Chapter 15 Treatment of Abnormal Psych. History of Treatment.
Overview of Abnormal Psych Lesson 1. Objectives Define abnormality. Review historical approaches to...
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![Page 1: Overview of Abnormal Psych Lesson 1. Objectives Define abnormality. Review historical approaches to abnormality. Compare how different schools explain.](https://reader035.fdocuments.in/reader035/viewer/2022062305/5697c0041a28abf838cc42e7/html5/thumbnails/1.jpg)
Overview of Abnormal Overview of Abnormal PsychPsychLesson 1
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ObjectivesObjectivesDefine abnormality.Review historical approaches to
abnormality.Compare how different schools
explain abnormal behavior.Identify how disorders are classified
and problems with system.Discuss how society views mental
illness.
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What is What is normal??
“Normal”
“Abnormal”
◦ Standard◦ Socially acceptable
behavior w/in a culture
◦ Deviation from normality
◦ Distressful◦ Dysfunctional
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Review: History of Abnormal : History of Abnormal BehaviorsBehaviorsEarliest Explanation?
◦ Evil Spirits – Trephining
Ancient World◦ Greeks – (Humors) Natural not supernatural forces
Middle Ages◦ Demonic possession
Renaissance◦ Scientific approach – mind can be sick
American Reform◦ Benjamin Rush & Dorothea Dix – humane treatment,
asylums
Scientific Advances◦ Biological Basis, Imaging & Genetics,
Psychopharmacology
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TPS: Perspectives of TPS: Perspectives of DisordersDisorders
Illness is the result of….
Can be treated by…
Psychoanalytic
Behavioral
Cognitive
Neurobiology
Biopsychosocial
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Perspectives of DisordersPerspectives of DisordersIllness is the result of….
Can be treated by…
Psychoanalytic
Unconscious conflicts over aggressive & sexual impulses.
Psychotherapy (“talking cure”)
Behavioral
Cognitive
Neurobiology
Biopsychosocial
![Page 7: Overview of Abnormal Psych Lesson 1. Objectives Define abnormality. Review historical approaches to abnormality. Compare how different schools explain.](https://reader035.fdocuments.in/reader035/viewer/2022062305/5697c0041a28abf838cc42e7/html5/thumbnails/7.jpg)
Perspectives of DisordersPerspectives of DisordersIllness is the result of….
Can be treated by…
Psychoanalytic
Unconscious conflicts over aggressive & sexual impulses.
Psychotherapy (“talking cure”)
Behavioral Reinforcement of inappropriate or extinction of appropriate behaviors.
Behavior Therapy: Apply principles of learning to change/modify behavior
Cognitive
Neurobiology
Biopsychosocial
![Page 8: Overview of Abnormal Psych Lesson 1. Objectives Define abnormality. Review historical approaches to abnormality. Compare how different schools explain.](https://reader035.fdocuments.in/reader035/viewer/2022062305/5697c0041a28abf838cc42e7/html5/thumbnails/8.jpg)
Perspectives of DisordersPerspectives of DisordersIllness is the result of….
Can be treated by…
Psychoanalytic
Behavioral Reinforcement of inappropriate or extinction of appropriate behaviors.
Behavior Therapy: Apply principles of learning to change/modify behavior
Cognitive Irrational or maladaptive thought processes
Cognitive Therapy: Change thought processes
Neurobiology
Biopsychosocial
![Page 9: Overview of Abnormal Psych Lesson 1. Objectives Define abnormality. Review historical approaches to abnormality. Compare how different schools explain.](https://reader035.fdocuments.in/reader035/viewer/2022062305/5697c0041a28abf838cc42e7/html5/thumbnails/9.jpg)
Perspectives of DisordersPerspectives of DisordersIllness is the result of….
Can be treated by…
Psychoanalytic
Behavioral
Cognitive Irrational or maladaptive thought processes
Cognitive Therapy: Change thought processes
Neurobiology Genetic abnormalities in brain structure & biochemistry.
Medication
Biopsychosocial
Biological, psychological, and sociocultural factors.
Medication, Behavioral , Cognitive Therapies
![Page 10: Overview of Abnormal Psych Lesson 1. Objectives Define abnormality. Review historical approaches to abnormality. Compare how different schools explain.](https://reader035.fdocuments.in/reader035/viewer/2022062305/5697c0041a28abf838cc42e7/html5/thumbnails/10.jpg)
Perspectives of DisordersPerspectives of DisordersIllness is the result of….
Can be treated by…
Psychoanalytic
Behavioral
Cognitive
Neurobiology Genetic abnormalities in brain structure & biochemistry.
Medication
Biopsychosocial
Biological, psychological, and sociocultural factors.
Medication, Behavioral , Cognitive Therapies
![Page 11: Overview of Abnormal Psych Lesson 1. Objectives Define abnormality. Review historical approaches to abnormality. Compare how different schools explain.](https://reader035.fdocuments.in/reader035/viewer/2022062305/5697c0041a28abf838cc42e7/html5/thumbnails/11.jpg)
Conceptual ModelsConceptual Models
Medical Model: Diagnose, treat, and cure mental illness.
◦Diagnosis – distinguish among disorders
◦Etiology – cause/origin of disorder◦Prognosis – course & outcome of
disorder
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Diagnosing Mental IllnessDiagnosing Mental IllnessObjective &
Projective Tests
Diagnostic & Statistical Manual of Mental Disorders◦ Classification
system◦ Psychologists &
Psychiatrists
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DSMDSMDSM-I (1952): ~60 mental disorders
DSM-II (1968): Used Freudian terms psychoses (severe) & neuroses (mild)
DSM-III (1980): Disorders caused by underlying psychological diseases. Intro 5 axes
DSM-IV (1994): ~300 disorders, eliminated others (ex homosexuality)◦ DSM-IV-TR (2000)
DSM5 (2013): ~ 300 disorders, eliminated
multiaxial system, added some (hoarding) eliminated others
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Major DSM 5 DisordersMajor DSM 5 DisordersAnxietyMoodSomatic
SymptomSchizophrenia
SpectrumDissociativePersonalityImpulse Control
& Conduct
Feeding & EatingSubstance-RelatedSleep-Wake
DisordersSexual & Gender
Identity DisordersNeurodevelopmental
DisordersNeurocognitive
Disorders
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Criticisms of DSMCriticisms of DSMOver diagnosis Huge spectrumLabels harmfulLacks reliabilityControversial disorders
NIMH rejected new version – won’t fund research
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Mental Illness vs. InsanityMental Illness vs. Insanity
Sane and Insane are legal terms
Insanity – inability of defendant to distinguish right from wrong at time of crime
TPS - Should the insanity plea be allowed or not?
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Why Study Abnormal Why Study Abnormal Psych?Psych?
Prevalence
Stigma / Misconceptions
http://www.youtube.com/watch?v=WUaXFlANojQ
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Organizations & GoalsOrganizations & GoalsAPA
NIMH
Educate publicConfront
discriminationChallenge
negative stereotypes
Emphasize treatment works
Achieve parity w/physical diseases
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ClosureClosureWhat steps can high school
students take to lessen the stigma often associated with psychological disorders?