2.3 Abnormality and intro to Schz

Question 1

What is the Rosenhan (1973) study?

Answer 1

• study USA mental insitutions
• sent MH researchers into institutions, saying hearing things
• all diagnosed (but 1) with schz

Question 2

Deviation from social norms

Answer 2

• sociocultural influences the way abnormality is viewed
• norms vary, e.g. historical eras

Question 3

What are some personal issues with defining abnormality

Answer 3

• everyone reacts differently, people vary on how they handle things
• e.g. not all people who hear voices need help (Mary Boyle)
• not all abnormality brings personal suffering

Question 4

3 definitions of abnormality

Answer 4

• distressing to self or others
• dysfunctional for person or society
• deviant: violates social norms

Question 5

Why do we label mental health disorders?

Answer 5

• to treat
• prevalence and symptomology
• communication of understanding and prognoses

Question 6

What do we use to diagnose?

Answer 6

DSM-5

Question 7

when was the first DSM published and how many times has it been revised

Answer 7

DSM-1 (1952)
- revised five times after

Question 8

Compare DSM-I and DSM-5

Answer 8

DSM-1: 2 sections, one for disorders with impairment in brain function and one not.
DSM-5: 22 categories and 200 different mental health disorders

Question 9

What are 3 advantages for diagnosing MH?

Answer 9

• name for the experience
• access to a community
• may be a treatment

Question 10

What are 4 challenges of diagnosing MH?

Answer 10

• does one size fit all?
• Reduces responsibility (person may use it as an excuse)
• Stigma
• people an feel defined by their disorder

Question 11

Positive symptoms of Schz

Answer 11

• delusions of though
• paranoia
• auditory hallucinations
• visual hallucinations
• Bizarre, silly behavior
• Disorganized speech

Question 12

Name and describe four types of ‘delusions of thought’

Answer 12

• Thought insertions
• Though broadcast (belief all your thoughts are being broadcasted)
• Thought withdrawal (feeling like all of your thoughts have disappeared)
• Thought control (feeling like your thoughts are being controlled)

Question 13

Compare thoughts of grandeur to thoughts of reference

Answer 13

Grandeur - believing you are someone great (e.g. Jesus)
reference - belief that an event or object happened for as a sign (e.g. a natural disaster)

Question 14

What are the negative symptoms of Schz

Answer 14

• Alogia (speech poverty)
• behavioral seclusiveness (impaired social interactions)
• Apathy (lack of interest in routine behavior)

Question 15

What is the DSM-5 diagnostic criteria for Schz?

Answer 15

• 2+ symptoms must exist for over a month
• At least one symptom must be: delusions, hallucinations or disorganized speech

Question 16

Give some statistics about suicide rates in Schz

Answer 16

• Approx 10% of schz patients die via suicide
• 20 to 40% attempt
• 60 to 80% think about it
• Risk higher for men in social isolation