Abnormal Psych- Woodruff
Abnormal Psych- Woodruff psych 2011
Popular in Abnormal Psychology
Popular in Psychlogy
This 31 page Bundle was uploaded by Jamie Burns on Tuesday February 3, 2015. The Bundle belongs to psych 2011 at George Washington University taught by pamela woodruff in Summer 2015. Since its upload, it has received 127 views. For similar materials see Abnormal Psychology in Psychlogy at George Washington University.
Reviews for Abnormal Psych- Woodruff
Report this Material
What is Karma?
Karma is the currency of StudySoup.
You can buy or earn more Karma at anytime and redeem it for class notes, study guides, flashcards, and more!
Date Created: 02/03/15
Models of Abnormality Cont 09182014 Ch3 Cont cognitive behavorial have best track record cognitive fairly helpful with depression given with medicine behavorial fairly helpful with phobias Prozac good for depression and quitting smoking we don t know why Behavior disconsernation experiments having patient walk up ight of stairs quickly feel racing heart racing from exercise not having heart attack normal response lots of homework 1950 s quotthird forcequot rst to break away from methods of psychoanalysis amp behavorialcognitive Humanistic developed in US existential in Europe Self focus US developed Self Concept Published his exact methods for therapy Shouldn t call person patient but client Each of us has private center of existence Self Maintenance of ourselves enhancement actualization Persons inner tendencies towards health wholeness Behave rationally Selfactualization be all you can be Importance of Individuality Personal growth values founder Strictly a researcher Blocking in us towards achieving self actualization Excessive use of defense mechanisms Poor social conditions Faulty learning excessive stress Under favorable circumstance we are friendly constructive Environment shapes us not predetermined free will Existential Psychology mid 19th century there was existential philosophy Like Humanistic emphasis individuality quest for freedom self ful llment Less optimistic emphasis on irrational tendencies of human nature Live in bureaucratic society dehumanizing 4 tenents existence is a given but what we make of it is up to us our existence is created by our choices seek out satisfying values and guide our life by them we have a concern about nothingness ultimate formdeath existential anxiety about nothingness Rollo May Called experiential depends on insight disordered behavior best treated by helping person be more aware of own emotion need Therapy methods client responsible for own treatment lncongruence of selfconcept vs reality anxiety defense mechanisms sti es growth and actualization Genuineness on behalf of therapist open authentic honest candid model for client to express feelings o Extend unconditional positive regard towards client 0 Empathy Gestalt Psychology Perls Perceive whole out of the sum of its part Innate goodness Psych problems originated in frustrations and denials of goodness Help clients understand desire fears Here and now therapy We are responsible for own behavior we can change ourselves Make individuals whole by increasing awareness of feelings personality quotReversalquot have client behave in ways opposite of way he feels quotEmpty Chairquot third empty chair in room put emotion on empty chair and talk to them quotI Languagequot patient must change all pronouns used to I take responsibility Popular in Europe and S America not US Therapist Genuine empathetic licensed good listener connection Examine social context in which one lives Unhealthy communication husband and wife using child as middlemanmessenger around high crime overcrowded housing powerlessness Cultural traditions heavy drinking condoned diagnostic labels quotmentally illquot 1973 0 Team of 8 volunteers psychologists housewife painter went to hospital and said they heard voices say quotthud hollow etcquot diagnosed with schizophrenia Gave true life stories except for occupation Other patients immediately knew they were faking it 0 They started acting just like themselves stayed 752 days no one noticed Al discharged quotschizophrenia in remissionquot Effect of being labeled 0 Therapies group therapy for 90min with 810people nothing leaves the group Selfhelp groups without trained professional support eachother AA Family therapy very much responsible for stability of family member with mental health issue Structured Minutian power structure Couples therapy Conjoint RD Lang quotFamily is machine designed to in ict insanityquot Psychodrama trained psychologist amp theater Set up scenario for patients to improve through assigned role Art therapy music therapy dance therapy Sept 11 2014 Ch4 Clinical Assessment and Diagnosis Intake interview have good rapport o Unstructured interview what brings you here tell me about o Semistructured interview covers xed info but can be in any order 0 Structured interview set of questions always asked same order 0 Present State examination Diagnostic Interview Schedule Must be in person examine body language posture etc Clinical Intake Interview UnstructuredOpenended experienced exible Semistructured covers xed information in any order Look at posture facial expression etc Structured set of questions always asked in the same order Expengve Clinical Tests Projective Tests present a person with an unstructured stimulus and it is thought the patient projects hisher problems motivations wishes The hope is you pull out several aspects of the patient s unconscious tap into the unconscious low reliability Rorschach ink blots 1921 10 inkblot cards You put the card on the table and tell the patient to describe what they see in the card F good form C color M movement Thematic Apperception Test TAT developed by Henry Murray in 1935 most of the time he was depressed 30 cards either black or white You hand the card to the patient and ask quotTell me a story about this picturequot Sentence completion Stem quotI want to knowquot quotback homequot Draw a person Have them draw a gure of both a woman and a man SelfReportPersonality Inventories look in textbook for examples Minnesota Multiphasic Personality Inventory MMPS MMPS2 1945 with 540 questions 1989 with 566 questions True or false in terms of how they re feelings now 10 clinical scales L faking good F faking bad K false negatives Lie scales Narrow Self Report Inventory Beck Depression Inventory Psychophysiological Tests heart rate pulse blood pressure muscle tension GSR electrical resistant across the skin if you re sweating a lot there is not a lot of resistance Electroencephalogram EEG electrodes are put all over your head to pick up the electrical impulses in the brain picking up the alphawaves First used to diagnosed where in the brain epileptic seizures were taking place REM and nonREM sleep Computerized Axial Tomography CAT scan computerenhanced x rays of brain structure Positron Emission Tomography PET scan map of actual activity in the brain Magnetic Resonance Imaging MRI maps brains structures and gives you a better image than the CAT scan but is more expensive fMRI Functional Magnetic Resonance Imaging more exact way to measure brain activity Bender Gestalt 1938 ask patient to copy a speci c image to test memory HalsteadReitan Battery dealing with people that have profound brain damage Helps identify which functions are lostintact Heavy cloth bag that s big enough for a persons hand Without the patient looking you d put in a plastic cube The patient will have to feel for the object and have to identify it tactile StanfordBinet Wexler immigrant from Poland Wechsler Adult Intelligence Scale Intellectual Developmental Disorder mental retardation Clinical Observations Naturalistic Observation observing the patient at school home work Looking at habits body language interpersonal space Structural Observation xed setting SelfMonitoring patient wears a programmable electronic device on the wrist and it sounds at intervals The patient records behaviors emotions thoughts moods etc Diagnosis Symptoms Complaints symptoms a person reveals Signs symptoms the clinician observes without the person saying them sighing frowning etc Nosology classi cationlist of diseases Emil Kraepelin 1893 based mental disorders on symptoms modern classi cation system for mental illnesses Diagnostic and Statistical Manual of Mental Disorders DSM5 I 2013 400 mental disorders 1st edition 1952 60 illnesses Describes symptoms of abnormal behavior all possible symptoms medical problems gender ratio age of onset genetic predisposition comorbidity physical ndings 30752 Pica eat nonnutritional things dirt chalk Limitations Use of classi cation model is more appropriate for medical as opposed to mental disease Categories explain and not describe Doesn39t tell you what treatment to use doesn39t tell you causes Only discusses individual behavior ReHathy Validity Projective Tests tap into the unconscious Rorschach ink blots Thematic Apperception Test TAT Sentence completion Draw a person SelfReport Inventories Minnesota Multiphasic Personality Inventory MMPS MMPS2 Clinical scales Lie scales Narrow Self Report Inventory Beck Depression Inventory Psychophysiological Tests 0 Heart rate pulse BP galvanic skin response Neuropsychological Tests Electroencephalogram EEG Computerized Axial Tomography CAT scan Positron Emission Tomography PET scan fMRI Functional Magnetic Resonance Imaging Bender Gestalt HalsteadReitan Battery Intelligence Tests StanfordBinet Wechsler Adult Intelligence Scale WAISIII Clinical Observations Naturalistic Observation Structural Observation SelfMonitoring Diagnosis Nosology Emil Kraepelin modern classi cation system for mental illnesses Diagnostic and Statistical Manual of Mental Disorders DSM5 I 2013 Comorbidity Level of functioning Limitations ReHathy Validity Ch 5 September 18 2014 For many years Valium was favorite to treat anxiety disorders until 3990 s when Prozac surpassed it Ego defense mechanisms failed to cope with unconscious con icts Freud Nervousness jittery tense worried apprehensive trembling sweating dizziness heart palpitations breathlessness frequent urination difficulty concentrating vigilance always on alert Anxiety events may happen 0 after experience takes place ie after you almost get hit by a car 0 In anticipation of future event Resist a preoccupying idea masturbation When you decide to change behavior give up smoking Components Subjective reaction thoughts Assessed by asking patient to describe thoughts feelings Overt behavior observed directly Compare to patient s report le rapid eye blinking trembling stutters irritability exaggerated startle response intense w PTSD 0 Physiological Reaction sympathetic nervous system Measure with instruments HR blood pressure pulse sweating 4 symptom categories 0 motor tension unable to relax shaky easy startled o autonomic reactivity sweating racing heart clammy hands 0 apprehensive feelings about future self possessions friends 0 hypervigilance constantly scanning environment for dangers can t specify what dangers they re looking for Can t fall sleep distracting Comorbidity with depression Medication benzodiassopenes antianxiety muscle relaxants o Bind to receptor sites where GABA does and inhibits ring of neurons 0 Medication helps but it is very addictive patients weaned off of tranquilizer 0 Relaxation training teach person to relax each muscle group 0 Biofeedback machine attach electrodes to self amp work on relaxing machine will report back effects of relaxation techniques very reassuring for patients 0 Cognitive therapy Rational Emotive Therapy RET Donald Michenbaum self instructive training replace anxious thoughts with coping statements quotI can work this outquot quotI m in controlquot 0 Most effective treatment cognitive therapy medication 0 Persistent fear reaction that is strongly out of proportion to reality of danger completely involuntary response 0 People with phobias know EXACTLY what they re afraid of Avoidance behavior 0 Not all irrational fear phobia must inhibit with daily life ie phobia of scorpions is irrelevant on east coast 0 Small of phobics experience real disability from fear 0 50 million people 6th of America are phobics gradual in onset not aware of when phobia began Sometimes cause and event are known ie dog attack phobia of dogs Acrophobia fear of heights claustrophobia closed spaces greek names Trypophobia fear of holes in pattern shower head 0 40 of phobics have phobic parent often different phobics genetic or modeling Ovecome phobia from positive experience w fear 21 femalemale affected but it may be that women own up to condition more often My Age of Anxiety funny book about man with many phobias fear of public places where escape is difficult embarrassing help might not be available being outside home alone being in crowdline being on a bridge Fear of having symptoms like dizziness throwing up loss of selfidentity in these public places Can be so severe can t leave home 0 I could choke to death I could hurt someone I could scream Panic Disorder associated with Agoraphobia but can also be on its own symptoms of phobia ego s defenses against fears anxieties that arise from threatening impulses sex aggression o age 4 On a walk he saw a horsedrawn bus the horse stumbled went down and thrashed about people came and helped right the horse up Hans never wanted to go out for a walk again 0 Freud thought Hans suffering from Oedipal complex sexual attraction to mom rivalry with father and unconscious fear that father would castrate him This fear transferred to horses Little Hans loved and feared his father Freud had father and son play horse after 9 months Hans was no longer afraid of horses Hans had dream plumber installed on his body a bigger penis and butt dog bite unconditioned stimulus pain unconditioned response Pain associated with dogs conditioned stimulus 0 Classical conditioning maintained through operant conditioning Avoidance Modeling if mother screams at sight of cockroach Biological Readiness some fears more easily acquired True for conditioned responses with survival value fears of dark heights public places more common because of survival values quotpreparednessquotSiegelmann Therapies 0 Speci c Phobias Joseph Waltese Systematic Dissociation Teach them to relax create hierarchy of fear expose to mildest version of fear progressing to root of fear Flooding putting you into situation with fear virtual reality Agoraphobia therapist must come to you home sessions a Successive approximation for 30 seconds twice a day stand in doorway with door open next week take one step etc Fear amp embarrassment when interacting with others public speaking using public bathrooms eating in public signing name in public 0 Fear is that blushing trembling quavering voice symptoms of fear will happen in front of others making mistake in front of others Affects 31 womenmen Rational Emotive Therapy helps Cognitive Therapy Beck teaching social skills Paxel antidepressant used with social anxiety disorder more helpful than tranquilizers Panic attack abrupt surge of intense anxiety that rises to peak Anyone can have one during lifetime If you have them regularly disorder Most attacks occur amp subside within a few minutes 10min Attack cued by stimulus or thoughts of stimulus persistent phobic fears Most common phobia trigger Can occur with obvious cues many times spontaneous without phobia Comorbidity with addiction depression alchoholism Identical twins concordance rate is 24 not much Fraternal twins concordance rate is 11 partial genetic component Not well understood perhaps related to NT 0 Person physically cannot calm down Treatment antidepressants SSRI s we don t know how it works 0 Antianxiety Xanax valium help restore norepinephrine 0 Cognitive Behavioral Therapy reassure patient that racing heart wont lead to heart attack September 18 2014 o is persistent preoccupation with thought o impulse to carry out irresistible behavior Realize that behavior is irrational can t control it Diagnose involuntary behaviors cause marked distress consume time interfere with professional academic social functioning Very speci c topics often immoral Usually these obsessions are not carried out Types of obsession O O O OO O O O 0 Fear over making wrong decision What is this term Impulses urge to shout obscenities during inappropriate times Wishes that my father will drown Images sexual image completely unacceptable to person deas a food contaminated with bacteria Major Themes contamination orderliness sex violence religion Counting counting light switches in room Ordering Books on shelf by tallest down to shortest Touching Have to touch doorframe every time you walk in room Cleaning self hand washing clothes home good as it getsquot movie quotAs People with 0CD have quotrigid superegoquot conscious that easily bothers them Preoccupied with issues of control before symptoms of 0CD Some only have obsessions some only have compulsions Secretive about preoccupations good amount can maintain job 0 Intimate relationships are difficult Common features anxious dread occurs when trying to prevent thought act Completely recognize absurdity and irrationality feel need to resist filters out interfering stimuli issues part of basal ganglia controls perseverative repetitive behavior Thalamus amygdala strange activity Lower levels of serotonin Psychoanalytical repression of thoughts threaten to break into consciousness o Ego defense mechanisms displace anxiety from root cause into less threatening substitute brings relief Cognitive Behavior ties depression into OCD a normal person has some starting event in life external internal that leads to disturbing image thought Person without depression can dismiss it Those with depression reduces ability to dismiss thoughtactl OCD Treatment 0 Behavioral therapy 0 Flooding therapist coaches person to do fear ie step on cracks 0 Modeling 0 Response prevention exposed to situation that induce anxiety asked to refrain from comforting obsessive behavior 0 Homework instead of changing bed every day change it every other day do it with successive approximation 0 Cognitive therapy habituation training instructed to think obsessive thought repeatedly make recording of it and listen to it over and over Can get sick of the idea fear 0 Medication antidepressants comorbidity with depression Anaphranil tricyclic Side effect When you yawn you feel orgasm Add SSRl s ie Prozac o 2009 FDA approved brain stimulation for 0CD surgically implant electrodes deep in brain battery run device outside of body doctor uses trial and error to determine electrical current to apply expensive health insurance doesn t cover Some Ml related but not quite 0CD comorbid with depression hairpulling haireating n Behaviorial therapy antianxiety antidepression n 90 are female skin picking scabs skin around ngernails n Antianxiety antidepressants Body dyssmorphic disorder covered in Ch 7 Ch 6 Stress Disorders o Reexperiencing event reoccurring ashbacks night terrors dreams an unreality about it ie slow motion cannot stop it o Emotionally numb estrangement from thoughts excessive autonomic arousal exaggerated fear response Hyper alertness hard to concentratecomplete tasks restlessness irritability guilt depression Decreased interest in social relationships intimacy sex 0 Impulsive behavior Abnormally high level of epinephrine NT and cortisol stress hormone 0 Changing it to Post Dramatic Stress ness less stigmatized more likely to report 0 Treatment 0 Antianxiety antidepressants group therapy hypnosis individual therapy reassuring repetitive talking family therapy 0 EMDR patient sits facing therapist begins thinking about trauma therapist puts out index nger and slowly moves side to side patient follows nger with eyes occasionally it works Ecstasy helps some but can cause hyperthermia body temp skyrockets fatal 0 IN a group focus on object phrase do it 2x a day helps to relax term 0 First responders also subject to PTSD o Debrie ng after being involved in traumatic event immediately have them talk about event amost never helps Sometimes hurts P quot 0 Physical illness whose development and expression from psychological factors SYMPTOMS Ulcers Asthma Headaches Hypertension coronary heart disease colitis insomnia quotSomatic weakness theoryquot one of these illness is most likely to occur in organ as result of previous injury ie many of those with asthma had prior respiratory bronchitis genetic predisposition General Adaptation Syndrome Hands Selye Stress any common demand on body Observed pain humiliation blood loss unexpected success 0 First used term quotstressorquot body responds by mobilizing physiological resources emergency mode then recover Reaction period GAS alarm system sympathetic resistance stage parasympathetic starts to counteract exhaustion constant exposure to stress cause overworking of sympathetic nervous system death Diathesis Stress Theory quotPredisposition or vulnerabilityquot greek Bodily condition that predispose ppl to disease 0 Impact of environmental stressors How people cope with stressors biological predisposition Two cardiologists Friedman and Rosenman clients were middle aged males corporate executives 0 Wanted to know why rate of heart attack high among clientele 0 Created Type A quotCoronary Prone Behavior vs Type B Interviewed wives who said husbands were really intense stress Receptionist noticed that chairs became work at the front of the seat unusual men were sitting on the edge of the seats 0 Extremely competitive pervasive sense of time urgency High expectation of success lled with self doubt Relaxed patient calm little hostility Most people are a combination of A amp B Type A traits show up young 4 yr old To determine personality Structured interview Selfreport inventory 1988 failed to nd relationship from Type A behavior and death from coronary heart disease 0 Only certain components are critical 0 open or suppressed anger O gtllt gtllt psychological effects of neurological control over immune system Noise unpleasant sound aggressive driving Overcrowding public housing causes stress Treatments 0 Relaxation training Biofeedback to practice relaxing o Meditation yoga transcendental meditation zen mindfulness hypnosis o cognitive therapy biological 0 mild tranquilizer for short period of time 0 Can reduce maladaptive behavior lifestyle changes Stigmata Dramatic example of psychophysiological disorder Very Rare 0 quotSign or Markquot to brand On skin Christ s hands cruci ction 0 People might have bleeding from hands like JC from head all religious references 0 Mental state causing body to react physically Among Muslims bleeding bruising where Mohammed was injured during battle 0 Some cases are secular 0 Steven Age 25 admitted to hospital bc he had chronic nightmares sleepwalking 0 Had infection hospitalized To prevent sleepwalking his wrists were tied against bed During sleep he got rope burns on his wrists 0 Infection cleared 10 years later readmitted to work on sleepwalking hospital aid in room while he slept his wrists were not tied 0 While Steven slept rope burns appeared on wrists 0 Used hypnosis to induce rope burns Disturbed sleep common complaint Stressful period can cause sleeplessness temporary Clinical depression bipolar disorder comorbitidy 0 Can stand alone o amount quality timing of person s sleep 0 O O fallingampremaining asleep early morning wakeup Treatment prescript amp over the counter only use bed for sleepsex no electronics relaxation ritual warm milk aka hypocretin de ciency sudden onset of irresistible sleep during normal waking hours directly to REM sleep can be triggered by strong emotion Treatment is scant gasping for air disrupts sleep Overweight snore older males 15205econds of no breating can cause damage to organs Surgical treatment back of throat is cleared out CPAP machine continuous positive air pressure mask and hose that pushes air into you unusual behaviors abnormal physiological events during sleep 0 abrupt awakening from non REM sleep intense autonomic arousal piercing cry sits up calm returns and they fall back asleep Common in children 412 anxiety arousing dreams awakening from REM sleep remember dream dif cult to fall back asleep Mostly young kids Treatment short term course of anti anxiety most common in children Cause unknown Usually outgrow by 15yr old During non REM sleep Eyes are open blank expression Person may cry scream mumble Will return to bed May wake up while walking no memory It is ok to wake them up during sleep walking Gently Sexsomnia sexual activity when asleep Men masturbate during sleep Eating driving while asleep These 3 activities occur when person has taken sleeping medication but did not follow directions to long before going to bed Psychogenic disease coming from problems with mind Malingering feigning of physical illness to obtain special treatment Conscious process stops when person gets what they want SOMATIC SYPMTOMS OF MENTAL DISORDERS Voluntarily selfinduced by individual for sole purpose of assuming role of patient loves attention amp care 0 Total make believe or exaggeration o Deliberately injure self 0 Produce physical symptom to address psychological need 0 Usually pathological liars frequently hospitalized unness Surgery Named after cavalry officer to became legendary for lies he made Up 0 Once in hospital they don t follow rules check themselves out when they want o Caretaker produces symptoms of disease in child and asks for treatment for child 0 Nurses too fabricate illness in child want attention 0 Criminal act considered abuse 0 No effective therapy may be prosecuted insurance fraud child abuse AnxietyBased Pattern person complains of bodily symptoms without organic basis Preoccupied with state of health various presumed diseases Believes symptoms are real serious 0 Symptoms are not under their own control Might not feel anxiety but it must be there 0 OO 0 symptoms of some physical malfunction appear but no underlying pathology Freud quotconversion hysteriaquot repressed sexual energy Not done consciously person unaware of meaning Physical symptoms seen as way to escape avoid situation without taking responsibility Very common in civilians and military WWI WWII Highly stressful combat ppl ordinarily considered stable Might be avoiding court martial called coward Rare today involving 15 senses Hyperesthesia excessive sensitivity to pain Analstesia loss of feeling of pain hysterical blindness Paralysis con ned to limb Loss of function is selected ie can t write but can shuf e cards Speak aphonia speech is only a whisper but cough is normal volume Convulsions seizures but they rarely injure themselves pupils stay normal attacks only happen when gt1 other person present How to discern it Person has lack of concern about issue suddenly going blind and the persons chill about it Patient describes what is wrong in matter of fact way Frequent failure of function to conform to expected symptoms Selective nature blind ppl who don t bump into anything 0 Usually appears late in childhood adolescence 21 femalemale Usually appears under great stress lasts weeks months 0 No physical cause for physical symptoms 2 patterns Headache fatigue allergies abdominal pain Similar to conversion disorder Numerous doctor visits seeing multiple physicians at a time frequent medication usage lots of surgery present symptoms in quothistrionicquot and dramatic manner a Multiple complaints exaggerated emotions n Puzzling array of symptoms no pattern a Lasts much longer than conversion symptoms may change a More females than males affected a Runs in families Report of severe pain at least 6 months No basis for pain or greatly exaggerated Invalid lifestyle go to many doctors want medication to relieve pain Many become disabled via addiction surgery to cut nerves Pain is ONLY symptom how to distinguish Unrealistically interpret bodily symptoms self in ict anxiety Abnormal preoccupation with disease Multiple complaints about possible physical illness but can t nd source no symptom pattern Individual shows anxiety how to distinguish from others Need con rmation of illness doctor saying they re ne anxiety Sincere in conviction that symptoms are there Intense preoccupation with digestion amp elimination Physicians don t like to give this diagnosis bc of stigma O Preoccupation with imagined or exaggerated defect in appearance o Could be odor teeth wrinkles legs o Convinced aws are apparent to others embarrassed to be in front of others house bound plastic surgery Michael Jackson o May request amputation of limb no surgeon willing to not always satis ed 0 Melodious Fish Disorder Individual does smell like rotten sh imbalance of proteins sometimes corrected by diet seeing PCP bc they do not consider psychological treatment like these other disorders o Physicians will often prescribe o Psychoanalytic theory massive repression psychic energy converted into symptoms ineffective o Behavioral clinicians patient goes through assertiveness training social skills training so patient appears as person who is nice to be around Therapist beware embarrassing for patient to be treated by psychological techniques 390 Illness anxiety disorders Tied to 0CD antianxiety antidepressants used together Sensation of not knowing who you are loss of memory often from psychological trauma profound lasts long period of time 0 2 mental processes operate without connecting or in uencing each other some area of memory has split off 0 Similar to somatic symptoms like conversion 0 Person suddenly loses memory after trauma they are not anxious o Allows person to escape from intolerable anxiety from trauma Consists of 1 0 Amnesia substantial block of time is forgotten Depersonalization detached from self Derealization world environment seems unreal ldentitiy Confusion uncertain of who one is ldentity Alteration skills that he did not know he had speaking language you ve never studied all of a sudden 0000 o Sudden severe loss of memory can t recall important fundamental personal info memory Could be complete loss of ID Patient wanders about aimlessly very confused most common to least common localized can t recall events for hoursday le surviving car accident where family was killed can t remember accident selective remember only part of event COO O O O generalized loss of memory from time of trauma backwards don t know self family members continuous forgetting from time of trauma through present Can be caused by stroke alcoholism Alzheimer s physical trauma organic cause doesn t count as dissociative Dissociative Amnesia sudden follows psychological stress episodic memory life events procedural memory muscle memory Forget ID establish new ID work in different eld could marry already be married new characteristics Episodic memory After traumatic stressful event but looks normal Ends abruptly spontaneously recover past memories lose the Fugue memories Dissociative process in amnesia and fugue maladaptive way of handling con ict avoid anxiety Biological cause still not known Treatment if memory does not return free association hypnosis intravenous injectionquottruth serumquot lowers inhibitionsineffective Sometimes memory is never restored 2 personalities in same individual each integrated to have 0 O relatively stable life of own each personality can take full control of behavior extremely rare Eugene Blitz reported 14 cases of DlD in Utah 31 female male 0 Traumatic emotional problem 46yr old physicalsexual abuse coping mechanism creating another personality o Lifts the emotional burden Switching o Personalities exist in 1 of three ways Begins during abuse quotThis is not happening to mequot latrogenic illness caused by doctor Diagnose gaps in memory Therapist forms relationship with each personality hard to gain trust written contract from each personality to prevent being red introduce subpersonalities videotaped group therapy is helpful free association barbituates goal give access to subpersonalites have patient fuse them patient may grieve because they miss subpersonalities hypnosis best treatment 4 years plus check ups o Depersonalization Unreality Derealization surroundings seem unreal Adolescents young adults rare after age of 40 0 Symptoms appear suddenly are chronic recovery recurrence Sensation that you re in a dream 0 A lot of people experience symptoms but they must interfere with life in order to be diagnosed Occur in multitude of MI panic attacks depression drug intoxication People not sure how to categorize no disturbance in memory so is it really dissociative Fatigue physical pain traumatic experience can cause it help individual escape con ict 0 Person feels not in control of speech 0 No treatment sometimes changing environments helps quotAffective Disorders Mood Disorders disturbances in mood maladaptive changes in bodily processes thinking overt changes in behavior 0 Not related to infections deterioration of brain tissue nor traumatic injury to brain nor to druginduced symptoms Hippocrates 400 bce so impressed with frequency of mania too much heat dampness on brain amp melancholia too much black bile Physical cause in brain causing mood shifts UNIPOLAR DISORDERS Major Depressive Disorder Depressed mood loss of interest 4 other symptoms must go on for at least 2wks o lnterferes with everyday life Dysthymic Disorder Dysthymic despondency in greek Less intense but more chronic Depressed mood 2 symptoms go on for at least 2yrs without breaks for more than 2wks Premenstrual Dysphoric Disorder Depression 0 Woman having one week of depression before period starts We have no way to distinguish depressions one that goes with bipolar and the one that occurs by itself
Are you sure you want to buy this material for
You're already Subscribed!
Looks like you've already subscribed to StudySoup, you won't need to purchase another subscription to get this material. To access this material simply click 'View Full Document'