Assessment, Disorders and Therapy

Modules 22,23,24

Alicia: I need to believe, that something extraordinary is possible.

Health & Human ServicesDifference cultures?

Problems in living

Disease/Disorder

Mental Disorder*…is generally defined as a prolonged or recurring problem

that seriously interferes with an individual’s ability to live a satisfying personal life and function adequately in society.

*Psychḗ -Gk.- “mind, soul”; Gk. pathologikos "treating of disease," from pathos "suffering" (see pathos)

Psychopathology

Diagnose*Gk: a distinguishing, from diagignōskein to

distinguish, from gignōskein to know ]

Defining AbnormalityStatistical Frequency

Deviation from Social Norms

Maladaptive Behavior

Causes of AbnormalityCognition

Affect

Behavior

Biology

Environment

Neurological TestingClinical InterviewsPsychological Testing

p.510 p.512

-Familial

Understanding DiagnosisDSM (Diagnostic and Statistical

manual of Mental Disorders- American Psychiatric Association)Clinical diagnosis- is the process of

matching an individuals specific symptoms to those of a particular Mental Disorder

DSM-V: Getting close to a Pathology for Everyone…

A Critical Len on DiagnosisDavid Rosenhan’s Experiment

http://www.youtube.com/watch?v=j6bmZ8cVB4o

http://www.youtube.com/watch?v=xAsqKCQDgmA

Background

The Experiment

Axis I- Clinical, recent disorders of infancy and

childhood, adolescence organic disorders Substance-related

disorders Schizophrenia and other

psychotic disorders p.538

Understanding Problems & Disorders

Type I Schizophrenia (positive symptoms)Type II schizophrenia (negative symptoms)1. Thought2. Attention3. Perception4. Motor5. Emotional

Schizophrenia

Axis I- Clinical, recent Anxiety Disorders (p.517-

519) Somatoform disorders

(p.520) Mood Disorders (p. 532-

535) Dissociative disorders

(p.544) Eating/Sleeping disorders Impulse control Disorders Sexual and gender-identity

disorders Adjustment disorders

Understanding Problems & Disorders

Bad week vs. disorder

Weather vs. Climate

Axis II (chronic, chaotic history)

Personality disorders p.536 Mental retardation

(Intellectual Disability-DSM-V)Axis III- Medical ProblemsAxis IV- Psychosocial

Axis V- Global Functioning Scale

Understanding Problems & Disorders

Clifford OlsonPaul Bernardo and Karla Homolka

Robert Pickton

Antisocial Personality Disorder

Labelling…refers to identifying and naming differences among individuals. The label, which places individuals into specific categories, may have either positive or negative associations.

Historical Context

Pheno-thi-a-zines and Deinstitutionalization

Mental Illness as demon possession-trephination

Institutionalization- chained, bound

1814 Londonpenny “Zoo”

Douglas Hospital, near Montreal

p.557

THERAPIES

Psychotherapy

Psychopharmacology

Psychotherapy – “mind”; “attending, curing, healing”

Psychotherapy has three basic characteristics: 1. Verbal interaction betweentherapist and client(s); 2. The development of a supportive relationship to discuss traumatic or bothersome experiences that mayhave led to current problems; 3. Analysis of the client’s experiences and/or suggested to deal with or overcome his or her problems.

Psychotherapy

Psychopharmacology is the study of drug-induced changes in mood, thinking, and behavior.

Psychopharmacology

Different Approaches: Small Group Read and DiscussInsight Therapy Cognitive- Behavioral

Eclectic

Medical therapyNon directive- directive

C. Rogers S. Freudp.560p.564

p.565,568

p.573