Term
|
Definition
| productive activities, fulfilling relationships with other people, the ability to adapt to change and to cope with adversity |
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|
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 |
|
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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 |
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Term
|
Definition
| 2nd - all mental illness, 5th - alcohol use, 7th - all drug use |
|
|
Term
| Is mental illness costly? |
|
Definition
|
|
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 |
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Term
|
Definition
| descriptive/phenomenon (DSM), theory (psychoanalytical, evolutionary biology), patho (ab psych, evolutionary bio), etiological (gene, infx dx) |
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Term
|
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 |
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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 |
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Term
|
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 |
|
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Term
|
Definition
| medical conditions that are current or related to Axis I; give an historical or current context in which to consider |
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Term
|
Definition
| Psychosocial factors-->impact related to meaning to the affected person |
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Term
|
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 |
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Term
| How does biopsychosocial model add dimension to a DSM diagnosis? |
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Definition
| considers biological and psychosocial theories; considers the influence of family and culture. |
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Term
|
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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