Information
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Reminders:
NEXT TUESDAY LATE START!! Auditorium 7:00 a.m.
FINAL PAYMENT DUE NEXT FRIDAY (17th)
THIS WEEK:
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Lunch Review TODAY Chapters 4, 5 flashcards
Psych Bowl Review TODAY 2:30 – 3:00
Flex Review TOMORROW Ch. 7 flashcards
CCN Chapter 14 Part II – DUE THURSDAY
Psych Bowl Review TOMORROW 2:30 – 3:30 (15 points)
Night Review THURSDAY 5 – 8 p.m. Chapters 4 – 7
Psych Bowl review FRIDAY 2:30-4:00 (20 points)
Psych Bowl SATURDAY 8:45 – 12:00 BE ON TIME!
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Check In
Davis High Auditorium
Bring Paper/Pencil/Pen
Information
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Reminders:
 FINAL PAYMENT DUE TOMORROW (17th - $76.00)
 Mandatory paperwork TUESDAY 7:00 a.m.
 THIS WEEK:
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Night Review TONIGHT (Ch. 4 – 7)
Psych Bowl Review 2:30-4:00 Friday
Psych Bowl 8:45-12:00 Saturday Davis High
5 more Flex/lunch next two weeks
2 more night reviews next two weeks
Test TWO WEEKS FROM MONDAY
CCN Chapter 14 Part II DUE MONDAY
CCN Chapter 15 DUE NEXT FRIDAY (last one!!)
Mental Illness and Abnormal Behavior
What is Abnormal?

It depends on who is being asked.
Society:
What behaviors and mental processes are socially appropriate?
How does this definition change over time?
Law/Insanity/Punishment
Individual:
What do you believe is “normal”?
How does that affect the way you think/behave?
How does your own definition affect the way you view others?
Mental Health Professionals:
a.
b.
c.
ATYPICAL:
MALADAPTIVE:
DISTURBING:
d.
UNJUSTIFIABLE
When people’s perception of reality is distorted.
Their ability to cope with life’s demands is impaired
They are a danger to themselves or others.
They feel discomfort severe enough to be harmful.
Not the result of a significant life change.
Categorical Approach
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DSM V– Diagnostic and Statistical Manual
 Mental Illnesses Divided into:
Categories – broad descriptions of
range of symptoms
Specific Illnesses
Symptoms
Diagnosis/Label
Dimensional Approach

Mental Illnesses not labeled or
categorized
Individual’s behaviors or
mental processes “scored”
on a range from:
Normal--------------Abnormal
Rosenhan challenged the idea of
categories with his famous study.
“dull, empty, thud”
 http://www.youtube.com
/watch?v=j6bmZ8cVB4o
C.
Modern Theories
Current Theories of the Nature, Causes, and Treatment of Abnormal
Behavior.
*Use your hand gestures to remember most!
1.
The Biological Model
(also called the MEDICAL model):
Mental Illness are PHYSICAL illnesses.
Body Malfunctioning
Cure Medically – medications (RX)/surgery/etc.
2.
The Psychoanalytical Model:
Mental illnesses result from UNCONSCIOUS conflict.
• Analyze fixations, repressed memories, defense mechanisms
to cure
• “Peel” back the layers to get to the root of the problem
3.
The Cognitive-Behavioral Model:
Mental illness is the result of LEARNED (behavioral)
maladaptive (unhealthy) ways of thinking (cognitive)
• Treat by LEARNING new ways of THINKING and
BEHAVING
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Modern Theories
Continued
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4. The Diathesis Stress Model –
Diathesis = Genetic Predisposition
Stress = Sets off the diathesis
*Explains why some develop major illnesses and some
do not, given the same genetic propensity
5. The Systems Theory –(Bio – Psycho – Social)
Mental Illness is a combination of biological (medical),
psychological (cognitive and behavioral) and social
(interpersonal/environmental) factors
Panic Disorder
Agoraphobia
Specific Phobias
Social Anxiety
Selective Mutism
Generalized Anxiety Disorder (GAD)
OCD
Hoarding
Body Dysmorphic Disorder
Trichotillomania
Anxiety and OCD
Disorders
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 Read DSM organizer
classifications for major
anxiety disorders and
symptoms.
 Alternate within
group
 As a “team” diagnose
cases in notes
 Disorder Organizer
DSM-V.docx
Information
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Reminders:
TOMORROW LATE START!! Auditorium 7:00 a.m.
2007 Exam DUE WEDNESDAY (MC ONLY)
CCN Ch. 15 DUE FRIDAY (LAST ONE!!)
THIS WEEK:
 Flex Review TODAY Chapters 8, 9 (memory/cognition)
 Night Review Wednesday (snacks provided) 5-8 p.m.
(Chapters 8, 9, 11, 12, and 16)
 Flex Review Thursday Chapters 11, 12
 Lunch Review Friday Ch. 16
 Saturday Practice Test
 Calendar Changes: C:\Users\annielsen\Desktop\Term 42.doc
Answers
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 Case A – PD
 Case B – GAD
 Case C – Specific Phobia
 Case D – OCD
 Case E – Panic with Agoraphobia
 Case F – Social Phobia
Body Dysmorphic
Disorder
Preoccupation with
ugliness, weight,
appearance.
Normal life becomes
impossible.
 Jocelyn Wildenstein
 “Lion Lady”
Anxiety and OCD Disorders
Case Studies
 OCD Symptoms
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 Obsession – Repetitive thought
 Leads to Anxiety
 Compulsion – Repetitive behavior
 Reduces Anxiety (not rationally)
 David Sedaris ... Naked – Case Study
http://www.youtube.com/watch?v=qZoPSjsWt_4
 The Boy Who Couldn’t Stop Washing – Case Study
 OCD Test
 Donny Osmond – Panic Disorder/Panic Attacks
 Howard Hughes – OCD/Agoraphobia
Anxiety and OCD Disorders
Causes and Treatments
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Causes
 Cognitions
 Behaviors/Reinforcing
 Medical Model
Treatment
1. Cognitive/CBT
Stress Inoculation
2.Medical Model
Medications
(anti-anxiety)
Biofeedback
3. Behavioral
Systematic
Desensitization
Depressive Disorders
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 Involve significant
shifts in
emotion/mood.
 Types:
 Major Depression
 Persistent Depressive
Disorder (Dysthymia)
 Read Characteristics –
DSM-V
 Examples (packet)
Bipolar I
Bipolar II
Depressive Disorders
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 Involve significant shifts
in emotion/mood.
 Mania
 Depression
 Types:
 Bipolar I
 Bipolar II
 Read Characteristics –
DSM-V
 Disorder Organizer
DSM-V.docx
 Examples (packet)
Answers
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 Case A – Major Depression
 Case B – Mania
 Case C – Major Depression
 Case D - Mania
Bipolar and Depressive
Disorders Continued
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 Causes/Stats:
 Bio
 Genetic
 Twin Studies
 Serotonin and
Norepinephrine
 Brain/Body
 Less Brain Activity
 Psycho – Social
 Negative thought
spiral (cognitive)
 Learned helplessness
(behavioral)
 Cyclical (despite meds)
Treatments – Depressive
and Bipolar Disorders
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 Antidepressants
 ECT – Major
Depression
(when other forms
don’t work)
ECT
 CBT – Train person to
end cognitive spiral
 Lithium (bipolar)
Statistics and Case Studies
Depressive and Bipolar Disorders
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 Widespread/Crosscultural
 More women seek
treatment
 Cycles often preceded by
other stressors
 Cyclical routines usually
last 3 months or less
 Major Depression
 Catherine Zeta-Jones
 Mike Wallace
Dissociative Identity Disorder
Depersonalization/Derealization Disorder
Dissociative Amnesia (Fugue)
Dissociative Disorders
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 A person’s “conscious”
awareness and personal
past “dissociate” from
each other.
 An individual forgets
events, behaviors,
thoughts, emotions
 NOT organic (physical)
 Statistically hard to track
and difficult to “measure”
 North America (DID)
 Women
Specific Dissociative
Disorders

 Fugue/Amnesia
 Dissociative Identity
Disorder
 Booo Sybil
case/Shirley Mason
 Video Clip
 https://www.youtube
.com/watch?v=YXuG
2zI39yA&safe=active
 Herschel Walker
Causes and Treatments
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Causes
 Repression (psychoanalytic)
 Reinforcement/Avoidance of
Consequences (cognitivebehavioral)
Treatments
 Insight Therapy
Cognitive (CBT)
Psychoanalysis
 Generally there is some
precipitating event/stressor
 Integration therapy for
DID
 Individual “copes” by
splitting/dissociating from the
stress
*nothing medical, not organic
Cluster A
Cluster B
Cluster C
Personality Disorders
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 Impaired social functioning due to pervasive
patterns of BEHAVIOR and maladaptive personality
TRAITS
 Think of the definition of personality
 Over 50 in the DSM
 Affect social relationships significantly
 Individual doesn’t see a problem “It’s just who I am,
it’s your problem!”
Answers
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Case A – Paranoid
Case B – Histrionic
Case C – Borderline
Case D – Fugue
Case E - Schizoid
Case F – Narcissistic
Case G – DID
Case H – Avoidant
Case I – Amnesia
Case J – Dependent
Case K – Antisocial
Case L – Schizotypal
Case M - OCDPD
Causes and Treatment
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Causes
Treatment
Causes believed to
be behavioral and
cognitive as well as
social and cultural
Best treatment –
insight, behavioral,
cognitive, group
therapies
(see added attachment)
Somatoform Disorders.ppt
Schizophrenia

 Literally means “split
mind” – Often confused
with DID.
 Bicycle Analogy –
Schizophrenia: The bicycle
(mind) splits apart; the
pieces separate and are
put back together. It
never quite works again
properly.
DID: Four separate bicycles
(minds) all function well;
they don’t interact much
(don’t “associate”)
Schizophrenia
Characteristics
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Positive Symptoms
1.
Psychotic Symptoms:
Delusions – false thoughts
Hallucinations – sensory
experience without sensory
input voices most common
2.
Disorganization – racing,
disorganized thoughts and
speech
Negative Symptoms
3.
Catatonia – lack of motion,
repetition
4.
Inappropriate Affect
(emotional reaction)
https://www.youtube.com/watc
h?v=gGnl8dqEoPQ
Look for these symptoms in Gerry
Types of Schizophrenia
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 Paranoid
 Thoughts preoccupied with delusions of fear and
paranoia
 Positive symptoms
 Word salad – disordered/disorganized
 Push of speech – speak so quickly cannot follow
 Grandeur delusions – false thoughts of personal
“grand”ness
 Catatonic
 Repetition
 Waxy flexibility – body like wax/mold
 https://www.youtube.com/watch?v=zAEJ-Jvndms
Schizophrenia Cont …
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 Disorganized
 Positive symptoms
 Thoughts/communic
ation disorganized
 Indifferent to real life
situations
 Undifferentiated
 Exhibits symptoms of
all other types
 Causes
 Psycho-Social
 Poor coping as child
 Can’t relate to others
 Bio –
 Dopamine Hypothesis
 Brain Tissue (less in
thalamus and CC)
 Prenatal (flu)
 Genetic/Twin Studies
 Diathesis
Stress(adolescence)
 Onset:
 Acute/Reactive
 Chronic/Process
Hippocampus

Ventricles/Thalamus
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Schizophrenia Stats and
Treatment

 1% of world
 Early/mid 20’s for men
 Late 20’s/Early 30’s
women
 Cross-cultural
 Affects men/women
equally
Famous People:
Syd Barrett (Pink Floyd)
John Nash (A Beautiful
Mind)
 Treatment:
 Anti-psychotic meds
 Clozapine
 Thorazine
 Neroleptics
CBT
ECT (rare)
Family Therapy
Group
Homes/Treatment
 Difficult to “cure”
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Read Organizer
Feeding and Eating
Disruptive and Conduct
Neurocognitive
Trauma