Medical Model vs. Bio-Psycho-Social

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Medical Modelvs.Bio-Psycho-Social
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Psychiatrist vs.Psychologist
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Criteria for Abnormality

• A harmful dysfunction that is
• Atypical (out of the norm)
• Disturbing (distressful)
• Maladaptive (hurtful)
• Unjustifiable

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Dx - Txcommunicationvs.stigma
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Psychological Disorders

• Abnormal Psychology
• Psychopathology
• Mental Disease / Mental Illness / Mental Disorder
  / Psychological Disorder / Insanity / Mental
  Breakdown / Nervous Breakdown

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Neurosisvs.Psychosis
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DSM IV

• 400 syndromes
• 18 major categories
• Atheoretical
• No etiology
• Culturally fluid
• Multi-Axial (5)

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Multi-Axial System of Dx

• I. Clinical Syndrome
• II. Developmental or Personality Dis.
• III. Related Physical Prob.
• IV. Degree of psychosocial stress
• V. Global Assessment of functioning

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DSM Dx includes

• 1. Diagnostic features
• 2. Associated features
• 3. Culture, Age, Gender features
• 4. Prevalence
• 5. Course
• 6. Familial pattern
• 7. Diagnostic criteria

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Anxiety Disorders

• G.A.D.
• Panic Dis.
• Phobia
• O.C.D.
• P.T.S.D.

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Mood Disorders

• Unipolar
• Major Depression
• Dysthymic Disorder
• Bipolar Disorder
• (Manic depression)

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Dissociative Disorders

• Amnesia
• Fugue
• Dissociative Identity Dis. (multiple Per.
  Dis.)

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Schizophrenia

• Paranoid
• Disorganized
• Catatonic
• Process (chronic) Reactive (acute)
• 50 of all psych inpatients
• shattered mind

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Personality Disorders

• Paranoid
• Schizoid
• Antisocial
• Borderline
• Histrionic

Narcissistic Avoidant Dependent Obsessive-
Compulsive
Axis II disorders
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Somatoform Disorders

• Conversion dis.
• Pain Dis.
• Hypochondriasis
• Body Dismorphic Dis.

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Substance-Related Disorders

• Use Disorders
• Dependence
• Abuse
• Induced Disorders
• Intoxication
• Withdrawal

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Sexual and Gender Identity Disorders

• Dysfunctions
• Paraphillias
• Gender Iden.

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Eating Disorders

• Anorexia Nervosa
• Bulimia Nervosa

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Medical Modelvs.Bio-Psycho-Social