1. Unit 12: Abnormal Behavior

2. Unit 12 - Overview Introduction to Psychological Disorders Anxiety Disorders, Obsessive-Compulsive Disorder, and Posttraumatic Stress DisordersAnxiety Disorders, Obsessive-Compulsive Disorder, and Posttraumatic Stress Disorders Mood Disorders Schizophrenia Other Disorders Click on the any of the above hyperlinks to go to that section in the presentation.

3. Module 65: Introduction to Psychological Disorders

5. Introduction How should we define psychological disorders? How should we understand disorders? How should we classify psychological disorders?

6. Defining Psychological Disorders

7. Psychological disorders –Disturbed behavior –Dysfunctional behavior –Maladaptive behavior Attention deficit hyperactivity disorder (ADHD)Attention deficit hyperactivity disorder (ADHD)

8. Understanding Psychological Disorders

9. Understanding Psychological Disorders The Medical Model Philippe Pinel Medical model –Mental illness (psychopathology)

10. Understanding Psychological Disorders The Biopsychosocial Approach Interaction of nature and nurture Influence of culture on disorders

11. Classifying Psychological Disorders

12. Diagnostic and Statistical Manual of Mental Disorders (DSM) –DSM-5DSM-5 Diagnostic labels Criticisms of the DSM

13. Labeling Psychological Disorders

14. Rosenhan’s study Power of labels –Preconception can stigmatize Stereotypes of the mentally ill Insanity

15. Rates of Psychological Disorders

18. Module 66: Anxiety Disorders, Obsessive- Compulsive Disorder, and Posttraumatic Stress Disorder

20. Anxiety Disorders Anxiety disorder –Generalized anxiety disorderGeneralized anxiety disorder –Panic disordersPanic disorders –PhobiasPhobias

21. Generalized Anxiety Disorder

22. Generalized anxiety disorder –2/3 women –Continual worry, jittery, agitated and sleep deprived –Free floating anxiety

23. Panic Disorder

24. Panic disorder –Panic attacks

25. Phobias

26. Specific Phobia Phobias –Specific phobia –Social anxiety disorderSocial anxiety disorder –AgoraphobiaAgoraphobia

27. Specific Phobia

28. Phobias

29. Obsessive-Compulsive and Related Disorders

30. Obsessive-Compulsive Disorder Obsessive-compulsive disorder –An obsession versus a compulsion –Checkers –Hand washers

31. Obsessive-Compulsive Disorder

36. Trauma Stressor and Related Disorders

37. Posttraumatic Stress Disorder Post-traumatic stress disorder –PTSD –“shellshock” or “battle fatigue” –Not just due to a war situation Post-traumatic growthPost-traumatic growth

38. Understanding Anxiety Disorders, OCD and PTSD

39. Understanding Anxiety Disorders, OCD and PTSD The Learning Perspective Classical and operant conditioning –Stimulus generalization –Reinforcement Observational learning Cognition

40. Understanding Anxiety Disorders, OCD and PTSD The Biological Perspective Natural selection Genes –Anxiety gene –Glutamate The Brain –Anterior cingulate cortex

41. Module 67: Depressive and Bipolar Disorders

43. Depressive Disorders

44. Major Depressive Disorder Major depressive disorder –Problems regulating appetite –Problems regulating sleep –Low energy –Low self-esteem –Difficulty concentrating and making decisions –Feelings of hopelessness Persistent depressive disorder

55. Bipolar and Related Disorders

56. Bipolar Disorder –Mania (manic)Mania Overtalkative, overactive, elated, little need for sleep, etc. –Disruptive Mood Dysregulation Disorder –Bipolar disorder and creativity

57. Understanding Depressive and Bipolar Disorders

58. Many behavioral and cognitive changes accompany depression Depression is widespread Women’s risk of major depression is nearly double men’s Most major depressive episodes self-terminate Stressful events related to work, marriage and close relationships often proceed depression With each new generation, depression is striking earlier and affecting more people

59. Understanding Depressive and Bipolar Disorders

60. Understanding Depressive and Bipolar Disorders The Biological Perspective Genetic Influences –Mood disorders run in families Heritability Linkage analysis The depressed brain Biochemical influences –Norepinephrine and serotonin

61. Understanding Depressive and Bipolar Disorders The Biological Perspective

65. Understanding Depressive and Bipolar Disorders The Social-Cognitive Perspective Negative Thoughts and Moods Interact –Self-defeating beliefs Learned helplessness Rumination –Explanatory style Stable, global, internal explanations –Cause versus indictor of depression?

76. Understanding Depressive and Bipolar Disorders The Social-Cognitive Perspective: Depression’s Vicious Cycle

80. Module 68: Schizophrenia Spectrum

82. Symptoms of Schizophrenia

83. Schizophrenia (split mind)Schizophrenia –Not multiple personalities –Psychosis (psychotic disorder)Psychosis

84. Symptoms of Schizophrenia Disorganized Thinking and Disturbed Perceptions Disorganized thinking –DelusionsDelusions Delusions of persecution (paranoid) –Word Salad –HallucinationsHallucinations –Breakdown in selective attention

85. Symptoms of Schizophrenia Diminished and Inappropriate Emotions Inappropriate Emotions –Flat affect Inappropriate Actions –Catatonia –Disruptive social behavior

86. Onset and Development of Schizophrenia

87. Statistics on schizophrenia Onset of the disease Positive versus negative symptoms Chronic (process) schizophrenia Acute (reactive) schizophrenia

88. Understanding Schizophrenia

89. Understanding Schizophrenia Brain Abnormalities: Dopamine Overactivity Dopamine Overactivity –Dopamine – D4 dopamine receptor –Dopamine blocking drugs Glutamate

90. Understanding Schizophrenia Brain Abnormalities: Abnormal Brain Activity and Anatomy Abnormal Brain Activity and Anatomy –Frontal lobe and core brain activity –Fluid filled areas of the brain

91. Understanding Schizophrenia Brain Abnormalities: Maternal Virus During Midpregnancy Maternal Virus During Pregnancy –Studies on maternal activity and schizophrenia –Influence of the flu during pregnancy

92. Understanding Schizophrenia Genetic Factors Genetic predisposition Twin studies

93. Understanding Schizophrenia Psychological Factors Possible warning signs –Mother severely schizophrenic –Birth complications (low weight/oxygen deprivation) –Separation from parents –Short attention span –Disruptive or withdrawn behavior –Emotional unpredictability –Poor peer relations and solo play

94. Module 69: Other Disorders

96. Somatic Symptom and Related Disorders

97. Somatic symptom disorder –Somatic (body) –Conversion disorderConversion disorder Functional neurological symptom disorder –Illness anxiety disorderIllness anxiety disorder Hypochondriasis

98. Dissociative Disorders

99. Dissociative disorders –Fugue state –Dissociate (become separated)

100. Dissociative Disorders Dissociative Identity Disorder Dissociative identity disorder (DID) –Multiple personality disorder

101. Dissociative Disorders Understanding Dissociative Identity Disorder Genuine disorder or not? DID rates Therapist’s creation Differences are too great DID and other disorders

102. Feeding and Eating Disorders

103. Eating disorders –Anorexia nervosaAnorexia nervosa –Bulimia nervosaBulimia nervosa –Binge -eating disorderBinge -eating disorder

104. Personality Disorders

105. Personality disorders –Cluster A Schizoid personality disorder –Cluster B Histrionic personality disorder Narcissistic personality disorder Antisocial personality disorder –Cluster C Avoidant personality disorder

106. Personality Disorders Antisocial Personality Disorder Antisocial personality disorder –Sociopath or psychopath Understanding antisocial personality disorder

107. The End

108. Definition Slides

109. Psychological Disorder = a syndrome marked by a clinically significant disturbance in an individual’s cognition, emotion regulation, or behavior.

110. Attention-Deficit Hyperactivity Disorder (ADHD) = a psychological disorder marked by the appearance by age 7 of one or more of three key symptoms; extreme inattention, hyperactivity, and impulsivity.

111. Medical Model = the concept that diseases, in this case psychological disorders, have physical causes that can be diagnosed, treated, and, in most cases, cured often through treatment in a hospital.

112. DSM-5 = the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition; a widely used system for classifying psychological disorders.

113. Anxiety Disorders = psychological disorders characterized by distressing, persistent anxiety or maladaptive behaviors that reduce anxiety.

114. Generalized Anxiety Disorder = an anxiety disorder in which a person is continually tense, apprehensive, and in a state of autonomic nervous system arousal.

115. Panic Disorder = an anxiety disorder marked by unpredictable minutes-long episodes of intense dread in which a person experiences terror and accompanying chest pain, choking, or other frightening sensations. Often followed by worry over a possible next attack.

116. Phobia = an anxiety disorder marked by a persistent, irrational fear and avoidance of a specific object, activity, or situation.

117. Social Anxiety Disorder = intense fear of social situations, leading to avoidance of such. (Formerly called social phobia)

118. Agoraphobia = fear or avoidance of situations, such as crowds or wide open spaces, where one has felt loss of control and panic.

119. Obsessive-Compulsive Disorder (OCD) = a disorder characterized by unwanted repetitive thoughts (obsessions) and/or actions (compulsions).

120. Post-Traumatic Stress Disorder (PTSD) = a disorder characterized by haunting memories, nightmares, social withdrawal, jumpy anxiety, numbness of feeling, and/or insomnia that lingers for four weeks or more after a traumatic experience.

121. Post-Traumatic Growth = positive psychological changes as a result of struggling with extremely challenging circumstances and life crises.

122. Mood Disorders = psychological disorders characterized by emotional extremes.

123. Major Depressive Disorder = a mood disorder in which a person experiences, in the absence of drugs or a another medical condition, two or more weeks with five or more symptoms, at least one of which must be either (1) depressed mood, or (2) lost of interest or pleasure.

124. Mania = a mood disorder marked by a hyperactive, wildly optimistic state.

125. Bipolar Disorder = a mood disorder in which a person alternates between the hopelessness and lethargy of depression and the overexcited state of mania. (formerly called manic- depressive disorder.)

126. Rumination = compulsive fretting; overthinking about our problems and their causes.

127. Schizophrenia = a group of severe disorders characterized by delusions, hallucinations, disorganized speech, and/or diminished or inappropriate emotional expression.

128. Psychosis = a psychological disorder in which a person loses contact with reality, experiencing irrational ideas and distorted perceptions.

129. Delusions = false beliefs, often of persecution or grandeur, that may accompany psychotic disorders.

130. Hallucinations = false sensory experience, such as seeing something in the absence of an external visual stimulus.

131. Somatic Symptom Disorder = psychological disorder in which the symptoms take a somatic (bodily) form without apparent physical cause.

132. Conversion Disorder = a disorder in which a person experiences very specific genuine physical symptoms for which no psychological basis can be found. (Also called functional neurological symptom disorder)

133. Illness Anxiety Disorder = a disorder in which a person interprets normal physical sensations as symptoms of the disease. (Formerly called hypochondriasis)

134. Dissociative Disorders = disorders in which conscious awareness becomes separated (dissociated) from previous memories, thoughts, and feelings.

135. Dissociative Identity Disorder (DID) = a rare dissociative disorder in which a person exhibits two or more distinct and alternating personalities. Formerly called multiple personality disorder.

136. Anorexia Nervosa = an eating disorder in which a person (usually an adolescent female) maintains a starvation diet despite being significantly (15 percent or more) underweight.

137. Bulimia Nervosa = an eating disorder in which a person alternates binge eating (usually of high- calorie foods) with purging (by vomiting or laxative use), excessive exercise, or fasting.

138. Binge-Eating Disorder = significant binge-eating episodes, followed by distress, disgust, or guilt, but without the compensatory purging, fasting, or excessive exercise that marks bulimia nervosa.

139. Personality Disorders = psychological disorders characterized by inflexible and enduring behavior patterns that impair social functioning.

140. Antisocial Personality Disorder = a personality disorder in which a person (usually a man) exhibits a lack of conscience for wrongdoing, even toward friends and family members. May be aggressive and ruthless or a clever con artist.