Lecture 4
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Questions and Answers

What is the primary cause according to the psychoanalytic model?

  • Negative core beliefs
  • Learned associations
  • Thwarted self-actualization
  • Repression of unresolved conflict (correct)
  • Which treatment method is associated with the humanistic psychological model?

  • Conditional positive regard
  • Empathy and unconditional positive regard (correct)
  • Cognitive restructuring
  • Insight therapy
  • What is a common drawback of classification and diagnosis in mental health?

  • Reduces stigma in communities
  • Improves research and treatment planning
  • Helps in improving communication among professionals
  • Can lead to labeling and stigma (correct)
  • Which classification system is primarily used in the English-speaking world?

    <p>Diagnostic and Statistical Manual of Mental Disorders (DSM)</p> Signup and view all the answers

    What psychological model focuses on negative core beliefs and biased thinking?

    <p>Cognitive-Behavioural model</p> Signup and view all the answers

    Which of the following is a major objective of using classification systems in mental health?

    <p>To improve communication among health professionals</p> Signup and view all the answers

    Which psychological treatment focuses on learning new associations?

    <p>Behavioural treatment</p> Signup and view all the answers

    What does the ICD primarily address?

    <p>Mental disorders and health-related problems</p> Signup and view all the answers

    What does the Id represent in Freud's theory of personality?

    <p>Pleasure principle and instinctual drives</p> Signup and view all the answers

    Which of the following is a criticism of the Biological/Medical Model in psychology?

    <p>It often draws generalizations from animal research.</p> Signup and view all the answers

    What does the Ego do according to Freud's psychoanalytic theory?

    <p>Acts as a mediator between the Id and the Superego</p> Signup and view all the answers

    What is a possible outcome of unresolved conflicts in psychoanalytic theory?

    <p>Anxiety and excessive use of defense mechanisms</p> Signup and view all the answers

    Which statement reflects a limitation of psychoanalytic therapy?

    <p>It lacks sufficient empirical evidence.</p> Signup and view all the answers

    What does the Superego encompass in Freud's model of personality?

    <p>Moral standards and ideals</p> Signup and view all the answers

    How did psychoanalytic theory revolutionize the understanding of mental illness?

    <p>It blurred the lines between abnormal and normal mental states.</p> Signup and view all the answers

    In what way is the medical model considered limited when applied to psychological illness?

    <p>It often overlooks the continuum between psychological health and disorder.</p> Signup and view all the answers

    What is a key assumption of the Biological/Medical Model of Mental Illness?

    <p>Mental disorders can be diagnosed similar to physical illnesses.</p> Signup and view all the answers

    Which of the following statements aligns with the Biological/Medical Model's view on treatment?

    <p>Medication targets biological deficiencies.</p> Signup and view all the answers

    Who is credited with the founding principles of the Biological/Medical Model in the context of mental health?

    <p>Dr. Emil Kraepelin</p> Signup and view all the answers

    Which manual is the underlying model of the Biological/Medical Model in psychiatry?

    <p>The Diagnostic and Statistical Manual of Mental Disorders (DSM-5)</p> Signup and view all the answers

    What is a major criticism of the Biological/Medical Model?

    <p>It neglects the role of psychological factors.</p> Signup and view all the answers

    What does the Biological/Medical Model suggest about the nature of mental disorders?

    <p>They can be explained in terms of a biological disease process.</p> Signup and view all the answers

    Which psychological model contrasts with the Biological/Medical Model by focusing on individual experience?

    <p>Humanistic Model</p> Signup and view all the answers

    In the context of diagnosis, the Biological/Medical Model is most similar to which other field?

    <p>Physical Medicine</p> Signup and view all the answers

    What is a requirement for diagnosing a Major Depressive Episode according to the DSM-5?

    <p>Experiencing 5 or more symptoms in a 2-week period</p> Signup and view all the answers

    Which version of the DSM introduced the Major Depressive Disorder classification?

    <p>DSM-5</p> Signup and view all the answers

    Which of the following statements about the DSM-5's approach to classifications is accurate?

    <p>It acknowledges limitations of a categorical system.</p> Signup and view all the answers

    Which symptom is NOT part of the criteria for a Major Depressive Episode?

    <p>Increased energy levels</p> Signup and view all the answers

    When assessing symptoms of depression using the DSM-5, what aspect is emphasized?

    <p>Severity of symptoms</p> Signup and view all the answers

    What is the minimum number of symptoms needed to qualify for a diagnosis of Major Depressive Disorder?

    <p>Five symptoms, including depressed mood</p> Signup and view all the answers

    Which DSM edition was published first after the introduction of the DSM-III in 1980?

    <p>DSM-III-R</p> Signup and view all the answers

    The DSM-5 research planning process began in what year?

    <p>1999</p> Signup and view all the answers

    What defines the research base for psychopathological diagnoses in the DSM?

    <p>The biological/medical model of mental illness</p> Signup and view all the answers

    Which disorder was first introduced in DSM-III-R in 1987?

    <p>Generalized Anxiety Disorder</p> Signup and view all the answers

    The DSM has evolved with various editions. What year was the 5th edition published?

    <p>2013</p> Signup and view all the answers

    What notable change occurred with Asperger’s Disorder in the DSM-5?

    <p>It was excluded entirely</p> Signup and view all the answers

    What problem was noted with initial editions of the DSM regarding inter-rater reliability?

    <p>Agreement on the diagnosis was difficult</p> Signup and view all the answers

    What major concern was raised about the validity of the definitions in the early DSM editions?

    <p>They relied on unproven theories about causes</p> Signup and view all the answers

    In the DSM-5 Text Revision (2022), which of the following language updates was made?

    <p>Intellectual disability -&gt; Intellectual developmental disorder</p> Signup and view all the answers

    What was the main theoretical influence on the first two editions of the DSM?

    <p>Psychoanalytic theory</p> Signup and view all the answers

    Study Notes

    Models of Mental Illness

    • Several models for understanding mental illness: Biological/Medical, Psychoanalytic, Humanistic, Behavioral, Cognitive-Behavioral.
    • The Diagnostic and Statistical Manual of Mental Disorders (DSM) serves as a key classification tool.

    Biological/Medical Model

    • Dominant approach in psychiatry; central to the development of DSM-5.
    • Assumes that mental disorders can be diagnosed akin to physical illnesses through biological processes.
    • Treatments focus on correcting biological deficiencies, including medication (e.g., antidepressants) and Electroconvulsive Therapy (ECT).

    Criticisms of Biological/Medical Model

    • Risk of extreme reductionism ignores the complexity of psychological phenomena.
    • Overreliance on animal research can misguide conclusions in human contexts.
    • Causation assumptions based on treatment efficacy may be unfounded; just because a treatment works does not mean it explains the disorder.
    • Lack of clear distinctions between physical and mental health can lead to misunderstandings of psychological illnesses.

    Psychoanalytic Model

    • Founded by Freud, emphasizing unresolved conflicts within the psyche.
    • Personality structure includes Id (instinctual desires), Ego (reality-oriented), and Superego (moral conscience).
    • Mental suffering results from the conflict between these components.

    Psychoanalytic Treatment

    • Aims to provide insight into unconscious processes and unresolved conflicts.
    • Encourages awareness of one's defense mechanisms, such as repression and denial.

    Critiques of Psychoanalytic Model

    • Weak empirical support; theories often unfalsifiable and not open to rigorous evaluation.

    Other Psychological Models

    • Humanistic Model: Links mental health to thwarted self-actualization, emphasizing empathy and unconditional positive regard.
    • Behavioral Model: Focuses on learned associations and aims to replace maladaptive responses with healthier ones.
    • Cognitive-Behavioral Model: Centers on negative core beliefs and cognitive distortions; employs cognitive restructuring to address issues.

    Classification and Diagnosis

    • DSM: First published in 1952, currently at DSM-5 and DSM-5-TR (2022); widely used in English-speaking countries for diagnosing mental disorders.
    • ICD: Developed by the WHO, currently in its 11th edition, used predominantly in Europe.

    Pros and Cons of Diagnosis

    • Benefits include improved communication among professionals and the community.
    • Risks involve stigma, over-medicalization of normal stress responses, and questions of validity and reliability.

    Key Features of DSM

    • Defines symptom criteria for various mental disorders; reflects a biological/medical perspective.
    • Includes major updates (e.g., introduction of Generalized Anxiety Disorder, removal of Asperger's Disorder) reflecting evolving understanding.
    • Emphasizes the importance of clinical training and experience for accurate diagnosis.

    Developmental History of DSM

    • Early editions (DSM-I and II) heavily influenced by psychoanalytic theory; struggled with reliability and validity.
    • From DSM-III onwards, more focus on empirical evidence and symptom-based diagnosis rather than theoretical causation.

    Major Depressive Disorder Criteria (DSM-5)

    • A diagnosis requires at least five symptoms, including depressed mood and significant changes in weight or sleep patterns, experienced over a two-week period.

    Future Directions

    • Critics advocate for a dimensional understanding of mental disorders, encouraging assessments of severity rather than categorical diagnoses.
    • Awareness of limitations in the diagnostic system is important for ongoing research and practice.

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    Explore the various models of mental illness in this quiz based on PSYC1002. Learn about the classification and diagnosis of mental health conditions as presented by Dr. Elizabeth Seeley-Wait, incorporating insights from her colleagues' work. This resource aims to deepen your understanding of mental health classification.

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