Presentation Plus! Understanding Psychology Copyright © by The McGraw-Hill Companies, Inc. Developed by FSCreations, Inc., Cincinnati, Ohio 45202 Send all inquiries to: GLENCOE DIVISION Glencoe/McGraw-Hill 8787 Orion Place Columbus, Ohio 43240 CHAPTER FOCUS SECTION 1 What Are Psychological Disorders? SECTION 2 Anxiety Disorders SECTION 3 Somatoform and Dissociative Disorders SECTION 4 Schizophrenia and Mood Disorders SECTION 5 Personality Disorders and Drug Addiction CHAPTER SUMMARY CHAPTER ASSESSMENT 3 Click a hyperlink to go to the corresponding section. Press the ESC key at any time to exit the presentation. Chapter Objectives Section 1: What Are Psychological Disorders? • Explore how psychologists draw the line between normal and abnormal behavior by looking at deviance, adjustment, and psychological health. Section 2: Anxiety Disorders • Describe how anxiety disorders are marked by excessive fear, caution, and attempts to avoid anxiety. 4 Click the mouse button or press the Space Bar to display the information. Chapter Objectives (cont.) Section 3: Somatoform and Dissociative Disorders • Explain how dealing with anxiety and stress can bring about somatoform and dissociative disorders in some people. Section 4: Schizophrenia and Mood Disorders • Explain how schizophrenia involves confused and disordered thoughts, and mood disorders involve disturbances in the experience and expressions of depression. 5 Chapter Objectives (cont.) Section 5: Personality Disorders and Drug Addiction • Determine how personality disorders and drug addiction prohibit normal relationships. 6 Click the mouse button to return to the Contents slide. Reader’s Guide Main Idea – Psychologists draw the line between normal and abnormal behavior by looking at deviance, adjustment, and psychological health. Objectives – Define psychological disorder. – Distinguish between the concepts of normality and abnormality. Vocabulary – DSM-IV Click the Speaker button to listen to Exploring Psychology. 8 Click the mouse button or press the Space Bar to display the information. Section 1 begins on page 447 of your textbook. Introduction • It is often difficult to draw a line between normal and abnormal behavior. • Behavior that some people consider normal seems abnormal to others. 9 Defining and Identifying Psychological Disorders • There are a number of ways to define abnormality, none of which is entirely satisfactory. – We will look at the most popular ways of drawing the line between normal and abnormal in terms of deviance, adjustment, and psychological health. – Then we will look at the application of these principles in legal definitions of abnormality. – Finally, we will consider the criticism that in all these models people are arbitrarily labeled mentally ill. 10 Click the mouse button or press the Space Bar to display the information. Deviation From Normality • One approach to defining abnormality is to say that whatever most people do is normal. • Abnormality, then, is any deviation from the average or from the majority. • The deviance approach, however, as commonly used as it is, has serious limitations. • Because the majority is not always right or best, the deviance approach to defining abnormality is not by itself a useful standard. 11 Click the mouse button or press the Space Bar to display the information. Adjustment • Another way to distinguish normal from abnormal people is to say that normal people are able to get along in the world– physically, emotionally, and socially. • By this definition, abnormal people are the ones who fail to adjust. • Not all people with psychological disorders are violent, destructive, or isolated–sometimes, a person’s behavior may seem normal. • The cultural context of a behavior must also be taken into consideration. 12 Click the mouse button or press the Space Bar to display the information. Psychological Health • The terms mental illness and mental health imply that psychological disturbance or abnormality is like a physical sickness. • Some psychologists believe that the normal or healthy person would be one who is functioning ideally or who is at least striving toward ideal functioning. • Personality theorists such as Carl Jung and Abraham Maslow have tried to describe this striving process, which is often referred to as self-actualization. 13 Click the mouse button or press the Space Bar to display the information. Psychological Health (cont.) • According to this line of thinking, to be normal or healthy involves full acceptance and expression of one’s own individuality and humanness. • American psychologist Thomas Szasz (1962) argued that most of the people whom we call mentally ill are not ill at all. • They simply have “problems in living”– serious conflicts with the world around them. 14 Click the mouse button or press the Space Bar to display the information. Psychological Health (cont.) • Yet instead of dealing with the patients’ conflict, psychiatrists simply label them as “sick” and shunt them off to hospitals. • The ones who lose are the patients, who by being labeled “abnormal” are deprived both of responsibility for their behavior and of their dignity as human beings. • As a result, Szasz claimed, the patients’ problems intensify. • The fact that it is difficult to define abnormality does not mean that such a thing does not exist. 15 Click the mouse button or press the Space Bar to display the information. Psychological Health (cont.) • It should also be kept in mind that mild psychological disorders are common. • It is only when a psychological problem becomes severe enough to disrupt everyday life that it is thought of as an “abnormality” or “illness.” 16 The Problem of Classification • For years psychiatrists have been trying to devise a logical and useful method for classifying emotional disorders. • In 1952 the American Psychiatric Association agreed upon a standard system for classifying abnormal symptoms, which it published in the Diagnostic and Statistical Manual of Mental Disorders, or DSM. 17 Click the mouse button or press the Space Bar to display the information. The Problem of Classification (cont.) • The most recent revision, the DSM-IV, was published in 1994. • This has been revised four times as the DSM-II (in 1968), the DSM-III (in 1980), and the DSM-III-Revised (1987). • Before 1980, the two most commonly used diagnostic distinctions were neurosis and psychosis. DSM-IV the fourth version of the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders 18 Click the mouse button or press the Space Bar to display the information. The Problem of Classification (cont.) • The conditions originally identified under neurosis and psychosis have been expanded into more detailed categories, including: – anxiety disorders – somatoform disorders – dissociative disorders – mood disorders – schizophrenia 19 Click the mouse button or press the Space Bar to display the information. DSM-IV: New Ways to Categorize Mental Illness • Within each diagnostic category of the DSM-IV, the following descriptions are included: 1. essential features of the disorder–characteristics that “define” the disorder 2. associated features–additional features that are usually present 3. information on differential diagnosis–that is, how to distinguish this disorder from other disorders with which it might be confused 4. diagnostic criteria–a list of symptoms, taken from the lists of essential and associated features, that must be present for the patient to be given this diagnostic label. 20 Click the mouse button or press the Space Bar to display the information. DSM-IV: New Ways to Categorize Mental Illness (cont.) • These more precise diagnostic criteria reduce the chances that the same patient will be classified differently by different doctors. • The DSM-IV also recognizes the complexity of classifying people on the basis of mental disorders. • In early classification systems, it was difficult to give a patient more than one label. 21 Click the mouse button or press the Space Bar to display the information. DSM-IV: New Ways to Categorize Mental Illness (cont.) • The DSM-III-R and now the DSM-IV have overcome this problem by using five major dimensions, or axes, to describe a person’s mental functioning. • Each axis reflects a different aspect of a patient’s case. • Axis I is used to classify current symptoms into explicitly defined categories. 22 Click the mouse button or press the Space Bar to display the information. DSM-IV: New Ways to Categorize Mental Illness (cont.) • Axis II is used to describe developmental disorders and long-standing personality disorders or maladaptive traits. • Axis II is also used to describe specific developmental disorders for children, adolescents, and, in some cases, adults. • It is possible for an individual to have a disorder on both Axis I and Axis II. 23 Click the mouse button or press the Space Bar to display the information. DSM-IV: New Ways to Categorize Mental Illness (cont.) • Axis III is used to describe physical disorders or medical conditions that are potentially relevant to understanding or managing the person. • Axis IV is a measurement of the current stress level at which the person is functioning. • Axis V is used to describe the highest level of adaptive functioning present within the past year. 24 Click the mouse button or press the Space Bar to display the information. DSM-IV: New Ways to Categorize Mental Illness (cont.) • Adaptive functioning refers to three major areas: – Social relations–refers to the quality of a person’s relationships with family and friends. – Occupational functioning–involves functioning as a worker, student, or homemaker and the quality of the work accomplished. – Use of leisure time–includes recreational activities or hobbies and the degree of involvement and pleasure a person has in them. 25 Click the mouse button or press the Space Bar to display the information. DSM-IV: New Ways to Categorize Mental Illness (cont.) • This five-part diagnosis may be extremely helpful to researchers trying to discover connections among psychological disorders and other factors such as stress and physical illness. • Although it is helpful, the DSM-IV “labels” a person, which may have negative influences on that person in the long run. 26 Click the mouse button or press the Space Bar to display the information. DSM-IV: New Ways to Categorize Mental Illness (cont.) • It is important to note that many people develop a disorder listed in the DSM-IV at some point in their lifetimes. • In effect, many people who qualify for a disorder as diagnosed according to the DSM-IV are not very different from anyone else. 27 Click the mouse button or press the Space Bar to display the information. DSM-IV–Major Psychological Disorders of Axis I 28 DSM-IV–Major Psychological Disorders of Axis I (cont.) 29 Section Assessment Review the Vocabulary What is the DSM-IV? How do psychologists use it? The DSM-IV is the fourth version of the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders used to classify abnormal symptoms as part of diagnosing psychological disorders. 30 Click the mouse button or press the Space Bar to display the answer. Section Assessment (cont.) Visualize the Main Idea Using a diagram like the one on page 454 of your textbook, identify and describe three approaches psychologists use to identify psychological disorders. Your diagrams should reflect an understanding of the approaches used to distinguish normal and abnormal behavior. 31 Click the mouse button or press the Space Bar to display the answer. Section Assessment (cont.) Recall Information What are the advantages and disadvantages of categorizing people by the DSM-IV? Advantages–more precise diagnostic criteria, recognizes the complexity of identifying and classifying psychological disorders, allows multiple psychological disorders to be identified , recognizes differences in severity of psychological disorders and the ability to function in everyday life. Disadvantages–labels may become permanently affixed to a person. 32 Click the mouse button or press the Space Bar to display the answer. Section Assessment (cont.) Think Critically Many people may suffer from mild psychological disorders. When do you think it is necessary for them to seek help? Seeking help when the symptoms are relatively mild may help people with psychological disorders continue to function relatively well in everyday life. 33 Click the mouse button or press the Space Bar to display the answer. Section Assessment (cont.) Make charts listing the five dimensions of mental functioning and the aspect of a person’s functioning that is identified by each axis of the DSM-IV. 34 Click the mouse button to return to the Contents slide. Reader’s Guide Main Idea – Anxiety disorders are marked by excessive fear, caution, and attempts to avoid anxiety. Objectives – Identify the behavioral patterns that psychologists label as anxiety disorders. – Explain what causes anxiety disorders. 36 Click the mouse button or press the Space Bar to display the information. Section 2 begins on page 455 of your textbook. Reader’s Guide (cont.) Vocabulary – anxiety – phobia – panic disorder – post-traumatic stress disorder Click the Speaker button to listen to Exploring Psychology. 37 Click the mouse button or press the Space Bar to display the information. Section 2 begins on page 455 of your textbook. Introduction • Anxiety is a general state of dread or uneasiness that a person feels in response to a real or imagined danger. • People suffering from anxiety disorders suffer from anxiety that is out of proportion to the situation provoking it. • This intense anxiety may interfere with normal functioning in everyday life. • Fifteen percent of adults have endured symptoms typical of anxiety disorders (Regier et al., 1988). 38 Click the mouse button or press the Space Bar to display the information. Introduction (cont.) • These disorders share certain characteristics, including feelings of anxiety and personal inadequacy and an avoidance of dealing with problems. • People with anxiety disorders often have unrealistic images of themselves. • Anxious people often have difficulty forming stable and satisfying relationships. 39 Click the mouse button or press the Space Bar to display the information. Introduction (cont.) • In the DSM-IV, the anxiety disorders discussed include: – generalized anxiety disorder – phobic disorder – panic disorder – obsessive-compulsive disorder – post-traumatic stress disorder 40 Click the mouse button or press the Space Bar to display the information. Generalized Anxiety Disorder • A severely anxious person almost always feels nervous for reasons he or she cannot explain. • Anxiety is a generalized apprehension–a vague feeling that one is in danger. • Some people experience a continuous, generalized anxiety. anxiety a vague, generalized apprehension or feeling that one is in danger 41 Click the mouse button or press the Space Bar to display the information. Generalized Anxiety Disorder (cont.) • People who experience generalized anxiety often have trouble dealing with their family and friends and fulfilling their responsibilities, and this adds to their anxiety. • They are trapped in a vicious cycle. • Often the experience of generalized anxiety is accompanied by physical symptoms such as muscular tension. • Because anxious people are in a constant state of apprehension, they may have difficulty sleeping. 42 Click the mouse button or press the Space Bar to display the information. Generalized Anxiety Disorder (cont.) • Some theorists stress the role of learning in producing anxiety. • Other research suggests that anxiety disorders may be partly inherited. • Environmental factors, such as unpredictable traumatic experiences in childhood, may also predispose someone to developing an anxiety disorder. • The uncertainties of modern life also may help explain the high incidence of generalized anxiety. 43 Click the mouse button or press the Space Bar to display the information. Phobic Disorder • When severe anxiety is focused on a particular object, animal, activity, or situation that seems out of proportion to the real dangers involved, it is called a phobic disorder, or phobia. • A specific phobia can focus on almost anything. phobia an intense and irrational fear of a particular object or situation 44 Click the mouse button or press the Space Bar to display the information. Phobic Disorder (cont.) • Victims of social phobias fear that they will embarrass themselves in a public place or a social setting. • Phobic individuals develop elaborate plans to avoid the situations they fear. • Phobias range in intensity from mild to extremely severe. • One common form of treatment for phobias involves providing the phobic person with opportunities to experience the feared object under conditions in which he or she feels safe. 45 Click the mouse button or press the Space Bar to display the information. Phobias 46 Panic Disorder • Another kind of anxiety disorder is panic disorder. • Panic is a feeling of sudden, helpless terror. • During a panic attack, a victim experiences sudden and unexplainable attacks of intense anxiety leading the individual to feel a sense of inevitable doom. panic disorder an anxiety disorder that manifests itself in the form of panic attacks 47 Click the mouse button or press the Space Bar to display the information. Panic Disorder (cont.) • Panic disorder may be inherited, in part. • The disorder may also be the result of interpreting physiological arousal, such as an increased heart rate, as disastrous. 48 Click the mouse button or press the Space Bar to display the information. Obsessive-Compulsive Disorder • A person suffering from acute anxiety may find himself thinking the same thoughts over and over. • Such an uncontrollable pattern of thoughts is called obsession. • A person also may repeatedly perform irrational actions, which is called a compulsion. • The neurotic person may experience both these agonies together–a condition called obsessive-compulsive disorder. 49 Click the mouse button or press the Space Bar to display the information. Obsessive-Compulsive Disorder (cont.) • Everyone has obsessions and compulsions. • Striving to do something “perfectly” is often considered to be a compulsion. • Psychologists consider it a problem only when such thoughts and activities interfere with what a person wants and needs to do. • Although most people with obsessivecompulsive disorder realize that their thoughts and actions are irrational, they feel unable to stop them. 50 Click the mouse button or press the Space Bar to display the information. Post-traumatic Stress Disorder • Post-traumatic stress disorder is a condition in which a person who has experienced a traumatic event feels severe and long-lasting aftereffects. • The event that triggers the disorder overwhelms a person’s normal sense of reality and ability to cope. post-traumatic stress disorder disorder in which victims of traumatic events experience the original event in the form of dreams or flashbacks 51 Click the mouse button or press the Space Bar to display the information. Post-traumatic Stress Disorder (cont.) • Typical symptoms include involuntary “flashbacks” or recurring nightmares during which the victim reexperiences the ordeal, often followed by insomnia and feelings of guilt. • Post-traumatic stress disorder can be extremely long-lasting. • Social support may protect a victim of trauma from the psychological aftereffects. 52 Click the mouse button or press the Space Bar to display the information. Section Assessment Review the Vocabulary Explain how excessive anxiety may lead to phobias or panic disorders. Excessive anxiety of a particular object, activity, or situation may result in a phobia. Excessive anxiety may also be exhibited in the form of panic attacks in which the person senses doom or death. 53 Click the mouse button or press the Space Bar to display the answer. Section Assessment (cont.) Visualize the Main Idea Using a diagram similar to the one found on page 459 of your textbook, list five symptoms of generalized anxiety disorders. 1. a vague feeling of danger 2. a fear of the unknown that prevents one from making decisions 3. difficulty with social relationships 4. physical symptoms 5. sleep disturbances 54 Click the mouse button or press the Space Bar to display the answer. Section Assessment (cont.) Recall Information What is anxiety? When is it normal? Abnormal? Anxiety is a vague, generalized apprehension or feeling that one is in danger. It is normal when it does not prevent someone from leading a normal life and abnormal when it inhibits the ability to maintain good social relationships or manifests itself with physical symptoms. 55 Click the mouse button or press the Space Bar to display the answer. Section Assessment (cont.) Think Critically How would you differentiate between someone who is simply a perfectionist and someone who is suffering from obsessive-compulsive disorder? Striving for perfection becomes a problem only when such thoughts and activities interfere with what a person wants and needs to do in everyday life. 56 Click the mouse button or press the Space Bar to display the answer. Section Assessment (cont.) Bring in pictures from newspapers and magazines showing recent traumatic events. Describe the signs of anxiety seen on the faces of the people. What are the possible long-term consequences of experiencing traumatic events? 57 Click the mouse button or press the Space Bar to display the information. Click the mouse button to return to the Contents slide. Reader’s Guide Main Idea – Dealing with anxiety and stress can lead to somatoform and dissociative disorders. Objectives – Identify the behavioral patterns that psychologists label as somatoform disorders. – Describe the symptoms of dissociative disorders. 59 Click the mouse button or press the Space Bar to display the information. Section 3 begins on page 460 of your textbook. Reader’s Guide (cont.) Vocabulary – somatoform disorder – conversion disorder – dissociative disorder – dissociative amnesia – dissociative fugue – dissociative identity disorder Click the Speaker button to listen to Exploring Psychology. 60 Click the mouse button or press the Space Bar to display the information. Section 3 begins on page 460 of your textbook. Introduction • Somatoform disorders are characterized by physical symptoms brought about by psychological distress. • Psychologists may challenge conversion patients, attempting to force them out of the symptoms. 61 Click the mouse button or press the Space Bar to display the information. Somatoform Disorders • Anxiety can create a wide variety of physical symptoms for which no physical cause is apparent. • This phenomenon is known as a somatoform disorder, or hysteria. • Two of the major types of somatoform disorders that psychologists identify are conversion disorders and hypochondriasis. somatoform disorder physical symptoms for which there is no apparent physical cause 62 Click the mouse button or press the Space Bar to display the information. Conversion Disorders • A conversion disorder is the conversion of emotional difficulties into the loss of a specific physiological function. • While the loss of functioning is real, no actual physical damage is present. • A conversion disorder is not simply a brief loss of functioning due to fright, it persists. conversion disorder changing emotional difficulties into a loss of a specific voluntary body function 63 Click the mouse button or press the Space Bar to display the information. Conversion Disorders (cont.) • When a person accepts the loss of function with relative calm–called la belle indifférence–it is one sign that a person is suffering from a psychological rather than a physiological problem. • Most psychologists believe that people suffering from conversion disorders unconsciously invent physical symptoms to gain freedom from unbearable conflict. • Conversion disorders are comparatively rare. 64 Click the mouse button or press the Space Bar to display the information. Hypochondriasis • Conversion disorders must be distinguished from hypochondriasis, in which a person who is in good health becomes preoccupied with imaginary ailments. • Hypochondriasis occurs mainly during young adulthood, equally in men and women. • According to psychoanalytic theory, hypochondriasis occurs when an individual represses emotions and then expresses them symbolically in physical symptoms. 65 Click the mouse button or press the Space Bar to display the information. Dissociative Disorders • A dissociative disorder involves a more significant breakdown in a person’s normal conscious experience, such as a loss of memory or identity. • These psychological phenomena fascinate many people, so we hear a good deal about amnesia and “multiple personalities” though they are very rare. dissociative disorder a disorder in which a person experiences alterations in memory, identity, or consciousness 66 Click the mouse button or press the Space Bar to display the information. Dissociative Disorders (cont.) • Memory loss that has no biological explanation, or dissociative amnesia, may be an attempt to escape from problems by blotting them out completely. • This amnesia should be distinguished from other losses of memory that result from physical brain damage, normal forgetting, or drug abuse. dissociative amnesia the inability to recall important personal events or information; usually associated with stressful events 67 Click the mouse button or press the Space Bar to display the information. Dissociative Disorders (cont.) • In dissociative fugue, another type of dissociative reaction, amnesia is coupled with active flight to a different environment. • A fugue state may last for days or for decades. • When the individual comes out of it, they will have no memory from the interim. dissociative fugue a dissociative disorder in which a person suddenly and unexpectedly travels away from home or work and is unable to recall the past 68 Click the mouse button or press the Space Bar to display the information. Dissociative Disorders (cont.) • Fugue, then, is a sort of traveling amnesia, and it probably serves as escape from unbearable conflict or anxiety. • In dissociative identity disorder (previously known as multiple personality disorder), a third type of dissociative disorder, someone seems to have two or more distinct identities, each with its own way of thinking and behaving. dissociative identity disorder a person exhibits two or more personality states, each with its own patterns of thinking and behaving 69 Click the mouse button or press the Space Bar to display the information. Dissociative Disorders (cont.) • These different personality states may take control at different times. • Some psychologists believe that this dividing up of the personality is the result of the individual’s effort to escape from a part of herself that she fears. • It is an extremely rare disorder and people diagnosed with this disorder usually suffered severe physical, psychological, or sexual abuse during childhood. 70 Click the mouse button or press the Space Bar to display the information. Section Assessment Review the Vocabulary Define and describe three dissociative disorders. Explain how these disorders differ from one another. Dissociative amnesia is the inability to recall important personal events and information. In dissociative fugue, the person unexpectedly leaves his or her home or work and is unable to recall the past. Dissociative identity disorder causes a person to exhibit two or more separate personalities. 71 Click the mouse button or press the Space Bar to display the answer. Section Assessment (cont.) Visualize the Main Idea Use a graphic organizer similar to the one on page 463 of your textbook to list dissociative disorders. dissociative amnesia dissociative fugue dissociative identity disorder 72 Click the mouse button or press the Space Bar to display the answer. Section Assessment (cont.) Recall Information What is the difference between a conversion disorder and hypochondriasis? In conversion disorder, physiological symptoms such as partial paralysis are caused by emotional difficulties. Hypochondriasis is a disorder in which a healthy person imagines various ailments. 73 Click the mouse button or press the Space Bar to display the answer. Section Assessment (cont.) Think Critically Besides anxiety, how might you realize that you are suffering from a somatoform or dissociative disorder? Dissociative disorders could be recognized by “waking up” someplace that is unfamiliar or having someone accuse you of actions taken for which you have no memory. Somatoform disorders may be recognized by unexplainable physical ailments. 74 Click the mouse button or press the Space Bar to display the answer. Section Assessment (cont.) Write an “Unsolved Mysteries” style story about one of the disorders discussed in this section. 75 Click the mouse button to return to the Contents slide. Reader’s Guide Main Idea – Schizophrenia involves disordered thoughts. Mood disorders involve disturbances in the experience and expressions of depression. Objectives – Describe the disorder of schizophrenia. – Describe several theories that try to explain mood disorders. 77 Click the mouse button or press the Space Bar to display the information. Section 4 begins on page 465 of your textbook. Reader’s Guide (cont.) Vocabulary – schizophrenia – delusions – hallucinations – major depressive disorder – bipolar disorder Click the Speaker button to listen to Exploring Psychology. 78 Click the mouse button or press the Space Bar to display the information. Section 4 begins on page 465 of your textbook. Introduction • Sufferers of schizophrenia often have difficulty using language to communicate. • This confused language may result because schizophrenia affects the working memory, which is used to form sentences. • Psychologists are making progress in furthering our understanding of schizophrenia–the most complex and severe psychological problem we encounter. 79 Click the mouse button or press the Space Bar to display the information. What is Schizophrenia? • Schizophrenia is a problem of cognition, but it also involves emotion, perception, and motor functions. • Schizophrenia affects 1 in 100 people worldwide (British Columbia Schizophrenia Society, 1997), but the odds increase to 1 in 10 if schizophrenia is already in the family. 80 Click the mouse button or press the Space Bar to display the information. What is Schizophrenia? (cont.) • Schizophrenia involves confused and disordered thoughts and perceptions. • With schizophrenia, a person’s thought processes are somewhat disturbed, and the person has lost contact with reality to a considerable extent. • Schizophrenia is not a single problem; it has no single cause or cure. schizophrenia a group of disorders characterized by confused and disconnected thoughts, emotions, and perceptions 81 Click the mouse button or press the Space Bar to display the information. What is Schizophrenia? (cont.) • Schizophrenia is a collection of symptoms that indicates an individual has serious difficulty trying to meet the demands of life. • Many people with schizophrenia experience delusions and hallucinations. • A person with schizophrenia may show a number of other symptoms as well. delusions a false belief that a person maintains in the face of contrary evidence 82 hallucinations perceptions that have no direct external cause Click the mouse button or press the Space Bar to display the information. What is Schizophrenia? (cont.) • One other symptom is incoherence, or a marked decline in thought processes. • Another symptom is disturbances of affect, or emotions that are inappropriate for the circumstances. • An individual with schizophrenia may display severe deterioration in normal movement, which may occur as slowed movement, nonmovement, or as highly agitated behavior. • They may also show a marked decline in previous levels of functioning. 83 Click the mouse button or press the Space Bar to display the information. Types of Schizophrenia • Psychologists classify schizophrenia into several subtypes. • The paranoid type, involves hallucinations and delusions, including grandeur. • People with the catatonic type may remain motionless for long periods. • Symptoms of the disorganized type include incoherent language, inappropriate emotions, giggling for no apparent reason, generally disorganized motor behavior, and hallucinations and delusions. 84 Click the mouse button or press the Space Bar to display the information. Types of Schizophrenia (cont.) • The diagnostic label remission type is applied to anyone whose symptoms are completely gone or still exist but are not severe enough to have earned a diagnosis of schizophrenia in the first place. • The undifferentiated type encompasses the basic symptoms of schizophrenia. • Schizophrenia is a very complex condition, and treatment is long-term and usually requires hospitalization. 85 Click the mouse button or press the Space Bar to display the information. Types of Schizophrenia (cont.) • Long-term institutionalization sometimes leads to a patient who is burned out–one who is unlikely to function normally in society. • Although recovery from schizophrenia is possible, no real cure for schizophrenia exists. 86 Click the mouse button or press the Space Bar to display the information. Causes of Schizophrenia • There are many theories on the cause of schizophrenia, and just as certainly, there is disagreement. • In all likelihood, the ultimate cause is an interaction of environmental, genetic, and biochemical factors. 87 Click the mouse button or press the Space Bar to display the information. Biological Influences • Genetics is almost certainly involved in causing schizophrenia since the odds of developing it are ten times greater if it is already in the family. • Psychologists cannot specify the exact contribution hereditary factors make to schizophrenia (Carson & Sanislow, 1992). 88 Click the mouse button or press the Space Bar to display the information. Biochemistry and Physiology • Some psychologists believe that psychosis is due largely to chemical imbalances in the brain. • Chemical problems may also be involved in schizophrenia. • The dopamine hypothesis suggests that an excess of dopamine at selected synapses is related to a diagnosis of schizophrenia. • It is hard to tell whether these chemical imbalances are the cause of schizophrenia or the result of it. 89 Click the mouse button or press the Space Bar to display the information. Biochemistry and Physiology (cont.) • The use of CAT and MRI scans has led to the discovery that the brains of people with schizophrenia often show signs of deteriorated brain tissue (Pearlson et al., 1989). 90 Family and Interactions • From Freud onward, it has been tempting to blame the family situation in childhood for problems that develop during adulthood. • Studies show that families of individuals who later develop schizophrenia are often on the verge of falling apart. • Another frequent finding is that family members organize themselves around the very unusual, demanding, or maladaptive behavior of one member of the family. 91 Click the mouse button or press the Space Bar to display the information. Family and Interactions (cont.) In Summary • At this point, psychologists do not know which of these theories is correct. • The diathesis-stress hypothesis states that an individual may have inherited a predisposition toward schizophrenia. • Explaining the causes of schizophrenia is perhaps the most complex research problem psychologists face. 92 Click the mouse button or press the Space Bar to display the information. Mood Disorders • We all experience mood swings and even occasional depression is a common experience. • These individuals often get the sense that their depression will go on forever and that there is nothing they can do to change it. • As a result, their emotions hamper their ability to function effectively. • In extreme cases, a mood may cause individuals to lose touch with reality or seriously threaten their health or lives. 93 Click the mouse button or press the Space Bar to display the information. Major Depressive Disorder • Individuals suffering from major depressive disorder spend at least two weeks feeling depressed, sad, anxious, fatigued, and agitated, experiencing a reduced ability to function and interact with others. • To be diagnosed as depression, these feelings cannot be attributed to bereavement (the loss of a loved one). major depressive disorder severe form of depression that interferes with function, concentration, and mental and physical well-being. 94 Click the mouse button or press the Space Bar to display the information. Major Depressive Disorder (cont.) • This disorder is marked by at least four of the following symptoms: – problems with eating, sleeping, thinking, concentrating, or decision making – lacking energy – thinking about suicide – feeling worthless or guilty 95 Click the mouse button or press the Space Bar to display the information. Bipolar Disorder • One type of mood disorder is bipolar disorder, in which individuals are excessively and inappropriately happy or unhappy. • These reactions may take the form of high elation, hopeless depression, or an alternation between the two. bipolar disorder disorder in which an individual alternates between feelings of mania (euphoria) and depression 96 Click the mouse button or press the Space Bar to display the information. Bipolar Disorder (cont.) • In the manic phase, a person experiences elation, extreme confusion, distractibility, and racing thoughts. • In the depressive phase, the individual is overcome by feelings of failure, sinfulness, worthlessness, and despair. • Some people experience occasional episodes of a manic-type or depressivetype reaction, separated by long intervals of relatively normal behavior. 97 Click the mouse button or press the Space Bar to display the information. Bipolar Disorder (cont.) • Others exhibit almost no normal behavior, cycling instead from periods of manic-type reactions to equally intense depressivetype reactions. • Some theorists have speculated that the manic periods serve as an attempt to ward off the underlying hopelessness of the depressive periods. • Others believe that mania can be traced to the same biochemical disorder responsible for depression. 98 Click the mouse button or press the Space Bar to display the information. Seasonal Affective Disorder • There are people who develop a deep depression in the midst of winter. • These people are victims of seasonal affective disorder, or SAD. • People suffering from SAD tend to sleep and eat excessively during their depressed periods. • Researchers have proposed that the hormone melatonin may play a role. 99 Click the mouse button or press the Space Bar to display the information. Seasonal Affective Disorder (cont.) • The less light available (in winter), the more melatonin is secreted by the brain’s pineal gland. • Many SAD sufferers can be treated by sitting under bright fluorescent lights during the evening or early morning hours. 100 Click the mouse button or press the Space Bar to display the information. Explaining Mood Disorders • Psychological factors underlying mood disorders include certain personality traits, amount of social support, and the ability to deal with stressful situations. • Beck (1983) believes that depressed people draw illogical conclusions about themselves–they blame themselves for normal problems. • As described in Chapter 9, Martin Seligman (1975) believes that depression is caused by a feeling of learned helplessness. 101 Click the mouse button or press the Space Bar to display the information. Explaining Mood Disorders (cont.) • Psychologists developed theories to provide a physiological or biological explanation of depression. • Researchers are currently searching for the neurotransmitters that cause mood disorders. • They are also looking at genetic factors and faulty brain structure and function as possible causes. • Many causes of depression may result from an interaction of biological and psychological factors. 102 Click the mouse button or press the Space Bar to display the information. Suicide and Depression • Not all people who commit suicide are depressed, and not all depressed people attempt suicide. • People may take their lives for any number of reasons. – It may be to escape from physical or emotional pain. – It might be an effort to end the torment of unacceptable feelings, to punish themselves for wrongs they think they have committed, or to punish others who have not perceived their needs (Mintz, 1968). 103 Click the mouse button or press the Space Bar to display the information. Suicide and Depression (cont.) • Statistics show that every year more than 32,000 Americans end their lives–about 1 every 16 minutes. • More women than men attempt suicide, but more men than women succeed. • Suicide is most common among the elderly but also ranks as the second most common cause of death among college students. • Contrary to popular belief, people who threaten suicide or make an unsuccessful attempt usually are serious. 104 Click the mouse button or press the Space Bar to display the information. Rates of Suicide 105 Section Assessment Review the Vocabulary Define schizophrenia and list five symptoms of the disorder. Schizophrenia is a group of disorders characterized by confused and disconnected thoughts, emotions, and perceptions. Symptoms include delusions, hallucinations, incoherence, disturbances of affect, deterioration in normal movement, decline in previous levels of functioning, and diverted attention. 106 Click the mouse button or press the Space Bar to display the answer. Section Assessment (cont.) Visualize the Main Idea Use a graphic organizer similar to the one on page 473 of your textbook to identify types of schizophrenia. Types of schizophrenia are paranoid types, disorganized type, remission type, undifferentiated type, and catatonic type. 107 Click the mouse button or press the Space Bar to display the answer. Section Assessment (cont.) Recall Information What is the diathesis-stress hypothesis? How does it explain the development of schizophrenia? It theorizes that an individual may have inherited a predisposition toward schizophrenia that will only develop if exposed to an environment of certain stressors. 108 Click the mouse button or press the Space Bar to display the answer. Section Assessment (cont.) Think Critically Recall the last time you failed or did not do well at something. What kind of explanation did you offer for your failure? Was this explanation pessimistic or optimistic? Explain. How did your explanation affect your mood or feelings? Answers will vary. Explore the differences between a pessimistic and an optimistic outlook. 109 Click the mouse button or press the Space Bar to display the answer. Section Assessment (cont.) Brainstorm ways in which the spiral describes mood disorders. 110 Click the mouse button to return to the Contents slide. Reader’s Guide Main Idea – Personality disorders and drug addiction prohibit normal relationships and normal functioning. Objectives – Describe how personality disorders differ from other psychological disorders. – Explain how drug abuse is a psychological problem. 112 Click the mouse button or press the Space Bar to display the information. Section 5 begins on page 474 of your textbook. Reader’s Guide (cont.) Vocabulary – personality disorders – antisocial personality – psychological dependence – addiction – tolerance – withdrawal Click the Speaker button to listen to Exploring Psychology. 113 Click the mouse button or press the Space Bar to display the information. Section 5 begins on page 474 of your textbook. Introduction • Lack of constraint is a sign of a personality disorder, specifically an antisocial personality disorder. 114 Personality Disorders • Personality disorders are different from the problems we have been discussing. • Psychologists consider people with personality disorders “abnormal” because they seem unable to establish meaningful relationships with other people, to assume social responsibilities, or to adapt to their social environment. personality disorders maladaptive or inflexible ways of dealing with others and one’s environment 115 Click the mouse button or press the Space Bar to display the information. Personality Disorders (cont.) • This diagnostic category includes a wide range of self-defeating personality patterns, from painfully shy, lonely types to vain, pushy show-offs. • In this section we focus on people with antisocial personalities, who in the past were referred to as sociopaths or psychopaths. antisocial personalities a personality disorder characterized by irresponsibility, shallow emotions, and lack of conscience 116 Click the mouse button or press the Space Bar to display the information. Types of Personality Disorders 117 Click the mouse button or press the Space Bar to display the information. Antisocial Personality • Individuals with antisocial personalities exhibit a persistent disregard for and violation of others’ rights. • Intolerant of everyday frustrations and unable to save or plan or wait, they live for the moment. • Many individuals with antisocial personalities can get away with destructive behavior because they are intelligent, entertaining, and able to feign emotions they do not feel. 118 Click the mouse button or press the Space Bar to display the information. Antisocial Personality (cont.) • According to one theory, individuals with antisocial personalities have simply imitated their own antisocial parents. • Psychologists are still investigating the relationship between genes and antisocial behavior. • Those with antisocial personalities never seem to learn to anticipate punishment and remain calm while committing antisocial acts. 119 Click the mouse button or press the Space Bar to display the information. Drug Addiction • In American society, drug abuse has become a major psychological problem. • Abuse of drugs invariably involves psychological dependence. • People can become psychologically dependent on a wide variety of drugs, including alcohol, caffeine, nicotine, cocaine, marijuana, and amphetamines. psychological dependence use of a drug to such an extent that a person feels nervous and anxious without it 120 Click the mouse button or press the Space Bar to display the information. Drug Addiction (cont.) • When deprived of the drug, a psychologically dependent person becomes restless, irritable, and uneasy. • In addition to psychological dependence, drugs can lead to physiological addiction. • Just as dependence causes a psychological need for the drug, addiction causes a physical need. addiction a pattern of drug abuse characterized by an overwhelming and compulsive desire to obtain and use the drug 121 Click the mouse button or press the Space Bar to display the information. Drug Addiction (cont.) • Once a person is addicted to a drug, he develops tolerance. • If the addict does not get the drug, he is likely to go through withdrawal. • Withdrawal is a state of physical and psychological upset during which the body and the mind revolt against and finally get used to the absence of the drug. tolerance physical adaptation to a drug so that a person needs an increased amount in order to produce the original effect 122 withdrawal the symptoms that occur after a person discontinues the use of a drug to which he or she has become addicted Click the mouse button or press the Space Bar to display the information. Alcoholism • This country’s most serious drug problem is alcoholism. • More than half of the students entering high school have already tried alcohol; by the time of graduation, 92 percent have tried it. • Fifty percent or more of the deaths in automobile accidents each year can be traced to alcohol; in half of all murders, either the killer or the victim had been drinking. 123 Click the mouse button or press the Space Bar to display the information. Alcoholism (cont.) • In small doses, alcohol might be called a social wonder drug since the first psychological function that it slows down is our inhibitions. • It is for this reason that many people consider alcohol a stimulant, when it is really a depressant. • As the number of drinks increases, one by one, the person’s psychological and physiological functions begin to shut down. 124 Click the mouse button or press the Space Bar to display the information. Alcoholism (cont.) • If enough alcohol accumulates in the body, it leads to unconsciousness and, in some cases, coma and death. • It all depends on how much and how rapidly alcohol enters the bloodstream– which, in turn, depend on a person’s weight, body chemistry, how much he or she drinks and how quickly, and his or her past experience with drinking. • Alcohol can produce psychological dependence, tolerance, and addiction. 125 Click the mouse button or press the Space Bar to display the information. Alcoholism (cont.) • One researcher (Jellinek, 1960) has outlined three stages of alcoholism. – In the first stage, the individual discovers that alcohol reduces her tensions, gives her selfconfidence, and reduces social pressures. – In the second stage, the beverage becomes a drug. – In the final stage, she drinks compulsively, beginning in the morning. 126 Click the mouse button or press the Space Bar to display the information. Alcoholism (cont.) • Alcoholism may develop from both environmental and genetic factors. • The first step in treating the alcoholic is to help her through the violent withdrawal– called delirium tremens–typical of alcohol addiction and then to try to make her healthier. • She may be given a variety of treatments, from drugs to psychotherapy. • Some alcoholics must turn to medical treatment. 127 Click the mouse button or press the Space Bar to display the information. Alcoholism (cont.) • Some doctors prescribe Antabuse to alcoholics (Peachey & Naranjo, 1983). • When alcoholics take a daily Antabuse pill, they become violently sick if they have a drink of alcohol. • The threat of the violent sickness may become an effective prevention. • There is, however, no certain cure for alcoholism. 128 Click the mouse button or press the Space Bar to display the information. Section Assessment Review the Vocabulary How are addiction, tolerance, and withdrawal related to drug abuse? Addiction is the psychological dependence on drugs. Tolerance is a physical adaptation to the drug. Withdrawal is the psychological and physical symptoms that result when drug use is discontinued. 129 Click the mouse button or press the Space Bar to display the answer. Section Assessment (cont.) Visualize the Main Idea Use an outline similar to the one on page 478 of your textbook to list characteristics of an antisocial personality. Characteristics of an antisocial personality include a pattern of disregard and violation of others’ rights with no feelings of remorse, treating people as objects, intolerance of everyday frustrations, and living for the moment. 130 Click the mouse button or press the Space Bar to display the answer. Section Assessment (cont.) Recall Information What are the three stages of alcoholism? How can alcohol lead to psychological dependence? The stages are (1) drinking makes the person feel better, (2) drinking becomes a drug to the point that a person believes he or she has to hide the habit, and (3) drinking becomes compulsive. The person comes to depend on alcohol to get through tough situations. 131 Click the mouse button or press the Space Bar to display the answer. Section Assessment (cont.) Think Critically How do personality disorders differ from other psychological disorders? People with personality disorders do not suffer anxiety or bizarre behavior. Their problems involve the inability to establish and maintain meaningful social relationships or adapt to their social environment. 132 Click the mouse button or press the Space Bar to display the answer. Section Assessment (cont.) Review Raymond Cattell’s 16 personality source traits (Figure 14.16 on page 400 of your textbook). Using these traits, rate a person suffering from antisocial personality disorder or one of the the other personality disorders listed in Figure 16.15 on page 475 of your textbook. 133 Click the mouse button to return to the Contents slide. Section 1: What Are Psychological Disorders? • One approach to defining abnormality is to say that whatever most people do is normal and any deviation from the majority is abnormal. • Abnormality can be viewed as an inability to adjust to getting along in the world– physically, emotionally, and socially. • Psychiatrists use the DSM-IV to help them classify psychological disorders. 135 Click the mouse button or press the Space Bar to display the information. Section 2: Anxiety Disorders • Generalized anxiety is often accompanied by physical symptoms. • Other anxiety disorders include phobic, obsessive-compulsive, post-traumatic stress, and panic disorders. 136 Click the mouse button or press the Space Bar to display the information. Section 3: Somatoform and Dissociative Disorders • Somatoform disorders are psychological problems in which symptoms are focused on the body. • Dissociative disorders involve a breakdown in a person’s normal conscious experience. 137 Click the mouse button or press the Space Bar to display the information. Section 4: Schizophrenia and Mood Disorders • Schizophrenia is a collection of symptoms relating to impairments in cognition, emotion, perception, and motor movement. • Psychologists have classified several types of schizophrenia. • Types of mood disorders are major depressive disorder, bipolar disorder, and seasonal affective disorder. 138 Click the mouse button or press the Space Bar to display the information. Section 5: Personality Disorders and Drug Addiction • People with personality disorders seem unable to establish meaningful relationships with other people or to adapt to their social environment. • Abuse of drugs often involves psychological dependence, addiction, tolerance, and sometimes withdrawal. 139 Click the mouse button or press the Space Bar to display the information. Click the mouse button to return to the Contents slide. Reviewing Vocabulary Use the correct term or concept to complete the following sentences. 1. An extreme fear of crowds is an example of a(n) phobia __________. 2. A mood disorder in which individuals are excessively and inappropriately happy or unhappy is called a(n) _____________. bipolar disorder 3. A person who experiences severe and longlasting aftereffects of a traumatic event is suffering from _________________________. post-traumatic stress disorder DSM-IV is a standard system for 4. The __________ classifying abnormal behavior. 141 Click the mouse button or press the Space Bar to display the answers. Reviewing Vocabulary (cont.) Use the correct term or concept to complete the following sentences. 5. During __________, withdrawl an addicted person’s body and mind revolt against and finally get used to the absence of a drug. Hallucinations are perceptions in the absence of 6. ____________ corresponding sensations. 7. A psychological disorder in which there is no apparent physical cause for certain physical symptoms is known as a(n) _________________. somatoform disorder 8. People suffering from schizophrenia sometimes delusions or false beliefs experience __________, maintained in the face of contrary evidence. 142 Click the mouse button or press the Space Bar to display the answers. Reviewing Vocabulary (cont.) Use the correct term or concept to complete the following sentences. 9. A person who is experiencing a generalized apprehension is suffering from __________. anxiety 10. People with a(n) _________________ antisocial personality are generally irresponsible and immature. 143 Click the mouse button or press the Space Bar to display the answers. Recalling Facts In what way does the system psychologists currently use to classify abnormal behavior differ from the one that preceded it? The DSM-IV is less vague than the DSM-II. The conditions originally identified under neurosis and psychosis have been expanded into more detailed categories. Anxiety disorders, somatoform disorders, dissociative disorders, mood disorders, and schizophrenia are now included. 144 Click the mouse button or press the Space Bar to display the answer. Recalling Facts Describe the symptoms associated with anxiety. Give two explanations for the occurrence of anxiety. Symptoms associated with anxiety include muscular tension, inability to relax, furrowed brow, strained face, poor appetite, indigestion, diarrhea, frequent urination, and difficulty sleeping. Learned behavior, physiological factors, and suppression of unconscious desires are causes of anxiety. 145 Click the mouse button or press the Space Bar to display the answer. Recalling Facts What is a dissociative fugue? What psychological function might it serve? How does it differ from dissociative amnesia? A dissociative fugue is a reaction in which amnesia is coupled with active flight to a different environment. It serves as an escape from unbearable fear or anxiety. A dissociative fugue involves a different location and life apart from the prior life. 146 Click the mouse button or press the Space Bar to display the answer. Recalling Facts Use a diagram similar to the one on page 481 in your textbook to list and explain three possible causes of schizophrenia. Three possible causes of schizophrenia are inherited predisposition, chemical imbalance in the brain, and/or long-term exposure to unhealthy family life. 147 Click the mouse button or press the Space Bar to display the answer. Recalling Facts How would you describe someone who is classified as having an antisocial personality disorder? They could be described as irresponsible, immature, emotionally shallow, and thrill-seeking. 148 Click the mouse button or press the Space Bar to display the answer. Building Skills Interpreting a Graph Review the graph below, then answer the questions that follow. 149 Building Skills According to the graph, what is the most common anxiety disorder reported in the United States? The most common disorder reported is social phobia. 150 Click the mouse button or press the Space Bar to display the answer. Building Skills What percentage of the United States population reports any anxiety disorder? 25 percent of the population reports any anxiety disorder. 151 Click the mouse button or press the Space Bar to display the answer. Building Skills Do you think that suffering from an anxiety disorder is a common or rare occurrence? Explain. Since the graph shows that 1 out of 4 people have suffered from an anxiety disorder, it is a relatively common occurrence. 152 Click the mouse button or press the Space Bar to display the answer. I am one of the five major dimensions used by the DSM-IV that describes the highest level of functioning experienced during the past year. What am I? I am Axis V. 153 Click the mouse button or press the Space Bar to display the answer. Click the mouse button to return to the Contents slide. Explore online information about the topics introduced in this chapter. Click on the Connect button to launch your browser and go to the Understanding Psychology Web site. At this site, you will find interactive activities, current events information, and Web sites correlated with the chapters and units in the textbook. When you finish exploring, exit the browser program to return to this presentation. If you experience difficulty connecting to the Web site, manually launch your Web browser and go to http://psychology.glencoe.com What is a phobia? Write its definition as well as the definition of the following terms in your journal: acrophobia, xenophobia, agoraphobia. Use a dictionary to help you with the assignment. Examine Thomas Szasz’s argument that the mentally ill simply have “problems in living.” Then write a paragraph agreeing with Szasz’s point of view and a second paragraph disagreeing with his point of view. Write about a time in which the same thought kept recurring. Explain how you overcame the thought or moved on to other things. Write about a dissociative experience that you have had. After reading the various theories of the causes of schizophrenia, write an explanation of what causes schizophrenia for a friend whose brother has just been diagnosed with schizophrenia. Write a description of a television or movie character who exhibits one of the personality disorders described in section five of your textbook. Munchausen’s Syndrome Read the case study presented on page 464 of your textbook. Be prepared to answer the questions that appear on the following slides. A discussion prompt and additional information follow the questions. Continued on next slide. This feature is found on page 464 of your textbook. Munchausen’s Syndrome What is Munchausen’s Syndrome? It is a serious disorder in which people will go to extreme lengths to avoid emotional pain. They may create both physical and psychological symptoms to have a physician take care of them. Continued on next slide. Click the mouse button or press the Space Bar to display the answer. This feature is found on page 464 of your textbook. Munchausen’s Syndrome What are some possible causes of Munchausen’s Syndrome? A possible cause may be an all-caring or allrejecting parental relationship that the person attempts to re-create with the physician. Continued on next slide. Click the mouse button or press the Space Bar to display the answer. This feature is found on page 464 of your textbook. Munchausen’s Syndrome Critical Thinking Why might a physician or psychologist suspect that someone is suffering from Munchausen’s Syndrome? What is the danger in misdiagnosing this disorder? A physician may suspect the presence of this disorder when a person seeks treatment but refuses to fully cooperate. It may also be suspected when there are a series of self-defined or self-induced symptoms for which the person attempts to be admitted to the hospital. Munchausen’s patients have a tendency to hide their methods poorly. If the disorder is diagnosed but is not really present, the person may not be treated for actual ailments. If the disorder is missed, the person may permanently injure himself or herself. Continued on next slide. Click the mouse button or press the Space Bar to display the answer. This feature is found on page 464 of your textbook. Munchausen’s Syndrome Discuss the following: What caused Goodman to suspect Munchausen’s? What types of things do patients do to convince physicians that their symptoms are real? What evidence do they tend to leave of their deceit? Continued on next slide. This feature is found on page 464 of your textbook. Munchausen’s Syndrome In 1994, Kathleen Bush was lauded in a White House ceremony by First Lady Hillary Clinton as an outstanding example of a mother with a very sick child and no medical insurance. Less than two years later, Kathleen Bush was arrested for child abuse. Continued on next slide. This feature is found on page 464 of your textbook. Munchausen’s Syndrome – Her daughter, Jennifer, then 8 years old, had been hospitalized more than 200 times and had undergone 40 operations. – Some accused her of having a disorder known as Munchausen’s by Proxy, which is the creation of physical symptoms in one’s child. – The parent, usually the mother, appears to be seeking attention and sympathy from family, friends, and physicians. Continued on next slide. Click the mouse button or press the Space Bar to display the information. This feature is found on page 464 of your textbook. Munchausen’s Syndrome – In this case, Kathleen Bush was accused of poisoning and infecting her daughter. – Her daughter was put in protective custody by the state and improved rapidly after being removed from her mother’s care. Click the mouse button or press the Space Bar to display the information. This feature is found on page 464 of your textbook. Continued on next slide. Continued on next slide. Answers: 1. The three areas of adaptive functioning are social relations, occupational functioning, and use of leisure time. 2. A teenager has a low level of adaptive functioning in the area of social relations. 3. It would include them to help identify and diagnose the psychological problems someone is dealing with. Click the mouse button or press the Space Bar to display the answers. Continued on next slide. Answers: 1. The person on the left suffers from the fear of heights, also called acrophobia. 2. Answers will vary; one way might be to experience heights under safe conditions. 4. Veterans, natural disaster survivors, and victims of human aggression are common suffers of PTSD. Click the mouse button or press the Space Bar to display the answers. 3. Some common symptoms are flashbacks, recurring nightmares, insomnia, and feelings of guilt. Continued on next slide. Answers: 1. The picture demonstrates a normal, temporary loss of memory. 2. A disorder is different from an experience in that there is a long term loss versus a short term loss, and in an experience the persons identity is not affected. 3. Answers could include dissociative amnesia, dissociative fatigue, and dissociative identity disorder. Click the mouse button or press the Space Bar to display the answers. Continued on next slide. Answers: 1. The phrases are connected by random associations. 2. They have difficulty using language to communicate. 3. Schizophrenia seems to affect the working memory. Click the mouse button or press the Space Bar to display the answers. Continued on next slide. Answers: 1. People could begin because it reduces tension, makes them feel confident, and reduces pressure. 2. It distorts perceptions and sensations, slurs speech, and causes sluggish reactions. 3. Possible help includes AA psychological treatment, and Antabuse. 4. Answers will vary. Click the mouse button or press the Space Bar to display the answers. The Grief Brigade Introduction Use the Reader’s Dictionary that appears on the next slide to help explain unfamiliar terms as you read the article on pages 482–483 of your textbook. Be prepared to answer the questions that follow. Continued on next slide. This feature is found on pages 482–483 of your textbook. The Grief Brigade Reader’s Dictionary parlance: manner of talking immemorial: going back beyond the reach of memory or record; timeless astronomical: extremely large debriefing: asking questions immediately after an event to get as much information as possible seminal: an original work that defines an author consolation: act of being comforted calamity: catastrophe, an event that causes distress bereavement: the loss of a loved one by death This feature is found on pages 482–483 of your textbook. Continued on next slide. The Grief Brigade Analyzing the Article What is the purpose of trauma counseling? Trauma counseling helps people put into words the deep, emotional feelings that accompany a trauma. Trauma counselors handle the immediate aftershocks of disaster. They try to get people to open up and explore their thoughts and feelings about what happened. Continued on next slide. Click the mouse button or press the Space Bar to display the answer. This feature is found on pages 482–483 of your textbook. The Grief Brigade Analyzing the Article How is the grief of children different from adults’ grief? Children are often fearful, have trouble falling asleep, and have difficulty concentrating and carrying on normal daily activities. Some children deny the experience, telling the story as if it happened to someone else. Some children may appear to be hyperactive. Continued on next slide. Click the mouse button or press the Space Bar to display the answer. This feature is found on pages 482–483 of your textbook. The Grief Brigade Analyzing the Article CRITICAL THINKING Why is grief counseling controversial? Do you think that it’s better to express grief or hold it in? Why? Grief counseling is controversial because some studies do not support the theory that talking about the traumatic event helps people recover. Continued on next slide. Click the mouse button or press the Space Bar to display the answer. This feature is found on pages 482–483 of your textbook. The Grief Brigade Discussion With national media coverage of traumatic events, how are we, as a society, affected by events such as the Columbine High School massacre and the Oklahoma City Bombing? Use this question to explore how you react to reports of traumatic events on the news. Continued on next slide. Click the mouse button or press the Space Bar to display the answer. This feature is found on pages 482–483 of your textbook. The Grief Brigade Discussion Do you think that parents of preschool and early elementary school children should shield their children from seeing news reports of traumas? Why or why not? Answers will vary. Click the mouse button or press the Space Bar to display the answer. This feature is found on pages 482–483 of your textbook. Psychological Disorders From the Classroom of Jerry Agner Marion Harding High School, Marion, OH Select an individual who has appeared (now or in the past) on the cover of a national magazine that you consider “abnormal.” Select one of the approaches to defining abnormality that appears in this chapter. Use it to explain why and what is abnormal behavior exhibited by the individual. One In Seven Will Seek Help Mad as A Hatter Click a hyperlink to go to the corresponding slide. In the United States, one person in seven will seek help for a psychological disorder at some time during his or her lifetime. The phrase “mad as a hatter” became widely used because hatmakers suffered from tremors, slurred speech, and confusion. Scientists discovered that this condition was caused by mercury-laden vapors inhaled by the hatmakers while they worked on felt hats. Tell students that in her books I’m Eve and A Mind of My Own, the full story of Chris Costner Sizemore is revealed. She suffered from her mental illness from age two and had a total of 22 separate personalities until she was properly treated and brought to full integration by Dr. Anthony Tsitos in 1977. In April 1997, the world was shocked by the mass suicide of Marshall Applewhite and 38 followers of the Heaven’s Gate cult. Psychologists identify Applewhite and many other cult leaders as schizophrenic. Many of his followers had borderline personalities. In ancient times, Egyptians and Babylonians believed that mental illness was due primarily to evil spirits. Archaeologists frequently find evidence of a practice known as terphining, which involved drilling an opening in the skull to let evil spirits escape. Researchers at the Institute for Basic Psychiatry Research at the Aarhus University Hospital in Denmark analyzed 2,669 people diagnosed with schizophrenia. They examined several risk factors including family history of mental illness, time of the year that the people were born, and where the people lived during their childhoods. The study confirmed that a family history of schizophrenia was the primary risk factor. Continued on next slide. The study also found that those born in February and March and those living in urban environments ran a higher risk of developing schizophrenia. Researchers concluded that the time and place factors lend support to the viral theory of schizophrenia by saying, “Viruses are more abundant in winter and are more likely to spread in crowded urban environments.” Source: Talan, J. (1999, February 25) New schizophrenia risks found. Newsday, A24. The prevalence of antisocial personality disorder is approximately 3 to 4 percent in the United States, Canada, Australia, and New Zealand. However, the rate in Taiwan is only 0.5 percent. Psychologists speculate that a culture emphasizing close family ties may be responsible for the lower incidence in Taiwan. Further research is needed to confirm this hypothesis. Help for Primary Care Physicians In the current U.S. health care system, many people are required by their health insurers to see a primary care physician first. The primary care physician makes an initial diagnosis and can refer patients to specialists. Since most primary care physicians are not psychiatrists, the DSM-IV-PC has been developed. It helps primary care physicians make the basic diagnosis needed to refer patients to the proper specialists. It uses the same basic approach as the DSM-IV but is limited to the most common disorders and simplifies the diagnosis procedure. Bipolar Disorder A study published in the May 1999 issue of the Archives of General Psychiatry indicates that omega-3 fatty acids found in fish oil may relieve the symptoms of bipolar disorder. The study involved a small sample of people being treated for bipolar disorder at the Brigham and Women’s Hospital in Boston, Massachusetts. Researchers acknowledge that further research using larger samples is needed before a theory can be proposed. Effects of Diagnosis on Treatment • In the early 1970s, David Rosenhan and seven other researchers became pseudopatients at psychiatric hospitals. • All were admitted to hospitals after complaining of hearing disembodied voices and were diagnosed as schizophrenic. • Stays in the hospital ranged from one week to two months. • After admission, none exhibited any abnormal behaviors, yet none of the hospital staff ever recognized them as normal. Continued on next slide. Click the mouse button or press the Space Bar to display the information. Effects of Diagnosis on Treatment • Interestingly, many of the patients in the hospitals suspected that the pseudopatients did not belong. • What does this research study indicate about the effect of diagnosis on how a person is treated? • How can a diagnosis become a self-fulfilling prophecy? Click the mouse button or press the Space Bar to display the information. Mental illnesses have been a common topic for films. View one pair of the following films: – Bipolar disorder: Blue Sky (1994) and A Fine Madness (1966) or Mr. Jones (1991) and The Snake Pit (1947) – Schizophrenia: Awakenings (1990) and Possessed (1947) After viewing the films, write an essay comparing and contrasting the treatment of the characters and society’s view of the disorder. Click the mouse button or press the Space Bar to display the information. • Read the Psychology and You feature on page 473 of your textbook. • Discuss the following: How can allowing a person to talk about their feelings help them overcome suicidal thoughts? Click the mouse button or press the Space Bar to display the information. Abraham Maslow 1908–1970 Click the picture to listen to a biography on Abraham Maslow. Be prepared to answer questions that appear on the next three slides. This feature is found on page 451 of your textbook. Abraham Maslow 1908–1970 Why did Maslow upset behaviorists? He contradicted their theories with the belief that individuals had freedom to choose their actions, that they did not simply respond to rewards and punishments meted out by their environments. Click the mouse button or press the Space Bar to display the answer. This feature is found on page 451 of your textbook. Abraham Maslow 1908–1970 How did Maslow describe human motivation? He described it as a hierarchy of needs from basic biological needs to selfactualization. Click the mouse button or press the Space Bar to display the answer. This feature is found on page 451 of your textbook. Abraham Maslow 1908–1970 How did Maslow believe psychological conflicts were resolved? He felt they were resolved by attending to the unfulfilled needs of individuals. Click the mouse button or press the Space Bar to display the answer. This feature is found on page 451 of your textbook. End of Custom Shows WARNING! Do Not Remove This slide is intentionally blank and is set to auto-advance to end custom shows and return to the main presentation. Click the mouse button to return to the Contents slide.