Abnormal Behavior

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Unit 12:

Abnormal Behavior

Unit 12 - Overview

• Introduction to Psychological Disorders

• Anxiety Disorders, Obsessive-Compulsive

Disorder, and Posttraumatic Stress

Disorders

• Mood Disorders

• Schizophrenia

• Other Disorders

Click on the any of the above hyperlinks to go to that section in the presentation.

Module 65:

Introduction to Psychological

Disorders

Introduction

• How should we define psychological disorders?

• How should we understand disorders?

• How should we classify psychological disorders?

Defining Psychological

Disorders

Defining Psychological

Disorders

• Psychological disorders

–Disturbed behavior

–Dysfunctional behavior

–Maladaptive behavior

• Attention deficit hyperactivity disorder

(ADHD)

Understanding Psychological

Disorders

Understanding Psychological Disorders

The Medical Model

• Philippe Pinel

• Medical model

–Mental illness (psychopathology)

Understanding Psychological Disorders

The Biopsychosocial Approach

• Interaction of nature and nurture

• Influence of culture on disorders

Classifying Psychological

Disorders

Classifying Psychological

Disorders

• Diagnostic and Statistical Manual of Mental Disorders (DSM)

– DSM-5

• Diagnostic labels

• Criticisms of the DSM

Labeling Psychological

Disorders

Labeling Psychological

Disorders

• Rosenhan’s study

• Power of labels

–Preconception can stigmatize

• Stereotypes of the mentally ill

• Insanity

Rates of Psychological

Disorders

Rates of Psychological

Disorders

Module 66:

Anxiety Disorders, Obsessive-

Compulsive Disorder, and

Posttraumatic Stress Disorder

Anxiety Disorders

• Anxiety disorder

– Generalized anxiety disorder

– Panic disorders

– Phobias

Generalized Anxiety Disorder

Generalized Anxiety Disorder

• Generalized anxiety disorder

–2/3 women

–Continual worry, jittery, agitated and sleep deprived

–Free floating anxiety

Panic Disorder

Panic Disorder

• Panic disorder

–Panic attacks

Phobias

Specific Phobia

• Phobias

–Specific phobia

– Social anxiety disorder

– Agoraphobia

Phobias

Obsessive-Compulsive and

Related Disorders

Obsessive-Compulsive

Disorder

• Obsessive-compulsive disorder

–An obsession versus a compulsion

–Checkers

–Hand washers

Obsessive-Compulsive

Disorder

Trauma Stressor and Related

Disorders

Posttraumatic Stress Disorder

• Post-traumatic stress disorder

–PTSD

–“shellshock” or “battle fatigue”

–Not just due to a war situation

• Post-traumatic growth

Understanding Anxiety

Disorders, OCD and PTSD

Understanding Anxiety Disorders, OCD and PTSD

The Learning Perspective

• Classical and operant conditioning

–Stimulus generalization

–Reinforcement

• Observational learning

• Cognition

Understanding Anxiety Disorders, OCD and PTSD

The Biological Perspective

• Natural selection

• Genes

–Anxiety gene

–Glutamate

• The Brain

–Anterior cingulate cortex

Module 67:

Depressive and Bipolar Disorders

Depressive Disorders

Major Depressive Disorder

• Major depressive disorder

–Problems regulating appetite

–Problems regulating sleep

–Low energy

–Low self-esteem

–Difficulty concentrating and making decisions

–Feelings of hopelessness

• Persistent depressive disorder

Bipolar and Related Disorders

Bipolar Disorder

• Bipolar Disorder

– Mania (manic)

• Overtalkative, overactive, elated, little need for sleep, etc.

–Disruptive Mood Dysregulation Disorder

–Bipolar disorder and creativity

Understanding Depressive and Bipolar Disorders

Understanding Depressive and Bipolar Disorders

• Many behavioral and cognitive changes accompany depression

• Depression is widespread

• Women’s risk of major depression is nearly double men ’s

• Most major depressive episodes self-terminate

• Stressful events related to work, marriage and close relationships often proceed depression

• With each new generation, depression is striking earlier and affecting more people

Understanding Depressive and Bipolar Disorders

Understanding Depressive and Bipolar Disorders

The Biological Perspective

• Genetic Influences

–Mood disorders run in families

• Heritability

• Linkage analysis

• The depressed brain

• Biochemical influences

–Norepinephrine and serotonin

Understanding Depressive and Bipolar Disorders

The Biological Perspective

Understanding Depressive and Bipolar Disorders

The Social-Cognitive

Perspective

• Negative Thoughts and Moods Interact

–Self-defeating beliefs

• Learned helplessness

• Rumination

–Explanatory style

• Stable, global, internal explanations

–Cause versus indictor of depression?

Understanding Depressive and Bipolar Disorders

The Social-Cognitive Perspective:

Depression ’s Vicious Cycle

Module 68:

Schizophrenia Spectrum

Symptoms of Schizophrenia

Symptoms of Schizophrenia

• Schizophrenia (split mind)

–Not multiple personalities

– Psychosis

(psychotic disorder)

Symptoms of Schizophrenia

Disorganized Thinking and

Disturbed Perceptions

• Disorganized thinking

– Delusions

• Delusions of persecution (paranoid)

–Word Salad

– Hallucinations

–Breakdown in selective attention

Symptoms of Schizophrenia

Diminished and Inappropriate

Emotions

• Inappropriate Emotions

–Flat affect

• Inappropriate Actions

–Catatonia

–Disruptive social behavior

Onset and Development of

Schizophrenia

Onset and Development of

Schizophrenia

• Statistics on schizophrenia

• Onset of the disease

• Positive versus negative symptoms

• Chronic (process) schizophrenia

• Acute (reactive) schizophrenia

Understanding Schizophrenia

Understanding Schizophrenia

Brain Abnormalities:

Dopamine Overactivity

• Dopamine Overactivity

–Dopamine – D4 dopamine receptor

–Dopamine blocking drugs

• Glutamate

Understanding Schizophrenia

Brain Abnormalities:

Abnormal Brain Activity and Anatomy

• Abnormal Brain Activity and Anatomy

–Frontal lobe and core brain activity

–Fluid filled areas of the brain

Understanding Schizophrenia

Brain Abnormalities:

Maternal Virus During Midpregnancy

• Maternal Virus During Pregnancy

–Studies on maternal activity and schizophrenia

–Influence of the flu during pregnancy

Understanding Schizophrenia

Genetic Factors

• Genetic predisposition

• Twin studies

Understanding Schizophrenia

Psychological Factors

• Possible warning signs

– Mother severely schizophrenic

– Birth complications (low weight/oxygen deprivation)

– Separation from parents

– Short attention span

– Disruptive or withdrawn behavior

– Emotional unpredictability

– Poor peer relations and solo play

Module 69:

Other Disorders

Somatic Symptom and Related

Disorders

Somatic Symptom and Related

Disorders

• Somatic symptom disorder

–Somatic (body)

– Conversion disorder

• Functional neurological symptom disorder

– Illness anxiety disorder

• Hypochondriasis

Dissociative Disorders

Dissociative Disorders

• Dissociative disorders

–Fugue state

–Dissociate (become separated)

Dissociative Disorders

Dissociative Identity Disorder

• Dissociative identity disorder (DID)

–Multiple personality disorder

Dissociative Disorders

Understanding Dissociative

Identity Disorder

• Genuine disorder or not?

• DID rates

• Therapist’s creation

• Differences are too great

• DID and other disorders

Feeding and Eating Disorders

Feeding and Eating Disorders

• Eating disorders

– Anorexia nervosa

– Bulimia nervosa

– Binge

-eating disorder

Personality Disorders

Personality Disorders

• Personality disorders

–Cluster A

• Schizoid personality disorder

–Cluster B

• Histrionic personality disorder

• Narcissistic personality disorder

• Antisocial personality disorder

–Cluster C

• Avoidant personality disorder

Personality Disorders

Antisocial Personality Disorder

• Antisocial personality disorder

–Sociopath or psychopath

• Understanding antisocial personality disorder

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