1. Abnormal Psychology (Chapter 18) Lecture Outline : “Abnormality” and diagnosis Anxiety Disorders Dissociative Disorders

2. On the sheet of paper, list three things you are afraid of

3. Abnormality Behavior is statistically unusual, nonadaptive, labeled “abnormal”, or has perceptual/cognitive distortion Historical examples of abnormal behavior: –psychosis: demon possession, syphillis –mentally retarded individuals & midgets were “court-jesters” –Salem witch trials: girls may have ingested ergot, LSD derivative

4. Salem witch trial

5. Models of abnormality Psychodynamic: Intrapsychic conflict –e.g., sexual abuse and conversion disorder Humanistic: Oversensitivity to others –e.g., alcoholism for social anxiety Behavioral: Reinforcement/Punishment –e.g., snake bite leads to snake phobia Cognitive: Distorted thinking –e.g., negative thoughts and depression Medical: Physiological imbalance

6. Diagnosis: DSM-IV Diagnostic and Statistical Manual, 4th Ed. (APA, 1994) Axis I: Clinical syndromes/ Mental disorders Axis II: Personality and Disorders Axis III: General Medical Conditions Axis IV: Psychosocial and Environmental Problems Axis V: GAF Scale (1:low to 100:high)

7. Anxiety Disorders

8. Symptoms of Anxiety Symptoms of anxiety: –Mood: tension, apprehension and panic –Cognitive: catastrophe, concentration –Somatic: Sweat, pulse, dizzy, pounding –Motor: Tics, bite nails, pace, fidget Case examples of clients with anxiety disorders, with emphasis on panic disorder (video #92)

9. Case example: Social phobia "I couldn't go on dates or to parties. For a while, I couldn't even go to class. My sophomore year of college I had to come home for a semester." "My fear would happen in any social situation. I would be anxious before I even left the house, and it would escalate as I got closer to class, a party, or whatever. I would feel sick to my stomach--it almost felt like I had the flu. My heart would pound, my palms would get sweaty, and I would get this feeling of being removed from myself and from everybody else." "When I would walk into a room full of people, I'd turn red and it would feel like everybody's eyes were on me. Iwas too embarrassed to stand off in a corner by myself, but I couldn't think of anything to say to anybody. I felt so clumsy, I couldn't wait to get out."

10. Specific kinds of anxiety disorders Phobias: Simple, social, and agoraphobia Panic Disorder: Bouts of intense and uncontrollable anxiety Generalized anxiety disorder: Chronic Stress Disorder: PTSD Obsessive-Compulsive Disorder –obsession: unwanted impulses or thoughts –compulsion: uncontrolled repetitive act

12. Etiology (Cause) of Anxiety Psychodynamic: External threats –guilt after id-superego struggle Learning theory: Classical conditioning –sexual anxiety after unprotected sex Cognitive: Anxious cognitions –public speaking catastrophes Humanistic-Existential: “A” gets a “B” Physiological: Autonomic reactivity

13. Who were the lambs, Clarice?

14. Dissociative Disorders Dissociative amnesia: Memory loss for specific events or people Fugue: Total memory loss after stress, relocation and starting a new life Dissociative Identity Disorder (MPD) –two or more identities that coexist –associated with child trauma such as abuse –abused children “leave their bodies” –hearing voices