Mental Disorders : Perspectives

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Mental Disorders Perspectives
1. Diathesis- Stress predisposition,
maturation, learning 2. Psychodynamic,
psychoanalytic, Freudian id, ego, superego,
libido, Eros, Thanatos psychosexual oral
(0-2), anal (2-3), phallic (Oedipus, 3-6),
latency (6-12), genital
(12- ) anxiety objective, moral, neurotic,
free-floating, phobic, panic
reaction, ego defenses (see Personality
plus displacement, intellectualization,
denial) 3. Medical 4. Cognitive/ learning 5.
Humanistic/ existential - Maslow, Rogers
authenticity, becoming, self-actualization
existential neurosis ( Maddi, 1967), premorbid
stage client-centered unconditional -
positive regard
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Diagnostic and Statistical Manual V ( DSM V ) of
American Psychiatric Association -----------------
--------------------------------------------------
------- Edmonton in 1988
Prevalence -

(comorbidity ?) Substance abuse disorder
20.6 hi male Anxiety
11.2 hi female Mood

10.2 hi female Personality
3.7 hi
male Schizophreniaother psychotic 0.7
-------------------------------------------------
-------------------------- Anxiety Disorders
panic, , phobic(agoraphobia, social,
specific),
obsessive-compulsive Somatoform Disorders
somatization (hypochondriasis),
conversion Dissociative
Disorders amnesia, fugue, multiple-personality
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Personality Disorders a. antisocial
(dissocial)- decency standards, no guilt b.
paranoid - suspiciousness, extreme mistrust of
others c. schizoid - social withdrawal, lack of
concern for others d. schizotypal - unusual
cognitions, poor communication, social e.
histrionic - attention-seeking, looks f.
narcissistic - self-promoting, no empathy,
attention-seeking g. borderline (unstable) - no
impulse control, mood swings, suicidal h.
avoidant - oversensitive to rejection, no social
confidence i. dependent - on others,
indecisive j. obsessive-compulsive - rules,
order, perfectionism, cant relax Video
Pers.Dis. Psychoactive Substance Use Disorders
(comorbidity) Alcohol and other drugs (e.g.,
cocaine, heroin, etc.) Blum (1995) Reward
deficiency syndrome ICSS,
dopamine
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Hare Babiak (2010)Dutton (2012)

• Leadership Psychopathy
• Charismatic Superficial
  charm
• Ability to influence Manipulation
• Persuasive Con artist
• Visionary thinking Fabrication of
  stories
• Risk taking Impulsivity
• Action oriented Thrill seeking
• Make hard decisions Emotional poverty

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Schizophrenia ( Bleuler ) Positive ( dopamine )
vs. negative ( brain damage ) symptoms Catatonic,
paranoid, disorganized (hebephrenic) Video
Schizo. Mood Disorders Bipolar, Major
depression, Dysthymic disorder Lithium,
Norepinephrine, Serotonin REM sleep,
depressogenic Video Personality dis.
Schizophrenia and delusional dis.
Serious depression
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