Popular in Course
verified elite notetaker
Popular in Department
This 3 page Reader was uploaded by Ahmed Mahmoud on Friday January 23, 2015. The Reader belongs to a course at a university taught by a professor in Fall. Since its upload, it has received 31 views.
Reviews for PSY472Week2Notes.pdf
Report this Material
What is Karma?
Karma is the currency of StudySoup.
Date Created: 01/23/15
PSY472 Lectures 3amp4 1 Third Party Payments Managed Care Companies a Managed care has gained great in uence on the health care industry because of their grip on monetary matters b Originally psychologists succeeded after aggressive lobbying to get paid by managed care companies as a result i Psychologists are now taking fewer pay than health care industries this has impacted the work of psychologists 1 After managed care there was a massive decrease of patients that pay out of pocket 2 Lower costs meant work was being moved to lower skilled psychologists those who could take whatever work they could get 3 Managed Care limits number of sessions based on diagnosis This number can increase or decrease with time condition and certain factors c Impact on confidentiality i Companies need to know what disorders the patient has in order to treat or reimburse treatments Now companies and therapists know the patients condition ii There is a concern of ethics should psychologists tell the patients this Yes but they do not d Managed Care s in uence on Diagnosis i Some conditions are not covered If a patient just wants to come in and talk this is not covered This led to a diagnosis of simple conditions as actual conditions 1 Anxiety DisorderNOS Most common diagnosis 2 Social Phobia Shyness etc ii These are really not conditions however in the case of managed care and reimbursing purposes they are 2 Diagnosis and Classifications a Early History of Classification i Hypocrites The 4 Humors 1 Blood Phlegm Black and Yellow Bile a An imbalance of these 4 humors was said to have attributed to illness psychological and physiological ii Jesus curing schizophrenia 1 Ancient times collected schizophrenics This was the first example of actual care for people with mental characteristics that were seen as abnormal b The 19th century Gradual assignments of labeling i By the 19th century after the First World War the field of psychology was rapidly expanding Labels were starting to be put 1 NeuroticismNeurosis Disease of the nerves 2 Psychosis Disease of the mind 3 Manic 4 Dementia Youth 8C Old Age ii Kraeplin s Contribution German psychiatrist Emil Kraeplin made many signi cant contributions to early 19th century psychology Including psychiatric genetics as well He played a major role in classifying schizophrenia and Manic depression His classification of schizophrenia and manic depression was a system that would be adopted by the United States c American Psychiatric Association and the DSM i The DSM 1 was born in 1952 it served as the basis in which clients would be classi ed under for a mental disorder It started off with 2 categories 1 Psychosis 2 Neurosis a Both these were classi ed as internalizing disabilities 3 Character Disorder a These were classi ed as externalizing disabilities ii The DSM V the current version 1 DSM V is now the largest DSM ever and the most sophisticated Includes new disorders such as a Social Phobia b Anxiety disorder 2 Were some of these added just to get reimbursement from managed care Most likely but this will never be admitted d Issues i Overexpansion of mental disorders 1 Many added disorders are just for insurance company coverage purposes This means a lot of people are being diagnosed With something they don t really have Small signs of something now mean that the people have the condition It is a huge overexpansion ii In uence of the pharmaceutical industry 1 The pharmaceutical industry may pour money into psychological research to identify a biochemical cause of psychological disorders When this biochemical cause is identified drugs Will be manufactured to cure this condition The pharmaceutical companies have huge power they can fund projects and create the drugs to cure the ndings Now there is a push for medicine to be used in psychology over psychotherapy or traditional psychological treatments e Very recent work 2 3 years i Thought disorder internalizing disorder and personality disorder can all be explained by psychopathology End Lectures 3amp4