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A state of emotional and social wellbeing where an individual can interact with others and the environment, cope with normal stresses and achieve optimal development and wellbeing
A psychological dysfunction that involves impaired ability to cope with everyday life
Typical characteristics include distress, unusual thoughts, feelings and inappropriate behaviour
Identifiable physiological change associated with an abnormal body condition
A pattern of thoughts, feelings and behavior that conforms to a usual, typical or expected standard
A pattern of thoughts, feelings and behaviour that is dysfunctional, deviant or distressing
6 APPROACHES TO DEFINING/DESCRIBING NORMALITY
- So Fresh Hits of Summer May Sizzle
- Socio-cultural: thoughts, feelings and behaviour that are acceptable in a particular society or culture but can be considered as unacceptable in another.
normal behaviour is if the individual can undertake everyday tasks and cope (function) effectively with life in society.
thoughts, feelings and behaviour that are considered as normal/abnormal in a society within a particular era, or period of time.
thoughts, feelings and behaviour that are viewed as normal in one setting/context and abnormal in another.
Normality is defined on a physiological basis
normality follows a normal distribution; thoughts, feelings and behaviour are viewed as normal if fallen into the ‘statistical average’ and considered abnormal if fallen into ‘statistical extremity’ displayed on a bell curve.
Organises mental disorders into categories and sub-categories, each with specific symptoms and characteristics. It uses a ‘yes/no’ approach in that you either have a mental disorder or you don’t. Classification needs to be valid and reliable.
Categorical system that classifies disorders based on symptoms described
It does not suggest causes or treatment of specific disorders but rather simply names the disorders and describes them in specific terms, more specifically:
- o How the disorder will progress (typical course of the disorder)
- o The age at which a person is most likely to develop the disorder
- o The degree of impairment
- o How common it occurs
- o Whether the disorder is likely to affect others in the family
- o The relationship of the disorder to gender, age and culture
Around 400 disorders; 17 categories
Axis I - Clinical disorders
- Any major psychological disorder. It includes symptoms that cause distress or significantly impair social or occupational functioning. These disorders are typically present of part of the patient’s life.(e.g. anxiety disorders, mood disorders, schizophrenia).
Axis II - Personality disorders & mental retardation
- Personality disorders/chronic and enduring problems that generaly persist throughout life and impair interpersonal or occupational functioning
- (e.g. multiple personality disorder / obsessive-compulsive disorder).
Axis III - General medical conditions
- Physical disorders that may be relevant to understanding or treating a psychological disorder from Axis I and II
- (e.g. diabetes, cancer, hypertension, heart disease).
Axis IV - Psychosocial & environmental problems
- Problems (such as interpersonal stressors and negative life events) that may affect the diagnosis, treatment and prognosis of psychological disorders
- (e.g. isolation, family break-up, unemployment).
Axis V - Global assessment of functioning (GAF)
The individual’s overall level of functioning in social, occupational and leisure activities in which the patient is given a score out of 100 (a high score means good functioning in all areas and minimal symptoms).
- 21 chapters for the whole medical practice, with ch.5 on mental disorders
- More general categories
- 300 mental and behavioural disorders
- Primarily used in Europe
Categorical approach - Strengths
- Based on scientific research which is constantly being updated
- Diagnoses enables a treatment plan
Is user friendly
Enable easy communication among mental health professionals
Categorical approach - Limitations
- Categories and sub-categories can overlap – symptoms aren’t specific enough
Low inter-rater reliability with some disorders
A system of diagnosis in which conditions are assessed by the extent to which patients show particular symptoms. Disorders are ranked on a continuum based on testing following patients completing inventories (e.g. EPQ-R)
- A cluster of related psychological/behavioural
- characteristics that occur together and can be measured
The numerical values are compared with the statistically ‘normal’ expected values for each characteristic.
Dimensional Approach - Strengths
- Generates detailed patient profiles for best possible treatment
- Reduces presence of stigma
- Higher validity and reliability when grading symptoms
Not limited to one category – all info may be used
Dimensional Approach - Limitations
Time consuming to rate
Can be disagreement regarding dimensions
Can’t be applied to most disorders in DSM and ICD – mostly personality disorders
A holistic approach to describing and explaining how biological, psychological and social factors combine and interact to influence physical and mental health
BIOPSYCHOSOCIAL MODEL factors
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