Lohmann - Psychopathology

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Published on February 22, 2014

Author: ErikLoh

Source: authorstream.com

Week 4 - Psychopathology: Week 4 - Psychopathology Objectives: K now the basic information and developmental history of diagnosis. I dentify the basic categories of psychological disorders. Make basic differentiations between disorders. Objectives History and Development: Psychopathology: the study of mental disorders Sacred Approach vs. Medical Approach Animistic, mythological & demonological Humors, Heart, & Head Hippocrates – Four temperaments Melancholic (sad), Choleric (angry), Sanguine (optimism) & Phlegmatic (apathy) Emil Kraepelin (1856-1926) Classification of psychopathology Manic-Depressive Psychosis & Dementia Praecox History and Development History and Development: Why classify mental disorders? Provide nomenclature in the field Organization of symptoms and treatments Diagnostic and Statistical Manual of Mental Disorders (DSM) DSM-I (1952 ), Psychodynamic view of pathology DSM-III (1980), Empirical, biological etiology DSM-5 (2013 ), Spectrum emphasis, areas of debate International Classification of Diseases (ICD) History and Development The 4 D’s: Deviance : Thoughts, behaviors or emotions Do not happen regularly in society . Group specific “Is this normal for the people group?” Distress Is there noted concern, worry, or anxiety from the person or the family because of the actions, thoughts, or feelings? Dysfunction Maladaptive behavior that inhibits daily living Ability to eat, work, drive, et cetera Danger Person is experiencing thoughts to harm self or others, or has acted on these thoughts. The 4 D’s Axis I, II, and Other Conditions: “Axis I” Clinical Disorders (Neurodevelopmental, Schizophrenia spectrum, Bipolar, Depressive, Anxiety, Obsessive-compulsive, Trauma, Dissociative, Somatic, Feeding and eating, Sleep–wake, Sexual dysfunctions, Gender dysphoria, Disruptive, impulse-control, and conduct, Substance-related and addictive, Neurocognitive, Paraphilic, & Personality)  “Axis II” Mental Retardation and Personality Disorders Life-long, deeply tied to the person, inflexible & maladaptive V-Codes “Other conditions that may be a focus of clinical attention” Factors outside the person that may relate to the presenting problem. Axis I, II, and Other Conditions Schizophrenia Spectrum and More: Delusions Fixed beliefs despite contradictory evidence Persecutory, Referential, Grandiose, Erotomanic , Nihilistic, Somatic Hallucinations Perceptional experiences Auditory, visual, or tactile Disorganized Thinking (speech) Loose associations and tangential speech Negative Symptoms Catatonia, Prosody, Avolition , and Alogia Schizophrenia Spectrum and More Bipolar and Depressive: Manic episode Self-esteem, sleep decrease, racing thoughts/talking, increased activity, risk-taking behavior Hypomanic Depressive episode Mood, anhedonia , sleep dysregulation, loss of energy, unable to focus/concentrate, thoughts of death/suicide Dysthymia Bipolar I and Bipolar II Major Depressive Disorder Persistent Depressive Disorder Bipolar and Depressive Anxiety, OCD, &Trauma: Phobias – Specific Generalized Anxiety Disorder (GAD) Panic Disorder Obsessive-Compulsive Disorder (OCD) Posttraumatic Stress Disorder Exposure, Intrusion, Avoidance, Cog. Distortions, High Arousal Acute Stress Disorder (3d – 1m) Anxiety, OCD, &Trauma Critical Thinking: Why do many diagnoses overlap? Do the current diagnoses in the DSM limit the understanding of mental illness? What level of value should be placed on the DSM? What are the pros and cons in studying psychopathology? Critical Thinking

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