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Defining psychological disorders



What is psychological disorders?



What is:


-Psychological dysfunction


-Distress


-Impairment


-Atypical/not culturally expected

Psychological disorders are: dysfunctional psychological or behaviour patterns that occur in an individual and cause distress or impairment, and are not expected as part of normal development or culture.



Psychological Dysfunction: a significant disturbance in cognition, emotional regulation or behaviour



Distress: problematic patterns cause the individual distress



Impairment: disability in social, occupational or other important activities



Atypical/not culturally expected: considered deviant/problematic within cultural context

CLINICAL DESCRIPTORS : unique combination of behaviours, thoughts and feelings that makeup a specific disorder.



Presentation:


Course:


Onset:


Prevelance vs Incidence:


Prognosis:


Aetiology:

Presentation or presenting problem: what first brought client to therapy


Course: episodic, time-limited, chronic


Onset: acute (quick and urgent) vs insidious (syptoms comes slowly)


Prevelance vs Incidence: in population whom present with disorder already VS new cases each year.


Prognosis: good, poor, uncertain (likeliness)


Aetiology: the cause of psychopathology ( eg. past, genes, environment)

HISTORICAL CONCEPTS OF ABNORMAL BEHAVIOUR



SUPERNATURAL



The Demonological Model



What was aetiology of psychopathology associated with?


What were the treatments?


Trepanation


Hydrotherapy

-Mental illness was assumed to stem from magical beings that interfered with the mind.


-Aetiological of psychopayhology: associated with devil or witchcraft


-Treatments usually lead torture and death for the sufferer such as



trepanation: drilling a hole in skull to release evil spirits.


hydrotherapy: submersion in freezing water to shock back to sense.

BIOLOGICAL



Medical Model



Hippocrates believed what about health and body and mind?


Refer to the medical model 4 humors



What did treatments include?

He believed that health of body and mind depend on the balance of humors or vital fluids



Lethargic person (tired): excess of phlegm


Depression or melancholia: too much black bile


Optimistic or sanguine: too much blood


Bilious (bad tempered) or choleric: too much yellow bile.



Treatments included bloodletting or purging the digestive tract to restore balance.


Increasing emphasis on the need to treat, but also to confine insanity (put them seperate)

PSYCHOLOGICAL



Moral Therpy



Philippe Pinel


William Tuke


John Grey


Dorothea Dix

Philippe Pinel: argued for sympathy and kindness. Allowed patients to roam freely in hospital grounds.


William Tuke: established York Retreat -small community living in country houses. Family style ethos (rewards for + behaviour and - behaviour ignored)


John Grey: understood mental illness to have phsycisl causes, therefore treated physically (rest,diet)


Dorothea Dix: Fought for new laws and government funding for treatment of mentally ill.

PSYCHOLOGICAL



Psychoanalytic Theory: Sigmund Freud

Consious vs Unconsious



Id:


-Pleasure principle


-Illogical, emotional, irrational



Ego:


-Reality principle


-Logical and rational


-Only consious process



Superego:


-Moral principles


-Balances Id and Ego

Contributions of psychoanalytic theory


:Psychosexual stages of development


-Oral, anal, phallic, latency and genital


-Failure to satisfy basic needs/pleasure leads to fixation, which can shape adult personality

PSYCHOLOGICAL



Humanistic Theory



Person centred therapy


Hierarchy of Needs

Theoretical constructs



-Person-centred therapy


Striving for self actualisation



Carl rogers



-Hierarchy of needs


Abraham Maslow


BEHAVIOURISM

Evidence based practise



-Ivan Pavlov - classical conditoning



-John B Watson- little baby Albert experiment



-B.F skinner-


•behaviour operates on environment


•behaviour shaping with reinforcements and punishments

INTEGRATIVE APPROACH TO PSYCHOPATHOLOGY



Mutli-dimensional integrative approach: several factors interact to result in development and presentation of psycopathology.



Biological


Psychological


Social


Cultural


Development

Biological: genetics, neuroscience


Psychological: behavioural, cognitive, emotional, developmental


Social: interpersonal


Cultural: contexts in which problems exist


Development: affects vulnerability and manifestation of psychopathology

How do psychiatric drugs work?


What is depression linked to?

Psychiatric drugs work by affecting the availability of neurotransmitters in the brain.



Depression: imbalance in the brain involving irregularities in the functioning of several neurotransmitters, especially serotonin.

Diathesis Stress model



What is diathesis

Diathesis: inherited genetic vulnerability. It is possible to inherit dieathesis and never develop a disorder.



Stressor: enviro conditions that trigger genetic vulnerability



Diathesis: alcoholic


Stress: college parties

Disruptions in emotional Regulation that can hint psychopathology



Intensity


Frequency


Duration


Congruency

Intensity: Normal grief which becomes overwhelming may lead to depression


Frequency: an inability to shift feelings of sadness may also lead to depression


Duration: a sense of loss that persists may differentiate normal grief from depression


Congruency- panic attacks may reflect the normal emotion of fear in a context that is not appropriate or adaptive.