Psychological Disorder ❧ ❧ Warm up 12/10 ❧ ❧ How do you know if you have good psychological health? How important is your psychological health? Definition ❧ Psychological disorders – behavior patterns or mental processes that cause serious personal suffering or interfere with a person’s ability to cope with everyday life Symptoms ❧ Typicality – is it normal for people to have a certain behavior or mental process? o Not all behaviors that are not typical are abnormal ❧ Maladaptivity – keeps the person from functioning in everyday life o Causes misery and distress, hazardous to oneself or others Symptoms ❧ Emotional discomfort ❧ Socially Unacceptable Behavior o Some behaviors are acceptable in some cultures but not in others Classification of Disorders ❧ DSM-V o o o o o o Anxiety disorders Dissociative disorders Somatoform disorders Mood disorders Schizophrenia Personality disorders Anxiety Disorders ❧ Anxiety Disorders – characterized by distressing, persistent anxiety or maladaptive behaviors that reduce anxiety ❧ Anxiety for big events is normal becomes a disorder when you feel anxious the majority of the time Anxiety Disorders ❧ Generalized anxiety disorder – a person is continually tense, apprehensive, in a state of autonomic nervous system arousal ❧ One of the most common anxiety disorder and usually accompanied with other anxiety disorders Anxiety Disorders ❧ Phobia – persistent, irrational fear of a specific object, activity or situation o Social phobia – intense fear of being scrutinized by others o Arachnophobia – fear of spiders o Claustrophobia – fear of enclosed spaces o Vestiophobia – This is the fear of clothing. o Hippopotomonstrosesquippedaliophobia – fear of long words o http://phobialist.com/ Psychological Case Studies ❧ You are a psychologist who specializes in disorders. You have 10 new clients with disorders. You must create a case study for each one. Each case study should include (not limited to): a background story (where they grew up, family, initial shown symptoms etc) o current symptoms and lifestyle o how it affects them • whereby you demonstrate your understanding of psych disorders o • maladaptive, atypical, socially unacceptable, emotionally disturbing • Why are they getting treatment? image of client o can be bullet-form, must be complete sentences. o Warm Up 12/11 ❧ What is the difference between sadness and depression? Anxiety Disorders ❧ Panic disorder – anxiety at times suddenly escalates into a panic attack o Panic attack – episode of intense dread, includes chest pain, choking, etc. ❧ ❧ Agoraphobia – fear of being in places or situations where escape would be difficult or impossible Both lead to avoidant behaviors – public places, or not leaving home at all Anxiety Disorders ❧ Obsessive-compulsive disorder – unwanted repetitive thoughts (obsessions) and actions (compulsions) o Hand washing, checking appliances/door locks o Hoarding is a type of obsessive-compulsive disorder Anxiety Disorders ❧ Post-traumatic stress disorder (PTSD) haunting memories, social withdrawal, jumpy anxiety, insomnia following a traumatic event o Veterans, disaster survivors Anxiety Disorders ❧ ❧ ❧ ❧ Psychoanalytic theory – result of “forbidden” childhood urges lead to obsessions and compulsions Learning perspective views anxiety disorders as a product of fear conditioning, stimulus generalization, reinforcement of fearful behaviors, and observational learning of other’s fears Biological perspective emphasizes evolutionary, genetic, and physiological influences More likely to have an anxiety disorder if your parents have Mood Disorder ❧ ❧ Abnormal moods High and lows that are unpredictable Mood Disorders ❧ ❧ Major Depression – most common of psychological disorders Exhibit 5 of the following o Persistent depressed mood for most of the day o Loss of interest or pleasure in all, or almost all, activities o Significant weight loss or gain due to changes in appetite o Sleeping more or less than usual o Speeding up or slowing down of physical and emotional o o o o reactions Fatigue or loss of energy Feelings of worthlessness or unfounded guilt Reduced ability to concentrate or make meaningful decisions Recurrent thoughts of death or suicide Mood Disorders ❧ Major Depression o Symptoms must be present for 2 weeks and almost everyday in that period o Those with severe depression may commit/attempt suicide o Depression Mood Disorders ❧ Bipolar Disorder – once manic depression – dramatic ups and downs in mood o Mania – extreme excitement characterized by hyperactivity and chaotic behavior • • • • • Inflated self-esteem Inability to sit still or sleep restfully Pressure to keep talking and switching from topic to topic Racing thoughts – “flight of ideas” Difficulty concentrating Mood Disorders ❧ ❧ ❧ Psychoanalytic – loss of loved object or person in childhood – internalizing anger at the lost item toward themselves Learning theorists – “learned helplessness” – feel like nothing is within their control to fix Cognitive theorists – negative self-schema – expectations based on prior experience Mood Disorders ❧ Biological – 20-25% people with mood disorders have a family member with similar disorder o Serotonin – low levels can lead to mood disorder o Serotonin & noradrenline – lower levels of both neurotransmitters can lead to depression specifically Depression Flyer ❧ In groups of 3, create an informational flyer on one of the four following topics 1. Solutions for relieving stress in healthy ways.2. How we can help a friend who is depressed.3. Signs of depression in teens.4. Ways to can help our school and community understand teenage depression. ❧ ❧ Use your books and personal knowledge to complete There must be pictures and tips, I will be posting them around the classroom. Thus, they must be appropriate for school or no credit will be given. Warm up 10/12 1. Which mood disorder includes a state of mania? 2. What does PTSD stand for? 3. What is the fear of places or situations from which one cannot escape? Dissociative Identity disorder ❧ ❧ ❧ ❧ Sudden loss of memory and change in identity Two or more distinct and alternating personalities First identity usually unaware of the other identities Defense against anxiety caused by the eruption of unacceptable impulses Dissociative identity disorder ❧ ❧ ❧ ❧ Learning Theorists see them as behaviors reinforced by anxiety reduction Some see it as a form of PTSD – a protective response to a traumatic childhood experience Research suggests that they have suffered physical, sexual, or emotional abuse as children Some believe that it is not an actual disorder Dissociative Amnesia ❧ ❧ ❧ ❧ Sudden loss of memory usually following a stressful or traumatic event Usually they just forget the event Occasionally they can’t remember name, doesn’t remember friends and family Memory likely to return as suddenly as it was lost Dissociative Fugue ❧ ❧ Forgetting personal information and past events Moving somewhere else and taking up a new identity o New name, occupation, residence ❧ ❧ Usually follows a traumatic event When they come out of the fugue, they don’t remember what happened during their relocation. Somatoform Disorders ❧ Somatization – “body” psychological distress expressed physically o Not faking an illness Somatoform Disorders ❧ Conversion Disorder – change/loss of functioning of major part of the body o Night blindness, paralysis in a limb, etc. o Usually not concerned about the symptom – which makes it easier to diagnosis as a somatoform disorder o conversion ❧ Hypochondriasis/ hypochondria – unrealistic preoccupation having a serious disease o Take smaller symptoms and believe them to be part of a serious illness o Hypochondria o Cyberchondria o symptom checker Somatoform Disorder ❧ ❧ ❧ Psychoanalytic approach – repressing emotions associated with forbidden urges – physical symptoms are symbolic Recently it is seen that conversion disorder = emotional problems converting to physical problems Behavioral theorists – reinforcement for someone escaping anxiety o Genetic link with developing a somatoform disorder Activity ❧ Answer 1 & 2 in section 3 review on pg 421 Warm up 12/13 ❧ ❧ ❧ What disorder causes the person to have more than one identity? What classification of psychological disorder is hypochondria? What is an unwanted repetitive thought? Schizophrenia ❧ A form of psychosis that lasts for at least six months and includes two of the following: ❧ Disorders of thought o incoherent thought patterns, formation of new words (neologisms), inability to stick to one topic, and irrational beliefs (delusions) • Ex “My father is an alien and is out to get me” “I am Santa” ❧ Disorders of attention o difficulties in concentration and in focusing on a single chain of events • Ex “I can’t watch TV because I can’t watch and listen and the same time” ❧ Disorders of perceptiono strange bodily sensations and hallucinations • Ex “I hear voices” ❧ Mood disorderso making strange facial expressions, being extremely active or the polar opposite • Ex- facial twitches…walking around in circles ❧ Emotional (affective) Disorderso little or no emotional responsiveness or having emotional responses that are inappropriate to the situation. • Ex- laughing at the news of your mother dying Schizophrenia ❧ ❧ Loss of contact with reality Hallucinations, delusions, and thought disorders o Problems in the organization or the content of mental processes o Thoughts skip from topic to topic sometimes illogically o Catatonic stupor – immobile, expressionless, coma-like state Schizophrenia ❧ Paranoid Schizophrenia o Delusions or auditory hallucinations (hearing voices) relating to a theme o Delusions of grandeur – people plotting against them ❧ Disorganized Schizophrenia o Incoherent in thoughts and speech o Emotionless or show inappropriate emotions ❧ Catatonic Schizophrenia o Hold unusual, uncomfortable body positions o Or extreme flexibility ❧ ❧ Schizophrenia schizophrenia Schizophrenia ❧ ❧ ❧ Psychoanalytic – overwhelming ego with urges of the id – fantasies become confused with reality Other psychologists – family is root of schizophrenia – parents with intense emotions or critical attitudes – others believe that it is not the cause but can agitate the condition Biological view – 10% chance of being diagnosed with schizophrenia if one of your parents was – gene vulnerability o Complications during pregnancy – mothers suffering from influenza in 6th-7th month of pregnancy – maternal starvation Multifactorial Model of Schizophrenia ❧ ❧ ❧ ❧ ❧ Complications during pregnancy Genetic factors Stress Family environment Viral Infections Activity ❧ Create a chart comparing and contrasting the 3 types of schizophrenia. o o o catatonic paranoid disorganized Warm-Up 12/16 ❧ Why do you think personality disorders are different than the other disorders? Personality Disorders ❧ ❧ Inflexible traits that disturb ability for a person to live their life Other disorders are considered illness, but this is a major part of a person’s personality ❧ Paranoid Personality – distrustful and suspicious o Other people intend to do them harm and are evil o View of reality is distorted ❧ Schizoid Personality – no interest in relations with other people o Do not become attached to other people o No delusions or hallucinations ❧ Schizotypal – eccentric behavior – o Have trouble having close relationships with people ❧ Antisocial – disregard the rights of others – no guilt or remorse o Aggressive and reckless o Trouble holding a job and paying bills ❧ Borderline – instability in personal relationships o Impulsive ❧ ❧ Histrionic – excessive emotionality and need for attention Narcissistic – need for admiration and lack of empathy o exaggerated sense of self-importance o preoccupied with success fantasies ❧ Avoidant – feelings of inadequacy o hypersensitivity to negative evaluation o Literally avoid social interactions o Want to change ❧ Dependent – submissive and clingy o related to an excessive need to be taken care of ❧ Obsessive-Compulsive – orderliness, perfectionism, and control Personality Disorder ❧ Complete the house party worksheet Warm Up 12/17 ❧ ❧ Which psychological disorder seems like the most difficult to deal with? Why? What is the role of disorders in crime? ❧ ❧ Usually those that commit violent crimes have a form of personality disorder Common term “sociopathy” refers to antisocial personality disorder with poor behavioral controls o Antisocial personality disorder + psychopathy = sociopathy Ted Bundy ❧ ❧ ❧ ❧ sociopathy killed 30 women addiction charming public life o ambition to be governor Charles Manson ❧ ❧ ❧ ❧ ❧ narcissistic and antisocial personality disorder schizophrenia “family” Helter-skelter killing actress Sharon Tate o along with some party guest of hers Other Notable killers ❧ David Berkowitz o o o ❧ son of Sam demon in neighbor’s dog forced him to do it? Satanic Cult? John Wayne Gacy o o “Killer Clown” similar to Bundy ❧ Donald Harvey o o “Angel of Death” narcissistic personality disorder Jonestown ❧ ❧ ❧ ❧ basically a cult Jim Jones 909 members died of cyanide poisoning migration to S. America ❧ ❧ mass suicide at behest of leader narcissistic, paranoid, and antisocial personality disorders