Psychological Disorders and Treatment

Blind Pig Syndrome

nThe belief that one has all illnesses which one hears about.

 

Insanity Defense

nMcNaughten Rule:  Insanity is a legal term that one is not aware or responsible for their own actions.

n1954  Durham  Rule, says one is not responsible for their actions.

 

Defining Abnormal Behavior

nAny behavior state of emotional distress that causes personal suffering that is self-destructive or maladaptive.

nStatistical Deviation:  If normal is what most people do, Abnormal behavior deviates from the norm.

 

Defining Abnormal Behavior

nViolation of Cultural Standards:  Any action that violates the standards of the group.  Having visions:  religious blessing in some cultures:  Schizophrenic in others.

nMaladaptive behavior:  Interrupts everyday life significantly.

 

Defining Abnormal Behavior

nEmotional Distress:  Feels, angry, anxious afraid or depressed most of the time.

nImpaired Judgment: Cannot tell right from wrong or control their own behavior.

 

DSM-IVR

nCriteria for the diagnosis of mental disorders.  Defined in behavioral terms, predisposing factors, age of onset, etc.  Rated on six axis.

 

Problems with Diagnosis

nInconsistent

nOverlapping

nSelf-Fulfilling prophecy

nStereotyping/Labeling

 

Anxiety Disorder

nThose diagnosed are usually psychologically healthy in other ways.  Know their behavior is irrational.

nCharacterized by persistent thoughts if dread or fear and impending doom.

 

 

Generalized Anxiety Disorder

nContinuous state of anxiety, lasts a month or more.  Show 3 of the following.

nMotor Tension

nAutonomic Hyperactivity

nApprehensive

nViligence or Scanning

 

Phobias

nAn unrealistic fear of a specific situation:  Activity or thing.  Simple phobias (I.e. Claustrophobia).

nAgoraphobia:  half of all phobia cases:  Fear of being alone in public places from which escape or help might be difficult.  Usually home is a safe place.

nHeritable component

 

Panic Attacks

nA brief feeling of intense fear and impending doom or death accompanied by intense physiological symptoms such as rapid breathing, dizziness and sweaty palms.

 

Obsessive-Compulsive Disorders

nObsessions:  persistent thoughts that seem to come unbidden.  Reflect maladaptive ways of reasoning and processing information.

nCompulsions:  Repetitive ritualized behavior that a person carries out in a stereotypical fashion.  Designed to prevent some disaster.

 

Behavioral Therapies

nWork on changing current behaviors and attitudes.  Assumes that behavior IS the problem.

nSystematic Desensitization:  (Wolpe)  Step-by-Step process of getting a subject acclimated to a feared object.  Relaxing in a hierarchy that gradually leads to greater fear.  Must be relaxed before moving on.

 

Behavioral Therapies

nFlooding:  (Implosive Therapy)  Take patient directly into their most feared situation.  Can be physically harmful.

nCounter conditioning:  (Mary Cover Jones)  Conditions new responses to stimuli that trigger unwanted behavior.  Based on classical conditioning.

 

Behavioral Therapies

nAversive Conditioning:  Punishment to replace positive reinforcement that perpetuates a bad habit.

nBehavioral Records:  and contracts:  Ways of changing unwanted habits, keep a running record of when a given habit or behavior occurs.

 

Behavioral Therapies

nToken Economy:  Rewards desired behaviors, patient exchanges tokens for various privileges or treats.  Usually used in mental health care facilities.

nCriticisms:  When reinforcement stops, so does wanted behavior.  Extrinsically rewarding:  person in control of someone elseÕs behavior.

 

Mood Disorders

nMajor Depression:  Number one reason that people seek treatment.  Tearful for no reason, often think of death and ignore or discount positive events.  Thoughts of suicide.  Loss of interest in usual activities.  Enormous effort just to get up.

 

Seasonal Affective Disorder

nA change in mood as seasons change, generally depression in the winter.

Dysthmic Disorder

nMinor depressive episode, fills most of the day nearly everyday for two or more years.

 

Mania

nHigh state of exhilaration (flight of ideas)  feelings of power, plans, ambition, widely optimistic.  Inflated sense of self-esteem.  Speaks dramatically, many jokes or puns.

 

Bipolar Disorder (Manic-Depressive)

nAlternate between depression and mania.

 

Anti-Depressants

nStimulants that influence neurotransmitters in the brain.  Elevates levels of seretonin.  Non-addictive, side effects dry mouth, constipation.

 

Anti-Depressants

nProzac:  blocks reabsorption and removal of seretonin from synapses.  Cousin of Zoloft and Paxil, side effects, weight gain, dry mouth and dizzy spells.

nLithium:  Calms people with manic-depressive disorder.  Can be dangerous.

 

Anti-Depressants

nValium:  Tranquilizers, depressants, frequently prescribed to people complaining of unhappiness or anxiety.  Least effective and addictive.

nAnti-Anxiety Drugs:  reduce tension and anxiety without causing excessive sleepiness.  Reduce symptoms without resolving underlying problem.