LU 13: Abnormal Psychology

Defining Abnormal Psychology

cultural influences

demonic possession, brain flag syndrome, running amok, Multiple Personality Disorder (DID)

the biopsychosocial model; biological roots, psychological roots and social and cultural context

classifying Psychological Disorders

The Diagnostic and Statistical Manual of Mental Disorders; five axes (lists)-Axis I, Axis II, Axis III, Axis IV, Axis V

Anxiety Disorders

generalized anxiety disorder

almost constant, exaggerated worry for which there is little to no basis

person-tense, irritable, tired

often co-diagnosed with other mood disorders-depression

Panic Disorder

characterized by frequent bouts of anxiety and bursts of panic

panic attacks, hyperventilation

treatment; psychotherapy, anti-depressant drugs, advice (cognitive)

common co-existing disorders; social phobia, agoraphobia

Phobias-avoidance behaviors, strong and persistent fear of a specific object or situation

common phobias; open spaces, public speaking, heights, social phobia, being alone, reminders of danger

behavior therapy; systematic desensitization, flooding or implosion

drug therapy; benzodiazepines--common tranquilizer (suppress symptoms temporarily, addictive

Obsessive-compulsive disorder

checking and cleaning

treatment; exposure therapy and drug treatment-serotonin reuptake inhibiters (SSRIs)

Substance-Related Disorders

substance dependence; addiction

addictive drugs stimulate dopamine receptors (nucleus accumbens)--increased attention--pleasurable feelings

symptoms; tolerance (decreased effects of a given dose) and wuthdrawal (unpleasant sensations when the drug is not used)

nicotine dependence; cigarette smoking

alcoholism-habitual overuse of alcohol; type I and type II

treatment; help from mental health professionals, self-help groups (Alcoholic Anonymous, AA), antabuse (disulfiram), controlled drinking, harm reduction

Opiate Dependence

recovery; offer methadone (replacement for opiates), harm reduction

Mood Disorders, Schizophrenia and Autism

Mood Disorders

depression

major depression

seasonal affective disorder (SAD); light therapy

bipolar disorder

factors; genetic predisposition, sex differences-hormones-coping, events that precipitate depression

cognitive aspects of depression; explanatory style, internal attributions, external attributions

treatment; cognitive therapy, medications (tricyclics, SSRIs, MAOIs, atypical antidepressants, St.John's Wort, Electroconvulsive shock therapy (ECT)

types; Bipolar I disorder, Bipolar II disorder

Schizophrenia

symptoms; hallucinations, delusions/thought disorder, incoherent speech, grossly disorganized behavior, loss of normal emotional responses and social behaviors

positive symptoms; hallucinations, hearing voices, visual hallucinations, delusions--types (persecution, grandeur, ideas of reference), disordered thinking

types and preference; undifferentiated, catatonic, disorganized, paranoid

causes; genetic influences, brain abnormalities, the neurodevelopmental hypothesis

therapies; drug therapies--antipsychotic/neuroleptic drugs, family therapy

Autism

symptoms; impaired social relationships, impaired communication, stereotyped behaviors

Asperger's disorder; a milder form of autism