4Ds of Diagnosis Flashcards

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1
Q

What is deviance?

A

Based around the idea of social norms (agreed ways of acting/normal behaviours within a society)

Those who break them are abnormal in society e.g. hearing voices

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2
Q

What are social norms affected by?

A

Culture: different cultures have different norms

Context: e.g. clothes you wear in a certain situation

Age: certain behaviours expected by different age groups

Gender: certain behaviours expected in males and females

Historical context: behaviours that used to be considered abnormal but are not anymore e.g. homosexuality

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3
Q

What is dysfunction?

A

Affects working life e.g. not being able to go to work everyday

Inability to function normally, live life effectively etc is abnormal e.g. not going out with friends

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4
Q

What type of behaviours are seen in dysfunction?

A

Suffering

Maladaptiveness

Vividness/Unconventional behaviour

Unpredictability & loss of control

Irrationality & Incomprehensibility

Observer discomfort

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5
Q

What is distress?

A

A behaviour is considered abnormal because it causes upset to the individual

e.g. being unhappy with the symptoms (of OCD, phobias, depression, schizophrenia) that they experience

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6
Q

Why can distress be thought of as a continuum?

A

Everyone can feel distress at times but persistent and serious distress is a concern and is considered abnormal

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7
Q

What type of experience does distress deal with?

A

Subjective - each individual feels their distress uniquely

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8
Q

What is danger?

A

People who are a danger to themselves or others because of faulty thinking and behaviour

e.g. self harm, suicide

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9
Q

Why is danger a continuum?

A

Varying degrees of danger to themselves or others

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10
Q

Why is deviance holistic as a definition?

A

Takes into account many factors which makes something a social norm

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11
Q

Why is depending on a psychiatrist’s perception of social norms a weakness of deviance?

A

Some behaviours will be considered deviant by some doctors but not others e.g. talking to yourself

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12
Q

Why can deviance be considered less credible?

A

Some behaviours may be considered deviant but are not a symptom of mental disorder

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13
Q

How does dysfunction consider the life quality of a patient?

A

Talks about dysfunction in their lives (damaging life quality) so looks at wellbeing

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14
Q

Why might dysfunction be subjective?

A

Some behaviours considered dysfunctional by some doctors but not by others e.g. gambling, drinking

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15
Q

How does distress consider the life quality of the patient?

A

Talks about distress in their lives (damages life quality) so considers wellbeing of the patient

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16
Q

Why can distress be questioned for its validity?

A

Many behaviours cause distress but aren’t counted e.g. over-eating, binge drinking weight gain or remaining in a happy relationship without actually being considered as a mental health problem

17
Q

How does danger consider the life quality of the patient?

A

Talks about if they are a risk to themselves in their lives, it damaged life quality so wellbeing is being assured

18
Q

Why can the validity of danger be questioned?

A

Many behaviours that are dangerous are not considered

e.g. smoking, driving, driving quickly consistently

19
Q

What does the DSM focus on, showing validity and why its useful?

A

4Ds e.g. its not enough for schizophrenia to have deviant behaviour, distress , dysfunction also needs to be present

20
Q

What is the issue with having a lack of objectivity in the 4Ds?

A

Issues with reliability, may not reach the same diagnoses if used by two different therapists

e.g. dissociative identity disorder is recognised in USA but not Britain

21
Q

What does Davis propose should be included in the 4Ds?

A

5th D - duration

e.g. grieving after the death of a loved on but if it goes on too long it becomes abnormal