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Study Guide for Test 1

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Konstantine Zakzanis

PSYB32 Textbook Notes I Chapter 1: Introduction Psychopathology the field concerned with the nature and development of abnormal behaviour, thoughts and feelings What is Abnormal Behaviour? Abnormal behaviour includes such characteristics as statistically infrequency, violation of norms, personal distress, disability or dysfunction, and unexpectedness - Statistical Infrequency abnormal behaviour is infrequent o Normal Curve or bell-shaped curve, very few people fall at either extreme o Ex: Diagnosing mental retardation through IQ measures. Below 70. o Ex: Having great athletic ability, is abnormal but not bad - Violation of Norms violates social norms or threatens or makes anxious those observing it, can be culturally bound o Ex: anti-social behaviour of psychopaths, OCD person, hearing voices o Ex: criminal and prostitutes, are not studied under psychopathology - Personal Distress personal suffering, behaviour that is abnormal if it creates great distress and torment in the person experiencing it o Ex: psychopath, pain from childbirth - Disability impairment in some import area of life (work or personal relationships) because of an abnormality o Ex: substance-use disorders, phobia, transvestism - Unexpectedness distress and disability are considers abnormal when they are unexpected responses to environmental stressors The Mental Health Professions Clinicians the various professionals authorised to provide psychological services - Clinical psychologist requires a Ph.D or Psy.D. degree (4-7 years graduate study) o !8\.K4O4JL89 reserved for doctoral-level registrants 1) Interpersonal relationships 2) Assessment and evaluation (including diagnosis) 3) Intervention and consultation 4) Research 5) Ethics and standards o !8\.K4O4JL.,O884.L,908 2,89078O0;0O70JL897,398 Ph.D. in psychology laboratory work, research design, statistics, and empirically based study of human and animal behaviour Ph.D. in clinical psychology additional to the above: - techniques of assessment and diagnosis of mental disorders they learn skills necessary to /09072L309K,9,5,9L0398574-O028L3/L.,90,/L847/07 - practise psychotherapy a primarily verbal means of helping troubled individuals change their thoughts, feelings, and behaviour to reduce distress and for greater life satisfaction Ph.D more emphasis on research, scientist-practitioner model Psy. D. more emphasis on clinical training, scholar-practitioner model - scholar-practitioner model flexible, socially responsible, thinking practitioner who derives his skills from core knowledge in scientific psychology. This comprehensively trained professional is capable of performing in a number of roles, and would not be trained simply to be a technician in specific areas CPA Psychiatrist MD degree and has had postgraduate training, called a residency, in which he has received supervision in the practice of diagnosis and psychotherapy - continue to function as physicians, giving physical exams, diagnosing medical problems, prescribing of psychoactive drugs (chemical compounds that can influence how people feel and think) Psychoanalyst received specialized training at a psychoanalytic institute (Freud) - several years of clinical training, in-depth psychoanalysis of the trainee - only recently need MD and psychiatric residency (take up to 10 years of graduate work) Social worker MSW (master of social work) - counselling psychologists similar to graduate training in clinical psychology but less emphasis on research and the more severe forms of psychopathology - psychiatric nurse specializes in working in the mental health field History of Psychopathology Early Demonology Demonology devil dwells within a person and controls his mind and body - exorcism the casting out of spirits by ritualistic chanting or torture - trepanning of skulls (the making of surgical opening in a living skull by some instrument), by Stone Age or Neolithic cave dwellers was quite widespread Somatogenesis the notion that something wrong with the soma disturbs thought and action - Hippocrates classified mental disorders: mania, melancholia, and phrenitis (brain fever) o Melancholia tranquility, sobriety in choosing food and drink, and abstinence o Normal brain functions as a balance of four humours: blood(changeable temperament), black bile (melancholia), yellow bile (irritability and anxiousness), phlegm (if one was sluggish and dull) Psycho-genesis belief that a disturbance has psychological origins The Dark Ages and Demonology - Death of Galen (130-200 AD) marked the dark ages for western European medicine - Churches gained influence, monks treated the ill instead of physicians - Persecution of Witches - Pope Innocent VIII, Malleus Maleficarum (witches hammer) to guide witch hunts, p0784388://03O4884170,843Z,8,8\2594241/0243L.5488088L43 - Witchcraft and Mental Illness England were torture was not allowed did not have these confessions and were acthally people who had delusions and hallucinations o Beginning 13 century, luna.\97L,O8Z070K0O/L33JO,3/74Z387LJK99457490.99K0 mentally impaired Development of Asylums - 15-16 century, confinement of the mentally ill, leprosariums converted to asylums, beggars and mentally ill - Bethlehem and other early asylums 1243, hospital devoted solely to confine mentally ill o Bedlam - a contraction and popular name for this hospital, became a descriptive term for a place or scene of wild uproar and confusion, became a tourist attraction - Moral Treatment Pinel+Tuke patients had close contact with the attendants, who talked and read to them and encouraged them to engage in purposeful activity, residents led as normal lives as possible and in general took responsibility for themselves with the constraints of their disorders o Philippe Pinel La Bicetre movement for humanitarian treatment of mentally ill o First, drugs used alcohol, cannabis, opium and chloral hydrate(knockout drops) o Second, outcomes were not very favourable, less than 1/3 improved Asylums in Canada - Dorothea Dix a crusader for improved conditions for people with mental illness - Henry Hunt Stabb tried to institute moral treatment and non-restraint at Lunatic Asylum in St Johns, Newfoundland 2 distinctive trends in history of development of institutions 1) With the advent of asylums, provisions for the mentally ill were separate from provisions for the psychically ill, indigents and criminals 2) The process was segregated from the wider community - Provincial Psychiatric Hospitals patients kept in protective environment, receive little individual psychosocial treatment, their existence is monotonous and sedentary, removed from major metropolitan centres, comparable to US private hospitals - Community Treatment Orders (CTO) a legal tool issued by a medical practitioner that establishes the conditions which a mentally ill person may live in the community, including compliance with treatment The Beginning of Contemporary Thought - An Early Classification - Sydenham, Griesinger o .7,050OL388\3/7420- group of certain symptoms that appear together regularly enough to be regarded as having an underlying physical cause - General Paresis and Syphilis o Syphilis a venereal disease, sexually transmitted o General Paresis - steady deterioration in physical and mental, delusions and paralysis, earlier had syphilis o Germ theory of disease Louis Pasteur disease caused by microorganisms - Psychogenesis o Hysterical states, physical incapabilities, blindness or paralysis o Franz Anton Mesmer first mesmerize/hypnosis o Jean Charcot hysteric states, non-physiological interpretations o Josef Breuer hypnosis treatment of Anna O, cathartic method (experience of reliving an earlier emotional catastrophe and releasing the emotional tension caused by suppressed thoughts about the event) ,3,/,8039,O+0,O9K,70$\8902 Medicare since 1970, accessible, comprehensive, portable, public admin, universal Mental Health of Canadians: First View - National Population Health Survey (NPHS) Stephens et al. found that current stress, social support, life events, education and childhood trauma were strongly and independently associated with multiple indicators of both positive (ex: self esteem, mastery, and happiness) and negative (ex: level of distress, cognitive impairment) Mental Health Status - Mental health status ,24:3941.:77039897088,8KLJK089,3/9K0384.L,O8:55479 - Deinstitutionalization psychiatric bed reduction and closure o Include homelessness and a lack of supported housing, the jailing of mentally ill, the failure to achieve an ideal of community-focused care for people with mental disorders, a lack of home
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