Introduction and Historical Review Flashcards
The scientific study of psychological/mental disorders
Psychopathology
Which three things contribute to the importance of psychopathology?
Mental disorders are extremely common
Mental disorders are a leading cause of death and disability worldwide
Mental health is complicated, stigmatized, and poorly understood
Term that is often used to when a clear diagnosis has been made and/or when symptoms are severe
Mental illness
A term that is often used when a clear diagnosis has been made, but is an alternative to “mental illness” since it does not imply that there is a “disease”
Mental/psychological disorder
A general and neutral term that can apply to any context, often used by mental health professionals and the general population, especially if no diagnosis has been made
Mental health problem/concern/issue
Problem someone might present with, not associated or not yet associated with a diagnosis
Presenting concern
Give two general reasons as to why stigma is important to consider
Impact thoughts, feelings, experiences
Can sometimes impact or worsen symptoms
List the three components that make up a mental disorder
Cause dysfunction to daily life
Cause personal distress
Are atypical or not culturally expected
(Each of these elements is insufficient on its own)
What is Wakefield’s (1992) definition of “harmful dysfunction?”
Which consists of (1) a disorder caused by a failure of a mechanism(s) to do their evolved function and (2) the dysfunction causes harm or distress
When a mental health problem interferes with the ability to complete day-to-day tasks
Dysfunction
Give three drawbacks of the “atypical or not culturally expected” criterion
Being different does not mean anything is wrong
The cultural norms and human rights of the time/place determine what counts as a pathology (e.g. being gay)
Culture is constantly changing
What is a fourth factor that could be used to describe a mental disorder?
Danger (to others and to oneself)
What are the 4 Ds of psychopathology?
Dysfunction
Distress
Deviance (atypicality)
Danger
Name three controversies concerning defining mental disorders
Who decides what is normal or abnormal?
What counts as one single disease, disorder, or syndrome?
Do mental illnesses exist at all? Are they “real”?
An organization that oversees and regulates a health professionals
College
Only individuals with certain training credentials can legally refer to themselves with a specific title
Protected title
Only individuals with certain training credentials are permitted to perform certain procedures
Protected act
Compare and contrast psychiatrists and psychotherapists
Psychiatrists:
- Are medical doctors (MD)
- Regulated by the province (e.g., College of Physicians and Surgeons of Ontario)
- Can diagnose mental disorders, prescribe medications, and conduct psychotherapy
- Due to time constraints and a lack of supply in Canada, psychiatrists often focus on medication-management and diagnosis (limited time available for psychotherapy)
Psychotherapists:
- Not a regulated health profession in most provinces (are a regulated health profession in Ontario)
- Do not diagnose mental disorders or prescribe medications
- Can perform psychotherapy to treat mental health problems
What were the main focuses of the supernatural tradition of psychopathology?
Demons and witches, stress and melancholy
What were some changes that arose with the focus on stress and melancholy during the middle ages and beyond?
Psychopathology described as a natural phenomenon
First “asylums” were formed that recommended rest, sleep, baths, ointments, and a healthy and happy environment
Some medieval treatments align directly with evidence-based interventions
Using cold water to “shock patients back to their senses”
Hydrotherapy (middle ages)