Introducing Psych Disorders Psychological disorders are frequently depicted in TV programs & movies. What programs/movies can you think of that have depicted psychological disorders? Monk – OCD ConAir (John Malkovich’s character – anti-social behavior) As Good as it Gets – Jack Nicholson’s and Greg Kinnear’s characters - depression Copy Cat – Sigourney Weaver’s character – panic disorder with agoraphobia Where should we draw the line between normal & abnormal? Defining Psychological Disorders ALL 4 criteria must be met 1. Atypical 2. Disturbing 3. Maladaptive (harmful) 4. Unjustifiable Being a homosexual is not a psychological disorder – however, nicotine dependence is! Understanding Psychological Disorders Medical Perspective Bio-Psycho-Social Perspective Culture-bound disorders Susto – Latin America (anxiety, depression, fear of black magic) Latah – Malaya – uneducated women – fear Amok – Philippines & parts of Africa – jump around violentlydepression Winigo – Algonquin Indians – fear of being turned into a cannibal Classifying Psychological Disorders DSM-IV – Diagnostic and Statistical Manual of Mental Disorders Labeling Psychological Disorders Bias in labeling. – examples? The Effects of Labeling- Exercise Rates of Psychological Disorders Recent studies indicate that there are even higher rates of psychological disorders than those reported in the text. 22% of Americans 18 & older suffer from a diagnosable mental disorder – 1 in 5. Nearly ½ of people ages 15-54 have experienced at least one bout with a psychiatric disorder. Psychological disorders peak between the ages of 25 and 34. Many mental disorders are mild and people recover from them without help. Most common disorders: Major Depression Alcohol Dependence Social Phobia Simple Phobia – fear of a particular object MOOD DISORDERS Mood Disorders – emotional extremes Major Depressive Disorder Lasts 2 weeks or more without notable cause Mood Disorders Survey In scoring, students should reverse their responses to items 2,5, 6, 11, 12, 14, 16, 17, 18 & 20 (that is, 1=4, 2=3, 3=2, 4=1). They should then add all the numbers to obtain a total score, which can range from 20-100. Scores in the 50-59 range suggest mild to moderate depression, from 60-69 indicate moderate to severe depression and 70 and higher indicate severe depression. Revised Facts on Suicide Survey T= 2,3,7,9,12,14,17,18 all other are False (13 was formerly True – now is the 11th highest cause of death) BiPolar Disorder Alternates between depression & overexcited state of mania (formerly known as manic-depressive) Explaining Mood Disorders The Biological Perspective Genetic Depressed Brain – biochemical neurotransmitters Less active brains Smaller Frontal Lobes Social Cognitive Perspective Self-defeating beliefs – magnify bad experiences, minimize good ones – may arise from “learned helplessness” Depressed people tend to explain bad events in terms that are: Stable – it’s going to last forever Global – It’s going to affect everything I do Internal – it’s my fault ANXIETY, DISSOCIATIVE AND PERSONALITY DISORDERS ANXIETY DISORDERS: Psychological disorders characterized by distressing, persistent anxiety or maladaptive behaviors that reduce anxiety. Generalized Anxiety Disorder & Panic Disorder – continually tense & jittery – 2/3rds are women Panic Disorder – intense terror and accompanying physical pain – chest pain, etc… Phobias – focus anxiety on a specific object, activity or situation Top 10 fears: Snakes – M & F Buried Alive – M & F Heights – M & F Bound or Tied up - F Drowning - M Public Speaking - M & F Hell Cancer Tornadoes/Hurricanes Fire Psychologists have labeled over 700 specific fears & estimate there are thousands more. – Santa Claustrophobia (fear of getting stuck in a chimney)! Obsessive Compulsive Disorder – unwanted repetitive thoughts (obsessions) and/or actions (compulsions) – 4 million Americans have/will have OCD in their lifetime. Explaining Anxiety disorders: - 2 perspectives – “Learning” & “Biological” The Learning Perspective Classical Conditioning (Pavlov – students may not have covered this yet, but it is a relatively easy concept to explain in this situation) Stimulus Generalization (falling off ladder may not only lead to fear of heights, but a fear of flying) Reinforcement avoiding or escaping reduces anxiety, thus reinforcing the phobic behavior. Compulsive behaviors reduce anxiety… Observational Learning The Biological Perspective Natural Selection Genes Physiology – fear-learning experiences can traumatize the briain by creating fear circuits within the amygdale Taylor Manifest Anxiety Scale - SURVEY Scores of 14 or 15 are average for college students (# of true responses) DISSOCIATE DISORDERS – where conscious awareness becomes separated (dissociated) from previous memories, thoughts & feelings Dissociative identity disorder (split personality) Post-traumatic stress disorders The Curious Experiences Survey Scores range from 17 to 35 – higher scores reflect more experience with dissociation. PERSONALITY DISORDERS – characterized by inflexible and enduring behavior patterns that impair social functioning Antisocial personality disorder – (sociopath / psychopath) – where a person (usually a man) exhibits a lack of conscience for wrongdoing. May be aggressive and ruthless or a clever con artist. Personality Inventory Survey For research – not diagnosis - one point for each yes answer Avg score for drug treatment men – 8.33 Avg score for rock climbers – 6.06 Avg score for policemen – 5.15