Abnormal psych, diagnosis
Abnormal psych, diagnosis Psych 385
U of L
Popular in Abnormal Psychology
Popular in Psychlogy
This 7 page Class Notes was uploaded by Caroline Pirtle on Monday April 18, 2016. The Class Notes belongs to Psych 385 at University of Louisville taught by Dr. Irby in Fall 2015. Since its upload, it has received 4 views. For similar materials see Abnormal Psychology in Psychlogy at University of Louisville.
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Date Created: 04/18/16
Diagnosis Wednesday, September 2, 2015 11:00 AM I. Advantages a. Supply subscription of condition b. Organizes symptoms into syndromes c. Prognosis - prediction of future course d. Communication - a common vocabulary e. Research - similar definitions f. Institutional - required for gov't finding and insurance reimbursement II Disadvantage a. Falsifies reality - implies abnormal behavior is qualitatively different from normal behavior b. Distorts differences/similarities between different forms of abnormality c. Gives the illusion of explanation - diagnosis just describes, not explains d. Diagnostic labelling can be stigmatizing i. Can't approach like it explains everything 1. "my marriage failed because I have bipolar disorder" b Categorical approach to dimensional behavior II Epidemiology a Statistical study of abnormality b Key concepts: i Incidence - reflects the number of the new diagnosis that occur within a particular time period 1. Reported in the context of the last year, time period; sequenced across time 2. May be something outside of time that is producing altercation a. Ex: head injury and amputation in iraq v. vietnam 2 Allows us to figure out what we might do in the future ii Prevalence - the proportion of any one population that meets the criteria at a particular time 1 The prevalence of depression.. Gender difference - major depression is twice as prevalent among women i Representative sampling 1 Avoid bias 2 "we don’t know what we don't know about those who didn’t respond to the survey" ii Survey methodology II History of Diagnostic Schemes a Supernatural Theories: i Spiritual possession/demonology 1 Exorcism 2 trephining (drill a hole in your head, the demon needs to get out) 3 torture/execution ii Mass Hysteria 1 Tarantism (st. Vitus' dance) a. Communities become a part of a mass hysteria 2 Lyncanthropy a. Wearwolfism; your behavior is a result of an infection or a bite b Classical Theories i Humor theory 1 Hippocrates: disease caused by imbalance of bodily fluids 2 Claudius Galen: human temperaments caused by excess humor a. Blood = sanguine b. Yellow bile = choleric c. Black bile = melancholic d. Phlegm = phlegmatic (level headed, calm) b Somatogenic Theories: i John Caspar Lavatar - Physiognomy 1 You can read someone's personality in their facial features ii Phillipe Pinel - Phrenology 1 The bumps and hollows on your head represented over development or underdevelopment of brain 2 Four classes of mental illness a. Mood disorder b. Mania c. Dementia d. Idiotism - developmentally determined disorders (Downs, Williams) 2 One of first people to identify Psychopathy a. In touch with reality, not psychotic or manic but have absence of emotion that we now call antisocial or psychopaths ii Emil Kraepelin 1 Clinical approach to classification a. 16 syndromes = pattern of symptoms with unique courses of development over time and distinct outcomes b. Schizophrenia (dementia praecox) c. Manic Depression ii Franz Anton Mesmer 1 Animal magnetism 2 Hysteria ii Sigmund Freud 1 Psychoanalysis 2 Unconscious conflicts 3 May not be genes but life events (PTSD) II Diagnostic and Statistical Manual a First published in 1952 by American Psychiatric Association b DSM II (1968) i Included new disorders and removed certain disorders such as homosexuality b DSM III (1980) i Spent six years conducting field trials to come up with concrete descriptions for disorders ii Began to quantify the criteria by saying you had to have 4/7; how many had to be there to be diagnosed iii Also had to specify how long the symptoms had to be preset to qualify iv The notion of dysfunction in maladaptation; in addition to having symptoms clinicians had to pay attention to distress v 5 diff axis b DSM III revised (1987) i Included a lot more research data that had been derived ii Further specified criteria to identify trade off they began to experience; more precise criteria, the more constrained its coverage was. b DSM IV(2000) c DMS IV TR (2006) d DMM 5 i Got rid of axial system ii Reorganized and put together symptoms in specific chapters that seemed to be along an underlying spectrum II Types of Information in DSM a Diagnostic features i Will be a distinction ii Some disorders have identified essential features; common to everyone with disorders b Subtypes and specifiers i May qualitatively result in different ways ii Specifiers show state of diagnosis 1 Acute 2 In remission 3 Sustained remission 4 Agonist - taking medication that effects the way you react to things like opiates or alcohol b Associated features and disorders i Often observed as features ii More of them but a specification of how many have to be observed to meet criteria 1 Bulimic's also usually have dental problems b Specific culture, age, and gender features i Depression 1 People from asian or african backgrounds are more usual to say they ache or hurt a. Describe or understand it differently than culturally understood b Prevalence c Course d Familial patterns e Differential diagnoses II Making a diagnosis a Decision trees b Differential diagnosis Nos not otherwise specified
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