1. Chapter 16 Development Psychopathology

2. DEVELOPMENTAL PSYCHOPATHOLOGY
Abnormality
Statistical deviance
Maladaptiveness
Interferes with personal and social life
Poses danger to self or others
Personal distress
DSM-IV diagnostic criteria (APA)

3. Developmental Aspects
Development, not disease
Pattern of adaptation that unfolds over time
Social and Age Norms
Developmental issues
Nature/Nurture
Risk factors
Prediction

5. The Diathesis-Stress Model
Interaction of genes and environment
Example: Depression
Genetic vulnerability
Environmental trigger(s)
Not specific stressors for specific disorders
“Bad things have bad effects for some people some of the time”

7. Autism Leo Kanner 1943 Pervasive Developmental Disorder
Deviant social development
Deviant language and communication
Repetitive, stereotyped behavior
Autism Spectrum Disorders: Asperger syndrome
Boys 4x more likely

8. Causes of Autism Deficient theory of mind
Executive dysfunction hypothesis
Weak central coherent hypothesis
Neural connections
Genetics

9. Outcomes and Treatment
Autistic for life
More positive outcome: normal IQ and speech prior to age 6 years
Most effective treatment: intensive/structured behavioral/educational programming
begin as early as possible
continue throughout childhood
involve family

10. Adulthood
Rates of disorder decrease after age 18
Depression
Elderly less vulnerable to major depression
Concern with elderly
Depression often related to health
15% have some symptoms
1-3% diagnosable
Difficult to diagnose
More women (2/1)

11. Depression and Dementia
Many undiagnosed and untreated
Elderly can benefit, should NOT be excluded from treatment
Dementia: progressive deterioration
Not normal aging
Alzheimer’s Disease
Leading cause of dementia
Progressive and irreversible

12. Causes of Cognitive Impairment
Genetic: e.g., Alzheimer’s
Vascular dementia - multi-infarct
Minor strokes: deficits accumulate
Related to lifestyle: diet and exercise
Reversible dementia, about 20%
Delerium: reversible, often drug related
Depression: treatable
Critical to distinguish for proper treatment

13. Figure 16.6