How do we define "disorder?"
- Important ramifications
- .....
- .....
- .....
- ..... - Answers - Colors the way we interpret behavior
- Insurance -> reimbursement for treatment (pressure on provider)
- Legal responsibility (insanity defense)
- Disability (mental illness interferes with job)
How do we define "disorder?"
- Past and present diagnoses have been very controversial
- ....
- ....
- ....
- .... - Answers - Drapetomania
- Childhood masturbation disorder
- Homosexuality
- Gender euphoria/transgender
No single definition of psychological abnormality or normality
- .... - Answers - most behaviors exist on continuum
Many myths are associated with mental illness
- ....
- ....
- ....
,- .... - Answers - Lazy, crazy, dumb
- Weak in character
- Dangerous to self or others
- Mental illness is a hopeless situation
Discontrol leads to .... - Answers disorder
Wakefields approach to defining abnormal behavior
Disorder as a pure value concept
- .... - Answers Judgement of desirability according to social norms and ideals
Wakefields approach to defining abnormal behavior
Disorder as whatever professionals treat
- .... - Answers 2 problems: clients come in for treatment for behavior that are normal; individuals do not
come in when they are disordered
Wakefields approach to defining abnormal behavior
Disorder as statistical deviance
- .... - Answers Problem: can be statistically deviant on many traits and its a positive attribute (ex. IQ)
Wakefields approach to defining abnormal behavior
Disorder as a biological disadvatange
- Disorder if behaviors results in lowered ___
- Disorder if some mental mechanism is not ___
- Disorder when mechanism fails to perform as it was designed AND ____ - Answers - Disorder if
behavior results in lowered reproductive fitness
- Disorder if some mental mechanism is not performing specific function it was designed to perform
- Disorder when mechanism fails to perform as it was designed AND it causes impairement
Wakefields approach to defining abnormal behavior
- Disorder as distress or ___ - Answers - Disorder as distress or suffering
Wakefield argues for disorder as
,- "Human Dysfunction" ___ - Answers hybrid of value judgment (ex. harmful) and biological
disadvantage (failure of a mechanism to perform natural function)
Toward a Definition of Abnormal Behavior
Psychological Dysfunction
- .... - Answers - Breakdown in cognitive, emotional, or behavioral functioning within individual
Toward a Definition of Abnormal Behavior
Person Distress or Disability (___ _____)
- Difficulty performing ____
- Some disorders may ____ - Answers functional impairment
- Difficulty performing appropriate and expected roles
- Some disorders may emphasize one over the other
Toward a Definition of Abnormal Behavior
Atypical or Unexpected Cultural Response
- .... - Answers Reaction is outside cultural norms
Widiger
Argues that two constructs are fundamental to definition of a mental disorder
- ....
- .... - Answers - Maladaptivity (functional impairement)
- Dyscontrol -> no control
Widiger
- Some argue we will never ____ - Answers - Some argue we will never find a perfect definition of
mental disorder
The Diagnostic and Statistical Manual
Widely accept system
- .... - Answers - Used to classify psychological problems and disorders
The Diagnostic and Statistical Manual
, DSM contains diagnostic criteria for behaviors that
- Fit a ___
- Cause dysfunction or ___
- Are present for ____
- Are based on prototypes ___ - Answers - Fit a pattern
- Cause a dysfunction or subjective distress
- Are present for specified duration
- Are based on prototypes: typical or standard example of disorder
Monothetic - Answers hit all requirements to be classified
Clinical Description of Abnormality
Begins with ____
- .... - Answers Begins with presenting problem
- Whats bringing client/patient into treatment
Clinical Description of Abnormality
Clinical Description
- Aims to distinguish clinically significant dysfunction from ___
- Describe demographics, ____ - Answers - Aims to distinguish clinically significant dysfunction from
human experiences
- Describe demographics, relevant symptoms, age of onset, precipitating factors
Clinical Description of Abnormality
Keep in mind things like:
- Prevalence (___) and Incidence (___)
- Course ___ (ex. episodic, ____)
- Onset ___ (Acute: ____ Insidious: ____)
- Prognosis (___ vs ___) - Answers - Prevalence (number of people in population with disorder) and
Incidence (number of new cases during a given time)