Professional Documents
Culture Documents
Module 1: Introduction
Event consumed you so much, changed your entire life getting cheated on, family member was ill, waiting to hear about a job interview o Hard to do anything challenge to do simple daily tasks o Situation resolves itself & you can move on/function again What if you couldnt move on because it was a voice, or fear of strangers/ intense mysterious sadness way of life for millions suffering psychological disturbance
Psych 1X03 C01 Professor Kim & Professor Cheal 06/04/12 Psychodynamic Model One of the earliest models pioneered by Freud Like biological model, believes mental disorders rooted in internal malfunction o Instead of physical malfunction( like bio model) thought to be psychological malfunction Mind & processes, not physical brain working improperly Mental disorder attributed to maladaptive attempts to deal with strong, unconscious conflicts o Fred believed theses conflicts stemmed from unresolved childhood issues This approach sees no physical therapy (drug treatment) curing mental disorder only temporary relief Psychoanalysis gets to root of problem to end disorder o Ex. Focus on personal insight help patients understand themselves to cope with stressors Behaviourist Model Medical & psychodynamic models mental disorder = internal problem Disordered and maladaptive behaviours seen on outside = symptoms of internal issues o Fever symptom of infection, limp symptom of leg injury Behaviourism psychological disorders = external, overt behaviour Disordered behaviours/emotions are NOT internal symptoms but the problem itself o instinctive sense abnormal behaviours= striking, draws attention Distorted behaviours come from instrumental/classical conditioning o Contingencies/rewards/punishments received for actions influence behaviour Ex. Behaviour leads to sympathy/attention keeps you out of anxiety situation o Some behaviours generalized from situations where its appropriate to those where its not Treatment of maladaptive behaviours using principles form conditioning o Classical conditioning to treat phobias Criticisms (some by cognitive model) o Someone hearing/responding to voices in head learned to behave that way? o Behavioural treatment effective in therapists office not always transferable to other environments o Treats people as reflexive beings react to environment without planning/ remembering/ predicting things Cognitive Model Mental disorder results from maladaptive ways of interpreting info from environment o Ex. Enjoying vs anxious feeling of public speaking effective message or evaluated negatively? o Interpretation = different behaviours may be considered abnormal o Assumes that experience/learning shape maladaptive thinking o Cognitive therapies identifies maladaptive thinking & change it through positive experiences 3
Psych 1X03 C01 Professor Kim & Professor Cheal 06/04/12 o Cognitive-behavioural therapies: change thinking and behaviour o Cognitive (+ interpretations) behavioural (+ actions) approaches complement each other
Characterizing Mood Disorders Disturbances in emotion depressed mood depression AND elevated mood of mania 2 main types of depressed mood disorders o Unipolar Depression o Bipolar Depression Ex.of Unipolar Depression aka Major Depression John lost job @ head engineer plant shut down 4 months ago. Spends time at home sleeping rather than looking for job; little interest in doing anything, stays in bed Usually physically active, not lately little appetite, chronic headaches/muscle sores When doing anything, moves very slow trouble concentrating on task Mind = negative thoughts failed fam, feels guilty, thinks of suicide to end misery o Severe case, not every symptom has to be there for diagnosis o Untreated repeated episodes of unipolar/major depression last many months o Between episodes return to normal functioning Because of risks (suicide/harmful effects) should be treated Dysthymia Symptoms of depression less severe (aka Mildly depressed all the time) Rarely return to normal levels of functioning in between episodes of depression Bipolar Disorder Same episodes of depression as Unipolar ALSO periods of elevated mood called mania heightened self esteem, activity, energy, little sleep o Racing thoughts ahead of ability to deal with them o Risky behaviour sexual promiscuity, risky business investments, shopping sprees Angry with those who act as obstacles to goals Causes of Depression All models have different causes Biological depression: abnormal levels of chemical activity of neurotransmitters in brain o Treatment drug therapy (antidepressantschange balance of neurotransmitters) Behavioural depression caused by those who lack social skills/difficult to make normal positive reinforcement of others sad/self blame of depression o Symptoms may elicit sympathy/attention unintentionally more reinforcement of symptoms 4
Psych 1X03 C01 Professor Kim & Professor Cheal 06/04/12 Leaned helplessness: helplessness of situation; subject learns to withhold responding Inspired by animal research phase 1, dogs exposed to inescapable electric shocks (try to escape, eventually give up). Phase 2, shocks now avoidable many continued to remain passive Cognitive depression arises in those who have particular/maladaptive way of evaluating themselves/experiences o Aaron Beck maladaptive thinking processes = depressogenic schemata Under stress people develop unrealistically negative interpretations of event himself world future Psychological treatments include psychoanalysis therapy/ cognitive behavioural therapy o Psychoanalysis treatment = promote insight/awareness Goal = increased understanding of oneself strengthen coping strategies o Cognitive behavioural treatment= make people aware of how they think/feel Encouraged to set goals/tasks (calling friend) to practice behavioural skills) Effective therapy for many no relapse to future episodes of depression Cases with clear suicide risk/weaken depressionCBT alone isnt enough o Common for psych and bio treatments to be combined o
Psych 1X03 C01 Professor Kim & Professor Cheal 06/04/12 Persistent anxiety, intrusive thoughts about event occur (flashbacks) Not simple recollection of trauma re-living of it Research performed on soldiers in batter, sexual abuse, natural disasters, accidents, o Unexpected death of someone PTSD symptomology May feel the need to avoid certain situations/objects/people reminding them of event Trouble concentrating, nightmares, depression, irritable, startled easily Symptoms last many years/decades after event o To decreases development of PTSD, helpful for trauma survivors to discuss event with each other as often as possible & in detail o
Etiology & Treatment ID: immediate impulse gratification Ego: blocks inappropriate ego Psychoanalytical model anxiety disorders = displaced tensions between ego & id o Id impulses (seeking expression) & ego which wont allow it creates anxiety Anxiety displaced = symptoms of anxiety disorder Ex. OCD compulsion = defence against unacceptable ID impulse o Unacceptable impulse causes anxiety displaced on less disturbing idea/behaviour o Obsession/compulsion have symbolic relationship to true problem Generalized anxiety disorder tension displaced to everyday events Biological model physical causes o Genetics predispose someone to OCD; results inconclusive to FAD o Drugs that change balance of neurotransmitters effective in lowering anxiety o Combining drug therapy with psychological therapy most effective Behavioural / Cognitive model considered in cycle o Those with anxiety disorders cant shake of fear inducing thoughts Causes development of maladaptive behaviours Obsessions instrumentally conditioned avoidance responses. When they occur, the terminate/reduce classically conditioned fear o Cognitive-behavioural therapy many techniques to reduce anxiety symptoms Cognitive restructuring anxious interpretations of events into rational thoughts Behavioural component repeated exposure to feared objects/situations Ex. PTSd therapy talk about traumatic event in detail CBT techniques consciously slow breathing when confronted with stressor
Psych 1X03 C01 Professor Kim & Professor Cheal 06/04/12 o Ex. Anxiety headache Tylenol for pain relief Somatoform Disorder: Pain/physical symptom that cant be explained with physical basis o Ex. Headache that doesnt go away no matter what treatment , numb in limbs test shows everything is fine, pain in left hand but arm recently amputated
Conversion Disorder Type of somatoform disorder specific sensory/motor symptom without physiological cause o Ex. Sudden loss of vision/ paralysis o Develop during stressful situation symptoms = sudden Freuds research large role in development of psychoanalysis theory o Early 1900s treating women for conversion disorder (hysteria) Used hypnosis and dream analysis as window to unconscious (hidden memories of traumatic events from childhood) Treatment long time to identify hidden memories Psychodynamic treatment used today, still limited evidence for effectiveness Hypochondriasis Someone who has fears of serious illness, despite medical evaluations to the contrary o Preoccupied with having illness & report pattern of symptoms consistent with it o Most common somatoform May be generated partly by misinterpretations of bodily signals o Overreaction to common symptoms pay attention to symptoms in future Therapy teaching patient to reinterpret signals more accurately Medstudent syndrome form of hypochondria; anxiety of having one or more disorders being studied