Psychology Chapter 1: Psychological Disorders

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Questions and Answers

Which of the following is a characteristic behavior identified in psychological disorders?

  • Abnormal behavior with no external impact
  • Consistent helpfulness to others
  • Atypical behavior that is distressful (correct)
  • Behavior that solely conforms to cultural norms

What role does the DSM-5 play in psychological disorders?

  • It primarily focuses on cultural perspectives
  • It serves as a diagnostic tool for psychological disorders (correct)
  • It is a predictive model for all mental health issues
  • It provides treatment methods only

Which of the following describes a neurodevelopmental disorder?

  • Bipolar disorder
  • Temporal lobe epilepsy
  • Generalized anxiety disorder
  • Autism spectrum disorder (correct)

Which of the following is NOT a feature of anxiety disorders?

<p>Feeling calm and relaxed (D)</p> Signup and view all the answers

What is a common characteristic of specific learning disorders?

<p>Inability to learn despite high intelligence (D)</p> Signup and view all the answers

Which of the following mood disorders is characterized by alternating between high and low moods?

<p>Bipolar disorder (D)</p> Signup and view all the answers

Which factor is commonly associated with post-traumatic stress disorder (PTSD)?

<p>Experience of trauma or high-stress events (B)</p> Signup and view all the answers

What is a defining symptom of obsessive-compulsive disorder (OCD)?

<p>Recurrent unwanted thoughts and repetitive behaviors (C)</p> Signup and view all the answers

Why are longitudinal investigations crucial for studying developmental processes and life-course perspectives in psychiatry?

<p>They allow the observation of changes and continuities of traits over time, which is a fundamental aspect of development. (D)</p> Signup and view all the answers

What is a major limitation to adopting a developmental approach in psychiatry?

<p>The sharp divide between child/adolescent and adult psychiatry research and clinical services. (C)</p> Signup and view all the answers

What is a significant difference between neurodevelopmental disorders and other psychiatric disorders regarding their typical course?

<p>Neurodevelopmental disorders usually follow a steady course. (B)</p> Signup and view all the answers

Why is it important to begin interventions and preventive programs early in life, according to the text?

<p>Because most psychiatric disorders onset by childhood, adolescence, or early adulthood. (C)</p> Signup and view all the answers

What is a proposed factor that accounts for the varying onset times of different neuropsychiatric disorders?

<p>The timing of exposure to a risk factor across one's life. (D)</p> Signup and view all the answers

What is a key difference between childhood-onset conduct disorder and adolescent-onset conduct disorder?

<p>Childhood-onset conduct disorder is more likely to be associated with neurocognitive deficits and ADHD. (A)</p> Signup and view all the answers

What is characteristic of the developmental course of most neurodevelopmental disorders?

<p>Their core features show marked maturational changes from childhood to adult life. (C)</p> Signup and view all the answers

Which mental health conditions are most likely to emerge during the shift from childhood to adulthood, as mentioned in the text?

<p>Depression, often coinciding with the transition. (A)</p> Signup and view all the answers

What is a unique identifier of the group with conduct problems that begin in childhood?

<p>They show an elevated rate of ADHD. (B)</p> Signup and view all the answers

How do risk factors for mental disorders change across the lifespan?

<p>They vary significantly with different developmental stages, encompassing various stressors throughout life. (D)</p> Signup and view all the answers

What is a key element in determining if an inner experience or behavior is considered a psychological disorder?

<p>The intensity and impact of the experience on the individual and others. (A)</p> Signup and view all the answers

What does the concept of 'harmful dysfunction' suggest about the nature of psychological disorders?

<p>They are caused by a biological or mental mechanism's inability to perform its natural function. (B)</p> Signup and view all the answers

According to the provided content, what is the main purpose of diagnosing psychological disorders?

<p>To provide a common language for professionals and guide treatment. (C)</p> Signup and view all the answers

Which publication serves as the main classification system for psychological disorders in the United States?

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

What does the term 'comorbidity' refer to in the context of psychological disorders?

<p>The presence of two or more disorders in the same individual. (B)</p> Signup and view all the answers

What does the 'TR' in DSM-5-TR signify?

<p>Text Revision, updating statistics and research. (D)</p> Signup and view all the answers

Which of these disorders has the highest lifetime prevalence rate among U.S. adults according to the provided data?

<p>Major Depressive Disorder. (A)</p> Signup and view all the answers

Based on the provided data, which disorder shows the largest difference in lifetime prevalence rates between males and females?

<p>Alcohol Abuse (C)</p> Signup and view all the answers

What makes a behavior more likely to be considered a symptom of a psychological disorder, as opposed to a typical human experience?

<p>If it is significantly distressing or disabling. (C)</p> Signup and view all the answers

According to the content, when are inner experiences and behaviors likely considered a disorder?

<p>When they cause significant distress or a disability and suggest a mental dysfunction. (A)</p> Signup and view all the answers

Which of the following statements about the DSM-5 is correct?

<p>It includes diagnostic criteria, prevalence information, and risk factors for each disorder. (A)</p> Signup and view all the answers

If a person has an obsessive compulsive disorder, what percentage of people with this disorder will also likely meet the criteria for major depressive disorder, according to the provided text?

<p>41%. (A)</p> Signup and view all the answers

Which factor is not cited in the text as a determinant of psychological disorder?

<p>The popularity of a behavior in a social setting. (A)</p> Signup and view all the answers

According to the provided data, which disorder shows the closest rates of prevalence between men and women?

<p>Social anxiety disorder. (D)</p> Signup and view all the answers

Which of these is NOT a reason for classifying psychological disorders, according to the text?

<p>To be able to label individuals as abnormal. (D)</p> Signup and view all the answers

Which of the following best describes the typical characteristics of a psychological disorder?

<p>Atypical, distressful, dysfunctional, and sometimes dangerous thoughts and behaviors (A)</p> Signup and view all the answers

What is a common misconception about atypical behaviors?

<p>They always indicate a psychological disorder (C)</p> Signup and view all the answers

How do cultural expectations influence the identification of psychological disorders?

<p>Behaviors viewed as abnormal in one culture may be normal in another (A)</p> Signup and view all the answers

Which of these behaviors could potentially indicate a psychological disorder?

<p>An individual washing their hands excessively (B)</p> Signup and view all the answers

Why is it important for mental health professionals to agree on what constitutes abnormal behavior?

<p>To provide accurate diagnoses and appropriate interventions (B)</p> Signup and view all the answers

What aspect of a person's behavior might be categorized as situational rather than disordered?

<p>A non-conventional sleep schedule due to work (A)</p> Signup and view all the answers

What is a defining symptom of psychological distress that may signify a psychological disorder?

<p>Experiencing extreme feelings of worthlessness (A)</p> Signup and view all the answers

Which statement accurately describes the concept of psychopathology?

<p>A comprehensive study of psychological disorders and their treatment (B)</p> Signup and view all the answers

How can social support impact recovery from psychological disorders?

<p>By influencing mental health outcomes positively (A)</p> Signup and view all the answers

Which type of symptoms may indicate the presence of a psychological disorder?

<p>Long-lasting and intense feelings of distress or dysfunction (B)</p> Signup and view all the answers

Which example best illustrates cultural variation in understanding psychological disorders?

<p>An individual in another culture interpreting hallucinations as spiritual experiences (B)</p> Signup and view all the answers

What distinguishes a psychological disorder from a non-disordered state?

<p>The duration and visibility of symptoms (C)</p> Signup and view all the answers

What was a significant change in the DSM-5, regarding major depressive disorder?

<p>The removal of the bereavement exclusion. (A)</p> Signup and view all the answers

How many diagnoses were included in the original (DSM-I) publication?

<p>106 (A)</p> Signup and view all the answers

Which of the following behaviors might NOT indicate a psychological disorder?

<p>A student feeling nervous before exams seasonally (D)</p> Signup and view all the answers

What is one key difference between the International Classification of Diseases (ICD) and the DSM classification systems according to the text?

<p>The ICD is more frequently used for clinical diagnosis, and the DSM is more valued for research. (B)</p> Signup and view all the answers

Which of these options describes how a developmental perspective should be utilized in psychiatry?

<p>By recognizing that changes across the lifespan are critical to consider when investigating psychiatric disorders. (D)</p> Signup and view all the answers

What does the text suggest regarding the use of diagnostic labels for mental disorders?

<p>They should be avoided because they objectify people and promote bias. (B)</p> Signup and view all the answers

What was a key change in the description of mental disorders between the DSM-I and the DSM-III?

<p>A significant increase in both detail of descriptions and number of diagnosable conditions. (A)</p> Signup and view all the answers

What is a primary concern some have regarding new diagnoses in the DSM?

<p>That it overpathologizes the human condition by turning common human problems into mental illnesses. (C)</p> Signup and view all the answers

What is the purpose of the clinical context, according to the text?

<p>To recognize changes in phenotypes across the life span. (B)</p> Signup and view all the answers

What was a controversial change made in the DSM regarding homosexuality?

<p>Its removal as a mental illness in 1973. (C)</p> Signup and view all the answers

What distinguishes a problematic psychological condition from normal human experiences?

<p>The intensity and disruptive effect of the thoughts and behaviors on a person's life. (D)</p> Signup and view all the answers

In what way is the DSM-5 criticized with regards to diagnostic criteria?

<p>For loosening diagnostic criteria and potentially creating diagnostic 'hyperinflation'. (A)</p> Signup and view all the answers

What is the primary intention behind the revisions and updates to the DSM?

<p>To reflect and incorporate a deeper understanding of mental disorders and how they manifest differently across people. (D)</p> Signup and view all the answers

What is a major difference between the DSM-I and the DSM-III in terms of length and diagnostic categories?

<p>The DSM-III was nearly seven times the size and had over two times the number of diagnoses as does the DSM-I. (A)</p> Signup and view all the answers

What is an example of the compassionate view of mental disorders according to the text?

<p>Acknowledging that people with mental disorders have painful conditions, not of their own choosing. (D)</p> Signup and view all the answers

Why is the DSM considered to be the classification system of choice, in the USA?

<p>Because of its detailed criteria and explanatory text. (A)</p> Signup and view all the answers

What is the primary component of Wakefield's definition of psychological disorder?

<p>An internal mechanism dysfunction (B)</p> Signup and view all the answers

According to the harmful dysfunction model, which criterion must be met for dysfunction to be considered harmful?

<p>It leads to negative consequences for the individual or others (A)</p> Signup and view all the answers

Which of the following is NOT a feature of a psychological disorder as defined by the APA?

<p>Universal acceptance of abnormal behavior (D)</p> Signup and view all the answers

What does the presence of significant distress imply in the context of a psychological disorder?

<p>The individual's inner experiences and behaviors are causing major difficulties (A)</p> Signup and view all the answers

What role does culture play in defining a psychological disorder according to the content?

<p>Cultural standards can influence whether a behavior is seen as harmful or dysfunctional (D)</p> Signup and view all the answers

What does dysfunction in internal mechanisms signify according to Wakefield?

<p>A breakdown in rational thinking processes (C)</p> Signup and view all the answers

Which of the following best exemplifies a situation that might be classified as a psychological disorder?

<p>Experiencing intense fear of social interactions leading to avoidance of all social situations (B)</p> Signup and view all the answers

How do symptoms of psychological disorders relate to biological processes?

<p>They may reflect dysfunctions in mental processes suggesting neurobiological breakdowns (C)</p> Signup and view all the answers

What is a key reason why there is no universal definition of psychological disorder?

<p>Different cultures have varying perspectives on abnormal behavior (C)</p> Signup and view all the answers

Which scenario illustrates an internal mechanism dysfunction?

<p>An individual who obsessively cleans their hands due to fear of germs (D)</p> Signup and view all the answers

For a behavior to be classified as a psychological disorder, it must:

<p>Lead to significant distress or functional impairment (A)</p> Signup and view all the answers

What aspect of psychological disorders does the APA definition emphasize?

<p>Disturbances leading to personal and social impairment (C)</p> Signup and view all the answers

How does the harmful dysfunction model suggest a disorder might develop?

<p>Through a breakdown of evolved psychological mechanisms (A)</p> Signup and view all the answers

Which description best captures the concept of harmful dysfunction in a psychological context?

<p>A failure in an internal process leading to significant personal distress (D)</p> Signup and view all the answers

Flashcards

What are the criteria for psychological disorders?

Atypical, distressful, dysfunctional, and dangerous behaviors; These behaviors are significantly different from culturally expected norms and may cause significant distress to the person experiencing them.

How do cultural expectations influence psychological disorders?

The cultural context plays a significant role in how psychological disorders are identified and perceived. What is seen as abnormal in one culture may be seen as normal in another.

What are the key theories of psychopathology?

The harmful dysfunction model defines psychological disorders as breakdowns in mental functioning that are harmful to the individual or others. The DSM-5 is the official diagnostic manual used in the United States to classify and diagnose mental disorders.

What is the purpose of the DSM-5?

The DSM-5 is a categorized manual detailing the criteria for diagnosing mental disorders. It offers a standardized framework for mental health professionals to reach a common understanding.

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What are neurodevelopmental disorders?

Neurodevelopmental disorders are characterized by difficulties in brain development that affect cognitive, social, and emotional functioning. These disorders typically emerge during childhood and can persist throughout life. Examples include autism spectrum disorder and ADHD.

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What are specific learning disorders?

Learning disorders are characterized by difficulties in acquiring and using academic skills, such as reading, writing, and math. These disorders typically appear during school years and can have a significant impact on academic achievement. Examples include dyslexia, dyscalculia, and dysgraphia.

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What are motor disorders?

Motor disorders involve problems with motor coordination, movement, and muscle control that can affect balance, coordination, and fine motor skills. These disorders typically appear in childhood and can have a significant impact on daily activities. Examples include developmental coordination disorder and Tourette's syndrome.

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What are anxiety disorders?

Anxiety disorders are characterized by excessive fear, worry, and nervousness. These disorders can manifest in different ways depending on the specific type. Examples include generalized anxiety disorder, panic disorder, and social anxiety disorder.

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What is a psychological disorder?

A condition involving abnormal thoughts, feelings, and behaviors.

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What is psychopathology?

The study of psychological disorders, including their causes, symptoms, and treatments.

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What are the key characteristics of a psychological disorder?

A set of behaviors and experiences considered atypical, distressing, dysfunctional, and potentially dangerous.

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What is atypicality?

The degree to which an individual's thoughts, feelings, and behaviors deviate from societal expectations.

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What is distress?

The extent to which an individual's thoughts, feelings, and behaviors cause personal distress.

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What is dysfunction?

The extent to which an individual's thoughts, feelings, and behaviors negatively impact their daily function.

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What is dangerousness?

The potential for an individual's thoughts, feelings, and behaviors to cause harm to themselves or others.

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How do cultural expectations influence the perception of psychological disorders?

Cultural norms and values play a role in interpreting behaviors as normal or abnormal. What is considered 'odd' in one culture might be acceptable in another.

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Is violating cultural expectations always a sign of a psychological disorder?

Not all behaviors that violate cultural expectations are disorders. It's important to consider the context and possible cultural variations.

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What is developmental psychopathology?

The study of how psychological disorders develop and progress over an individual's lifespan.

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What are myths related to mental illness?

Commonly held beliefs about mental illness, which may or may not be accurate.

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What is the myth of dangerousness?

The idea that people with mental illnesses are dangerous or unpredictable. This misconception can perpetuate stigma and discrimination.

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What is the myth of willpower?

The assumption that mental illness is a sign of weakness or lack of willpower. This can prevent people from seeking help.

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Are all psychological disorders easily observable?

Mental illnesses are not easily identifiable by just observing someone's behavior.

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What is the myth of 'snap out of it'?

The idea that people with mental illness can 'snap out of it' just by trying harder. This reinforces stigma and discourages treatment seeking.

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What defines a psychological disorder?

A psychological disorder is defined by disturbances in thoughts, feelings, and behaviors that lead to functional impairment in one's life and are not culturally expected reactions to events.

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What is Harmful Dysfunction?

It's the idea that psychological disorders arise from the inability of a mental mechanism to perform its natural function effectively, resulting in harm.

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What is the DSM-5?

The DSM-5 is a widely-used manual that provides standards for diagnosing and classifying mental disorders, offering criteria for identification and treatment guidelines.

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What are some categories found in the DSM-5?

The DSM-5 includes categories of disorders such as anxiety disorders, depressive disorders, and dissociative disorders, providing detailed information about each.

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What kind of information does the DSM-5 provide about disorders?

The DSM-5 provides data on the prevalence of disorders, indicating the percentage of the population affected by a specific disorder.

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What are lifetime prevalence rates?

The DSM-5 provides data on lifetime prevalence rates, measuring the percentage of individuals in a population who develop a disorder during their lifetime.

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What is Comorbidity?

Comorbidity refers to the simultaneous occurrence of two or more disorders in the same individual.

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How is comorbidity illustrated in the DSM-5?

The DSM-5 illustrates comorbidity, showing that a significant portion of people diagnosed with obsessive-compulsive disorder also meet the criteria for major depressive disorder.

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What is the comorbidity trend between substance use disorders and other mental illnesses?

The DSM-5 recognizes a high level of comorbidity between substance use disorders and other mental illnesses, demonstrating a significant overlap between these conditions.

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Why is a proper diagnosis important for mental health professionals?

A proper diagnosis provides a common language for mental health professionals, allowing them to communicate effectively about a disorder with patients, colleagues, and the public.

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How does a proper diagnosis support treatment?

A proper diagnosis is crucial for guiding appropriate treatment and improving the chances of successful treatment outcomes.

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Why are classification systems important for understanding mental disorders?

Classification systems, like the DSM-5, are essential for organizing psychological disorders systematically, helping professionals understand and treat them.

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What information does the DSM-5 provide about each disorder?

The DSM-5's inclusion of detailed information about each disorder, including diagnostic criteria, prevalence, and risk factors, helps mental health professionals assess and understand the specific symptoms and characteristics of disorders.

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What does the DSM-5's data on prevalence rates tell us about disorders?

The DSM-5 provides valuable data on prevalence rates, which help mental health professionals understand the extent and distribution of certain disorders in the population.

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How does cultural context play a role in defining psychological disorders?

Understanding the cultural context is crucial to distinguish between culturally expected reactions and actual psychological disorders.

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Developmental View of Psychiatric Disorders

A view of psychiatric disorders that considers the development of these disorders across the lifespan, from prenatal life to older life.

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Early Onset of Psychiatric Disorders

The onset of most psychiatric disorders occurs during childhood, adolescence, or early adulthood.

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Phenotypic and Genetic Overlap

The overlap in features and genetic factors between different psychiatric disorders.

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Age of Onset Variation

The different ages at which various psychiatric disorders typically first appear.

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Timing of Risk Factor Exposure

The influence of the timing of exposure to a risk factor on the development of a psychiatric disorder.

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Life-Course Changes in Risk Factors

Changes in risk factors and stressors across the lifespan.

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Neurodevelopmental Disorders

A group of disorders characterized by difficulties in brain development arising in early childhood, with symptoms often persisting into adulthood, like autism and ADHD.

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Developmental Course of Conduct Disorder

A pattern of disruptive and aggressive conduct, showing different trajectories depending on age of onset and associated features.

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Child/Adolescent vs. Adult Psychiatry Divide

The separation of child/adolescent and adult mental health services.

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Importance of Early Intervention

The need for early intervention and prevention programs in mental health, focusing on risk and protective factors.

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What is a 'Harmful Dysfunction'?

For a dysfunction to be considered a psychological disorder, it must be harmful, leading to negative consequences for the individual or others, according to the individual's culture. Harmful consequences could include significant internal distress (like anxiety or depression) or difficulties in daily life (like social or work issues).

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What is the APA's definition of a psychological disorder?

A psychological disorder is a condition characterized by significant disturbances in thoughts, feelings, and behaviors, reflecting a dysfunction in biological, psychological, or developmental mechanisms, leading to significant distress or disability in one's life, not reflecting expected or culturally approved responses to certain events.

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What are some characteristics of a disturbance related to a psychological disorder?

Unusual inner experiences and behaviors that are negative, self-defeating, and often troubling to those around the person, suggesting a dysfunction in internal biological, psychological, and developmental mechanisms leading to normal, healthy psychological functioning.

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What does the term 'developmental dysfunction' refer to?

Disturbed patterns of inner experiences and behaviors should reflect some flaw (dysfunction) in the internal biological, psychological, and developmental mechanisms that lead to normal, healthy psychological functioning.

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How does 'distress or disability' affect a diagnosis of psychological disorder?

A person's inner experiences and behaviors are considered to reflect a psychological disorder if they cause the person considerable distress or greatly impair his ability to function as a normal individual (often referred to as functional impairment, or occupational and social impairment)

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What is the role of 'cultural expectations' in defining a psychological disorder?

Disturbances in thoughts, feelings, and behaviors must be socially unacceptable responses to certain events that often happen in life.

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What is the 'Harmful Dysfunction' model?

The harmful dysfunction model suggests that disorders are a result of broken internal mechanisms (dysfunctions) that cause negative consequences (harm) for the individual or society.

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How does the 'Harmful Dysfunction' model relate to internal mechanisms?

The harmful dysfunction model explains that internal mechanisms, like cognition, perception, and learning, have important functions in helping us understand the world and think rationally. Disorders arise when these mechanisms malfunction.

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What is a key advantage of the 'Harmful Dysfunction' model?

The 'Harmful Dysfunction' model emphasizes the importance of considering multiple factors and perspectives when determining if a disorder is present.

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What is the significance of the 'Harmful Dysfunction' concept?

The concept of 'harmful dysfunction' is a framework for understanding psychological disorders by focusing on the breakdown of internal mechanisms and their negative consequences.

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What is the link between psychological disorders and mental processes?

The symptoms of a psychological disorder are assumed to reflect dysfunctions in mental processes, similar to how the symptoms of physical illness reflect dysfunctions in biological processes.

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How does the APA definition of a psychological disorder relate to the 'Harmful Dysfunction' model?

The American Psychiatric Association (APA) definition of a psychological disorder aligns with the harmful dysfunction model, recognizing the importance of dysfunction, distress, disability, and cultural context

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Why is the 'Harmful Dysfunction' model important?

The harmful dysfunction model is a theoretical framework used to conceptualize psychological disorders. It emphasizes the role of internal mechanisms functioning correctly or malfunctioning within the context of causing harm to an individual and society.

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What benefits does the 'Harmful Dysfunction' model offer?

The 'Harmful Dysfunction' model provides a helpful perspective on understanding psychological disorders. By considering the dysfunction of internal mechanisms and their harmful consequences, this model contributes to a more comprehensive understanding of mental illness.

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How has the DSM evolved?

The DSM has been revised several times over the years, with each edition reflecting advancements in our understanding of mental disorders and changes in diagnostic criteria. This evolution reflects ongoing scientific research and a growing awareness of mental health issues.

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What are some key changes in DSM-5?

The DSM-5, the latest edition, includes changes to the organization, naming of categories, and diagnostic criteria for different disorders. It emphasizes the importance of considering gender and cultural differences in the expression of symptoms.

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What are some concerns about the DSM?

Some critics argue that the expansion of diagnoses in the DSM risks overpathologizing common human experiences, potentially turning normal difficulties into mental illnesses. They worry about potentially mislabeling individuals with conditions that might simply represent normal human variations.

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What is the ICD?

The International Classification of Diseases (ICD), published by the World Health Organization (WHO), is another classification system used worldwide to categorize various diseases and health conditions, including mental health disorders. It's used for clinical purposes and to track population health trends.

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How do the DSM and ICD compare?

While the DSM and ICD share similar categories and criteria for specific disorders, some differences exist. The ICD is used more often for clinical diagnosis, while the DSM is favored for research purposes due to its more explicit criteria and explanatory text.

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Why is it important to consider people with mental health disorders as individuals?

It's crucial to remember that people with psychological disorders are individuals who deserve compassion and understanding. Viewing them solely as embodiments of their disorders is stigmatizing and harmful. They experience debilitating conditions that are not their fault and require empathy and support.

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Why is a developmental perspective important in psychology?

The developmental perspective highlights the importance of considering mental health conditions within the context of a person's lifespan. Many changes in brain development and behavior are expected during childhood and adolescence, and these changes need to be taken into account when evaluating potential mental health issues.

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How does development influence physical and mental health?

Physical, behavioral, brain, and biological changes occur throughout life, with significant transformation during fetal development, childhood, and adolescence. It's essential to understand that these changes can be both typical and atypical, influencing developmental trajectory and potentially impacting mental health.

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How has the DSM's view of homosexuality changed?

The idea that homosexuality was considered a disorder in earlier editions of the DSM highlights how our understanding of mental health evolves over time. Recognizing the changing perspectives and continued progress is crucial in promoting mental health awareness and inclusivity.

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Why has the number of diagnoses in the DSM increased?

The increase in the number of diagnoses included in the DSM over time reflects a growing understanding of the spectrum of mental health conditions. While this growth is intended to improve diagnostic accuracy, it also raises concerns about potential overdiagnosis and the need for careful, nuanced assessments.

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How did DSM-5 change the criteria for major depressive disorder?

Removing the bereavement exclusion for major depressive disorder in DSM-5 means that sadness and grief following a loved one's death can now be considered a symptom of major depression. This change reflects the recognition that grief can be intense and prolonged, potentially necessitating professional support.

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What are concerns about the potential impact of loosened diagnostic criteria?

Critics of the DSM argue that loosening diagnostic criteria could lead to an over-diagnosis of mental health conditions, potentially trivializing the experience of those genuinely struggling with mental illness. This concern emphasizes the need for careful clinical judgment in diagnosis.

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How does the DSM continue to evolve?

The DSM involves a continuous process of refinement and revision to ensure that the classification system reflects the most up-to-date knowledge and clinical practices. This ongoing evaluation allows for the incorporation of new research findings and evolving mental health perspectives.

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How does the ICD contribute to understanding global health?

The ICD is used globally to track health trends and prevalence of various diseases, including mental health disorders. This allows for a better picture of the overall health of populations and the impact of mental health conditions worldwide.

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Why is there an effort to harmonize the DSM and ICD?

The effort to harmonize the DSM and ICD reflects a growing recognition of the need for a more consistent and globally-relevant approach to mental health classification. This goal aims to promote better communication and collaboration between mental health professionals worldwide.

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Study Notes

Defining Psychological Disorders

  • Psychological disorders are characterized by abnormal thoughts, feelings, and behaviors.
  • Psychopathology is the study of these disorders, examining symptoms, causes (etiology), and treatments.
  • Mental health professionals need to agree on what constitutes abnormal thoughts, feelings, and behaviors.
  • Behaviors and inner experiences like excessive hand-washing or hearing voices are often considered abnormal, suggesting a psychological disorder.
  • Situational, personal, and unconventional experiences are not necessarily disorders (e.g., nervousness, loneliness).

Criteria for Psychological Disorders

  • A simple approach identifies disorders as atypical, distressful, dysfunctional, and dangerous behaviors and inner experiences.
  • Atypicality alone doesn't define a disorder.
  • Distressful experiences may vary across cultures.
  • Dysfunctional behaviors significantly impair daily functioning, while dangerous behaviors are harmful to self or others.
  • Cultural expectations influence how we perceive these behaviors.

Cultural Contexts and Disorders

  • Social norms and expectations vary greatly across cultures and influence perceptions of behavior.
  • Eye contact, expressions, etc. have different meanings across cultures.
  • What’s normal in one culture could be considered abnormal in another.
  • Cultural norms change over time.

Harmful Dysfunction Model

  • This model defines a psychological disorder as a harmful dysfunction.
  • It suggests mental processes (cognition, perception, learning) have natural functions.
  • Dysfunction occurs when an internal mechanism breaks down.
  • Harm arises when this dysfunction leads to negative consequences (internal anguish, challenges in daily life).

American Psychiatric Association (APA) Definition

  • The APA's definition includes significant disturbances in thoughts, feelings, and behaviors.
  • Disturbed patterns reflect dysfunction in biological, psychological, or developmental mechanisms.
  • These disturbances must cause significant distress or disability.
  • These disturbances are not expected or culturally acceptable reactions to events.

Importance of Developmental Perspective

  • Mental disorders often have distinct developmental courses.
  • 75% of mental disorders onset by childhood, adolescence, or early adulthood.
  • A life-course perspective improves research and treatment.
  • Factors such as puberty, family stressors, and chronic illnesses influence when disorders appear.

Diagnosing and Classifying Disorders

  • Accurate diagnosis provides a common language for mental health professionals and facilitates effective treatment.
  • Classification systems, such as the DSM-5, organize disorders.

Diagnostic and Statistical Manual of Mental Disorders (DSM-5)

  • DSM-5 is a classification system used by mental health professionals in the US.
  • DSM-5 provides detailed descriptions for each disorder (diagnostic features, symptoms, prevalence, risk factors).
  • Comorbidity (co-occurrence of two disorders) is also considered.
  • DSM editions have evolved, including changes in classification systems and disorders.
  • Some criticize DSM's expanding criteria for potential overpathologization.

International Classification of Diseases (ICD)

  • ICD is another significant classification system.
  • ICD is used worldwide, not just in US.
  • ICD has similar categories to DSM but possible differences in criteria.
  • Efforts are being made to harmonize the two systems.

Compassionate View of Disorders

  • Mental disorders represent the extremes of thoughts, feelings, and behaviors.
  • People with disorders are more than just their conditions.
  • Treat people with compassion, understanding, and dignity.

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