PSYC1011 Lecture 27: Abnormal Psychology - Causes of mental disorders

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28 May 2018
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Causes of mental disorders
There were 182 mental disorders in DSM-II (published 1968)
Over 300 mental disorders in DSM-5 (published 2013)
Some differences include:
o Homosexuality in DSM-II not DSM-5
o Koro in DSM5 (under Other Specified Obsessive-Compulsive and Related Disorders)
o Internet Gaming Disorder proposed as a 'Condition for Further Study' in DSM-5
Which mental disorders exist is reality?
Labelling theory
Biological factors
Environmental factors
Biological and Environmental interactions
Psychological factors
Genetics of psychopathology
Mental illness tends to run in families
o Suggests genetic basis
o Twin studies - shares 100% of their genes
o Siblings - shares 50%
o
Black bar is always higher than white bars - genetics is involved
o
All are heritable, some are more heritable than others
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Gene associations and mental disorders
o COMT and schizophrenia
People with Velocardio-facial syndrome (VCFS) are missing the COMT gene on
chromosome 21
VCSF patients show very high rates of schizophrenia (~25%)
COMT involved in breaking down dopamine
Intimately related to schizophrenia
o Fragile X and autism
Fragile X caused by mutation of the X-chromosome
Distinctive facial abnormality
20-60% of people with Fragile X syndrome also have autism
Fragile X accounts for ~5% of autism diagnoses
Neurochemistry and mental disorders
o Serotonin and depression
Lower levels of serotonin receptors
o Dopamine and schizophrenia
More production of dopamine than healthy people
Brain abnormalities and mental disorders
o Brain structure
Regions of reduced cortical thickness in bipolar I disorder
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o Brain function
Regions of hyperactivity in OCD
o Limitations of biological accounts
Even the most highly heritable mental disorder are a long way off being entirely
heritable
Less than 50% chance of developing schizophrenia even if your identical twin
has the disorder
Mental disorders are invariably polygenetic
No single gene has found to be responsible for any mental disorder
No 100% reliable biomarkers for any mental disorders
Biomarkers for psychopathology are only sensitive enough to distinguish between
groups, not between individuals
Holes - ventricles - cell death around ventricles
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Document Summary

Causes of mental disorders: there were 182 mental disorders in dsm-ii (published 1968, over 300 mental disorders in dsm-5 (published 2013) Some differences include: homosexuality in dsm-ii not dsm-5, koro in dsm5 (under other specified obsessive-compulsive and related disorders) Labelling theory: biological factors, environmental factors, biological and environmental interactions, psychological factors. Intimately related to schizophrenia: fragile x and autism. Fragile x caused by mutation of the x-chromosome: distinctive facial abnormality, 20-60% of people with fragile x syndrome also have autism. Fragile x accounts for ~5% of autism diagnoses: neurochemistry and mental disorders, serotonin and depression. Environment: early life experiences influence subsequent psychopathological tendencies. Integrative approach: biological accounts of psychopathology are incomplete; environment plays a key role, diathesis-stress model. Individuals have genetic and biological vulnerabilities for developing mental disorders: these vulnerabilities may become activated in the presence of certain environmental stressors, the greater the underlying vulnerability, the less stress needed to trigger the disorder, nature and nurture.

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