Ch. 7 Lecs Flashcards
when you first get a patient, typically do a …/…./…
intake interview;
diagnostic interview;
psych eval
intake interview/diagnostic interview/psych eval:
- assessing patient’s …, levels of …, …
symptoms;
maladjustment;
why they’re coming in
diagnosis: behavior is … (idek what this means)
abnormal
defining abnormality is a challenge:
- abnormal is …
- best way to define abnormality is … - will be different for everyone bc we all have different …
maladaptive;
4 Ds;
levels of functioning
best way to define abnormality is 4 ds:
- deviance: behavior that isn’t normal in a … at a … –> looking at normal vs abnormal in our … and …
- deviance …
specific society; specific time; time; culture; changes with time
best way to define abnormality is 4 ds:
- distress: behavior that’s distressing can … –> this is …
become abnormal;
what’s freaking you out
best way to define abnormality is 4 ds:
- dysfunction: …
- …
- presence of any of these doesn’t necessarily mean …
preventing you from functioning in daily life;
danger;
you have a diagnosis
who defines abnormality?
- …
- typical but abnormal? –> something that …, but …
- medical model of psychopathology
DSM;
everyone is doing;
isn’t necessarily normal
labeling a disorder helps facilitate more … and helps with developing …
research;
new treatment techniques
labeling increases … and helps professionals … (it’s a good …)
level of awareness;
communicate with one another;
universal form of language
labeling for clients has both good and bad aspects:
- … their experience, allows them to know that other people are …, acknowledges significance of the problem in that it’s …
demystifies;
suffering from the same thing;
common
labeling for clients has both good and bad aspects:
bad thing:
- can lead to …
- … –> …, …
stigmatization;
self-handicapping;
shirking of responsibility;
blaming diagnosis
insane asylums in …
- more humane than …
- aka …
19th century;
prisons;
“mad-houses”
DSM I and II were very similar:
- not … based
- … came up with the first two DSMs
- had three broad categories: …, … and …
empirically; Freudian-based psychiatrists; neuroses; psychoses; character disorders
DSM I and II were very similar: three broad categories: - neuroses: ..., ..., ... - psychoses: ... - character disorders: ... - ... was considered a mental illness
depression; bipolar; anxiety; schizophrenia; personality disorders; homosexuality
DSM III in …:
- relied on …
- helped …
- broke down the three categories and made them …
1980;
empirical research;
define different disorders;
very specific;
DSM III in 1980:
- … - no specific …
atheoretical;
school of psychotherapeutic influence
DSM IV in … and IV-TR in ..
1994;
2000
DSM IV and IV-TR:
- no differences in …, just revision of some … and …
- included significant …
diagnoses;
symptoms;
criteria;
multiculturalism
DSM IV and IV-TR:
- … of how different cultures express disorders
- cultural concepts of …./…
cultural variations;
“distress”;
culture-bound symptoms
DSM-5 in …:
- huge revision
2013
DSM-5:
changes that weren’t made:
- didn’t emphasize … and … of mental disorders because we can’t … for mental illness
neuropsychology;
biological roots;
biologically test;
mental illness
DSM-5:
changes that weren’t made:
- … approach for mental illness wasn’t included: right now, it’s just that …
dimensional;
you either have it or you don’t
DSM-5:
changes that weren’t made:
personality disorders: were almost taken out of DSM
- they’re not .., they can …
- known to be …
- potentially removing them and having them on a spectrum of …
black and white;
come and go;
long term;
personality characteristics
(DSM-5 new features)
new disorders added:
PMDD (premenstrual dysphoric disorder):
- some females become … when premenstrual
- symptoms that last at least … that are clinically significant, has to …, causes any/all of …
psychotic;
a year;
interfere with daily life;
4 Ds
(DSM-5 new features)
new disorders added:
- PMDD: controversies about …
re-pathologizing women
(DSM-5 new features) new disorders added: - ... - ... disorder - ... disorder - ... disorder - ... disorder - ... disorder
PMDD; disruptive mood dysregulation disorder; binge eating disorder; mild neurocognitive disorder; somatic symptom disorder; hoarding disorder;
(DSM-5 new features) new disorders added: disruptive mood dysregulation disorder: - for ... - too many kids being diagnosed with ..., which is an adult diagnosis - kids having ...
kids;
bipolar disorder;
bipolar symptoms
(DSM-5 new features)
new disorders added:
disruptive mood dysregulation disorder:
- at least …. a week for a … in kids under 18
- differentiates from bioolar disorder in that it has to happen …
3 temper tantrums;
year;
in two different settings
(DSM-5 new features) new disorders added: binge eating disorder: - similar to ..., but no ... - binges have to happen at least ... for ...
bulimia;
compensatory mechanisms;
once a week;
three months
(DSM-5 new features) new disorders added: mild neurocognitive disorder: - soft version of ... - these people can still ... and can still ...
dementia;
live alone;
function
(DSM-5 new features) new disorders added: somatic symptom disorder: - somatic: ... - excessive focus on ... symptom - these symptoms are ...
bodily;
bodily;
real
(DSM-5 new features)
new disorders added:
somatic symptom disorder:
- e.g. stomach issues, doctors can’t find anything, ends up being …
psychological
(DSM-5 new features)
new disorders added:
hoarding disorder:
- people who can’t … –> falls under … category (it’s a …)
throw away things;
danger;
fire hazard
current controversies-dsm:
- … of the revision process –> most of the decisions made by …
transparency;
members of the taskforce
current controversies-dsm:
- most of the people who write the book are …, not …
researchers;
clinicians
current controversies-dsm:
- field trial problems - trials looking at … and … of new diagnoses were … –> new research is …
- dsm is …
reliability; validity;
inconsistent;
questionable;
expensive
criticisms-dsm:
- breadth of coverage - same idea as …, some disorders being considered … (e.g. …)
diagnostic overexpansion;
mental disorders;
learning disorders
criticisms-dsm:
- arbitrary cutoffs regarding … –> what determines these?
time periods in order to be diagnosed
criticisms-dsm:
- cultural issues: still written mostly by …
non-minority heterosexual white males
criticisms-dsm:
- gender bias - males/females tend to have … (e.g. females having more …/…, males having more ….)
different diagnoses;
mood/eating disorders;
addiction disorders
criticisms-dsm:
- gender bias - males/females tend to have different diagnoses –> are we … ?
over-pathologizing one gender over another
criticisms-dsm:
- … influences based on … (e.g. homosexuality previously having been a mental illness)
- limitations on …
nonempirical;
culture;
objectivity
criticisms-dsm:
- limitations on objectivity –> those who wrote dsm are basing decisions/judgments on …/…
societal values; social contexts
alternate directions for dsm:
- right now, it’s very black and white - you either have it or you don’t
- we’re doing a … want to move towards a … approach based on the …
- moving away from … and treating clients based on the … that they fall based on this model
categorical approach; dimensional; 5 factor model of personality; diagnoses; spectrum
medical model of psychopathology:
- in dsm, disorders are listed … with … just as they are in the ICD-10 which is what classifies …
categorically;
symptoms;
medical conditions
DSM (first one) came out in …
DSM II came out in …
1952;
1968
DSM III came out in …
DSM-III-R came out in …
1980;
1987
DSM IV came out in …
DSM IV TR came out in …
DSM 5 came out in …
1994;
2000;
2013
