Chapter 3 Flashcards

Classification and diagnosis

1
Q

Two key aspects of the adequacy of classification systems

A

1.) Validity
2.) Utility

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2
Q

Validity

A

The extent to which the principles used to classify an entity are effective in capturing the nature of the entity

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3
Q

Utility

A

The usefulness of a classification scheme

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4
Q

Classification

A
  • A central element to all branches of science and social science
  • Classification can be based on a categorical approach
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5
Q

Categorical approach

A

An entity is determined to be either a member of a category or not

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6
Q

Dimensional approach

A

Classified entities differ in the extent to which they possess certain characteristics or properties

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7
Q

Two broad dimensions

A
  • Child psychopathology researcher Thomas Achenbach
    1.) Externalizing problems
    2.) Internalizing problems
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8
Q

Externalizing problems

A

Acting out behaviour such as yelling, destroying, stealing, aggression, etc

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9
Q

Internalizing problems

A

Refers to feelings of sadness, worry and withdrawn behaviour

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10
Q

How do we classify people?

A
  • A diagnostic system is a classification based on rules used to organize and understand diseases/disorders
  • As applied to the symptoms of a specific individual, the classification system yields a diagnosis that concisely describes the symptoms that comprise the person’s condition
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11
Q

Diagnostic system

A

A classification based on rules used to organize and understand diseases/disorders

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12
Q

Diagnosis

A

The result of applying the decision-making rules of a diagnostic system to the symptoms of a specific individual

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13
Q

The purposes of a diagnostic system for mental disorders

A

1.) Provide a concise description of essential aspects of the patient’s condition
2.) Reflect best current scientific knowledge of psychopathology
3.) Provide a common language for clinicians, researchers, and increasingly, patients to use in discussing mental health conditions
4.) Indicate possible causes of the current condition
5.) Indicate possible future developments in the condition
6.) Provide guidance on possible co-existing problems or conditions that should be evaluated
7.) Provide guidance on treatment options to be considered
8.) Provide a key term that can be used by clinicians to search the scientific literature for the most current information on the condition
9.) Provide a framework for determining reimbursement if health services and eligibility for special programs/services

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14
Q

Emil Kraepelin

A
  • Initially examined dementia praecox (schizophrenia) and manic-depressive insanity (bipolar disorder)
  • In the past few decades, the approach to psychiatric classification has been augmented with elements of a prototype model
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15
Q

Prototype model

A

Members of a diagnostic category may differ in the degree to which they represent the concepts underlying the category

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16
Q

Developmental psychology

A
  • Developmental psychopathology approach examines problem behaviour in relation to the milestones that are specific to each stage of development
  • Underlies that biological and psychological systems are constantly changing
17
Q

Harmful dysfunction

A

The behaviours associated with a mental disorder are dysfunctional, and the dysfunction causes harm to the individual or to those around him/her

18
Q

Dyscontrol

A

The impairment resulting from a disorder must be involuntary or not readily controlled