PSYCHOLOGICAL DISORDERS Redefining our perceptions of what constitutes psychological disorders. Learning to ask “Why?” Focus on observable data.
Dec 18, 2015
PSYCHOLOGICAL DISORDERS
Redefining our perceptions of what constitutes psychological disorders.Learning to ask “Why?”Focus on observable data.
Learning Objectives: Introduction: 3 cases Anxiety Disorders Dissociative Disorders Somatoform Disorders Mood Disorders Schizophrenia Personality Disorders
PSYCHOLOGICAL DISORDERS
Psychological Disorders Three cases:
Jim Gordon Vincent “The Chin “Gigante Andrea Yates
What is Insanity? Disease vs. Disorder (illness)
What’s your perception? Psychological Disorders
Psychological Disorders A brief history: the pendulum swings
Greeks: perceived natural causes Middle Ages: natural & supernatural causes Colonial America: supernatural or natural? hysteria + ergot = trouble Present: natural versus supernatural The role of technology
Anxiety Disorders Phobias (irrational fears)
specific, social Panic Disorder Generalized Anxiety Disorders
at least 6 months duration Obsessive-Compulsive Disorder
thoughts and actions
Anxiety Disorders Post Traumatic Stress Disorder (PTSD) Acute Stress Disorder
occurs w/i 1 month of event, lasts 2 days - 4 weeks
Gamma-aminobutyric Acid (GABA) Inhibitory neurotransmitter implicated in anxiety
reactions aids in calming us during anxiety
Dissociative Disorders Sudden, temporary changes in consciousness
or self identity. Dissociative Amnesia, Fugue (fleeing) Depersonalization Disorder Dissociative Identity Disorder (MPD); Most
extreme form of chronic PTSD, Dissociation as coping mechanism Four Cases:
Chris Sizemore; Shirley Ardell Mason; Billy Milligan; Truddi Chase.
Somatoform Disorders Complaints of physical (somatic)
problems despite physical abnormalities.
Symptoms are not intentional. Motivation for illness is unconscious
Conversion Disorder unconscious conflicts are
converted into physical symptoms. Symptoms are often significant to
the patient. Can persist for years.
Conversion Disorder FYI: Hysteria = womb / uterus
Psychosomatic (Hysterical) Blindness Psychosomatic (Hysterical) Pregnancy
Couvade “La belle Indifference”
characterized by an indifference to their symptoms.
Conversion Disorder Hypochondriasis
Not attention seeking behavior
Related Somatoform Disorders: Pain Disorder Body Dysmorphic Disorder
Mood Disorders Major Depression
Characteristics Types
Bipolar Disorder (manic depression) Types
Seasonal Affective Disorder
Schizophrenia Split between thought and reality Characteristics
Delusions Stupor Loss of control of thought processes inappropriate emotional responses Onset
1% of population
Schizophrenia Three types:
Paranoid Disorganized Catatonic: waxy flexibility, mutism
Dopamine Hypothesis: Glutamate may be the more important precursor.
Personality Disorders
Enduring patterns of maladaptive behavior. Sources of distress to the individual or others.
Overview of Types of Personality Disorders. Paranoid / Schizotypal / Schizoid / Avoidant /
Antisocial
Personality Disorders Paranoid Personality Type
Persistent suspiciousness Emotionally detached bear persistent grudges.
Schizotypal Personality Type Oddities of thought and behavior Eccentricities of behavior “Magical thinking” inappropriate dress
Personality Disorders Schizoid Personality Type
Social withdrawal Express few emotions
Avoidant Personality Type Generally unwilling to enter relationships
without assurance of acceptance High levels of emotional discomfort
Personality Disorders Antisocial Personality Type (“Sociopath”)
Frequent conflict with society, undeterred by punishment little guilt, anxiety, or remorse for actions Ongoing disregard for the rights of others Deceitfulness Repeated lying (lying for personal gain and/or pleasure) Must be at least 18 years old
Personality Disorders Malingering: “disease forgery” Factitious Disorder
attention Munchausen Syndrome (by proxy)
hero / victim Rarely treated successfully
Personality Disorders Narcissistic Personality Type
exaggerated sense of self importance, entitlement Disturbed self-centered relationships.
Histrionic Personality Type excessive emotionality
Borderline Personality Type Pattern of unstable personal relationships. poor self image, impulse control.
Impulse Control Disorders: Kleptomania, Pyromania, Trichotillomania (hair pulling)