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20 Cards in this Set
- Front
- Back
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What are the characteristics of a mental disorder as defined by the DSM?
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Dysfunction of some internal process within the person
Negative consequences for the individual |
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What are the major changes in the new DSM version?
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1. More focus on behavioral indicators of the mental disorder
2. Reclassification of neurosis as a maladaptive patter of behavior following a stressful situation, but remaining in contact with reality. 3. Expansion of the subcategories of psychosis |
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What are the five subtypes of schizophrenia?
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- Disorganized
- Catatonic - Paranoid - Undifferentiated - Residual |
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Definition: Schizophreniform
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- Symptom criteria for schizophrenia is met, but duration is too short and social/occupational functioning not impaired
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Definition: Schizoaffective
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- Symptom criteria for schizophrenia is met and during the same continuous period there is also a major depressive or manic/mixed episode.
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What is a delusional disorder?
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- A disorder involving non-bizarre delusions
- DO NOT have schizophrenic symptoms - Subtypes include: erotomanic, grandoise, jealous, persecutory, somatic, mixed, and unspecified |
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Definition: Major depressive disorder
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Chronically pervasive and persistent emotional depression
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Definition: Bipolar disorder
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- Dramatic mood swings or episodes of mania, hypermania (no psychotic symptoms), or major depression.
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Definition: Antisocial Personality Disorder (APSD)
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- Pervasive patter n of disregard for and violation of the rights of others occurring since 18 yrs of age.
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What is the correlation between mental disorder and crime?
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- Persons with mental illnesses are no more likely to be charged with a violent crime compared to those persons who do not have a mental illness.
- No compelling evidence to suggest that mental illness causes crime |
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What is the percentage of accused sent for fitness assessment in the US?
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- 2-8%
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What formal warrant is enacted when the accused is not fit to stand trial?
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- A warrant of committal/dispensation of detention
- The accused is remanded to a psychiatric facility until they are fit to stand trial. |
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What are the 3 areas the FIT test assesses?
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a) Understand the nature or object of the proceedings
b) Understand the possible consequences of the proceedings Ability to communicate with the counsel |
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Why is the insanity defence a negation of actus reus (guilty act)?
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- Many mental disorders could render the accused "unconscious" during the course of the physical act (blacked out)
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What is the M'Naughten rule?
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- At the time of the crime the individual must not have been able to comprehend at all the severity of their actions, or understand the act was wrong, by reason of a disease of the mind (psychosis)
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What percentage of persons convicted of homicide claim they cannot remember the crime (amnesia)?
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- 30-65%
Usually due to alcoholic intoxication |
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What is the duty to warn?
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Responsibility of mental health professional to warn a third party they are at risk of violence from their client
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Why is unstructured clinical opinion (for propensity towards violence) problematic?
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- No consistent empirical support: low agreement (unreliable), low accuracy (not validated), foundation for belief is unclear and therefore unimpeachable.
- Decisions are broad bandwidth - Relies on charismatic authority - Focus is on culpability, not action |
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What are risk scales?
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- Imposed, rigidly structured assessment tools used to predict violence
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What is the relationship between ASPD and psychopathy?
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- Not all those with ASPD are psychopaths, but all psychopaths meet the criteria for ASPD.
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