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©John Wiley & Sons, Inc Huffman: Psychology in Action (8e) Psychology in Action (8e) by Karen Huffman PowerPoint  Lecture Notes Presentation Chapter 14: Psychological Disorders Karen Huffman, Palomar College

©John Wiley & Sons, Inc Huffman: Psychology in Action (8e) Lecture Overview Studying Psychological Disorders Anxiety Disorders Mood Disorders Schizophrenia Other Disorders

©John Wiley & Sons, Inc Huffman: Psychology in Action (8e) Studying Psychological Disorders Abnormal Behavior: patterns of emotion, thought, and action considered pathological for one or more of four reasons: statistical infrequency disability or dysfunction personal distress violation of norms

©John Wiley & Sons, Inc Huffman: Psychology in Action (8e) Studying Psychological Disorders: Four Criteria for Abnormal Behavior

©John Wiley & Sons, Inc Huffman: Psychology in Action (8e) Culture-General Symptoms: shared symptoms across cultures

©John Wiley & Sons, Inc Huffman: Psychology in Action (8e) Culture-Bound Symptoms: unique symptoms that differ across cultures

©John Wiley & Sons, Inc Huffman: Psychology in Action (8e) Studying Psychological Disorders (Continued) Historical perspectives:  In ancient times, people believed demons were the cause of abnormal behavior.  In the 1790s, Pinel and others began to emphasize disease and physical illness, which later developed into the medical model.

©John Wiley & Sons, Inc Huffman: Psychology in Action (8e) Studying Psychological Disorders (Continued) Modern psychology includes seven major perspectives on abnormal behavior.

©John Wiley & Sons, Inc Huffman: Psychology in Action (8e) Studying Psychological Disorders: Classifying Abnormal Behavior The Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR): provides detailed descriptions of symptoms contains over 200 diagnostic categories grouped into 17 major categories and five dimensions (or axes)

©John Wiley & Sons, Inc Huffman: Psychology in Action (8e) Studying Psychological Disorders: Classifying Abnormal Behavior (Cont.) Five Axes of DSM-IV-TR (guidelines for making decisions about symptoms) Axis I (current clinical disorders) Axis II (personality disorders and mental retardation) Axis III (general medical information) Axis IV (psychosocial and environmental problems) Axis V (global assessment of functioning)

©John Wiley & Sons, Inc Huffman: Psychology in Action (8e)

Pause and Reflect: Check & Review 1. What are the four major standards for identifying abnormal behavior? 2. The _____ provides detailed descriptions of the key symptoms of abnormal behavior.

©John Wiley & Sons, Inc Huffman: Psychology in Action (8e) Anxiety Disorders Anxiety Disorder: characterized by unrealistic, irrational fear  Four Major Anxiety Disorders 1. Generalized Anxiety Disorder: persistent, uncontrollable, and free-floating anxiety 2. Panic Disorder: sudden and inexplicable panic attacks

©John Wiley & Sons, Inc Huffman: Psychology in Action (8e) Anxiety Disorders (Continued) 3. Phobia: intense, irrational fear of a specific object or situation 4. Obsessive-Compulsive Disorder (OCD): intrusive, repetitive fearful thoughts (obsessions), urges to perform repetitive, ritualistic behaviors (compulsions), or both

©John Wiley & Sons, Inc Huffman: Psychology in Action (8e) Anxiety Disorders (Continued) Explanations of Anxiety Disorders:  Psychological--faulty cognitions, maladaptive learning  Biological--evolution, genetics, brain functioning, biochemistry  Sociocultural—environmental stressors, cultural socialization

©John Wiley & Sons, Inc Huffman: Psychology in Action (8e) Mood Disorders Mood Disorders: characterized by extreme disturbances in emotional states Two Main Types of Mood Disorders: Major Depressive Disorder: long-lasting depressed mood that interferes with the ability to function, feel pleasure, or maintain interest in life Bipolar Disorder: repeated episodes of mania and depression

©John Wiley & Sons, Inc Huffman: Psychology in Action (8e) Mood Disorders (Continued) Using this hypothetical graph, note how major depressive disorders differ from bipolar disorders.

©John Wiley & Sons, Inc Huffman: Psychology in Action (8e) Mood Disorders (Continued) Explanations of Mood Disorders:  Biological--brain functioning, neurotransmitter imbalances, genetics, evolution  Psychosocial--environmental stressors, disturbed interpersonal relationships, faulty thinking, poor self- concept, learned helplessness, faulty attributions

©John Wiley & Sons, Inc Huffman: Psychology in Action (8e) POP QUIZ BONUS True or False? 1. Suicide usually occurs with little or no warning. 2. Only depressed people commit suicide. 3. Thinking about suicide is rare. 4. Suicidal people are fully intent on dying. Answers: Check page 515 in your text.

©John Wiley & Sons, Inc Huffman: Psychology in Action (8e) Mood Disorders (Continued) SocialPsychological Biological Gender and Cultural Diversity:  Culture-general symptoms for depression (e.g., sad affect, lack of energy)  Women more often depressed. Why? Combination of biological, psychological, and social forces (biopsychosocial model)

©John Wiley & Sons, Inc Huffman: Psychology in Action (8e) Pause and Reflect: Check & Review 1. What are the four major anxiety disorders? 2. _____ are characterized by repeated episodes of mania and depression.

©John Wiley & Sons, Inc Huffman: Psychology in Action (8e) Schizophrenia Schizophrenia: group of psychotic disorders, characterized by a general loss of contact with reality Five areas of major disturbance: 1. Perception (hallucinations – imaginary sensory perception) 2. Language (word salad, neologisms – ie.splisters) 3. Thoughts (psychosis- loss of reality, delusions – extreme mistaken beliefs) 4. Emotion (exaggerated or flat affect) 5. Behavior [unusual actions (e.g., catalepsy – assume immobile stance, waxy flexibility – maintain given postures)]

©John Wiley & Sons, Inc Huffman: Psychology in Action (8e) Schizophrenia (Continued)

©John Wiley & Sons, Inc Huffman: Psychology in Action (8e)

Schizophrenia (Continued) Explanations of Schizophrenia:  Biological--genetic predisposition, disruptions in neurotransmitters, brain abnormalities  Psychosocial--stress, disturbed family communication

©John Wiley & Sons, Inc Huffman: Psychology in Action (8e)

Schizophrenia (Continued) Gender and Cultural Diversity: Numerous culturally general symptoms, but significant differences exist in: prevalence form onset prognosis

©John Wiley & Sons, Inc Huffman: Psychology in Action (8e) Pause and Reflect: Check & Review 1. _____ is a group of psychotic disorders, characterized by a g eneral loss of contact with reality. 2. What are the three biological and two psychological explanations of schizophrenia?

©John Wiley & Sons, Inc Huffman: Psychology in Action (8e) Other Disorders Substance-related disorder (abuse of, or dependence on, a mood- or behavior-altering drug) Two general groups:  Substance abuse (interferes with social or occupational functioning)  Substance dependence (shows physical reactions, such as tolerance and withdrawal)

©John Wiley & Sons, Inc Huffman: Psychology in Action (8e) Other Disorders: Substance-Related Disorder

©John Wiley & Sons, Inc Huffman: Psychology in Action (8e) Other Disorders (Continued) People with substance-related disorders also commonly suffer from other psychological disorders, a condition known as comorbidity.

©John Wiley & Sons, Inc Huffman: Psychology in Action (8e) Other Disorders (Continued) Dissociative Disorders: splitting apart (dis- association) of experience from memory or consciousness Types of Dissociative Disorders:  Dissociative Amnesia (past)  Dissociative Fugue (wanderer)  Dissociative Identity Disorder (DID) – formerly multiple personality disorder

©John Wiley & Sons, Inc Huffman: Psychology in Action (8e) Other Disorders (Continued) Best known and most severe dissociative disorder:  Dissociative Identity Disorder (DID): presence of two or more distinct personality systems in the same person at different times (previously known as multiple personality disorder)

©John Wiley & Sons, Inc Huffman: Psychology in Action (8e) Other Disorders (Continued) Personality Disorder: inflexible, maladaptive personality traits causing significant impairment of social and occupational functioning Types of personality disorders:  Antisocial Personality Disorder  Borderline Personality Disorder

©John Wiley & Sons, Inc Huffman: Psychology in Action (8e) Antisocial Personality Disorder: profound disregard for, and violation of, the rights of others Key Traits: egocentrism, lack of conscience, impulsive behavior, and superficial charm Other Disorders (Continued)

©John Wiley & Sons, Inc Huffman: Psychology in Action (8e) Other Disorders (Continued) Explanations of Antisocial Personality Disorder Biological--genetic predisposition, abnormal brain functioning Psychological--abusive parenting, inappropriate modeling

©John Wiley & Sons, Inc Huffman: Psychology in Action (8e) Borderline Personality Disorder (BPD): impulsivity and instability in mood, relationships, and self-image (common) Explanations of BPD: Psychological--childhood history of neglect, emotional deprivation, abuse Biological--genetic inheritance, impaired brain functioning Other Disorders (Continued)

©John Wiley & Sons, Inc Huffman: Psychology in Action (8e) Psychology in Action (8e) by Karen Huffman PowerPoint  Lecture Notes Presentation End of Chapter 14: Psychological Disorders Karen Huffman, Palomar College