Abnormal Psych Notes 1
Abnormal Psych Notes 1
Abnormal Psych Notes 1
Meeting 2 and 3
Psychopathology
- The field concerned with the nature and development of abnormal behavior, thoughts,
and feeling
- The scientific study of mental disorders Psychopathology is a term that refers to either the
study of mental illness or mental distress or the manifestation of behaviors.
- Other terms for Abnormality/ mental illness or distress
What is Mental Disorder?
- A clinically significant behavioral or psychological syndrome or pattern that occurs in an
individual and that is associated with the present distress or disability or with significantly
increased risk of suffering death, pain, disability, or an important loss of freedom.
(Assignment difference between symptoms, sign, and syndrome)
D. Disability:
- Impairment in some important area of life (e.g work or personal relationship)
- Example: substance related disorders are defined in part by the social or
occupational disability (e.g serious arguments with one spouse or poor work
performance) created by substance abuse.
E. Suffering or Personal Distress:
- Behavior is abnormal if it creates great distress or torment in the person
experiencing it.
- If people suffer or experience psychological pain we are inclined to consider this
as indicative abnormality.
- If the person is content with his/her life, then she/he is of no concern to the mental
health field.
- Example: a student began feeling sad and lonely. Although he is still able to go to
classes and work, he finds himself feeling depressed much of the time and he is
concerned about what is happening to him.
F. Social Discomfort
- When someone violates a social rule, those around him or her may experience a
sense of discomfort or unease.
G. Irrationality and Unpredictability
- If person sitting next to you suddenly began to scream and yell obscenities at
nothing, you would probably regard that behavior as abnormal
- The disordered speech and the disorganized behavior of patients with
schizophrenia are often irrational.
- Perhaps the most important factor, however, is our evaluation of whether the
person can control his or her behavior.
Dangerousness
- It seems quite reasonable to think that someone who is a danger to him- or herself or to
another person must be psychologically abnormal.
- Indeed , therapists are required to hospitalize suicidal clients or contact the police (as well
as the person who is the target of the threat) if they have a client who makes an explicit
threat to harm another person.
No one definition is the correct or the best definition. To a certain extent each one captures a
different aspect of the meaning of abnormality. WHen we talk about abnormality, or when we
study, or treat those suffering from it, we inevitably invoke one or more of these definitions either
explicitly or implicitly.
Meeting#3
● When you diagnose, you try to identify a certain disease, illness, or you want to
see if there’s a problem.
● We are after the condition; it’s the illness, not the person.
● If you diagnose, you will see possible causes/treatments to address a particular
symptom.
● Cornerstone of diagnosis: You should be using reliable and valid scales.
● Reliability speaks for consistency, accurateness.
● Dementia praecox, mania – common disorder before.
➔ Dementia praecox – (meaning a "premature dementia" or "precocious
madness") is a disused psychiatric diagnosis that originally designated
a chronic, deteriorating psychotic disorder characterized by rapid cognitive
disintegration, usually beginning in the late teens or early adulthood.
➔ Mania – excitement manifested by mental and physical hyperactivity,
disorganization of behavior, and elevation of mood specifically: the manic
phase of bipolar disorder
● Syndromes – group of symptoms
● Note: If it is not on DSM, it is not a disorder.
● DSM – Diagnostic and Statistical Manual of Mental Disorders
● DSM-5 no longer uses axiality (axis I, axis II, etc.)
● In DSM-5 diagnosis, we also use physical condition (high blood pressure) not just
mental conditions.
● ICD – International Classification of Diseases
● DSM-5 and ICD are our nosology
● Nosology - the branch of medical science dealing with the classification of
diseases
● Treatment is dealing with the disease, illness, and problem
● We can do a diagnosis; we can treat provided that we are licensed.
● Aaron Beck developed cognitive therapy in the early 1960s as a psychiatrist at
the University of Pennsylvania. He had previously studied and practiced
psychoanalysis. A researcher and scientist at heart, Beck designed and carried
out a number of experiments to test psychoanalytic concepts of depression.
● Philippine François Pinel — Liberator of the insane, father of psychiatry
● Benjamin Rush – father of American psychiatry
● Clifford Whittingham Beers- Advocate of the insane; founder of the Connecticut
Society for Mental Hygiene
● If it’s biomedical, we need a doctor.
● Psychodynamic – used for PSTD, form of depth psychology
● EMDR – Eye Movement Desensitization and Reprocessing therapy