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PSYCHOLOGICAL DISORDERS
BY MEGERSA ALENE REGASSA
Abnormal behavior :
-actions, thoughts and feelings that are harmful to
the person or others.
-experiencing discomfort enough not to function.
• Medical perspective - the perspective that
suggests that when an individual displays
symptoms of abnormal behavior, the root
cause will be found in a physical examination
of the individual, which may reveal a hormonal
imbalance, a chemical deficiency, or a brain
injury.
• Psychoanalytic perspective - the perspective
that suggests that abnormal behavior stems
from childhood conflicts over opposing wishes
regarding sex and aggression.
Perspectives on Psychological Disorders
• Behavioral perspective - the perspective that
looks at the behavior itself as the problem.
• Cognitive perspective - the perspective that
suggests that people’s thoughts and beliefs
are a central component of abnormal
behavior.
• Humanistic perspective - the perspective that
emphasizes the responsibility people have for
their own behavior, even when such behavior
is abnormal.
•Sociocultural perspective - the perspective that
assumes that people’s behavior—both normal
and abnormal— is shaped by the kind of family
group, society, and culture in which they live.
Classifying Psychological DisordersClassifying Psychological Disorders
Why create classifications of mental
illness? What is the value of talking
about diagnoses instead of just
talking about individuals?
1. Diagnoses create a verbal
shorthand for referring to a list
of associated symptoms.
2. Diagnoses allow us to statistically
study many similar cases,
learning to predict outcomes.
3. Diagnoses can guide treatment
choices.
The Diagnostic and
Statistical Manual
▪ It’s easier to count
cases of autism if we
have a clear
definition.
▪ Versions: DSM-IV-
TR, DSM-V (May
2013)
▪ The DSM is used to
justify payment for
treatment.
▪ It’s consistent with
diagnoses used by
hritis, or hypertension also present?
s school or housing issues, also present?
ioning?
The Five “Axes” of Diagnosis
Anxiety Disorders
The occurrence of anxiety without an obvious
external cause that affects daily functioning.
•Phobias - intense, irrational fears of specific
objects or situations.
Phobic Disorder:
Specific Phobia
A specific phobia is more than just
a strong fear or dislike. A specific
phobia is diagnosed when there is
an uncontrollable, irrational,
intense desire to avoid the some
object or situation. Even an image
of the object can trigger a
reaction--“GET IT AWAY FROM
ME!!!”--the uncontrollable,
irrational, intense desire to avoid
the object of the phobia.
Some Fears and Phobias
What trends are
evident here?
Which varies
more, fear or
phobias? What
does this imply?
Agoraphobia is the
avoidance of situations in
which one will fear having a
panic attack, especially a
situation in which it is
difficult to get help, and
from which it difficult to
escape.
Social phobia refers to an intense
fear of being watched and judged by
others. It is visible as a fear of public
appearances in which
embarrassment or humiliation is
possible, such as public speaking,
eating, or performing.
Some Other Phobias
Panic Disorder:
A panic attack is not just an “anxiety attack.” It may
include:
▪ many minutes of intense dread or terror.
▪ chest pains, choking, numbness, or other frightening
physical sensations. Patients may feel certain that
it’s a heart attack.
▪ a feeling of a need to escape.
Panic disorder refers to repeated and unexpected
panic attacks, as well as a fear of the next attack, and a
change in behavior to avoid panic attacks.
GAD: Generalized Anxiety Disorder
The experience of long-term,
persistent anxiety and worry.
Obsessive-Compulsive Disorder [OCD]
▪ Obsessions are intense, unwanted worries, ideas, and
images that repeatedly pop up in the mind.
▪ A compulsion is a repeatedly strong feeling of
“needing” to carry out an action, even though it
doesn’t feel like it makes sense.
Post-Traumatic Stress
Disorder [PTSD]
About 10 to 35 percent of people
who experience trauma not only
have burned-in memories, but
also four weeks to a lifetime of:
▪ repeated intrusive recall of those
memories.
▪ nightmares and other re-
experiencing.
▪ social withdrawal or phobic
avoidance.
▪ jumpy anxiety or hypervigilance.
▪ insomnia or sleep problems.
Somatoform Disorders
Psychological difficulties that take on a physical
(somatic) form, but for which there is no medical
cause.
A disorder in which people have a constant fear of
illness and a preoccupation with their health.
Hypochondriasis
Conversion Disorder:
A major somatoform disorder that involves an
actual physical disturbance, such as the inability
to use a sensory organ or the complete or partial
inability to move an arm or leg.
Somatization Disorder
A long-term (chronic) condition in which a
person has physical symptoms that involve more
than one part of the body, but no physical cause
can be found.
Somatoform Pain
Disorder
Pain that is severe enough to disrupt a person's
everyday life.
▪ Dissociation refers to a separation of
conscious awareness from thoughts,
memory, bodily sensations, feelings,
or even from identity.
▪ Dissociation can serve as a
psychological escape from an
overwhelmingly stressful situation.
▪ A dissociative disorder refers to
dysfunction and distress caused by
chronic and severe dissociation.
Dissociative
Disorders
Loss of memory with no known physical cause; inability to reca
“Running away” state; wandering away from one’s life, memor
formerly “Multiple Personality Disorder” Development of sepa
Dissociative
Amnesia:
Dissociative
Fugue
Dissociative
Identity
Disorder
(D.I.D.)
Examples:
Mood Disorders
Major depressive disorder [MDD] is:
▪ more than just feeling “down.”
▪ more than just feeling sad
about something.
Bipolar disorder is:
▪ more than “mood swings.”
▪ depression plus the problematic
overly “up” mood called “mania.”
Schizophrenia: the mind is split from reality, e.g.
a split from one’s own thoughts
so that they appear as
hallucinations.
Psychosis refers
to a mental split
from reality and
rationality.
Schizophrenia
symptoms include:
▪ disorganized
and/or
delusional
thinking.
▪ disturbed
perceptions.
▪ inappropriate
emotions and
Subtypes of Schizophrenia
Paranoid
•Plagued by
hallucinations, often
with negative messages,
and delusions, both
grandiose and
persecutory
Disorganized
•Primary symptoms are
flat affect, incoherent
speech, and random
behavior
Catatonic
•Rarely initiating or
controlling movement;
copies others’ speech
and actions
Undifferentiated
•Many varied symptoms
Residual
•Withdrawal continues
Personality Disorders
A disorder characterized by a set of inflexible,
maladaptive behavior patterns that keep a person
from functioning appropriately in society.
Antisocial Personality Disorder
A disorder in which individuals
show no regard for the moral and
ethical rules of society or the rights
of others.
Borderline Personality Disorder
A disorder in which individuals
have difficulty developing a secure
sense of who they are.
Narcissistic Personality Disorder
A personality disturbance characterized by an
exaggerated sense of self- importance.
Paranoid Personality Disorder (PPD)
A mental disorder characterized by
paranoia and a pervasive, long-standing
suspiciousness and generalized mistrust of
others.
A person who displays a pervasive pattern of social
inhibition, feelings of inadequacy, extreme
sensitivity to negative evaluation, and avoidance
of social interaction.
Avoidant Personality Disorder (AvPD)
Dependent Personality Disorder
(DPD)
Formerly known as asthenic personality
disorder, is a personality disorder that is
characterized by a pervasive psychological
dependence on other people.
Also called anankastic personality disorder, is a
personality disorder characterized by a
pervasive pattern of preoccupation with
orderliness, perfectionism, mental and
interpersonal control at the expense of
flexibility, openness, and efficiency. In
contrast to people with obsessive-compulsive
disorder (OCD), behaviors are rational and
desirable to people with OCPD.
Obsessive- Compulsive
Personality Disorder (OCPD)
Childhood Disorder
A disorder marked by inattention, impulsiveness, a
low tolerance for frustration, and a great deal of
inappropriate activity.
Attention-Deficit Hyperactivity
Disorder (ADHD)
Autism
A severe developmental disability that impairs
children’s ability to communicate and relate to
others.
Described in clinical literature as a severe and
relatively uncommon disorder that can affect
children.RAD is characterized by markedly
disturbed and developmentally inappropriate
ways of relating socially in most contexts.
Elimination Disorder
Disorders that concern the elimination of feces
or urine from the body.
Reactive Attachment
Disorder (RAD)
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Psychological Disorders Explained

  • 2. Abnormal behavior : -actions, thoughts and feelings that are harmful to the person or others. -experiencing discomfort enough not to function.
  • 3. • Medical perspective - the perspective that suggests that when an individual displays symptoms of abnormal behavior, the root cause will be found in a physical examination of the individual, which may reveal a hormonal imbalance, a chemical deficiency, or a brain injury. • Psychoanalytic perspective - the perspective that suggests that abnormal behavior stems from childhood conflicts over opposing wishes regarding sex and aggression. Perspectives on Psychological Disorders
  • 4. • Behavioral perspective - the perspective that looks at the behavior itself as the problem. • Cognitive perspective - the perspective that suggests that people’s thoughts and beliefs are a central component of abnormal behavior. • Humanistic perspective - the perspective that emphasizes the responsibility people have for their own behavior, even when such behavior is abnormal.
  • 5. •Sociocultural perspective - the perspective that assumes that people’s behavior—both normal and abnormal— is shaped by the kind of family group, society, and culture in which they live.
  • 6. Classifying Psychological DisordersClassifying Psychological Disorders Why create classifications of mental illness? What is the value of talking about diagnoses instead of just talking about individuals? 1. Diagnoses create a verbal shorthand for referring to a list of associated symptoms. 2. Diagnoses allow us to statistically study many similar cases, learning to predict outcomes. 3. Diagnoses can guide treatment choices. The Diagnostic and Statistical Manual ▪ It’s easier to count cases of autism if we have a clear definition. ▪ Versions: DSM-IV- TR, DSM-V (May 2013) ▪ The DSM is used to justify payment for treatment. ▪ It’s consistent with diagnoses used by
  • 7. hritis, or hypertension also present? s school or housing issues, also present? ioning? The Five “Axes” of Diagnosis
  • 8. Anxiety Disorders The occurrence of anxiety without an obvious external cause that affects daily functioning. •Phobias - intense, irrational fears of specific objects or situations. Phobic Disorder:
  • 9. Specific Phobia A specific phobia is more than just a strong fear or dislike. A specific phobia is diagnosed when there is an uncontrollable, irrational, intense desire to avoid the some object or situation. Even an image of the object can trigger a reaction--“GET IT AWAY FROM ME!!!”--the uncontrollable, irrational, intense desire to avoid the object of the phobia.
  • 10. Some Fears and Phobias What trends are evident here? Which varies more, fear or phobias? What does this imply? Agoraphobia is the avoidance of situations in which one will fear having a panic attack, especially a situation in which it is difficult to get help, and from which it difficult to escape. Social phobia refers to an intense fear of being watched and judged by others. It is visible as a fear of public appearances in which embarrassment or humiliation is possible, such as public speaking, eating, or performing. Some Other Phobias
  • 11. Panic Disorder: A panic attack is not just an “anxiety attack.” It may include: ▪ many minutes of intense dread or terror. ▪ chest pains, choking, numbness, or other frightening physical sensations. Patients may feel certain that it’s a heart attack. ▪ a feeling of a need to escape. Panic disorder refers to repeated and unexpected panic attacks, as well as a fear of the next attack, and a change in behavior to avoid panic attacks.
  • 12. GAD: Generalized Anxiety Disorder The experience of long-term, persistent anxiety and worry. Obsessive-Compulsive Disorder [OCD] ▪ Obsessions are intense, unwanted worries, ideas, and images that repeatedly pop up in the mind. ▪ A compulsion is a repeatedly strong feeling of “needing” to carry out an action, even though it doesn’t feel like it makes sense.
  • 13. Post-Traumatic Stress Disorder [PTSD] About 10 to 35 percent of people who experience trauma not only have burned-in memories, but also four weeks to a lifetime of: ▪ repeated intrusive recall of those memories. ▪ nightmares and other re- experiencing. ▪ social withdrawal or phobic avoidance. ▪ jumpy anxiety or hypervigilance. ▪ insomnia or sleep problems.
  • 14. Somatoform Disorders Psychological difficulties that take on a physical (somatic) form, but for which there is no medical cause. A disorder in which people have a constant fear of illness and a preoccupation with their health. Hypochondriasis
  • 15. Conversion Disorder: A major somatoform disorder that involves an actual physical disturbance, such as the inability to use a sensory organ or the complete or partial inability to move an arm or leg. Somatization Disorder A long-term (chronic) condition in which a person has physical symptoms that involve more than one part of the body, but no physical cause can be found.
  • 16. Somatoform Pain Disorder Pain that is severe enough to disrupt a person's everyday life.
  • 17. ▪ Dissociation refers to a separation of conscious awareness from thoughts, memory, bodily sensations, feelings, or even from identity. ▪ Dissociation can serve as a psychological escape from an overwhelmingly stressful situation. ▪ A dissociative disorder refers to dysfunction and distress caused by chronic and severe dissociation. Dissociative Disorders Loss of memory with no known physical cause; inability to reca “Running away” state; wandering away from one’s life, memor formerly “Multiple Personality Disorder” Development of sepa Dissociative Amnesia: Dissociative Fugue Dissociative Identity Disorder (D.I.D.) Examples:
  • 18. Mood Disorders Major depressive disorder [MDD] is: ▪ more than just feeling “down.” ▪ more than just feeling sad about something. Bipolar disorder is: ▪ more than “mood swings.” ▪ depression plus the problematic overly “up” mood called “mania.”
  • 19. Schizophrenia: the mind is split from reality, e.g. a split from one’s own thoughts so that they appear as hallucinations. Psychosis refers to a mental split from reality and rationality. Schizophrenia symptoms include: ▪ disorganized and/or delusional thinking. ▪ disturbed perceptions. ▪ inappropriate emotions and
  • 20. Subtypes of Schizophrenia Paranoid •Plagued by hallucinations, often with negative messages, and delusions, both grandiose and persecutory Disorganized •Primary symptoms are flat affect, incoherent speech, and random behavior Catatonic •Rarely initiating or controlling movement; copies others’ speech and actions Undifferentiated •Many varied symptoms Residual •Withdrawal continues
  • 21. Personality Disorders A disorder characterized by a set of inflexible, maladaptive behavior patterns that keep a person from functioning appropriately in society. Antisocial Personality Disorder A disorder in which individuals show no regard for the moral and ethical rules of society or the rights of others.
  • 22. Borderline Personality Disorder A disorder in which individuals have difficulty developing a secure sense of who they are. Narcissistic Personality Disorder A personality disturbance characterized by an exaggerated sense of self- importance. Paranoid Personality Disorder (PPD) A mental disorder characterized by paranoia and a pervasive, long-standing suspiciousness and generalized mistrust of others.
  • 23. A person who displays a pervasive pattern of social inhibition, feelings of inadequacy, extreme sensitivity to negative evaluation, and avoidance of social interaction. Avoidant Personality Disorder (AvPD) Dependent Personality Disorder (DPD) Formerly known as asthenic personality disorder, is a personality disorder that is characterized by a pervasive psychological dependence on other people.
  • 24. Also called anankastic personality disorder, is a personality disorder characterized by a pervasive pattern of preoccupation with orderliness, perfectionism, mental and interpersonal control at the expense of flexibility, openness, and efficiency. In contrast to people with obsessive-compulsive disorder (OCD), behaviors are rational and desirable to people with OCPD. Obsessive- Compulsive Personality Disorder (OCPD)
  • 25. Childhood Disorder A disorder marked by inattention, impulsiveness, a low tolerance for frustration, and a great deal of inappropriate activity. Attention-Deficit Hyperactivity Disorder (ADHD) Autism A severe developmental disability that impairs children’s ability to communicate and relate to others.
  • 26. Described in clinical literature as a severe and relatively uncommon disorder that can affect children.RAD is characterized by markedly disturbed and developmentally inappropriate ways of relating socially in most contexts. Elimination Disorder Disorders that concern the elimination of feces or urine from the body. Reactive Attachment Disorder (RAD)