Psychology Psychological Disorders Study Guide

  1. What Is A Psychological Disorders
  2. Ap Psychology Chapter 15 Psychological Disorders Study Guide Answers

Questions pertaining to Psychological Disorders. Psychological Disorders Questions. Google Classroom Facebook Twitter. A summary of Anxiety Disorders in 's Psychological Disorders. Learn exactly what happened in this chapter, scene, or section of Psychological Disorders and what it means. Perfect for acing essays, tests, and quizzes, as well as for writing lesson plans.

Learning Objectives. Define “psychological disorder” and summarize the general causes of disorder. Explain why it is so difficult to define disorder, and how the Diagnostic and Statistical Manual of Mental Disorders ( DSM) is used to make diagnoses. Describe the stigma of psychological disorders and their impact on those who suffer from them.

The focus of the next two chapters is to many people the heart of psychology. This emphasis on — the application of psychological science to understanding and treating mental disorders—is appropriate, as more psychologists are involved in the diagnosis and treatment of psychological disorder than in any other endeavor, and these are probably the most important tasks psychologists face. About 1 in every 4 Americans (or over 78 million people) are affected by a psychological disorder during any one year (Kessler, Chiu, Demler, & Walters, 2005), and at least a half billion people are affected worldwide. The impact of mental illness is particularly strong on people who are poorer, of lower socioeconomic class, and from disadvantaged ethnic groups. People with psychological disorders are also stigmatized by the people around them, resulting in shame and embarrassment, as well as prejudice and discrimination against them. Thus the understanding and treatment of psychological disorder has broad implications for the everyday life of many people. Shows the (i.e., the frequency of occurrence of a given condition in a population at a given time) of some of the major psychological disorders in the United States.

Sources: Kessler, R. T., Demler, O., & Walters, E. Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62(6), 617–627; Narrow, W.

S., Robins, L. N., & Regier, D.

Revised prevalence based estimates of mental disorders in the United States: Using a clinical significance criterion to reconcile 2 surveys’ estimates. Archives of General Psychiatry, 59(2), 115–123. In this chapter our focus is on the disorders themselves. We will review the major psychological disorders and consider their causes and their impact on the people who suffer from them. Then in, we will turn to consider the treatment of these disorders through psychotherapy and drug therapy.

Defining Disorder A is an ongoing dysfunctional pattern of thought, emotion, and behavior that causes significant distress, and that is considered deviant in that person’s culture or society (Butcher, Mineka, & Hooley, 2007). Psychological disorders have much in common with other medical disorders. They are out of the patient’s control, they may in some cases be treated by drugs, and their treatment is often covered by medical insurance. Like medical problems, psychological disorders have both biological (nature) as well as environmental (nurture) influences.

These causal influences are reflected in the bio-psycho-social model of illness (Engel, 1977). The is a way of understanding disorder that assumes that disorder is caused by biological, psychological, and social factors. The biological component of the bio-psycho-social model refers to the influences on disorder that come from the functioning of the individual’s body. Particularly important are genetic characteristics that make some people more vulnerable to a disorder than others and the influence of neurotransmitters. The psychological component of the bio-psycho-social model refers to the influences that come from the individual, such as patterns of negative thinking and stress responses.

The social component of the bio-psycho-social model refers to the influences on disorder due to social and cultural factors such as socioeconomic status, homelessness, abuse, and discrimination. Figure 12.1 The Bio-Psycho-Social Model The bio-psycho-social model of disorder proposes that disorders are caused by biological, psychological, and social-cultural factors.

To consider one example, the psychological disorder of schizophrenia has a biological cause because it is known that there are patterns of genes that make a person vulnerable to the disorder (Gejman, Sanders, & Duan, 2010). But whether or not the person with a biological vulnerability experiences the disorder depends in large part on psychological factors such as how the individual responds to the stress he experiences, as well as social factors such as whether or not he is exposed to stressful environments in adolescence and whether or not he has support from people who care about him (Sawa & Snyder, 2002; Walker, Kestler, Bollini, & Hochman, 2004). Similarly, mood and anxiety disorders are caused in part by genetic factors such as hormones and neurotransmitters, in part by the individual’s particular thought patterns, and in part by the ways that other people in the social environment treat the person with the disorder. We will use the bio-psycho-social model as a framework for considering the causes and treatments of disorder.

Although they share many characteristics with them, psychological disorders are nevertheless different from medical conditions in important ways. For one, diagnosis of psychological disorders can be more difficult. Although a medical doctor can see cancer in the lungs using an MRI scan or see blocked arteries in the heart using cardiac catheterization, there is no corresponding test for psychological disorder.

Current research is beginning to provide more evidence about the role of brain structures in psychological disorder, but for now the brains of people with severe mental disturbances often look identical to those of people without such disturbances. Because there are no clear biological diagnoses, psychological disorders are instead diagnosed on the basis of clinical observations of the behaviors that the individual engages in. These observations find that emotional states and behaviors operate on a continuum, ranging from more “normal” and “accepted” to more “deviant,” “abnormal,” and “unaccepted.” The behaviors that are associated with disorder are in many cases the same behaviors we that engage in our “normal” everyday life. Washing one’s hands is a normal healthy activity, but it can be overdone by those with an obsessive-compulsive disorder (OCD). It is not unusual to worry about and try to improve one’s body image, but Robert’s struggle with his personal appearance, as discussed at the beginning of this chapter, was clearly unusual, unhealthy, and distressing to him. Table 12.2 Diagnosing Disorder Yes No Need more information Description Jackie frequently talks to herself while she is working out her math homework.

Her roommate sometimes hears her and wonders if she is OK. Charlie believes that the noises made by cars and planes going by outside his house have secret meanings. He is convinced that he was involved in the start of a nuclear war and that the only way for him to survive is to find the answer to a difficult riddle. Harriet gets very depressed during the winter months when the light is low. She sometimes stays in her pajamas for the whole weekend, eating chocolate and watching TV. Frank seems to be afraid of a lot of things.

He worries about driving on the highway and about severe weather that may come through his neighborhood. But mostly he fears mice, checking under his bed frequently to see if any are present.

A worshipper speaking in “tongues” at an Evangelical church views himself as “filled” with the Holy Spirit and is considered blessed with the gift to speak the “language of angels.” A trained clinical psychologist would have checked off “need more information” for each of the examples in because although the behaviors may seem unusual, there is no clear evidence that they are distressing or dysfunctional for the person. Talking to ourselves out loud is unusual and can be a symptom of schizophrenia, but just because we do it once in a while does not mean that there is anything wrong with us. It is natural to be depressed, particularly in the long winter nights, but how severe should this depression be, and how long should it last? If the negative feelings last for an extended time and begin to lead the person to miss work or classes, then they may become symptoms of a mood disorder. It is normal to worry about things, but when does worry turn into a debilitating anxiety disorder? And what about thoughts that seem to be irrational, such as being able to “speak the language of angels”?

Are they indicators of a severe psychological disorder, or part of a normal religious experience? Again, the answer lies in the extent to which they are (or are not) interfering with the individual’s functioning in society.

Another difficulty in diagnosing psychological disorders is that they frequently occur together. For instance, people diagnosed with anxiety disorders also often have mood disorders (Hunt, Slade, & Andrews, 2004), and people diagnosed with one personality disorder frequently suffer from other personality disorders as well. Occurs when people who suffer from one disorder also suffer at the same time from other disorders. Because many psychological disorders are comorbid, most severe mental disorders are concentrated in a small group of people (about 6% of the population) who have more than three of them (Kessler, Chiu, Demler, & Walters, 2005). Psychology in Everyday Life: Combating the Stigma of Abnormal Behavior Every culture and society has its own views on what constitutes abnormal behavior and what causes it (Brothwell, 1981). The Old Testament Book of Samuel tells us that as a consequence of his sins, God sent King Saul an evil spirit to torment him (1 Samuel 16:14).

Ancient Hindu tradition attributed psychological disorder to sorcery and witchcraft. During the Middle Ages it was believed that mental illness occurred when the body was infected by evil spirits, particularly the devil.

Remedies included whipping, bloodletting, purges, and trepanation (cutting a hole in the skull) to release the demons. Peter Treveris – – public domain. Until the 18th century, the most common treatment for the mentally ill was to incarcerate them in asylums or “madhouses.” During the 18th century, however, some reformers began to oppose this brutal treatment of the mentally ill, arguing that mental illness was a medical problem that had nothing to do with evil spirits or demons. In France, one of the key reformers was Philippe Pinel (1745–1826), who believed that mental illness was caused by a combination of physical and psychological stressors, exacerbated by inhumane conditions. Pinel advocated the introduction of exercise, fresh air, and daylight for the inmates, as well as treating them gently and talking with them. In America, the reformers Benjamin Rush (1745–1813) and Dorothea Dix (1802–1887) were instrumental in creating mental hospitals that treated patients humanely and attempted to cure them if possible. These reformers saw mental illness as an underlying psychological disorder, which was diagnosed according to its symptoms and which could be cured through treatment.

Television advertisements may perpetuate negative stereotypes about the mentally ill. Burger King recently ran an ad called “The King’s Gone Crazy,” in which the company’s mascot runs around an office complex carrying out acts of violence and wreaking havoc. The most significant problem of the stigmatization of those with psychological disorder is that it slows their recovery. People with mental problems internalize societal attitudes about mental illness, often becoming so embarrassed or ashamed that they conceal their difficulties and fail to seek treatment. Stigma leads to lowered self-esteem, increased isolation, and hopelessness, and it may negatively influence the individual’s family and professional life (Hayward & Bright, 1997). Despite all of these challenges, however, many people overcome psychological disorders and go on to lead productive lives.

It is up to all of us who are informed about the causes of psychological disorder and the impact of these conditions on people to understand, first, that mental illness is not a “fault” any more than is cancer. People do not choose to have a mental illness. Second, we must all work to help overcome the stigma associated with disorder. Organizations such as the National Alliance on Mental Illness (NAMI; n.d.) 2, for example, work to reduce the negative impact of stigma through education, community action, individual support, and other techniques. Diagnosing Disorder: The DSM Psychologists have developed criteria that help them determine whether behavior should be considered a psychological disorder and which of the many disorders particular behaviors indicate.

These criteria are laid out in a 1,000-page manual known as the, a document that provides a common language and standard criteria for the classification of mental disorders (American Psychiatric Association, 2000) 1. The DSM is used by therapists, researchers, drug companies, health insurance companies, and policymakers in the United States to determine what services are appropriately provided for treating patients with given symptoms. Figure 12.6 The Diagnostic and Statistical Manual of Mental Disorders ( DSM) is used to classify psychological disorders in the United States.

Richard Masoner / Cyclelicious – – CC BY-SA 2.0. The first edition of the DSM was published in 1952 on the basis of census data and psychiatric hospital statistics. Since then, the DSM has been revised five times. The last major revision was the fourth edition ( DSM-IV), published in 1994, and an update of that document was produced in 2000 ( DSM-IV-TR). The fifth edition ( DSM-V) is currently undergoing review, planning, and preparation and is scheduled to be published in 2013. The DSM-IV-TR was designed in conjunction with the World Health Organization’s 10th version of the International Classification of Diseases ( ICD-10), which is used as a guide for mental disorders in Europe and other parts of the world.

As you can see in, the DSM organizes the diagnosis of disorder according to five dimensions (or axes) relating to different aspects of disorder or disability. The axes are important to remember when we think about psychological disorder, because they make it clear not only that there are different types of disorder, but that those disorders have a variety of different causes. Axis I includes the most usual clinical disorders, including mood disorders and anxiety disorders; Axis II includes the less severe but long-lasting personality disorders as well as mental retardation; Axis III and Axis IV relate to physical symptoms and social-cultural factors, respectively. The axes remind us that when making a diagnosis we must look at the complete picture, including biological, personal, and social-cultural factors. Adapted from American Psychiatric Association. Diagnostic and statistical manual of mental disorders (4th ed., text rev.).

What Is A Psychological Disorders

Washington, DC: Author. The DSM does not attempt to specify the exact symptoms that are required for a diagnosis. Rather, the DSM uses categories, and patients whose symptoms are similar to the description of the category are said to have that disorder. The DSM frequently uses qualifiers to indicate different levels of severity within a category. For instance, the disorder of mental retardation can be classified as mild, moderate, or severe. Each revision of the DSM takes into consideration new knowledge as well as changes in cultural norms about disorder.

Ap Psychology Chapter 15 Psychological Disorders Study Guide Answers

Homosexuality, for example, was listed as a mental disorder in the DSM until 1973, when it was removed in response to advocacy by politically active gay rights groups and changing social norms. The current version of the DSM lists about 400 disorders. Some of the major categories are shown in, and you may go to and browse the complete list.

Psychology

Diagnosis or Overdiagnosis? ADHD, Autistic Disorder, and Asperger’s Disorder Two common critiques of the DSM are that the categorization system leaves quite a bit of ambiguity in diagnosis and that it covers such a wide variety of behaviors.

Let’s take a closer look at three common disorders— attention-deficit/hyperactivity disorder (ADHD), autistic disorder, and Asperger’s disorder—that have recently raised controversy because they are being diagnosed significantly more frequently than they were in the past. Zack, aged 7 years, has always had trouble settling down. He is easily bored and distracted. In school, he cannot stay in his seat for very long and he frequently does not follow instructions.

He is constantly fidgeting or staring into space. Zack has poor social skills and may overreact when someone accidentally bumps into him or uses one of his toys. At home, he chatters constantly and rarely settles down to do a quiet activity, such as reading a book.

Symptoms such as Zack’s are common among 7-year-olds, and particularly among boys. But what do the symptoms mean? Does Zack simply have a lot of energy and a short attention span? Boys mature more slowly than girls at this age, and perhaps Zack will catch up in the next few years.

One possibility is for the parents and teachers to work with Zack to help him be more attentive, to put up with the behavior, and to wait it out. But many parents, often on the advice of the child’s teacher, take their children to a psychologist for diagnosis. If Zack were taken for testing today, it is very likely that he would be diagnosed with a psychological disorder known as.

ADHD is a developmental behavior disorder characterized by problems with focus, difficulty maintaining attention, and inability to concentrate, in which symptoms start before 7 years of age (American Psychiatric Association, 2000; National Institute of Mental Health, 2010) 1. Although it is usually first diagnosed in childhood, ADHD can remain problematic in adults, and up to 7% of college students are diagnosed with it (Weyandt & DuPaul, 2006). In adults the symptoms of ADHD include forgetfulness, difficulty paying attention to details, procrastination, disorganized work habits, and not listening to others. ADHD is about 70% more likely to occur in males than in females (Kessler, Chiu, Demler, & Walters, 2005), and is often comorbid with other behavioral and conduct disorders. The diagnosis of ADHD has quadrupled over the past 20 years such that it is now diagnosed in about 1 out of every 20 American children and is the most common psychological disorder among children in the world (Olfson, Gameroff, Marcus, & Jensen, 2003). ADHD is also being diagnosed much more frequently in adolescents and adults (Barkley, 1998). You might wonder what this all means.

Psychological

Are the increases in the diagnosis of ADHD due to the fact that today’s children and adolescents are actually more distracted and hyperactive than their parents were, due to a greater awareness of ADHD among teachers and parents, or due to psychologists and psychiatrists’ tendency to overdiagnose the problem? Perhaps drug companies are also involved, because ADHD is often treated with prescription medications, including stimulants such as Ritalin. Although skeptics argue that ADHD is overdiagnosed and is a handy excuse for behavioral problems, most psychologists believe that ADHD is a real disorder that is caused by a combination of genetic and environmental factors.

Twin studies have found that ADHD is heritable (National Institute of Mental Health, 2008) 3, and neuroimaging studies have found that people with ADHD may have structural differences in areas of the brain that influence self-control and attention (Seidman, Valera, & Makris, 2005). Other studies have also pointed to environmental factors, such as mothers’ smoking and drinking alcohol during pregnancy and the consumption of lead and food additives by those who are affected (Braun, Kahn, Froehlich, Auinger, & Lanphear, 2006; Linnet et al., 2003; McCann et al., 2007). Social factors, such as family stress and poverty, also contribute to ADHD (Burt, Krueger, McGue, & Iacono, 2001). Autistic Disorder and Asperger’s Disorder Jared’s kindergarten teacher has voiced her concern to Jared’s parents about his difficulties with interacting with other children and his delay in developing normal language. Jared is able to maintain eye contact and enjoys mixing with other children, but he cannot communicate with them very well.

He often responds to questions or comments with long-winded speeches about trucks or some other topic that interests him, and he seems to lack awareness of other children’s wishes and needs. Jared’s concerned parents took him to a multidisciplinary child development center for consultation. Here he was tested by a pediatric neurologist, a psychologist, and a child psychiatrist. The pediatric neurologist found that Jared’s hearing was normal, and there were no signs of any neurological disorder.

He diagnosed Jared with a pervasive developmental disorder, because while his comprehension and expressive language was poor, he was still able to carry out nonverbal tasks, such as drawing a picture or doing a puzzle. Based on her observation of Jared’s difficulty interacting with his peers, and the fact that he did not respond warmly to his parents, the psychologist diagnosed Jared with, a disorder of neural development characterized by impaired social interaction and communication and by restricted and repetitive behavior, and in which symptoms begin before 7 years of age. The psychologist believed that the autism diagnosis was correct because, like other children with autism, Jared, has a poorly developed ability to see the world from the perspective of others; engages in unusual behaviors such as talking about trucks for hours; and responds to stimuli, such as the sound of a car or an airplane, in unusual ways.

The child psychiatrist believed that Jared’s language problems and social skills were not severe enough to warrant a diagnosis of autistic disorder and instead proposed a diagnosis of, a developmental disorder that affects a child’s ability to socialize and communicate effectively with others and in which symptoms begin before 7 years of age. The symptoms of Asperger’s are almost identical to that of autism (with the exception of a delay in language development), and the child psychiatrist simply saw these problems as less extreme.

Imagine how Jared’s parents must have felt at this point. Clearly there is something wrong with their child, but even the experts cannot agree on exactly what the problem is. Diagnosing problems such as Jared’s is difficult, yet the number of children like him is increasing dramatically. Disorders related to autism and Asperger’s disorder now affect almost 1% of American children (Kogan et al., 2007).

The milder forms of autism, and particularly Asperger’s, have accounted for most of this increase in diagnosis. Although for many years autism was thought to be primarily a socially determined disorder, in which parents who were cold, distant, and rejecting created the problem, current research suggests that biological factors are most important. The heritability of autism has been estimated to be as high as 90% (Freitag, 2007). Scientists speculate that autism is caused by an unknown genetically determined brain abnormality that occurs early in development.

It is likely that several different brain sites are affected (Moldin, 2003), and the search for these areas is being conducted in many scientific laboratories. But does Jared have autism or Asperger’s? The problem is that diagnosis is not exact (remember the idea of “categories”), and the experts themselves are often unsure how to classify behavior.

Furthermore, the appropriate classifications change with time and new knowledge. The American Psychiatric Association has recently posted on its website a proposal to eliminate the term Asperger’s syndrome from the upcoming DSM-V.

Whether or not Asperger’s will remain a separate disorder will be made known when the next DSM-V is published in 2013. Key Takeaways.

More psychologists are involved in the diagnosis and treatment of psychological disorder than in any other endeavor, and those tasks are probably the most important psychologists face. The impact on people with a psychological disorder comes both from the disease itself and from the stigma associated with disorder. A psychological disorder is an ongoing dysfunctional pattern of thought, emotion, and behavior that causes significant distress and that is considered deviant in that person’s culture or society. According to the bio-psycho-social model, psychological disorders have biological, psychological, and social causes.

It is difficult to diagnose psychological disorders, although the DSM provides guidelines that are based on a category system. The DSM is frequently revised, taking into consideration new knowledge as well as changes in cultural norms about disorder. There is controversy about the diagnosis of disorders such as ADHD, autistic disorder, and Asperger’s disorder.