1. Do Now: What is Abnormal Psych?
Look around the class. Is there anyone in here doing anything you would consider abnormal?
If so…what is it?

2. What is Abnormal Psychology?
1. Disturbing
2. Disabling
3. Maladaptive
Scientific Study of abnormal-
Behaviors, Neurosis, Psychosis
Goal is to change abnormal behavior patterns
Behaviors that are:

3. How is abnormal behavior a medical disease?
Psychopathology: Study of origin, development of disorders
Etiology: causes, development and prognosis
American Psychological Association (APA) uses the DSM-IV to classify psychological disorders by symptoms
Diagnostic and Statistical Manual of Psychological Disorders

4. DSM-IV Axis I Axis II Clinical Syndromes
Classifies disorders by symptoms. 17 Categories divided into 400 disorders
Axis I
Axis II
Clinical Syndromes
Major disorders: anxiety, depression, substance abuse, schizophrenia , learning disabilities
Personality Disorders and Mental Retardation
Obsessive Compulsive Disorder
Borderline Personality Disorder
Pervasive Developmental Disabilities
Axis IV
Axis III
Social disorders that contribute to mental issues
Physical conditions and disorders that cause mental issues
Axis V: measures impact of disorder
Assessment of Children
GAF (Global Assessment of Functioning)

5. Global Assessment of Function Scale
1–100 Superior functioning in a wide range of activities, life's problems never seem to get out of hand, is sought out by others because of his or her many qualities. No symptoms.
81–90 Absent or minimal symptoms, good functioning in all areas, interested and involved in a wide range of activities, socially effective, generally satisfied with life, no more than everyday problems or concerns.
71–80 If symptoms are present they are transient and expectable reactions to psychosocial stresses; no more than slight impairment in social, occupational, or school functioning.
61–70 Some mild symptoms OR some difficulty in social, occupational, or school functioning, but generally functioning pretty well, has some meaningful interpersonal relationships.
51–60 Moderate symptoms OR any moderate difficulty in social, occupational, or school functioning.
41–50 Serious symptoms OR any serious impairment in social, occupational, or school functioning.
31–40 Some impairment in reality testing or communication OR major impairment in several areas, such as work or school, family relations, judgment, thinking, or mood.
21–30 Behavior is considerably influenced by delusions or hallucinations OR serious impairment in communications or judgment OR inability to function in all areas.1
1–20 Some danger of hurting self or others OR occasionally fails to maintain minimal personal hygiene OR gross impairment in communication.
1–10 Persistent danger of severely hurting self or others OR persistent inability to maintain minimum personal hygiene OR serious suicidal act with clear expectation of death.
0 Not enough information available to provide GAF.

6. What are some types of Disorders?
Primary symptom
G.A.D., Panic Attacks
O.C.D.: Obsessions (thoughts) Compulsions (actions)
P.T.S.D.: Post Traumatic Stress Disorder
Anxiety Disorders
Intense irrational fear
Fear becomes phobia when it causes avoidance or disrupts life
5% of the population has a phobia
Agoraphobia – fear of public
Acrophobia – fear of heights
Claustrophobia – fear of closed spaces
Phobias

7. Dissociative Disorders
Physical symptoms: pain, nausea, etc.
Conversion disorders
Hypochondriasis
Somatoform Disorders
Sudden loss of memory or change in identity, amnesia
Fugue: flight from home to new identity
Dissociative Amnesia: traumatic event causes amnesia – memories may reappear
Dissociative Identity Disorder: multi-personality disorder
Often caused by sexual abuse as a child- splitting, losing time, different personalities
Very Rare. Sybil, Fight Club, Shutter Island
Dissociative Disorders

8. Mood Disorders Bipolar Disorder:
Moods that disrupt entire emotional state
Unipolar Depressive and Bipolar Depressive
Clinical Depression: lasts more than 2 weeks
Dysthmia: mild depression
Mood Disorders
Mood Swings between major periods of depression and mania
Mania: no sleep, big ego, talking fast, impulsive: gambling/sexual/dangerous behaviors
Cycling: time period between swings
Mild Bipolar Disorder: very common and easily medicated and treated
Bipolar Disorder:

9. Types of Schizophrenia
Lack of touch with reality, hallucinations, delusions
Abnormal perceptions
Clang Associations
Schizophrenia
Paranoid
Disorganized
Catatonic
Undifferentiated
Types of Schizophrenia

10. childhood schizophrenia

11. What are some other types of Personality Disorders?

12. Personality Disorders
Longstanding maladaptive thought and behavior patterns
Personality Disorders
Three Clusters
1. Odd/Eccentric
2. Dramatic/Emotional
3. Anti social
Categorized

13. Personality Disorders: Odd/eccentric Type
Schizotypal
Odd Thinking
Suspicious and hostile
Schizoid
Cold, withdrawn
Poor ability to form social relationships
Paranoid
Suspicious, mistrustful

14. Personality Disorders: Dramatic/emotionally problematic
Borderline
Emotionally unstable
Unpredictable, clingy, chaotic relationships, good/bad no middle
Narcissistic
Unrealistically self important
Manipulative, lacks empathy
Histrionic
Excessively dramatic, overreacting, egocentric, attention seeking

15. Personality Disorders: Chronic fearfulness/avoidant
Obsessive-Compulsive
Also as a personality disorder – can be a personality trait (more mild)
Emotionally insensitive, rigid, preoccupied with rules, schedules, etc.
Dependent
Lacking in self confidence, allows others to make decisions
Puts others needs first without thought to own, submissive
Avoidant
Sensitive to personal rejection, socially withdrawn but desires acceptance

16. Personality Disorders: Antisocial Type
Not just serial killers – often in positions of authority, high ranking, etc.
Antisocial Disorders
Used to be called sociopaths or psychopaths. Violate others rights, no remorse, no guilt, self indulgent, charming, can be violent

17. Do Now: What is an Anxiety Disorder?
What is Schizophrenia and what are the types?
What are the three (3) categories of personality disorders?
Do Now:

18. Developmental Disorders
Autistic Spectrum Disorders
Range of disorders based on symptoms diagnosed early in life
ADHD/ADD Attention Deficit Hyperactivity Disorder
Unable to focus attention, impulsive
Failure to complete tasks, easily distracted
Disorders of childhood, infancy and adolescence
Commonly detected early

19. Symptoms of Autism Symptoms 1. Lack of response to others
2. Impairment in verbal/nonverbal communication
3. Very limited activities and interests, repetitive behavior (stacking or lining up objects, etc.)
Types
Aspergers Disorder
P.D.D. Pervasive Developmental Disorder
Childhood Disintegrative Disorder
Autism (moderate to severe)
Signs
No babbling by 12 months.
No gesturing (pointing, waving goodbye, etc.) by 12 months.
No single words by 16 months.
No two-word spontaneous phrases (other than instances of copy cat) by 24 months.
Any loss of any language or social skills, at any age

20. Repetitive Behavior Scale-Revised (RBS-R)
Repetitive Movement: is repetitive movement, such as hand flapping, making sounds, head rolling, or body rocking.
Compulsive Behavior: is intended and appears to follow rules, such as arranging objects in stacks or lines.
Sameness is resistance to change; for example, insisting that the furniture not be moved or refusing to be interrupted.
Rituals: involves an unvarying pattern of daily activities, such as an unchanging menu or a dressing ritual. This is closely associated with sameness and an independent validation has suggested combining the two factors.
Restricted behavior is limited in focus, interest, or activity, such as preoccupation with a single television program, toy, or game.
Self Injury: includes movements that injure or can injure the person, such as eye poking, hand biting, and head banging. A 2007 study reported that self-injury at some point affected about 30% of children with ASD.[
No single repetitive behavior seems to be specific to autism, but only autism appears to have an elevated pattern of occurrence and severity of these behaviors

21. Anorexia Nervosa Bulimia Nervosa Pica Eating disorders
Eating odd objects other than food, often chalk, paper, dirt. Seen in pregnancy as a nutritional disorder and in children older than 12 months as a possible developmental disorder
Bulimia Nervosa
Binging and purging,(vomiting). Intake of thousands of calories, guilty, self critical, use of laxatives, can ruin tooth enamel, esophagus, nutritional and intestinal damage
Anorexia Nervosa
Abnormally restrictive food consumption, less than 85% ideal weight, unrealistic body image, can result in death.

22. Summary: Section II 16. Define Borderline Personality Disorder
1. What is the DSM-IV used for?
2. What are the five (5) axis categories on the DSM-IV?
3. What is the Global Assessment Scale?
4. What is an anxiety disorder?
5. Give two (2) examples of anxiety disorders
6. What is a phobia of being in small crowded places
7. What is a Somatoform Disorder?
8. Give two (2) examples of a dissociative disorder.
9. What is Schizophrenia?
11. What is the definition of personality disorder?
12. What three (3) ways are they categorized?
13. Define Paranoid Type
14. Define Schizoid Type
15. Define Schizotypal Type
16. Define Borderline Personality Disorder
17. Define Histrionic Personality Disorder
18. Define Narcissistic Personality Disorder
19. Define Avoidant Personality Disorder?
20. What is antisocial personality disorder?
21. List two different types of Autism
22. List 3 major symptoms of Autistic Spectrum Disorders in infants
23. What is Anorexia Nervosa?
24. What is Bulimia Nervosa?
25. What is Pica?