PSYC 3140 Lecture Notes - Lecture 6: Premenstrual Dysphoric Disorder, Autism Spectrum, Pervasive Developmental Disorder
Document Summary
Jan 22 - diagnosis and its discontents: frances, a. (2013). Timeline of historical developments: psychoanalysis (and its variants) was the dominant psychotherapeutic approach in psychiatry for several decades, well into the 1950s and 60s, first dsm was published in 1952 and was heavily psychoanalytic. Drug revolution: 1952 chlorpromazine was introduced for treatment of psychotic symptoms, there had been somatic treatments before this time (1930s, psychosurgery such as lobotomy, electroconvulsive shock therapy. Changes from dsm iv to dsm 5: no more multiaxial system, asperger"s disorder, autism, and pervasive developmental disorder now collapsed into autism. 2014: women are twice as likely as men to take antidepressants in every age group (16. 5 percent versus 8. 6 percent) Dangers of diagnostic inflation and overmedication: drugs have serious side effects, drugs are often ineffective, polypharmacy, psychotherapy neglected, prevention neglected (diet, exercise, alcohol use, social and structural factors that contribute to mental distress are neglected.