PSYCH 2AP3 Lecture Notes - Lecture 1: Meta-Analysis, Mental Disorder, Syphilis

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Rettew et al (2009) meta analysis of agreement between clinical diagnosis and research diagnosis. Agreement (kappa) low to moderate for most disorders. Samuel (2015) survey of studies comparing reliability of personality disorder diagnosis. Symptoms impair social, occupational, or other domains of functioning. Symptoms cause significant concern for the individual. A mother who pushes their child out of the way of an oncoming train, only to be killed herself. Usually doctors, psychologists, or sometimes the person themselves. No clean line between normalcy and disorder (cid:862)a(cid:271)(cid:374)or(cid:373)ality(cid:863) (cid:271)ased o(cid:374) agree(cid:373)e(cid:374)t of psy(cid:272)hologists a(cid:374)d psy(cid:272)hiatrists. Pressures to include symptoms as disordered in dsm. Abnormality caused by physical problems in the brain. Began with relationship between syphilis and mental symptoms. Abnormal thoughts, behaviours caused by unconscious conflict. Abnormal behaviours acquired by learning, then generalized inappropriately. Treatment changes reward conditions to produce extinction or relearning. Abnormality result from social pressures poverty, unemployment, etc. Higher rates of mental disorder at low socioeconomic levels.

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