Chapter 14: Psychological Disorders Flashcards
Psychopathology
Sickness or disorder of the mind
Etiology
Factors that contribute to the development of a disorder
Multiaxial System
The system used in the DSM; it calls for assessment along five axes that describe important mental health factors
Axis I of Multiaxial System
Clinical disorders and other conditions that may be a focus of clinical attention (eg., schizophrenia, mood disorders, anxiety disorders, sexual and gender disorders, sleep disorders, eating disorders)
Axis II of Multiaxial System
Mental retardation and personality disorders (eg., antisocial personality disorder, paranoid personality disorder, borderline personality disorder)
Axis III of Multiaxial System
General medical conditions that may be relevant to mental disorders (eg., cancer, epilepsy, obesity, Parkinson’s disease, Alzheimer’s disease
Axis IV of Multiaxial System
Psychosocial and environmental problems that might affect the diagnosis, treatment, and prognosis of mental disorders (eg., unemployment, divorce, legal problems, homelessness, parental overprotection)
Axis V of Multiaxial System
Global assessment of functioning (social, psychological, and occupational) rated on a scale from 1 to 100 with 1 representing danger of hurting self or others and 100 meaning superior functioning in a wide range of areas
Categorical
Potential problem with psychological diagnosis–diagnosis is categorical and a person is either in the category or not
Dimensional Approach
Approach in which mental disorders are considered along a continuum in which people vary in degree rather than in kind
Assessment
In psychology, examination of a person’s mental state to diagnose possible psychological disorders
Mental Status Exam
Provides a snapshot of a patients psychological functioning. May be administered when patients are in emergency room
Unstructured Interview
Topics vary as interviewer probes aspects of person’s problems. Guided by past experiences of interviewer, observations, and types of problems most likely. Highly variable and overly dependent on interviewer’s skills
Structured Interview
Clinicians ask standardized questions in the same order each time. Answers are coded according to predetermined formula and diagnosis is based on specific patterns of responding
Minnesota Multiphasic Personality Inventory (MMPI)
567 true/false questions that asses emotions, thought,s and behavior. Has 10 clinical scales (eg. paranoia, depression, mania, hysteria). May help indicate whether a person has a psychological disorder
Evidence-based assessment
Approach to clinical evaluation in which research guides the evaluation of psychopathology, the selection of appropriate psychological tests and neuropsychological methods, and the use of critical thinking to make a diagnosis.
Diathesis-Stress Model
A diagnostic model that proposes that a disorder may develop when an underlying vulnerability is coupled with a precipitating event
Family Systems Model
A diagnostic model that considers symptoms within an individual as the result of the interaction between individuals and their cultures
Sociocultural Model
A diagnostic model that views psychopathology as the result of interaction between individuals and their cultures; schizophrenia is more common among lower socioeconomic classes; could be due to differences in lifestyles, expectations, and opportunities between classes
Cognitive-Behavioral Approach
A diagnostic model that views psychopathology as the result of learned, maladaptive thoughts and beliefs (from classical and operant conditioning)
Internalizing Disorders
Characterized by negative emotions, and can be groups into categories that reflect the emotions of distress and fear. Eg. major depressive disorder, generalized anxiety disorder, panic disorder. More common in females.
Externalizing Disorders
Characterized by disinhibition. Includes alcoholism, conduct disorders, and antisocial personality disorders. More common in males.
Cultural Syndromes
Disorders that include a cluster of symptoms that are found in specific cultural groups or regions