Académique Documents
Professionnel Documents
Culture Documents
Danger:
Always with one of the others
Mental illness can mean danger to self or others (but in less than 5% of cases)
Compulsory Detention / Involuntary Commitment (Sectioning)
Involuntarily detaining a patient in secure mental hospital
Usually done by doctor, psychiatrist or a social worker
When clinicians decide that a person’s symptoms fit the criteria for a particular disorder,
they are making a diagnosis. When people qualify for two or more diagnoses, they are said
to display comorbidity.
Categories of Disorder
Neurodevelopmental Eating
Psychotic Sleep-Wake
Bipolar and related disorders Sexual Dysfunctions / Paraphilic
Depressive Disorders
Anxiety Disruptive, Impulse-Control and
Obsessive-Compulsive Disorders Conduct Disorders
Trauma-related Substance-Related Disorders
Dissociative Personality Disorders
Somatic
Personality disorder: If you deviate too much from your culture (i.e. you are
eccentric or a bit weird), you could be diagnosed
Gender Dysphoria: Trans-sexuals still considered ‘disordered’
Paraphilias: “Pedophilic disorder” – giving pedophilia a medical justification?
Benefits of DSM
Drawbacks of DSM
1. Biomedical Approach
Key points:
Biomedical Causes
2. Psychodynamic Approach
Mental disorders stem from problems/traumas in early childhood
Relationship with parents and caregivers critical
Key concepts
Defence mechanisms
Unconscious
Id, ego and superego: a mind naturally in conflict
Psychodynamic Treatment
3. Behavioural Approach
Key points
Behavioural Therapy
Causes
Problematic patterns of thought and belief are the cause of and symptoms of mental
disorders
Self-bias: self-referencing or self-evaluation
Attention bias: in anxiety, more likely to pay attention to feared stimulus
Memory bias: depressed people are more likely to focus on negative events in the
past
Perceptual bias: anorexic individuals see themselves as overweight
Cognitive Therapy
Ways of changing maladaptive thoughts to replace them with more healthy thoughts
– “homework” involved to practice new thoughts
Government and the NHS has invested much time, money and resources in CBT
Also given in prisons, as part of criminal rehabilitation programmes, e.g. “Enhanced
Thinking Skills”
6 Abnormal – Disorders and Approaches
5. Humanistic Approach
Humanistic Approach
Humanistic Therapy
Integration?
The biopsychosocialmodel