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Human Behavior
Psychiatric Diagnosis
20
Medical
Graduate
10/07/2009

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Cards

Term
What is mental health?
Definition
productive activities, fulfilling relationships with other people, the ability to adapt to change and to cope with adversity
Term
What are the main points of the Surgeon General's report?
Definition
mental health is fundamental to health, mental disorders are real health conditions, the efficacy of mental health treatments is well documented, a range of treatments exists for most mental disorders
Term
What are the main points of the Surgeon General's report?
Definition
mental health is fundamental to health, mental disorders are real health conditions, the efficacy of mental health treatments is well documented, a range of treatments exists for most mental disorders
Term
Surgeon General's Report Key Themes?
Definition
􀂄 Mental disorders are disabling.
􀂄 Mental health and mental illness are points
on a continuum.
􀂄 Mind and body are inseparable.
􀂄 Stigma
􀂄 Lifespan
Term
Disease burden DALYs
Definition
2nd - all mental illness, 5th - alcohol use, 7th - all drug use
Term
Is mental illness costly?
Definition
Yes
Term
Mental illness epidemiology
Definition
1/4 each year have mental or substance problem, 2/3 don't seek treatment, 5-10% have serious issue
Term
Diagnostic schemes (4)
Definition
descriptive/phenomenon (DSM), theory (psychoanalytical, evolutionary biology), patho (ab psych, evolutionary bio), etiological (gene, infx dx)
Term
Axis I
Definition
Major domains: Psychotic, Cognitive,
Affective, Anxiety, Substance related
􀂄 Deviant illness behavior (Somatoform)
􀂄 Other behaviors: paraphilias, sleep disorders,
impulse control disorders
􀂄 Miscellaneous: “Problems requiring attention” Dissociative disorders
Separates childhood and adult disorders,
even though they may be different expression
of same process, modified by experience and
brain maturation
􀂄 Separates normal from abnormal primarily by
functional impairment
Term
Does Axis I rule in or rule out?
Definition
Difficult to rule out but can rule in by further history, comorbidity is common
Term
What about DSM reliability and validity?
Definition
reliable but validity may be difficult to assess (hidden validators)
Term
What are hidden validators?
Definition
The right patient (gender/age)
􀂄 The right symptoms (DSM criteria)
􀂄 The right course
􀂄 The right personal history
􀂄 The right family history
􀂄 The right treatment response
Term
Axis II
Definition
Personality disorders, MR; assumes fixed maladaptative qualities
Term
What do Axis I and II have in common?
Definition
both are categorical not dimensional-->assumption fits axis I better than axis II
Term
Axis III
Definition
medical conditions that are current or related to Axis I; give an historical or current context in which to consider
Term
Axis IV
Definition
Psychosocial factors-->impact related to meaning to the affected person
Term
Axis V
Definition
global assessment of functioning scale; if in hospital, <50
Term
What does DSM tell us about Major Depressive Disorder?
Definition
Tells us if a patient has characteristics or not; only connotes mood, ideation, vegetative signs, and other behaviors; does not tell us anything about the underlying pathophysiology
Term
How does biopsychosocial model add dimension to a DSM diagnosis?
Definition
considers biological and psychosocial theories; considers the influence of family and culture.
Term
Summary of This Lecture
Definition
􀂄 Present day diagnosis is descriptive, heuristic,
standardized
􀂄 Present day treatment draws on understanding of
processes of illness development, requires
biopsychosocial formulation
􀂄 Future of research and practice likely to be shaped
by evolutionary theories linking genes, past and
present environment, and current function
􀂄 Psychiatry stands at the crossroads of human
behavior and medicine
􀂄 Same processes account for normal
functioning: the mentally ill are not
fundamentally different from the rest of us.
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