8 C Flashcards
what is insanity?
-mainly a legal concept
-just refers to whether or not people realize the consequences of their actions and cant see that what they are doing is wrong
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Abnormal (in relation to clinical psychology)
statistical statement referring to relatively rare patterns of thought or behaviour (great thinkers, violent criminals, etc.)
-not reffering to dissorders
what is a mental disorder?: violation of cultural rules of conduct
you might have a dissorder if your culture thinks that you have a dissorder
- problem is that cultures vary on whether a behaviour is considered deviant or not
- talking to the dead is either ok or not depending on where you are
what is a mental disorder?: maladaptive or harmful behaviour
- behaviour that is either harmful for you or others
- the problem is that there are many things that we do that are harmful to ourselves (smoking, boxing, etc.)
what is a mental disorder?: the need to experience personal suffering
if you are suffering from your behaviour
- problem is that there are some people that should be considered mentally ill, but dont get distress from their problems (psychopath)
- also if you are going through personal suffering there are many times that it is not a dissorder (grief over loss, stress over coping with poverty)
what is the actual accurate definition of a mental dissorder?
its a complicated concept that is probably a combination of:
deviating from cultural standards
harmful behaviour
intense personal suffering
-so its like each is on a scale of normal to abnormal
diagnosing types of mental disorders
- the main tool for this is “the diagnostic and statistical manual of mental disorders, fourth edition (or DSM-IV)
- the main function is to show consistency in the label assigned to specific psychological problems (about 400 dissorders currently listed)
- it tells about the symptoms and lots of information about each dissorder
the five different axes that the DSM provides in order to evaluate clients
- the primary diagnosis
- personality traits that may be relevant to treatment
- relevant medical conditions or prescription medications (may have side effects)
- pressence of social and environmental stressors
- assesment of hte client’sof social and occupational functionign
Problems with the use of DSM:overdiagnosis
one you give something a label, psychologists may apply it more than it is appropriate
-this is common for ADHD, cause if you are lookign for adhd, there are many kids that may fit the criteria, also the fastest growing dissorder in NA, so maybe an overdiagnosis
problems with the use of DSM: self fulfilling prophecy
assigning a person a mental disorder which can enchourace them to act in ways that fit the label
- the person that was diagnosed can intensify the problem that they already have, because they use that to define who they are
- the label that you give someone can stick in the minds of the people around them and even if they overcome it, they are still seen that may possibly
problems with the use of DSM: normal life concerns seen as mental dissorders
there is an increase of adding of dissorders to the manual
-people think that maybe there are things that are actually just difficult parts of life
problems with DSM: it makes diagnosis seem more objective and scientific than it is
- it is actually a manual that has dissorders that arent based on evidence, but by the opinion of members of the American Psychiatric Association
- so some mental dissorders may just reflect cultural prejudice rather than scientific research
- in the past there have been some cultural ones (urge to escape slavery, homosexuality, nymphomania, PMS, etc)
the process of Diagnosis during a mental dissorder
initial diagnosis is done based on an interview and behaviour during the interview
-there are projective tests, and objective tests
projective tests
involves getting clients to perform some action (describe ambigious picture, draw a house)
- and using this to infer aspects of personality
- the problem with this is that the way that people respond to these tests is reliably related to anything EXCEPT: the biased perspective of the clinician (the clinician may already have a predisposed idea about what they will see), the clinicians instructions and personality, momentary concerns of the client (sleepiness, worry, hunger, etc.)
- so basically these tests are kind of useless cause a lot of the outcome is based on the clinician
Objective tests
standrdized questionares
- some measure for specific emotional problems (measure of depression)
- others measure various aspects of mental disorder and personality: Minnesota multiphastic personality inventory (MMPI), the reliability and validity are ok, but can sometimes indicate that healthy ppl have mental dissorder