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Chapters 5, 14, and 15 are reported to be solvedFor technical issues, or ill-formed or incorrect mastery-
quiz or learning curve questions, call their tech support!Stay tuned for an important (but as yet top secret)
updateFinal Exam Wed May 9, 1-3 pm
From the Anonymous Feedback ToolIs there anyway that, just for a day, maybe even a few hours, you could reopen the previous PsychPortal units? I don't know about everyone else, but Unit 3 completely slipped my mind until the day after it was due, and that is killing my grade. I would really appreciate this, and I feel like everyone else would as well. Thank you.
Learning Curve Remediation Opportunity
Class philosophy: Reward for work completedFrom 9 pm tonight until 9 pm Tuesday night, all
previous Learning Curve Exercises will be availableCompleting any you did not complete will add
to your PsychPortal Unit Totals
Abnormal Psychology
Abnormal BehaviorMental Illness
Psychopathology
DeviantDistressfulDysfunctional
Bizarreness
II. Schizophrenia
A. Severe Psychosis, 1% prevalence worldwideB. Symptoms
1. Bizarre Delusions2. Thought Disorder3. Flat Affect or Inappropriate Affect4. Hallucinations: Auditory (voices)5. Some signs of illness persist for 6+ months
SchizophreniaC. Causes & treatment
1. Genetic -- YES
SchizophreniaC. Causes & treatment
1. Genetic -- YES2. Environmental – not well understood, but Expressed
Emotion is important in relpase:a) Emotional Over-involvement
family feels blame, gets overinvolvedb) Criticalness
share critical views with the person with Szc) Hostility
put blame on the person, assumes person has morecontrol than they do
Linzen et al, Schizophrenia Bulletin, 23, 1997
Patients (97) recent onset Schizphrenia% not relapsed after releaseEE was major predictor of relapse
Among high EE families cannabis abuse also major predictor
SchizophreniaC. Causes & treatment
1. Genetic -- YES2. Environmental – Expressed Emotion in relapse3. Biological explanations
a) Brain Abnormalities1. Atrophy in negative symptom Sz2. Frontal Lobe Dysfunction (low activity in many tasks)
Discordant MZ Twins
SchizophreniaC. Causes & treatment
1. Genetic -- YES2. Environmental – Expressed Emotion in relapse3. Biological explanations
a) Brain Abnormalities1. Atrophy in negative symptom Sz2. Frontal Lobe Dysfunction (low activity in many tasks)
b) Dopamine overactivity1. Amphetamine psychosis mimics some positive symptoms2. Dopamine antagonists decrease positive symptoms
Mood Disorders
III. Mood DisordersA. Major Depression Criteria
1. At least 5 of the following during the same 2-week period (Don't memorize!!)A. Depressed mood B. Diminished interest or pleasure C. Weight/appetite changeD. Insomnia or hypersomnia E. Psychomotor Agitation or Retardation F. Fatigue or loss of energy G. Feelings of worthlessness or
excessive or inappropriate guilt H. Concentration problemsI. Recurrent thoughts of death or recurrent suicidal ideation
CORE
SOMATIC
COGNITIVE
Key Factors in Sex DiffsLethality of MethodIntoxicationLack of others in the home
National Suicide Prevention Hotline: 800-273-TALK (8255)
Mood DisordersB. Manic episode criteria (Again, do not memorize)
1. Distinct period of abnormally and persistently elevated, expansive, or irritable mood.
2. During this period, at least 3 of the following symptoms (4 if mood is only irritable)1. Inflated self-esteem or grandiosity2. Decreased need for sleep3. More talkative than usual4. Flight of ideas / thoughts racing5. Distractibility6. Increase in goal-directed activity 7. "Excessive involvement in pleasurable activities
which have a high potential for painful consequences"
Interview…Interview…
Mood Disorders
C. Unipolar vs Bipolar Depression1. Unipolar--Major depressive episode only2. Bipolar--Manic episode only or both manic and major
depressive episodes
10% Men20% Women
1% Men and Women
IV Anxiety DisordersA. Panic disorder
1. Recurrent unexpected panic attacks2. Two subtypes
a. w/ agoraphobia b. w/o agoraphobia
B. Specific Phobias = Excessive or unreasonable fear in response to presence or anticipation of dreaded object or situation.
Specific PhobiasCommon and uncommon fears
Anxiety Disorders
C. Social Phobia = fear of situations where one is likely to be exposed to unfamiliar people, or to be observed and evaluated.
D. Obsessive-Compulsive disorder 1. Two components! (need only one or other for
diagnosis)a. Obsessions = recurrent and persistent ideas, thoughts,
impulses, imagesb. Compulsions = repetitive, intentional behaviors or mental
acts performed in response to obsession