Mental Disorders What is Abnormal ??? • Patterns of behavior that are atypical • Feelings of distress and negative affective • Disorders are maladaptive and interfere with daily living. Exorcisms vs. Mental Illness What are some common conceptions and misconceptions about mental disorders? • • • • • Supernatural causes Natural Imbalance Witch craft Asylums State Hospitals Current Models Biological – Nervous System – Genes Psychological – Learning – Cognition Socio-cultural – At risk environments – Disadvantaged social positions Diathesis-Stress – Interaction model – Predisposition + Stressors Assessment to Diagnosis • In-Take Interviews – – – – Environment Problems in their life Biological & Family history Measures • Diagnostic Checklist DSM IV Major Disorders Psychosocial Environment Global Medical Cond. Personality – Metal Retardation Criticisms of DSM -IV • Not integrative – Ignores the relationships among factors . • Overlooks the variety of causal factors. – Motivation & an attempt to adapt • Different editions = different diagnosis. • The system "medicalizes" many behaviors traditionally considered to be under voluntary control. – Is every maladaptive behavior a disorder? – Should all such disorders be part of the responsibility of the health care system? Mental Disorders and Society • Is a Mental Disorder grounds for special rules? • Acquitted "by reason of insanity." – Only concerned about at the time of crime – Right from Wrong & Uncontrollable Impulses – Less than 1 percent Early Disorders • • • • Disruptive Behavior Attention Deficit/Hyperactivity Disorder Eating Disorders Autism