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Ch. 13
Psychological Disorders
1. Perspectives on Psychological
Disorders
Societal
Individual
Does the behavior conform to existing social norms?
Personal sense of well-being
Happy, satisfied, peaceful
Mental-health professional
Personality
Personal discomfort
Life functioning
Click here to view the Perspectives on Psychological Disorders
table
A. Historical Views of Psychological Disorders
Supernatural view dominated early societies
Mental hospitals used to be like prisons
B. Theories of the Nature, Causes, and
Treatment of Psychological Disorders
The Biological Model
Physiological or biochemical basis
The Psychoanalytic Model
The Cognitive-Behavioral Model
Result of unconscious conflicts
Result of learning maladaptive behaviors and belief
The Diathesis-Stress Model & Systems Theory
Diathesis-Stress - predisposition to disorder which is
triggered by stress
Systems Theory - Biopsychosocial Model
risk factors combine to produce disorder
C. Classifying Psychological Disorders
Diagnostic and Statistical Manual of Mental Disorders (DSMIV)
Used for insurance purposes
Focuses on significant behavioral patterns
Lists symptoms
Criticism
Disorders classified as diseases
Many of the symptoms have nothing to do with
mental illness
Click here to view the Diagnostic Categories of DSM-IV table
D. The Prevalence of Psychological Disorders
2. Mood Disorders
A. Depression - sadness, worthlessness
Biological
factors
Psychological factors
Arbitrary inference
Selective abstraction
Overgeneralization
Magnification and minimization
Major Depressive Disorder Video
Social
factors
Social factors
Troubled-close relationships
Depressed people evoke anxiety and
hostility in others
Vicious cycle
B. Mania
Euphoria and extreme activity
Bipolar disorder - alternating depression and
mania
C. Causes of Mood Disorders
Biological factors
Twin studies
Genetic and neurotransmitter problems
Psychological factors
Cognitive distortions
Negative self-image
Feelings of unworthiness
3. Anxiety Disorders
A. Specific phobias - intense fear of specific
situations or objects
Social phobias - excessive fear of social situations
Agoraphobic - intense fear of crowds and public
places
B. Panic disorder
Intense terror without cause
C. Other Anxiety Disorders
Generalized anxiety disorder - unfocused fears
Obsessive-compulsive disorder - disturbing thoughtsrituals
D. Causes of Anxiety Disorders
Conditioning (e.g. dog bite)
Not in control (e.g. high crime areas)
Autonomic response influenced by genetics
Displacement (e.g. fear of spouse)
4. Psychosomatic and Somatoform
Disorders
A. Psychosomatic Disorder
B. Somatoform Disorders
Real illness with psychological causes such as stress
or anxiety
Physical symptoms without physical cause
C. Causes of Somatoform Disorders
Freud- Traumatic experience in past
Cognitive behavioral - Examine ways the behavior is
being rewarded
May be real physical illnesses that are misdiagnosed
5. Dissociative Disorders
A. Dissociative Amnesia
B. Dissociative Identity Disorder
Multiple Personality Disorder
C. Depersonalization Disorder
Flight and assumption of new identity
Person suddenly feels strangely changed or different
D. Causes of Dissociative Disorders
Unconscious processes
May also include biological factors
6. Sexual Disorders
A. Sexual Dysfunction
Erectile disorder - inability to achieve or maintain an
erection
B. Paraphilias
Fetishism
Pedophilia
C. Gender-Identity Disorders
Involve desire to become a member of the other
sex.
7. Personality Disorders
A. Schizoid - inability to form social relationships
B. Paranoid - very suspicious of others
C. Dependent - inability to make decisions or act
independently
D. Avoidant - social anxiety leading to isolation
E. Narcissistic - grandiose sense of self-importance
F. Borderline - instability in self-image, mood,
relationships
G. Antisocial - showing no sense of remorse
H. Causes of Personality Disorders
8. Schizophrenic Disorders
A. Hallucinations
Sensory experiences without stimulation
B. Delusions
False beliefs
C. Types of Schizophrenic Disorders
Disorganized schizophrenia
Bizarre behavior
Incoherent
Catatonic schizophrenia
Paranoid schizophrenia
Schizophrenia Video
D. Causes of Schizophrenia
Biological predisposition may be inherited
May be excessive dopamine
May involve family relationships and social class
9. Childhood Disorders
A. Attention-deficit/Hyperactivity Disorder (ADHD)
Psychostimulants
Increases focus
B. Autistic Disorder
Fail to form attachments
Raymond in Rain Man
10. Gender and Cultural Differences
in Psychological Disorders
A. Gender Differences
More women are in treatment
Men express more aggression
Women more fearful, hopeless
This is probably both biological and sociological
B. Cultural Differences
Many disorders occur only in particular cultural
groups
Prevalence of some disorders among
males/females/children differs markedly by culture
End of Chapter