Study Guide PSY 240

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Neil Rector

Class Introduction Psychological disorder: something which presents a psychological dysfunction within the individual and is associated with stress and impairment, and it is a response which is not typical or culturally expected of the said person psychological dysfunction: cognitive, emotional, behaviour change etc. N cognitive: presence of delusions o depression: indecisiveness o anxiety: fear or threat N emotional o depression: sad mood N behavioural o depression: change in eating disorder o anxiety: avoidence/escape behaviour different degrees of dysfunction and can be represented on a continuum N hard to draw the line N distinguished based on time (ie. depression is 2 weeks) N distinguished based on distress or impairment o problem distinguishing psychopath based on this criteria o problem based on impairment criteria is not good b/c ppl. Can suppress them through avoidance and escape N distinguished based on atypical response o problem is that it is hard to define what is atypical o very subjective and culturally dependent o atypical if it violates some kind of social norm culture relativism: abnormality can only be defined in reference to the norms of a culture or society The Mental Health Professionals clinical psychologist (Ph.D., Psy.D.) N :8:,OO\/408395708.7L-020/L.,9L43 Psychiatrist (M.D., F.R.C.P. (C)) N Can prescribe medication usually look at problem from biological aspects Psychoanalyst (M.D., Ph.D.) N long term psychological talk therapy Social Workers (M.S.W.) N works with families Counseling Psychologist (Ph.D.) Mental Health Professional Consumer of science: enhancing the practice evaluator of science: determining the effectiveness of the practice creator of science: conducting research that leads to new procedures useful in practice Studying Psychological Disorders Focus: clinical description N prevalence of disorder (how many people in the population as a whole experience the disorder) N incidence (how many new cases arise within a given period of time) N how does the problem onset? (ex. apparent/sudden and acute or insidious and slow?) N course of the disorder (episodic, chronic etc.) N prognosis (anticipated outcome) Causation (etiology) N biological N psychological vulnerability N social factors Treatment and Outcome History of Psychopathology: Demonology An evil being, such as the devil, may dwell within a person ex. in Chinese , Egyptians and the Greeks predominate perspective from 11 -15 th thCentury 13-16 Century, people obsessed with the devil some people internalized the belief that they were witches and may have actually suffered from psychological disorders, most ppl however were not ill non-forced confessions in England History of Psychopathology: The Somatogenic Perspective Hippocrates (460-377AD) Father of modern medicine regarded the brain as the organ of wisdom deviations resulted from brain abnormality (soma = body) first classification of abnormal problems: N 1. Mania N 2. Melancholia N 3. Frenitious (brain fever) 4 fluids theory (blood, black bile, yellow bile, phlegm) N imbalance of fluids resulted in mental health problems treatment included: stroll, blood letting, nutrition History of Psychopathology: Asylums & Biological Base germ theory of disease resulted from discovery and linkage of syphilis and mental health problems ECT, insulin injection therapy neuroleptics: neurotransmitters can reduce psychotic emergence confinement began in 15 thand 16C St. Mary of Bethelem 0/O,2 /:3,9L.8%4Z07 Pinel: primary figure in moral treatment movement which introduced humanitarian treatments in asylums (usually reserved to upper classes) drugs turned out to be used in treatment first asylum in Canada opened in Quebec (1850-1900) N mirrored the conditions of early European asylums History of Psychopathology: Psychogenesis psychological explanations for mental disorders Mesmer (1743-1815): used rods in bathtubs to hypnotize his patients, 970,9203941K\8907L.,O89,90890720/208207L82 Charcot (1825-1893): hypnosis, meets with Bruerer and Bruerer is most famous for Anna O. by helping her to talk about past upsetting events this is refered to as the cathartic method N Talking with patients under hypnosis Notes Chapter 1: Looking at Abnormality Psychopathology: psychological or mental disorder Defining Abnormality Behaviours can be abnormal relative to culrtural norms Draptomania: illness causing people to desire freedom (during the slave period) Dysaesthesia aethiopis: disease causing slaves to work for their master Mostly not used to define abnormal nowdays Unusualness Behaviours which are unusual or rare are labeled abnormal N may also tie in with cultural norm eccentrics: positive activities which are rare or unusual Discomfort abnormal only if the person experiences discomfort and want to rid of the behaviour problem in that people might not know they have a problem which causes them discomfort and their behaviours might be detrimental to others whereas they are not effected Mental Illness implies that abnormality as behaviours that can be measured biologically with a test like any other illness Maladaptiveness abnormality defined based on whether the behaviour causes the person distress and effects their everyday life functions made of 3 components: dysfunction, distress, and deviance Historical Perspectives
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