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psychosocial pathology session 2 notes

by: Amber Notetaker

psychosocial pathology session 2 notes SCWK772201

Marketplace > Boston College > Social Work > SCWK772201 > psychosocial pathology session 2 notes
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About this Document

These are class notes as well as notes from the readings in order to prep for the upcoming midterm.
pschyosocial pathology
Alvera Donatelle
Class Notes




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This 5 page Class Notes was uploaded by Amber Notetaker on Thursday February 4, 2016. The Class Notes belongs to SCWK772201 at Boston College taught by Alvera Donatelle in Fall 2016. Since its upload, it has received 18 views. For similar materials see pschyosocial pathology in Social Work at Boston College.


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Date Created: 02/04/16
Psycho­socio pathology: 1/20 Pathology= illness Interface: Biology ­ biology plays a huge role into pathology   ­ always rule out medical before diagnosing mental Inflammation ­ c­reactive protein in the body that causes inflammation in the body  ­ currently no treatment for it ­ this causes implications in psychology  ­ schizophrenia, depression etc. Infection ­ viruses (HIV) ­ infections passed from mother to child during birth Genetics ­ many disorders that have a family history of said problem  ­ 10% chance  ­ twins 50% concordance rate (if one has it 50% chance the other one has it) ­  ­ adopted away studies have shown that the chance goes down ­ genetic loading doesn’t guarantee that there will be an expression of that disorder there is usually an event that tigers the disorder Test that rule out medical diagnoses ­ MRIs, cat­scans, FMRIs, EKGs etc. Stress ­ acute stress vs. chronic/endemic stress ­ level of ego function and resiliency plays into this as well Social Triggers  ­ homelessness ­ trauma  Chef the Sociologist There was as sociologist that wrote about labeling theory ­ every society has rules of conduct  ­ if a person breaks those rules of conduct then they are labeled ­ he came up with 5 parameters for this phenomenon: ­ amount in visibility in rule breaking behavior  ­ self regulate ­ the power and the status of the rule breaker ­ people lower on the latter behavior are more noticeable  ­ the social distance between the one doing the judging and the one exhibiting the behavior  ­ the level of tolerance for rule breaking behavior within the community Psycho­socio pathology: 1/27 Class Notes: Elements of Assessment ­ presenting problem ( chief complaint or CC) ­ family history ­ may provide some of the genetic loading ­ part of the psychosocial assessment  ­ current safety risk ­ think medical first! ­ abuse ­ suicidal ­ homicidal ­ general demeanor/ affect ­ if they look sickly  ­ disheveled, not bathed ­ depressed, anxious, etc. ­ any sign that they are not taking their meds DSM: V Reading  Multiaxial    assessment: involves an assessment on several axes, can treat of which refers to a  different domains of information  to implement and predict outcomes Axis I clinical disorder, other conditions that may be a focus of clinical attention Axis II personality disorders, mental retardation Axis III general medical conditions Axis IV psychosocial and environmental problems Axis V global assessment of functioning Axis I  ­ is for reporting all of the various disorders or conditions in the classification except personality disorders and mental retardation Axis II ­ reporting genral medical conditions that are potentially relevant to the understanding or  management of the individuals mental disorder  ­ this does not suggest that that mental disorders are unrelated to physical or biological factors  but to encourage thoroughness in evaluation and to enhance communication among health care  providers ­ many occasions the medical conditions are the direct cause for the mental condoning  worsening ­ a mental disorder due to general medical conditions should be diagnosed on Axis I and the  general medical condition should be recorded on both Axis I and Axis III ­ this should also be done if the medical disorder is important to the overall understanding or  treatment of the Axis I disorder i.e. a psychological reaction to a medical condition  Axis III ­ when an individual has more than one Axis III diagnosis all should be reported Axis IV ­ for reporting psychosocial and environmental problems that may affect the diagnosis,  treatment and prognosis of mental disorders (Axis I and II) ­ these can be as a result of negative life events, interpersonal stress, inadequate social support  etc. ­ clinician should only note psychosocial problems hat have been present during the year of  evaluation and that are related to the Axis I and II disorders Axis V ­ for reporting the clinicians judgement of the individuals overall level of functioning ­ useful for planning treatment and measuring its impact and predicting outcome ­ this is done using the global assessment of functioning (GAF) scale ­ it is divided into 10 ranges of functioning ­ it has two component the first covers severity of symptoms the second cover functionality the final GAF rating will reflect the worse of the two AT THE VERY END IT HAS EXAMPLES OF GAF AND DSM MULTI­AXIAL DIAGNOSIS DSM­V Reading Other conditions that may be a focus of clinical attention relationship problems problems related to family upbringing  parent child relationship sibling relationship upbringing away from parents child affected by parental relationship distress other problems related to primary support group relationship distress with spouse or intimate partner disruption of emily separation or divorce\high expresses emotion level with the family  uncomplicated bereavement  abuse and neglect  initial encounter client is receiving active and immediate treatment subsequent encounter  routine care during the healing process Child maltreatment and neglect problems child physical abuse child sexual abuse child neglect child psychological abuse Adult maltreatment and neglect problems spouse or partner physical violence  spouse or partner sexual violence spouse or partner neglect spouse or partner psychological abuse adult abuse by non­sposue or non­partner Educational and Occupational problems educational problems literacy issues occupational problems problems related to current military deployment status other problem related employment House and economic problems housing problems homelessness inadequate housing discord with neighbor, lodger or landlord problem related to living in a residential institution Economic problems lack of adequate food or safe drinking water extreme poverty low income insufficient social insurance or welfare support unspecified housing or economic problems  Other problems related to the social environment    phase of life problem adjusting to the life cycle transition problem related to living alone acculturation difficulty adjusting to new cultures social exclusion or rejection target of perceived adverse discrimination or persecution unspecified problem related to social environment problems related to crime or interaction with the legal system victim of crime conviction in civil criminal proceeding without imprisonment imprisonment or other incarceration problems related to release from prison problems to other legal circumstances other health service encounters for counseling and medical advice sex counseling other counseling or consultation problems related to other psychosocial, personal, and environmental circumstances religious or spiritual problems problems related to unwanted pregnancy problems related to multiparity discord with social service provider, including probation officer, case manager, or social  services worker victim of terrorism or torture exposure to disaster, war, or other hostilities other problem related to psychosocial circumstances unspecified problem related to unspecified psychosocial circumstances Other circumstances of personal history other personal history of psychosocial trauma personal history of self harm personal history of military deployment other personal risk factors problems related to lifestyle adult antisocial behavior child or adolescent antisocial behavior problems rated to access to medical and other health care unavailability or inaccessibility of health care facilities unavailability or inaccessibility of other helping agencies non­adherence to medical treatment non­adherence to medical treatment overweight/ obesity malingering wandering associated with a mental disorder borderline intellectual functioning


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