Introduction
Many individuals with mental retardation (MR) have mental health disorders that are undiagnosed and untreated (Reiss & Valenti-Hein, 1994). Individuals with MR experience the full range of emotional, psychiatric and behavioral disorders at higher frequencies than the general population (Kishore, Nizamie & Nizamie, 2010; Prout, 1993). Prevalence studies have shown that individuals with MR are three to four times at higher risk for psychopathology than are individuals without MR (Matson & Bamburg, 1998; Prout, 1993). This is known as a dual diagnosis, which describes the finding of MR in association with significant psychopathology (Prout, 1993). While, psychopathology is limited to those phenomena and disorders that are described in the conventional classification systems such as the Diagnostic and Statistical Manual of Mental Disorders IV (DSM-IV). Examples include anxiety, depression, paranoia, dependent personality traits, avoidant behaviour and thought disorder (Reiss & Valenti-Hein, 1994).
These disorders are distressing to the individuals who experience them and they have a variety of detrimental side effects on the individual and on others. These behavioural and mental health problems are barriers for successful community placement and integration; they increase support needs; they are associated with physical restraints and pharmacological interventions; they impact family by causing stress and by imposing financial sacrifices and can weigh on staff time, energy and morale (Rojahn, Rowe, Kasdan, Moore & van Ingen, 2011).
However, identifying and diagnosing individuals with MR and other mental health disorders is a complicated process. Traditional methods of diagnosis rely on direct communication with patients...
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Understanding psychological disorders are very important in human development, the first step is to define what is meant by a disorder. How do psychologists determine that there something is psychologically wrong with a person? What behaviours are abnormal? A psychological disorder, also known as a mental disorder, is a pattern of behavioural or psychological symptoms that impact multiple life areas and/or create distress for the person experiencing these symptoms. A clear sign of abnormal behaviour or mental state is when an individual's behaviour is destructive to themselves or their social group, such as family, friends. Above all psychological disorders create a maladaptive pattern of thoughts, feelings, and behaviours that lead to detriments in relationships and other life areas. There are several ethical issues in treating psychological disorders. There two ways of treating psychological disorders through; psychotherapy this form of treatment involves social interactions between a trained professional (therapist) and client. This is delivered on a one-to-one, face-to-face meeting. Another way of treating psychological disorder is through pharmacological treatments. This is the use of proactive drugs to treat certain disorders. This essay will aim to highlight the pros and cons of using pharmacological and psychological treatments.
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In my first web paper I considered Attention Deficit Hyperactivity Disorder, and questioned whether its’ symptoms and underlying neurobiology should be considered a disorder, or rather simply a difference among humans’ nervous systems. In a further exploration of the idea of individuality within a diagnostically defined disorder, I have researched autism. By definition, autistic individuals present symptoms with varying degrees of severity. It is therefore considered a spectrum disorder, meaning that its’ “symptoms and characteristics can present themselves in a wide variety of combinations, from mild to severe (1).” A diagnosis of autism can result from any combination of its defined behaviors. In addition to this, there is a host of related disorders, in which some but not all symptoms of autism are present. These include Asperger Syndrome, Fragile X Syndrome, Rett Syndrome and Pervasive Developmental Disorder Not Otherwise Specified (PDDNOS) (4)(2). Because of its characteristic breadth, autism is a good example of the implications of being seen as an individual within a group possessing a defined disorder. Current professional opinion stresses the importance of accurately assessing differences in neurological deficits, even if they present similar autistic sympt...
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7) Considerations of Individuality in the Diagnosis and Treatment of Autism, , web paper by Lacey Tucker.
Psychopathy has fascinated the public for years due to the gruesome and evil portrayal it has received in the media. Psychopathy is defined in the DSM-III as a personality disorder characterized by enduring antisocial behavior, diminished empathy and remorse, and disinhibited or bold behavior (Patrick, Christopher, Fowles, Krueger, Rober, 2009). Psychopathy represents a cluster of different dimensions of personality found amongst the general population to varying degrees (Patrick et al, 2009). The diagnostic definition is meant to be applied to adults, however psychopathology can occur in children. Controversy surrounds the topic of childhood mental illness because the brain is not fully developed until the age of 18; thus allowing the possibility that symptoms are the result of growing up and will change. The triarchic model, formulated by Christopher J. Patrick, is the most commonly used model in diagnosing adult and childhood psychopathy. This model suggests that different conceptions of psychopathy emphasize three observable characteristics to varying degrees; boldness, disinhibition and meanness (Patrick, et al, 2009). Boldness is the first observable characteristic and is comprised of low fear including stress-tolerance, toleration of unfamiliarity and danger, and high self-confidence and social assertiveness. Disinhibition; characterized by poor impulse control including problems with planning and foresight, lacking affect and urge control, demand for immediate gratification, and poor behavioral restraints. Meanness is defined as lacking empathy and close attachments with others, disdain of close attachments, use of cruelty to gain empowerment, exploitative tendencies, defiance of authority, and destructive excitement seek...
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Pervasive Developmental Disorders are characterized by “severe and pervasive impairment in several areas of development” (Tsai, 1998). In the 1994 edition of the Diagnostic Statistic Manuel version IV, three new categories were introduced under Pervasive Developmental Disorders. These include: Childhood Disintegrative Disorder, Asperger's Disorder, and Rett's Syndrome (Volkmar, 2005). All these disorders occur in early childhood and are often not noticed by a parent or primary caregiver until it is noticed that the child is not achieving normal developmental milestones.
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There is an umbrella of different mental disabilities that are not shown on television. Common disorders are usually depression, anxiety, and less often, bipolar disorder (Bastién 12). Even more common, when disorders such as schizophrenia, dissociative identity disorder, and antisocial personality disorder are portrayed on television, they tend to give off a negative connotation on mental disorders. Not all people with mental disorders are “idiosyncratic serial killers” like Hannibal or “grotesquely destructive characters” like Elliot on Mr. Robot (Bastién 13). If society is not developing a stigma of those with mental
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For this paper I plan to first define and outline the features of psychopathy. Then I will explore how traits of psychopathy are measured and present in children and adolescents and subsequently what relation there is between the expression of these traits in both 9childhood and adolescence and later criminality. Finally I plan to conclude my paper with possible interventions to help prevent persistent delinquent and criminal behavior as well as exploring any criticisms of measuring psychopathy and interventions in both adults and children.
Mental health can be seen as a continuum where illnesses are defined as patterns of behaviour that cause psychological suffering, distress and disability preventing adequate functioning with the potential of risk of harm to the self or others (Martins-Mourao, 2010, p. 92).
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