asked to justify use of their therapiesBlue cross documents and limits psychologists how much can charge and need for sessionsAppreciation for research o Neuroanatomy role of neurotransmitters in mental disorders o Success of psychopharmacology spawned new interest in brainbehaviour relationshipHow meds help and whyCan work quite well wpsychotherapy o Combining drug therapy wpsychotherapy
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