Unit 12: Abnormal Psychology

Outline Guide

v Perspectives on Psychological Disorders

§ How should we…

Ø Defining Psychological Disorders

§ Psychological Disorders

· Deviance (cultural/time)

¨ ADHD

Ø New assessments

· Harmful dysfunction

Ø Understanding Psychological Disorders

§ Medical Model

· Philippe Pinel

¨ Moral Treatment

¨ Medical Model (Mental Health Movement)

§ Biopsychosocial Approach

· Evidence of Cultural Effects

¨ Examples of non-culture bound disorders

Ø Classifying Psychological Disorders

§ Aims to:

§ DSM-IV-TR

· Evidence of reliability

· Criticisms:

· Un-DSM Clusters (6)

Ø Labeling Psychological Disorders

§ Roseham study

§ Media Portrayals

§ Self-fulfilling prophecy

§ Benefits

v Anxiety Disorders

Ø Generalized Anxiety Disorder

§ Symptoms

§ Age

Ø Panic Disorder

§ Feels like:

Ø Phobias

§ Specific

§ Social

§ Agoraphobia

Ø Obsessive-Compulsive Disorder

§ Age

Ø Post-Traumatic Stress Disorder

§ Symptoms are often reported by:

§ What determines if PTSD develops (3):

§ Overdiagnosed?

§ Problem with “debriefing”

§ Survivor Resiliency

· Victims often develop:

¨ Post-Traumatic Growth

Ø Examples:

Ø Understanding Anxiety Disorders

§ Learning Perspective

· Fear Conditioning

¨ Traumatic events

¨ Stimulus Generalization

¨ Reinforcement

· Observational Learning

§ Biological Perspective

· Natural Selection

¨ Modern Fears/non-fears & Evolution

¨ Compulsive acts and Survival

· Genes

¨ Identical twins

¨ Specific Genes

¨ Neurotransmitters

· The Brain

¨ Overarousal in:

Ø Anterior Cingulate Cortex

Ø Amygdala

v Somatoform Disorders

§ Variety of complaints

§ Cultural influence

Ø Conversion Disorder

§ Symptoms

§ Characteristics

Ø Hypochondriasis

§ Role of reinforcement

v Dissociative Disorders

§ Fugue State

§ Dissociation:

§ Normal dissociation

Ø Dissociative Identity Disorder

Ø Understanding Dissociative Disorder

§ Skeptics:

· Varying self/Role playing?

· Localized in time/place?

· Leading Therapists?

§ Evidence that DID is real disorder (3):

§ Psychoanalytic view:

§ Learning View:

§ Post-traumatic Explanation:

v Mood Disorders

Ø Major Depressive Disorder

§ “Common Cold”

§ Why are periods of depression helpful?

Ø Bipolar Disorder

· Mania

§ Recent Increase in Diagnoses

§ Characteristics of the Manic Phase:

· Creativity

¨ Those more prone:

§ What goes up comes down (3)


Ø Understanding Mood Disorders

· Behavioral/Cognitive Changes

· Widespread

· Women 2x as vulnerable

· Self-termination

¨ Recovery more likely if:

· Stressful Events

· Striking Earlier/Affecting More

§ Psychodynamic View

§ Biological Perspective

· Genetic Influences

¨ Identical Twins Chances

¨ Heritability

¨ Linkage Analysis

· The Depressed Brain

¨ Frontal Lobe (2)

¨ Hippocampus

· Biochemical Influences

¨ Norepinephrine

¨ Serotonin

¨ Drugs

· Social-Cognitive Perspective

¨ Negative Thoughts & Negative Moods Interact

Ø Learned Helplessness

§ Women

· Rumination

Ø Explanatory Style

§ Stable

§ Global

§ Internal

Ø Optimism vs. Pessimism

Ø Rise of Individualism

¨ Depression’s Vicious Cycle

Ø Pieces of Depression Puzzle (5)



Ø Hirt Study

Ø Can Break the Cycle by:

v Schizophrenia

Ø Symptoms of Schizophrenia

· Schizophrenia

§ Disorganized Thinking

· Delusions

· Word Salad

· Selective Attention

§ Disturbed Perceptions

· Hallucinations

§ Inappropriate Emotions & Actions

· Flat Affect

· Motor Behavior

· Catatonia

· Dysfunction/Disruption

Ø Onset & Development of Schizophrenia

§ Appears Suddenly vs. Develops Gradually

§ Subtypes:

· Paranoid

· Disorganized

· Catatonic

· Undifferentiated

· Residual

§ Positive Symptoms

· Examples

§ Negative Symptoms

· Examples

§ Chronic/Process

§ Acute/Reactive

Ø Understanding Schizophrenia

§ Brain Abnormalities

· Dopamine Overactivity

¨ Drugs

¨ Glutamate

· Abnormal Brain Activity & Anatomy

¨ Frontal Lobe

¨ Amygdala

¨ Shrinkage

¨ Thalamus

¨ Risk Factors

· Maternal Virus During Pregnancy

§ Genetic Factors

· Predisposition

· Prenatal Environment

· Adoption Studies

§ Psychological Factors

· High-Risk

v Personality Disorders

Ø Anxiety Cluster

§ Avoidant

Ø Eccentric Cluster

§ Schizoid

Ø Dramatic/Impulsive Cluster

§ Histrionic

§ Narcissistic

Ø Antisocial Personality Disorder

§ Why aren’t most criminals antisocial?

Ø Understanding Antisocial Personality Disorder

§ Genetics (2)

§ Early Signs

§ Frontal Lobe

§ Evidence against genetics

§ Biopsychosocial Explanation

v Rates of Psychological Disorders

Ø Poverty

Ø Time of Life

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