Week 1 - Criteria and History PDF

Overview Psychopathology Criteria Deviance Distress Dysfunction Danger Psychopathology Then and Now 1500s 1800s 1900s Managed Care Programs Psychopathology Criteria Four Criteria Deviance Distress Dysfunction Danger Deviance Behavior must depart from what...

Overview Psychopathology Criteria Deviance Distress Dysfunction Danger Psychopathology Then and Now 1500s 1800s 1900s Managed Care Programs Psychopathology Criteria Four Criteria Deviance Distress Dysfunction Danger Deviance Behavior must depart from what is considered normal within one’s cultural context Deviance Behavior must depart from what is considered normal within one’s cultural context Will be different from culture to culture Cannot be tolerated by culture, or else is just eccentricity Distress Behavior must cause negative emotions to the individual, or those around them Dysfunction Behavior must get in the way of individual’s ability to socialize, have fun, work, and/or engage in other meaningful pastimes Danger Behavior must place individual or those around them at risk Ex: behavior that’s confused, hostile, or careless This is the exception rather than the rule Does not count as abnormal behavior unless distress and dysfunction are also present Psychopathology Criteria Applied Celine wears the same outfit every day. She reports that doing so pleases the spirit of the fictional character Lestat, whom she worships, and that she is herself a vampire. Is this psychopathology? Chris reports that his attraction to women causes him extreme fear, because he is obsessed with the belief that he might say something inappropriate to every woman he encounters. He avoids his boss and every other woman he knows, and has recently lost his job as a result. Is this psychopathology? Psychopathology Then and Now Psychopathology Then Psychopathology Then Psychopathology Then Psychopathology Then Psychopathology Then 1500s: Asylums “Asylum” = place of retreat and protection Founded to give peace and good care to afflicted Quality declined as funding was cut and overcrowding occurred Psychopathology Then 500 BCE 500 – 1500 – 1800 - – 500 CE 1500 CE 1800 CE 2000 CE - explanation: explanation: explanation: explanation: imbalanced demons, toxins, mental humors witchcraft exhaustion imbalance, - treatment: treatment: treatment: genetic diet killing, asylums, factors changes, exorcism healing treatment: bleeding shrines drug therapy, talk therapy Psychopathology Then 1800s: Moral Treatment Belief that mentally ill would benefit from rest, dignified care, and meaningful work Helped 1000s recover Quality declined as prejudice against mentally ill grew, leading to overcrowding and loss of funding Psychopathology Then 1900s: Deinstitutionalization Efforts to close asylums and send mentally ill home Drug therapies helpful for many bipolar and schizophrenic patients Funding cuts and overcrowding in 1980s led to sharp dropoff in quality Psychopathology Now Americans with serious mental illness 56% are in jail or prison 28% are homeless 3% are in hospitals Psychopathology Now Insurance In theory: company helps individual save money to cover health care costs In practice… Managed Care Program Situation where your insurance company decides Whether you need therapy How much therapy you get What types of therapy you get When therapy should stop What “counts” as therapy even though decision makers are usually non-experts Psychopathology Then and Now Think-Pair-Share What new problems does treatment of mental illness face now that it didn’t 1000 years ago? What old problems have we eliminated with regard to treatment of mental illness?