whi33389 fm i xxiii

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httpslidepdfcomreaderfullwhi33389-fm-i-xxiii 123

ABNORMAL PSYCHOLOGY





ABNORMAL PSYCHOLOGYClinical Perspectives on Psychological Disorders

SEVENTH EDITION DSM-5 UPDATE

SUSAN KRAUSS WHITBOURNE

University of Massachusetts Amherst

RICHARD P HALGIN




ABNORMAL PSYCHOLOGY CLINICAL PERSPECIVES ON PSYCHOLOGICAL DISORDERS DSM9830855 UPDAE

SEVENH EDIION

Published by McGraw-Hill Education 2 Penn Plaza New York NY 10121 Copyright copy 2014 by McGraw-Hill

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retrieval system without the prior written consent o McGraw-Hill Education including but not limited to in any

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Some ancillaries including electronic and print components may not be available to customers outside the

United States

Tis book is printed on acid-ree paper

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wwwmhhecom



To our families with love and appreciation



vi Chapter 15 Ethical and Legal Issues

Susan Krauss Whitbourne and Richard Halgin are Proessors o Psychologyat the University o Massachusetts Amherst Both teach large undergraduate classes inaddition to teaching and supervising doctoral students in developmental and clinicalpsychology Teir clinical experience has covered both inpatient and outpatient settingsProessors Whitbourne and Halgin are Fellows o the American PsychologicalAssociation Tey co-edited A Case Book in Abnormal Psychology From the Files ofExperts (Oxord University Press) containing case studies written by leading internationalauthorities in the field o psychopathology

Proessor Whitbourne received her PhD rom Columbia University and has dual

specializations in lie-span developmental psychology and clinical psychology Shetaught at the State University o New York at Geneseo and the University o RochesterAt the University o Massachusetts she received the Universityrsquos Distinguished eachingAward the Outstanding Advising Award and the College o Arts and SciencesOutstanding eacher Award In 2001 she received the Psi Chi Eastern Region FacultyAdvisor Award and in 2002 the Florence Denmark Psi Chi National Advisor Award In2003 she received both the APA Division 20 and Gerontological Society o AmericaMentoring Awards She served as the Departmental Honors Coordinator rom 1990ndash2010 and currently is the Psi Chi Faculty Advisor and the Director o the Offi ce oNational Scholarship Advisement in the Commonwealth Honors College Te author osixteen books and over 160 journal articles and book chapters Proessor Whitbourne isregarded as an expert on personality development in mid- and late lie She is on theAPA Membership Board was Chair o APArsquos Policy and Planning Board and was amember o the APA Committee or the Structure and Function o Council She is APACouncil Representative to Division 20 (Adult Development and Aging) having alsoserved as Division 20 President She is a Fellow o APArsquos Divisions 20 1 (GeneralPsychology) 2 (eaching o Psychology) 12 (Clinical Psychology) and 35 (Society orthe Psychology o Women) A Fellow o the Gerontological Society o America sheserves on the Executive Board o the Behavioral and Social Sciences Section In 2007

she was the Psi Chi Eastern Region Vice President and in 2009 was the Program Chairo the 2009 National Leadership Conerence Proessor Whitbourne served as an itemwriter or the Educational esting Service was a member o APArsquos High SchoolCurriculum National Standards Advisory Panel wrote the APA High School CurriculumGuidelines or Lie-Span Developmental Psychology and serves as an item writer or theExamination or Proessional Practice o Psychology and as Chair o the Council oProessional Geropsychology raining Programs Her 2010 book ldquoTe Search orFulfillmentrdquo was nominated or an APA William James Award In 2011 she wasrecognized with a Presidential Citation rom APA In addition to her academic writingshe edits a blog on Psychology Today entitled ldquoFulfillment at Any Agerdquo

Proessor Halgin received his PhD rom Fordham University and completed aellowship in the Department o Psychiatry at New York Hospital-Cornell MedicalCenter prior to joining the aculty o the University o Massachusetts in 1977 He is aBoard-Certified Clinical Psychologist with over our decades o clinical supervisory andconsulting experience At the University o Massachusetts he received the Distinguishedeaching Award the Alumni Associationrsquos Distinguished Faculty Award and wasnominated or the Carnegie Foundationrsquos US Proessor o the Year Award His teachingwas recognized by the Danorth Foundation and the Society or the eaching oPsychology Proessor Halgin is the author o sixty journal articles and book chaptersin the fields o psychotherapy clinical supervision and proessional issues in psychology

He is also the editor o Taking Sides Controversial Issues in Abnormal Psychology SixthEdition (McGraw-Hill) Proessor Halgin served as Chair o the Committee o Examinersor the Psychology Graduate Record Examination as an Associate Member o the EthicsCommittee o the American Psychological Association and currently serves on theMassachusetts Board o Registration o Psychologists

ABOUT THE AUTHORS

vi



vii

Preface xvi

1 Overview to Understanding Abnormal Behavior 2

2 Diagnosis and Treatment 24

3 Assessment 46

4

Theoretical Perspectives 70 5 Neurodevelopmental Disorders 100

6 Schizophrenia Spectrum and Other Psychotic Disorders 136

7 Depressive and Bipolar Disorders 162

8 Anxiety Obsessive-Compulsive and Trauma-

and Stressor-Related Disorders 184 9 Dissociative and Somatic Symptom Disorders 214

10 Feeding and Eating Disorders Elimination DisordersSleep-Wake Disorders and Disruptive Impulse-Controland Conduct Disorders 236

11 Paraphilic Disorders Sexual Dysfunctions and Gender Dysphoria 258

12 Substance-Related and Addictive Disorders 286

13 Neurocognitive Disorders 320

14 Personality Disorders 348

15 Ethical and Legal Issues 378

Glossary G-1

References R-1

Credits C-1

Name Index I-1

Subject Index I-9

BRIEF CONTENTS



viii

Preface xvi

CHAPTER 1

Overview to Understanding AbnormalBehavior 2

Case Report Rebecca Hasbrouck 3

11 What Is Abnormal

Behavior 4

12 The Social Impact of Psychological Disorders 5

13 Defining Abnormality 6

14 What Causes Abnormal Behavior 7

Biological Causes 7

Psychological Causes 7

Sociocultural Causes 7

The Biopsychosocial Perspective 8

15 Prominent Themes in Abnormal Psychology

throughout History 9

Spiritual Approach 9

Humanitarian Approach 10

Scientific Approach 12

16 Research Methods in Abnormal Psychology 14

17 Experimental Design 14

Whatrsquos New in the DSM-5 Definition of a

Mental Disorder 15

18 Correlational Design 15

You Be the Judge Being Sane in Insane

Places 16

19 Types of Research Studies 17

Survey 17

REAL STORIES Vincent van Gogh

Psychosis 18

Laboratory Studies 19

The Case Study Method 20

Single Case Experimental Design 20

Investigations in Behavioral Genetics 20

Bringing It All Together Clinical

Perspectives 22

Return to the Case Rebecca Hasbrouck 22

SUMMARY 23

KEY TERMS 23

CHAPTER 2

Diagnosis and Treatment 24

Case Report PeterDickinson 25

21 Psychological Disorder

Experiences of Client and Clinician 26

The Client 26

The Clinician 27

22 The Diagnostic Process 27

Whatrsquos New in the DSM-5 Changes in

the DSM-5 Structure 28

The Diagnostic and Statistical Manual

(DSM-5) 28

Additional Information 28

Culture-Bound Syndromes 30

23 Steps in the Diagnostic Process 34

Diagnostic Procedures 34

Case Formulation 35

Cultural Formulation 35

24 Planning the Treatment 36

Goals of Treatment 36

You Be the Judge Psychologists as

Prescribers 37

Treatment Site 38

Psychiatric Hospitals 38

Specialized Inpatient Treatment Centers 38

Outpatient Treatment 39

Halfway Houses and Day Treatment Programs 39

Other Treatment Sites 39

Modality of Treatment 40

Determining the Best Approach to

Treatment 41

25The Course of Treatment 41

The Clinicianrsquos Role in Treatment 41

The Clientrsquos Role in Treatment 41

CONTENTS



ix

REAL STORIES Daniel Johnston Bipolar

Disorder 42

26 The Outcome of Treatment 43

Return to the Case Peter Dickinson 44

SUMMARY 44

KEY TERMS 45

CHAPTER 3

Assessment 46

Case Report Ben Robsha m 47

31 Characteristics of Psychological

Assessments 48

32 Clinical Interview 49

33 Mental Status Examination 52

34 Intelligence Testing 52

Stanford-Binet Intelligence Test 53

Wechsler Intelligence Scales 53

35 Personality Testing 56

Self-Report Tests 56

Projective Testing 60

36 Behavioral Assessment 61

37 Multicultural Assessment 61

38 Neuropsychological Assessment 62

Whatrsquos New in the DSM-5 Section 3

Assessment Measures 63

You Be the Judge Psychologists in the

Legal System 64

39 Neuroimaging 65

REAL STORIES Ludwig van Beethoven

Bipolar Disorder 66

310 Putting It All Together 68

Return to the Case Ben Robsham 68

SUMMARY 69

KEY TERMS 69

CHAPTER 4

TheoreticalPerspectives 70

Case Report Meera

Krishnan 71

41 Theoretical Perspectives in Abnormal Psychology 72

42 Biological Perspective 72

Theories 72

Treatment 77

43 Trait Theory 80

Whatrsquos New in the DSM-5 Theoretical

Approaches 81

44 Psychodynamic Perspective 81

Freudrsquos Theory 81

Post-Freudian Psychodynamic Views 83

Treatment 86

45 Behavioral Perspective 86

Theories 86

You Be the Judge Evidence-Based

Practice 87

Treatment 88

46 Cognitive Perspective 89

Theories 89

Treatment 90

47 Humanistic Perspective 91

Theories 91

Treatment 93

48 Sociocultural Perspective 94

Theories 94

Treatment 94

REAL STORIES Sylvia Plath Major

Depressive Disorder 96

49 Biopsychosocial Perspectives on Theories and

Treatments An Integrative Approach 97

Return to the Case Meera Krishnan 98

SUMMARY 98

KEY TERMS 99



x

CHAPTER 5

NeurodevelopmentalDisorders 100

Case Report Jason Newman 101

51 Intellectual Disability (Intellectual Developmental

Disorder) 103

Causes of Intellectual Disability 104

Whatrsquos New in the DSM-5

Neurodevelopmental Disorders 107

Treatment of Intellectual Disability 109

52 Autism Spectrum Disorder 110

Theories and Treatment of Autism

Spectrum Disorder 112

Rett Syndrome 115

High-Functioning Autism Spectrum Disorder

Formerly Called Aspergerrsquos Disorder 115

REAL STORIES Daniel Tammet Autism


53 Learning and Communication Disorders 118

Specific Learning Disorders 118

Communication Disorders 121

54 Attention-DeficitHyperactivity Disorder

(ADHD) 122

Characteristics of ADHD 122

ADHD in Adults 125

Theories and Treatment of ADHD 126

You Be the Judge Prescribing Psychiatric

Medications to Children 128

55 Motor Disorders 130

Developmental Coordination Disorder 130

Tic Disorders 131

Stereotypic Movement Disorder 132

56 Neurodevelopmental Disorders The Biopsychosocial

Perspective 132

Return to the Case Jason Newman 133

SUMMARY 133

KEY TERMS 134

CHAPTER 6

Schizophrenia Spectrumand Other PsychoticDisorders 136

Case Report David

Marshall 137

61 Schizophrenia 139

Whatrsquos New in the DSM-5 Schizophrenia

Subtypes and Dimensional Ratings 143

Course of Schizophrenia 143

You Be the Judge Schizophrenia

Diagnosis 145

62 Brief Psychotic Disorder 146

63 Schizophreniform Disorder 14764 Schizoaffective Disorder 147

65 Delusional Disorders 148

66 Theories and Treatment of Schizophrenia 150

Biological Perspectives 150

Theories 150

REAL STORIES Elyn Saks Schizophrenia 152

Treatments 153

Psychological Perspectives 154

Theories 154

Treatments 156

Sociocultural Perspectives 156

Theories 156

Treatments 158

67 Schizophrenia The Biopsychosocial

Perspective 159

Return to the Case David Marshall 160

SUMMARY 160

KEY TERMS 161

CHAPTER 7

Depressive and

Bipolar Disorders 162Case Report Janice Butterf ield 163



xi

71 Depressive Disorders 164

Major Depressive Disorder 164

Persistent Depressive Disorder (Dysthymia) 166

Disruptive Mood Dysregulation Disorder 166

Premenstrual Dysphoric Disorder 167

72 Disorders Involving Alternations in Mood 167

Bipolar Disorder 167

REAL STORIES Carrie Fisher Bipolar

Disorder 168

Cyclothymic Disorder 170

73 Theories and Treatment of

Depressive and Bipolar Disorder 171


Whatrsquos New in the DSM-5 Depressive

and Bipolar Disorders 174


Psychodynamic Approaches 176

Behavioral and Cognitive -Behavioral Approaches 176

Interpersonal Approaches 178


You Be the Judge Do-Not-Resuscitate

Orders for Suicidal Patients 180

74 Suicide 180

75 Depressive and Bipolar Disorders The Biopsychosocial

Perspective 182

Return to the Case Janice Butterfield 182

SUMMARY 183

KEY TERMS 183

CHAPTER 8

Anxiety Obsessive-Compulsive andTrauma- and Stressor-Related Disorders 184

Case Report Barba ra Wilder 185

81 Anxiety Disorders 186

Separation Anxiety Disorder 187

Theories and Treatment of Separation Anxiety Disorder 187

Selective Mutism 188

Specific Phobias 189

Theories and Treatment of Specific Phobias 190

Social Anxiety Disorder 192

Theories and Treatment of Social Anxiety Disorder 192

Panic Disorder and Agoraphobia 193

Panic Disorder 193

Agoraphobiar 194

Theories and Treatment of Panic Disorder and Agoraphobia 194

Generalized Anxiety Disorder 195

REAL STORIES Paula Deen Panic Disorder

with Agoraphobia 196

Theories and Treatment of Generalized Anxiety Disorder 197

82 Obsessive-Compulsive and Related Disorders 198

Whatrsquos New in the DSM-5 Definition and

Categorization of Anxiety Disorders 199

Theories and Treatment of Obsessive-Compulsive

Disorder 199

You Be the Judge Psychiatric

Neurosurgery 201

Body Dysmorphic Disorder 201

Hoarding Disorder 203

Trichotillomania (Hair-Pulling Disorder) 204

Excoriation (Skin-Picking) Disorder 206

83 Trauma- and Stressor-Related Disorders 206

Reactive Attachment Disorder and Disinhibited

Social Engagement Disorder 207

Acute Stress Disorder and Post-Traumatic Stress

Disorder 207

Theories and Treatment of Post-Traumatic Stress Disorder 208


and Stressor-Related Disorders The Biopsychosocial

Perspective 210

Return to the Case Barbara Wilder 210

SUMMARY 211

KEY TERMS 212



xii

CHAPTER 9

Dissociative andSomatic SymptomDisorders 214

Case Report Rose

Marston 215

91 Dissociative Disorders 216

Major Forms of Dissociative Disorders 216

Theories and Treatment of Dissociative

Disorders 217

REAL STORIES Herschel Walker

Dissociative Identity Disorder 218

You Be the Judge Dissociative Identity

Disorder 220

92 Somatic Symptom and Related Disorders 222

Somatic Symptom Disorder 222

Illness Anxiety Disorder 223

Conversion Disorder (Functional Neurological

Symptom Disorder) 223

Conditions Related to Somatic Symptom

Disorders 224

Theories and Treatment of Somatic Symptom andRelated Disorders 225

Whatrsquos New in the DSM-5 Somatic

Symptom and Related Disorders 227

93 Psychological Factors Affecting

Medical Condition 227

Relevant Concepts for Understanding

Psychological Factors Affecting Medical

Condition 228

Stress and Coping 228

Emotional Expression 231

Personality Style 232

Applications to Behavioral Medicine 232

94 Dissociative and Somatic Symptom Disorders


Return to the Case Rose Marston 234

SUMMARY 234

KEY TERMS 235

CHAPTER 10

Feeding and EatingDisorders EliminationDisorders Sleep-WakeDisorders andDisruptive Impulse-

Control and ConductDisorders 236

Case Report Rosa

Nomirez 237

101 Eating Disorders 238

Characteristics of Anorexia Nervosa 239

REAL STORIES Portia de Rossi Anorexia

Nervosa 240Characteristics of Bulimia Nervosa 242

Binge-Eating Disorder 243

Theories and Treatment of Eating Disorders 243

Whatrsquos New in the DSM-5 Reclassifying

Eating Elimination Sleep-Wake and Disruptive

Impulse-Control and Conduct Disorders 245

AvoidantRestrictive Food Intake Disorder 245

Eating Disorders Associated with Childhood 246

102 Elimination Disorders 246

103 Sleep-Wake Disorders 247

104 Disruptive Impulse-Control and Conduct Disorders 249

Oppositional Defiant Disorder 249

Intermitten t Explosive Disorder 250

Conduct Disorder 252

Impulse-Control Disorders 252

Pyromania 252

You Be the Judge Legal Implications of


Kleptomania 254

105 Eating Elimination Sleep-Wake and Impulse-Control

Disorder The Biopsychosocial Perspective 255

Return to the Case Rosa Nomirez 255

SUMMARY 256

KEY TERMS 257



xiii

CHAPTER 11

Paraphilic DisordersSexual Dysfunctionsand Gender Dysphoria 258

Case Report Shaun Boyden 259

111 What Patterns of Sexual Behavior Represent

Psychological Disorders 260

112 Paraphilic Disorders 262

Pedophilic Disorder 263

Exhibitionistic Disorder 264

Voyeuristic Disorder 264

Fetishistic Disorder 265

Frotteuristic Disorder 266

Sexual Masochism and Sexual Sadism

Disorders 266

Transvestic Disorder 267

Theories and Treatment of Paraphilic

Disorders 267


Whatrsquos New in the DSM-5 The

Reorganization of Sexual Disorders 269


113 Sexual Dysfunctions 270

Arousal Disorders 271

Disorders Involving Orgasm 274

You Be the Judge Treatment for Sex

Offenders 275

Disorders Involving Pain 276

Theories and Treatment of SexualDysfunctions 276



REAL STORIES Sue William Silverman Sex

Addiction 278

114 Gender Dysphoria 280

Theories and Treatment of Gender

Dysphoria 282

115 Paraphilic Disorders Sexual Dysfunctions and Gender

Dysphoria The Biopsychosocial Perspective 282

Return to the Case Shaun Boyden 284

SUMMARY 284

KEY TERMS 285

CHAPTER 12

Substance-Relatedand Addictive Disorders 286

Case Report Carl Wadsworth 287

121 Key Features of Substance

Disorders 289

Whatrsquos New in the DSM-5 Combining Abuse and

Dependence 290

122 Disorders Associated with Specific

Substances 290

Alcohol 292

Theories and Treatment of Alcohol

Use Disorders 295



Sociocultural Perspective 298

Stimulants 299

Amphetamines 299

Cocaine 300

Cannabis 301

Hallucinogens 303

Opioids 306

You Be the Judge Prescribing

Prescription Drugs 307

Sedatives Hypnotics and Anxiolytics 308

Caffeine 309

REAL STORIES Robert Downey Jr

Substance Use Disorder 310

Tobacco 311

Inhalants 311



xiv

Theories and Treatment of Substance Use

Disorders 311

Biologica l Perspectives 312


123 Non-Substance-Related Disorders 313

Gambling Disorder 313

124 Substance Disorders The Biopsychosocial

Perspective 316

Return to the Case

Carl Wadsworth 316

SUMMARY 317

KEY TERMS 318

CHAPTER 13

NeurocognitiveDisorders 320

Case Report Irene Heller 321

131 Characteristics of Neurocognitive Disorders 322

132 Delirium 324

133 Neurocognitive Disorder due to Alzheimerrsquos

Disease 327

Prevalence of Alzheimerrsquos Disease 328


Recategorization of Neurocognitive

Disorders 329

Stages of Alzheimerrsquos Disease 329

Diagnosis of Alzheimerrsquos Disease 330

Theories and Treatment of Alzheimerrsquos

Disease 333

Theories 333

You Be the Judge Early Diagnosis of

Alzheimerrsquos Disease 334

Treatment 336

REAL STORIES Ronald Reagan


134 Neurocognitive Disorders due to Neurological Disor-

ders Other than Alzheimerrsquos Disease 340

135 Neurocognitive Disorder due to TraumaticBrain Injury 343

136 Neurocognitive Disorders due to Substances

Medications and HIV Infection 344

137 Neurocognitive Disorders due to Another General


138 Neurocognitive Disorders The Biopsychosocial

Perspective 345

Return to the Case Irene Heller 346

SUMMARY 346

KEY TERMS 347

CHAPTER 14

Personality Disorders 348

Case Report Harold Morrill 349

141 The Nature of Personality

Disorders 350


Dimensionalizing the Personality

Disorders 351

Personality Disorders in DSM-5 351

Alternative Personality Disorder Diagnostic System

in Section 3 of the DSM-5 352

142 Cluster A Personality Disorders 355

Paranoid Personality Disorder 355

Schizoid Personality Disorder 356Schizotypal Personality Disorder 357

143 Cluster B Personality Disorders 357

Antisocial Personality Disorder 357

Characteristics of Antisocial Personality

Disorder 358

Theories of Antisocial Personality

Disorder 360

You Be the Judge Antisocial PersonalityDisorder and Moral Culpability 361


REAL STORIES Ted Bundy Antisocial

Personality Disorder 362


Treatment of Antisocial Personality

Disorder 364

Borderline Personality Disorder 364Characteristics of Borderline Personality

Disorder (BPD) 365

Theories and Treatment of BPD 366



xv

Histrionic Personality Disorder 368

Narcissistic Personality Disorder 368

144 Cluster C Personality Disorders 371

Avoidant Personality Disorder 371

Dependent Personality Disorder 372

Obsessive-Compulsive Personality Disorder 373

145 Personality Disorders The Biopsychosocial

Perspective 375

Return to the Case Harold Morrill 375

SUMMARY 376

KEY TERMS 377

CHAPTER 15

Ethical and Legal

Issues 378

Case Report Mark Chen 379

151 Ethical Standards 380

Competence 382

Whatrsquos New in the DSM-5 Ethical

Implications of the New Diagnostic

System 382

Informed Consent 384

Confidentiality 385

Relationships with Clients Students and Research

Collaborators 390

You Be the Judge Multiple Relationships

Between Clients and Psychologists 391

Record Keeping 392

152 Ethical and Legal Issues in Providing

Services 392

Commitment of Clients 392

Right to Treatment 393

Refusal of Treatment and Least RestrictiveAlternative 394

153 Forensic Issues in Psychological

Treatment 395

The Insanity Defense 395

REAL STORIES Susanna Kaysen

Involuntary Commitment 396

Competency to Stand Trial 400

Understanding the Purpose of Punishment 400

Concluding Perspectives on Forensic Issues 400

Return to the Case Mark Chen 401

SUMMARY 401

KEY TERMS 402

Glossary G-1

References R-1Credits C-1

Name Index I-1

Subject Index I-9



xvi

PREFACE

Re1047298ecting the latest edition o the Diagnostic and Statistical Manual (DSM-5) and available as a print book andSmartbook (McGraw-Hillrsquos adaptive reading experience) Abnormal Psychology Clinical Perspectives and PsychologicalDisorders provides a complete solution or your course

McGraw-Hill ConnectAbnormal Psychology

Abnormal Psychology is available to instructors andstudents in traditional print ormat as well as online withinMcGraw-Hillrsquos Connectreg Abnormal Psychology anintegrated assignment and assessment platorm Connectrsquosonline tools make managing assignments easier orinstructorsmdashand make learning and studying moremotivating and effi cient or students

Experience Adaptive Reading with

SmartBook

McGraw-Hill SmartBook trade is the first and only adaptivereading experience available or the higher education marketPowered by an intelligent diagnostic and adaptive engineSmartBook acilitates and personalizes the reading process byidentiying what content a student knows and doesnrsquot know

through adaptive assessments As the student reads SmartBookconstantly adapts to ensure the student is ocused on thecontent he or she needs the most to close any knowledge gaps

abilities and limitations identiying what they knowmdashandmore importantly what they donrsquot know Using Bloomrsquosaxonomy and a highly sophisticated ldquosmartrdquo algorithmLearnSmart creates a customized study plan unique toevery studentrsquos demonstrated needs With virtually noadministrative overhead instructors using LearnSmart arereporting an increase in student perormance by one lettergrade or more

New Faces Interactive

Faces Interactive is an assignable and assessable learningenvironment that allows students to ldquointeractrdquo with realpeople living with psychological disorders Trough itsunique interactive video program Faces presents studentswith an opportunity to develop their critical thinking skillsand gain a deeper understanding o psychological disorderswelve different disorders are presented including ADHDBorderline Personality Disorder Schizophrenia and Post-raumatic Stress Disorder Faces Interactive is availableexclusively through Connect

Experience a New Classroom

Dynamic with LearnSmartHow many students think they know what they know butstruggle on the first exam McGraw-Hillrsquos LearnSmart trade adaptive learning system identifies studentsrsquo metacognitive

Real-Time Reports

Tese printable exportable reports show how well eachstudent (or section) is perorming on each course segmentInstructors can use this eature to spot problem areasbeore they crop up on an exam



xvii

Accessible Storytelling

Approach and Empirically

Supported Research

Te seventh edition o Abnormal Psychology ocuses onproviding an accurate understandable concise and up-to-date view o this rapidly evolving field In particular wehave taken a thorough look at the literature and synthesized

the inormation to provide the most relevant theories andresearch or you to study We have added new eatures togive you an appreciation or the ethical issues that conrontmental health proessionals and the current controversies inthe field around changes in the diagnostic system ldquoYou Bethe Judgerdquo presents you with controversial ethical questionsspecific to the content o the chapter ldquoWhatrsquos New in the

DSM-5rdquo eature summarizes the changes rom DSM-IV-TR to DSM-5 We have also revised each chapter based on

principles o what is called ldquoevidence-based treatmentrdquoTese eatures will give you a contemporary view o thefield as it is now and will also provide you with a solid basisor understanding how this ever-changing field continues toprogress In writing the seventh edition we have significantlysharpened the ocus o each chapter to provide you with as vibrant a picture as possible o this remarkable field inpsychology I yoursquove seen a previous edition you will notice

a distinct change that while still ocused on ldquotalking to thestudentrdquo does so in a way that re1047298ects the learning style otodayrsquos students We realize that students take many credithours and that each course (particularly in psychology)seems to be getting increasingly demanding Tereore wewant you to be able to grasp the material in the leastamount o time but with similar depth as students ound inour previous editions


Schizophrenia Subtypes and Dimensional Ratings

The DSM-5 authors implemented major changes in their approach to diagnosingschizophrenia As we mentioned at the beginning of the chapter they eliminatedthe subtypes of schizophrenia Instead using a scale that is in Section 3 cliniciansassign a diagnosis of schizophrenia to which they can add a rating of the individualrsquossymptoms along a set of dimensions as Table 63 shows By eliminating the subtypes of schizophrenia the DSM-5 authors sought to

improve both the diagnostic reliability and validity of the system They also soughtto have a more quantifiable basis for research on the disorderrsquos causes as well asfor treatment planning For example a clinician evaluating the results of cognitive-behavioral therapy could use the ratings of hallucination and delusion severityto determine whether the intervention is reducing the specific symptoms towardwhich they are targeting treatment The DSM-5 authors also decided to include cognitive impairment as adimension in the Section 3 severity ratings given the importance of cognitivedeficits in current understandings of the individualrsquos ability to carry out social andoccupational activities and to carry out the tasks involved in everyday living In thisregard a neuropsychological assessment could inform the diagnostic process(Reichenberg 2010) The DSM-5 authors considered but decided not to eliminate schizoaffectivedisorder as a separate entity Although not there yet the DSM-5 authors believe that clinicians will eventuallydiagnose schizophrenia as a ldquospectrumrdquo disorder This would mean potentially that

even diagnoses long in use in psychiatry would disappear including schizophreniformdisorder schizoaffective disorder and the two personality disorders associated withschizophrenic-like symptoms The current system in the DSM-5 represents a step in moving away from theold categorization system and toward the dimensional approach By includingseverity ratings rather than subtypes in Section 3 they are making it possible forclinicians and researchers to track individuals over time in a quantifiable fashion

whi33389_ch06_136 161indd 43 62013 448 PM F 469 201MH02079whixxxxx_disk1of1xxxxxxxxxxwhixxxxx_pagefiles

You Be the Judge

Psychiatric Neurosurgery

As we discussed in Chapter 4 psychiatric neurosurgery is i ncreasingly being usedto give clinicians a tool for controlling the symptoms of obsessive-compulsivedisorder However to what extent is surgical intervention justifiable to control theexistence of psychological symptoms Moreover this surgery is not reversibleThe debate over psychosurgery goes back to the mid-twentieth century whenphysician Walter Freeman traveled around the country performing approximately18000 leucotomies in which he severed the frontal lobes from the rest of thebrain to control the unmanageable behaviors of psychiatric patients The idea was

that by severing the frontal lobes from the limbic system the patients would nolonger be controlled by their impulses As was true in the early twentieth century when clinicians employed lobotomies tomanage otherwise intractable symptoms of psychiatric patients is it possible thatfuture generations will look upon cingulotomies and similar interventions as excessivelypunitive and even barbaric On the other hand with symptoms that are so severe anddisabling is any method that can control them to be used even if imperfect Gillett (2011) raised these issues regarding the use of current psychosurgeriesBy altering the individualrsquos brain through such radical techniques psychiatrists aretampering with a complex system of interactions that make up the individualrsquospersonality Just because they ldquoworkrdquo and because no other methods arecurrently available does this justify making permanent changes to the individualrsquosbrain The victims of the leucotomies performed by Freeman ldquoimprovedrdquo in thattheir behavior became more docile but they were forever changed

Q You be the judge Is it appropriate to transform the person using permanentmethods whose basis for effectiveness cannot be scientifically established AsGillett concludes ldquoburn heat poke freeze shock cut stimulate or otherwiseshake (but not stir) the brain and you will affect the psycherdquo (p 43)

whi33389_ch08_184 213indd Page 201 240613 911 AM F 468 201MH02079whixxxxx_disk1of1xxxxxxxxxxwhixxxxx_pagefiles



xviii

How Will You Study

ldquoAbnormalrdquo Human

Behavior

Te field o abnormal psychology covers the ull spectrumo human behavior throughout the lie span From inancythrough later adulthood the process o developmentpropels us through a vast range o experiences Some o

these experiences invariably include encounters withdistressing emotions behaviors inner experiences andinteractions with other people Tere is no sharp dividingline between ldquonormalrdquo and ldquoabnormalrdquo as you will learn inthis book nor do people spend their entire lives in one orthe other o these realms Abnormal psychology is particularly ascinating becauseit re1047298ects so many possible variations in human behaviorparticularly as these evolve over time in an individualrsquos lieLearning about abnormal psychology can be a goal or you

in and o itsel but you more than likely will find yourseldrawn to its practical applications as a basis or learninghow to help others Whether or not you decide to enter ahelping proession however you will find knowledge o thisfield useul in whatever proession you decide to pursue aswell as your everyday lie

Clinical Perspectives on

Psychological Disorders

Te subtitle o this seventh edition Clinical Perspectives onPsychological Disorders re1047298ects the emphasis in each o theprior editions on the experience o clients and clinicians intheir efforts to acilitate each individualrsquos maximumunctioning We present an actual case study at thebeginning o each chapter that typifies the disorders in thatchapter At the end o the chapter we return to the casestudy with the outcome o a prescribed treatment on thebasis o the best available evidence Troughout the chapterwe translate the symptoms o each disorder into terms that

capture the core essence o the disorder Our philosophy isthat students should be able to appreciate the undamentalnature o each disorder without necessarily having tomemorize diagnostic criteria In that way students can gaina basic understanding that will serve them well regardlesso their ultimate proessional goals

The Biopsychosocial Approach

An understanding o psychological disorders requires anintegrative approach particularly as researchers begin tounderstand increasingly the connections among themultiple dimensions that in1047298uence people throughout lie

We are adopting the biopsychosocial approachmdashincorporating biological psychological and socioculturalcontributions to psychological disorders Neuroscienceresearch is increasingly becoming relevant to theunderstanding o psychopathology but at the same time soare issues related to social context including diversity osocial class race and ethnicity Tese actors combine incomplex ways and throughout the book we explain howthey apply to particular psychological disorders

The Life-Span Approach

Individuals grow and change throughout lie and we eelthat it is essential to capture the developmental dimensionin helping students understand the evolution opsychological disorders over time Tereore we haveincorporated research and theories that provide relevantunderstandings o how the disorders that we cover emergeand modulate rom childhood through adulthood We alsoemphasize the interactive and reciprocal effects o ldquonaturerdquo(genetics) and ldquonurturerdquo (the environment) as contributorsto psychological disorders

The Human Experience of


Above all the study o abnormal psychology is the study oprooundly human experiences o this end we havedeveloped a biographical eature entitled ldquoReal Storiesrdquo You will read narratives rom the actual experiences ocelebrities sports figures politicians authors musiciansand artists ranging rom Beethoven to Herschel WalkerEach Real Story is written to provide insight into theparticular disorder covered within the chapter By readingthese ascinating biographical pieces you will come awaywith a more in-depth personal perspective to use inunderstanding the nature o the disorder

The Scientist-Practitioner Framework

We have developed this text using a scientist-practitionerramework In other words you will read about researchinormed by clinical practice We present research ontheories and treatments or each o the disorders based onthe principles o ldquoevidence-based practicerdquo Tis means thatthe approaches that we describe are tested throughextensive research inormed by clinical practice Manyresearchers in the field o abnormal psychology also treatclients in their own private offi ces hospitals or grouppractices As a result they approach their work in the lab

with the knowledge that their findings can ultimatelyprovide real help to real people



xix

Chapter-by-Chapter

Changes

Te most significant change in this updated edition is theintegration o the DSM-5 in every chapter where it appliesEven the table o contents has been reorganized to re1047298ectthis important new edition o the DSM Another major change you will notice is in the order oauthors Afer many years o teaching research and writing

the new first author (Proessor Whitbourne) is bringing herclassroom style into the writing o this text ProessorWhitbourne also writes a popular Psychology Today blogcalled ldquoFulfillment at Any Agerdquo and she has adapted thematerial in the previous editions to re1047298ect the empiricallyinormed but accessible reading style that has contributed tothe success o this blog In addition we added a research assistant to the team whobrings a more youthul and contemporary perspective toparticular eatures within the text An advanced clinical

psychology graduate student at American University at thetime o this writing Jennier OrsquoBrien wrote the ldquoReal Storiesrdquoeatures and the case studies that begin and end each chapterChanging any identifiable details she brought her work intothese cases rom her practicums at a college counselingcenter a Veterans Administration Hospital a judicial courtsystem and a womenrsquos therapy clinic In addition to heroutstanding academic credentials Jennier happens to beProessor Whitbournersquos younger daughter She is a member oPsi Chi APAGS (the APA Graduate Student association) andthe recipient o an outstanding undergraduate teachingassistant award Her dissertation research on the therapeuticalliance will provide new insights into understandingthis undamental component o effective psychotherapyShe currently works as a researcher at the VeteransAdministration Medical Center in Jamaica Plain Boston MA We have added two particularly exciting eatures to theseventh edition ound in most chapters

bull ldquoWhatrsquos New in DSM-5rdquo Tis eature summarizes thechanges rom DSM-IV-TR to DSM-5 Not only does ithighlight the new edition o the DSM but it alsodemonstrates how the definition and categorization opsychological disorders changes over time

bull ldquoYou Be the Judgerdquo Te ethical issues that psychologistsgrapple with are an integral part o research and practiceIn these boxed eatures we highlight a specific aspect oone o the disorders that we discuss in the chapter andpresent a question or you to answer You will be the

judge in deciding which position you want to take aferwe inorm you o both sides o the issue at stake

o make it easier or previous users o the text to seewhatrsquos changed a summary o the most importantrevisions to each chapter ollows

CHAPTER 1 Overview to

Understanding Abnormal Behavior

bull Reduced length o sections on history o abnormalpsychology

bull Clarified the biopsychosocial perspective section

bull Added a section on Behavioral Genetics

bull Expanded the discussion o the developmentalperspective

CHAPTER 2 Diagnosis and

Treatment

bull Replaced the description o the DSM-IV-TR with asection on the DSM-5

bull Added material on the International Classification ofDiseases (ICD) system

bull Provided greater ocus on evidence-based practice

CHAPTER 3 Assessment

bull Provided up-to-date inormation on the WAIS-IV andits use in assessment

bull Greatly expanded the section on neuropsychologicalassessment including computerized testing

bull Updated and expanded treatment o brain imagingmethods

bull Retained projective testing but with less ocus ondetailed interpretation o projective test data

CHAPTER 4 Theoretical Perspectives

bull Retained the classic psychodynamic theories but withupdates rom current research

bull Expanded greatly the discussion o biological theoriesand moved these to the beginning o the chapter

bull Provided more detail on the cognitive-behavioralperspective to use as a basis or subsequent chapters

that rely heavily on treatment based on thisperspective



xx

CHAPTERS 5-14 Neurodevelopmental

Disorders to Personality Disorders

bull Where appropriate incorporated inormation about howDSM-5 changed conceptualization o these disordersincluding changes in terminology

bull Expanded the coverage o biological theories includingstudies on genetics epigenetics and neuroimaging

bull Completely updated treatment sections givingemphasis to those approaches to treatmentrecommended through evidence-based practice

bull Included newer therapies including mindulnessmeditation relaxation and Acceptance andCommitment Terapy

bull Revised tables and figures to provide more readilyaccessible pedagogy

CHAPTER 15 Ethical and

Legal Issues

bull Expanded the discussion o APArsquos Ethics Code includinga table that summarizes its most important eatures

bull Updated the cases with newer inormation including a

section on Kendrarsquos Law

bull Revised the section on orensic psychology includingexamples rom relevant case law



xxi

Trough McGraw-Hillrsquos partnership with Blackboard

Abnormal Psychology Clinical Perspectives on PsychologicalDisorders offers a seamless integration o content and tools

bull Seamless gradebook between Blackboard and Connect

bull Single sign-on providing seamless integration betweenMcGraw-Hill content and Blackboard

bull Simplicity in assigning and engaging your studentswith course materials

Craf your teaching resources to

match the way you teach WithMcGraw-Hill Create wwwmcgrawhillcreatecom you caneasily rearrange chapters combine material rom othercontent sources and quickly upload content you havewritten such as your course syllabus or teaching notesFind the content you need in Create by searching throughthousands o leading McGraw-Hill textbooks Arrange yourbook to fit your teaching style Create even allows you topersonalize your bookrsquos appearance by selecting the coverand adding your name school and course inormationOrder a Create book and yoursquoll receive a complimentaryprint review copy in 3ndash5 business days or a complimentaryelectronic review copy (eComp) via e-mail in about anhour Go to wwwmcgrawhillcreatecom today and registerExperience how McGraw-Hill Create empowers you toteach your students your way

egrity Campus is a service thatmakes class time available all the

time by automatically capturing every lecture in asearchable ormat or students to review when they studyand complete assignments With a simple one-click startand stop process users capture all computer screens andcorresponding audio Students replay any part o any classwith easy-to-use browser-based viewing on a PC or MacEducators know that the more students can see hear andexperience class resources the better they learn Withegrity Campus students quickly recall key moments byusing egrity Campusrsquos unique search eature Tis search

helps students effi ciently find what they need when theyneed it across an entire semester o class recordings Help

turn all your studentsrsquo study time into learning momentsimmediately supported by your lecture

CourseSmart e-extbook Tis textis available as an eextbook at

wwwCourseSmartcom At CourseSmart your studentscan take advantage o significant savings off the cost o aprint textbook reduce their impact on the environmentand gain access to powerul Web tools or learningCourseSmart eextbooks can be viewed online ordownloaded to a computer Te eextbooks allow studentsto do ull text searches add highlighting and notesand share notes with classmates CourseSmart has thelargest selection o eextbooks available anywhere VisitwwwCourseSmartcom to learn more and to try a samplechapter

Support Materials

Te ollowing ancillaries are available to accompany Abnormal Psychology Seventh Edition Please contactyour McGraw-Hill sales representative or detailsconcerning policies prices and availability as somerestrictions may apply

For the Instructor

Te password-protected instructor side o the OnlineLearning Center at wwwmhhecomwhitbourne7e contains

the Instructorrsquos Manual est Bank files PowerPointPresentations Image Gallery and other valuable material tohelp you design and enhance your course Ask your localMcGraw-Hill representative or your password Te Instructorrsquos Manual provides many tools useul orteaching the seventh edition For each chapter the InstructorrsquosManual includes an overview o the chapter teachingobjectives suggestions and resources or lecture topicsclassroom activities and essay questions designed to helpstudents develop ideas or independent projects and papers

Te Test Bank contains over 2000 testing items Alltesting items are classified as conceptual or applied andreerenced to the appropriate learning objective All testquestions are compatible with EZest McGraw-HillrsquosComputerized est Bank program which runs on bothMacintosh and Windows computers and includes anediting eature that enables instructors to import their ownquestions scramble items and modiy questions to createtheir own tests Te PowerPoint Presentations are the key points o

each chapter and contain key illustrations graphs andtables or instructors to use during their lectures



xxii

Acknowledgments

Te ollowing instructors were instrumental in thedevelopment o the text offering their eedback and adviceas reviewers

David Alfano Community College of Rhode Island

Bryan Cochran University of Montana

Julie A Deisinger Saint Xavier University

Angela Fournier Bemidji State University Richard Helms Central Piedmont Community College

Heather Jennings Mercer County Community College

Joan Brandt Jensen Central Piedmont Community College

Cynthia Kalodner Towson University

Patricia Kemerer Ivy Tech Community College

Barbara Kennedy Brevard Community College-Palm Bay

Joseph Lowman University of North Carolina-Chapel Hill

Don Lucas Northwest Vista College

James A Markusic Missouri State University

Mark McKellop Juniata College

Maura Mitrushina California State University-Northridge

John Norland Blackhawk Technical College

Karen Clay Rhines Northampton Community College

Ty Schepis Texas State University

William R Scott Liberty University

Dr Wayne S Stein Brevard Community College

Marla Sturm Montgomery County Community College

Terry S Trepper Purdue University-Calumet

Naomi Wagner San Jose State University

Nevada Winrow Baltimore City Community College

A great book canrsquot come together without a great

publishing team Wersquod like to thank our editorial team allo whom worked with us through various stages o thepublishing process Special gratitude goes to our editorKrista Bettino whose vision helped us present the materialin a resh and student-oriented manner Barbara HeinssenDevelopment Manager aided in development and redesigno this new edition Anne Fuzellier Managing Editor andChantelle Walker Editorial Coordinator assisted usthrough the complex publication process Sarah ColwellDigital Development Editor and Neil Kahn Digital

Product Analyst ensured that the material is translatedinto digital media allowing greater access or students andinstructors Laura Byrnes Marketing Coordinator alsodeserves our special thanks



xxiii

A Letter from the Author

I am very glad that you are choosing to read my textbook Te topic o abnormalpsychology has never been more ascinating or relevant We constantly hear mediareports o celebrities having meltdowns or which they receive quickie diagnoses thatmay or may not be accurate Given all o this misinormation in the mind o the publicI eel that itrsquos important or you to be educated in the science and practice o abnormalpsychology At the same time psychological science grabs almost as many headlines inall orms o news media It seems that everyone is eager to learn about the latest findingsranging rom the neuroscience o behavior to the effectiveness o the newest treatmentmethods Tese advances in brain-scanning methods and studies o psychotherapyeffectiveness are greatly increasing our understanding o how to help people withpsychological disorders Particularly ascinating are the DSM-5 changes Each revision o the DSM brings withit controversies and challenges and the DSM-5 is no exception Despite challenges to thenew ways that the DSM-5 defines and categorizes psychological disorders it is perhapsbased more than any earlier edition on a strong research base Scientists and practitionerswill continue to debate the best ways to interpret this research We all will benefit romthese dialogues

Te proession o clinical psychology is also undergoing rapid changes With changesin health care policy it is very likely that more and more proessionals ranging rompsychologists to mental health counselors will be employed in providing behavioralinterventions By taking this first step toward your education now you will be preparingyoursel or a career that is increasingly being recognized as vital to helping individualso all ages and all walks o lie to achieve their greatest ulfillment I hope you find this text as engaging to read as I ound to write Please eel ree toe-mail me with your questions and reactions to the material As a user o McGraw-HillrsquosConnect in my own introductory psychology class I can also vouch or its effectivenessin helping you achieve mastery o the content o abnormal psychology I am also available

to answer any questions you have rom an instructorrsquos point o view about how best toincorporate this bookrsquos digital media into your own teaching Tank you again or choosing to read this book

BestSusan Krauss Whitbourne PhDswhitbopsychumassedu









RICHARD P HALGIN





SEVENH EDIION







United States


1 2 3 4 5 6 7 8 9 0 DOWDOW 1 0 9 8 7 6 5 4 3



























wwwmhhecom













ABOUT THE AUTHORS

vi



vii

Preface xvi



3 Assessment 46

4












Glossary G-1

References R-1

Credits C-1

Name Index I-1

Subject Index I-9

BRIEF CONTENTS



viii

Preface xvi

CHAPTER 1



11 What Is Abnormal

Behavior 4




Biological Causes 7












Mental Disorder 15



Places 16


Survey 17


Psychosis 18






Perspectives 22


SUMMARY 23

KEY TERMS 23

CHAPTER 2





The Client 26

The Clinician 27





(DSM-5) 28





Case Formulation 35





Prescribers 37

Treatment Site 38








Treatment 41




CONTENTS



ix


Disorder 42



SUMMARY 44

KEY TERMS 45

CHAPTER 3

Assessment 46



Assessments 48















Legal System 64

39 Neuroimaging 65


Bipolar Disorder 66



SUMMARY 69

KEY TERMS 69

CHAPTER 4


Case Report Meera

Krishnan 71



Theories 72

Treatment 77

43 Trait Theory 80


Approaches 81




Treatment 86


Theories 86


Practice 87

Treatment 88


Theories 89

Treatment 90


Theories 91

Treatment 93


Theories 94

Treatment 94






SUMMARY 98

KEY TERMS 99



x

CHAPTER 5




Disorder) 103








Rett Syndrome 115









(ADHD) 122


ADHD in Adults 125






Tic Disorders 131



Perspective 132


SUMMARY 133

KEY TERMS 134

CHAPTER 6


Case Report David

Marshall 137






Diagnosis 145






Theories 150


Treatments 153


Theories 154

Treatments 156


Theories 156

Treatments 158


Perspective 159


SUMMARY 160

KEY TERMS 161

CHAPTER 7

Depressive and




xi









Disorder 168














74 Suicide 180


Perspective 182


SUMMARY 183

KEY TERMS 183

CHAPTER 8












Panic Disorder 193

Agoraphobiar 194










Disorder 199


Neurosurgery 201









Disorder 207




Perspective 210


SUMMARY 211

KEY TERMS 212



xii

CHAPTER 9


Case Report Rose

Marston 215




Disorders 217




Disorder 220







Disorders 224








Condition 228








SUMMARY 234

KEY TERMS 235

CHAPTER 10



Case Report Rosa

Nomirez 237



















Pyromania 252



Kleptomania 254




SUMMARY 256

KEY TERMS 257



xiii

CHAPTER 11












Disorders 266



Disorders 267









Offenders 275






Addiction 278



Dysphoria 282




SUMMARY 284

KEY TERMS 285

CHAPTER 12




Disorders 289


Dependence 290


Substances 290

Alcohol 292


Use Disorders 295




Stimulants 299

Amphetamines 299

Cocaine 300

Cannabis 301

Hallucinogens 303

Opioids 306




Caffeine 309



Tobacco 311

Inhalants 311



xiv


Disorders 311






Perspective 316

Return to the Case

Carl Wadsworth 316

SUMMARY 317

KEY TERMS 318

CHAPTER 13




132 Delirium 324


Disease 327




Disorders 329




Disease 333

Theories 333



Treatment 336











Perspective 345


SUMMARY 346

KEY TERMS 347

CHAPTER 14




Disorders 350



Disorders 351










Disorder 358


Disorder 360







Disorder 364


Disorder (BPD) 365




xv








Perspective 375


SUMMARY 376

KEY TERMS 377

CHAPTER 15

Ethical and Legal

Issues 378



Competence 382



System 382


Confidentiality 385


Collaborators 390



Record Keeping 392


Services 392





Treatment 395








SUMMARY 401

KEY TERMS 402

Glossary G-1


Name Index I-1

Subject Index I-9



xvi

PREFACE





SmartBook








Real-Time Reports




xvii



Supported Research











whi33389_ch06_136 161indd Page 143 62013 448 PM F 469 201MH02079whixxxxx_disk1of1xxxxxxxxxxwhixxxxx_pagefiles

You Be the Judge





whi33389_ch08_184 213indd 01 240613 911 AM F 468 201MH02079whixxxxx_disk1of1xxxxxxxxxxwhixxxxx_pagefiles



xviii

How Will You Study


Behavior





















xix

Chapter-by-Chapter

Changes















Treatment
















xx









Legal Issues







xxi














Support Materials


For the Instructor







xxii

Acknowledgments






























xxiii












RICHARD P HALGIN





SEVENH EDIION







United States


1 2 3 4 5 6 7 8 9 0 DOWDOW 1 0 9 8 7 6 5 4 3



























wwwmhhecom













ABOUT THE AUTHORS

vi



vii

Preface xvi



3 Assessment 46

4












Glossary G-1

References R-1

Credits C-1

Name Index I-1

Subject Index I-9

BRIEF CONTENTS



viii

Preface xvi

CHAPTER 1



11 What Is Abnormal

Behavior 4




Biological Causes 7












Mental Disorder 15



Places 16


Survey 17


Psychosis 18






Perspectives 22


SUMMARY 23

KEY TERMS 23

CHAPTER 2





The Client 26

The Clinician 27





(DSM-5) 28





Case Formulation 35





Prescribers 37

Treatment Site 38








Treatment 41




CONTENTS



ix


Disorder 42



SUMMARY 44

KEY TERMS 45

CHAPTER 3

Assessment 46



Assessments 48















Legal System 64

39 Neuroimaging 65


Bipolar Disorder 66



SUMMARY 69

KEY TERMS 69

CHAPTER 4


Case Report Meera

Krishnan 71



Theories 72

Treatment 77

43 Trait Theory 80


Approaches 81




Treatment 86


Theories 86


Practice 87

Treatment 88


Theories 89

Treatment 90


Theories 91

Treatment 93


Theories 94

Treatment 94






SUMMARY 98

KEY TERMS 99



x

CHAPTER 5




Disorder) 103








Rett Syndrome 115









(ADHD) 122


ADHD in Adults 125






Tic Disorders 131



Perspective 132


SUMMARY 133

KEY TERMS 134

CHAPTER 6


Case Report David

Marshall 137






Diagnosis 145






Theories 150


Treatments 153


Theories 154

Treatments 156


Theories 156

Treatments 158


Perspective 159


SUMMARY 160

KEY TERMS 161

CHAPTER 7

Depressive and




xi









Disorder 168














74 Suicide 180


Perspective 182


SUMMARY 183

KEY TERMS 183

CHAPTER 8












Panic Disorder 193

Agoraphobiar 194










Disorder 199


Neurosurgery 201









Disorder 207




Perspective 210


SUMMARY 211

KEY TERMS 212



xii

CHAPTER 9


Case Report Rose

Marston 215




Disorders 217




Disorder 220







Disorders 224








Condition 228








SUMMARY 234

KEY TERMS 235

CHAPTER 10



Case Report Rosa

Nomirez 237



















Pyromania 252



Kleptomania 254




SUMMARY 256

KEY TERMS 257



xiii

CHAPTER 11












Disorders 266



Disorders 267









Offenders 275






Addiction 278



Dysphoria 282




SUMMARY 284

KEY TERMS 285

CHAPTER 12




Disorders 289


Dependence 290


Substances 290

Alcohol 292


Use Disorders 295




Stimulants 299

Amphetamines 299

Cocaine 300

Cannabis 301

Hallucinogens 303

Opioids 306




Caffeine 309



Tobacco 311

Inhalants 311



xiv


Disorders 311






Perspective 316

Return to the Case

Carl Wadsworth 316

SUMMARY 317

KEY TERMS 318

CHAPTER 13




132 Delirium 324


Disease 327




Disorders 329




Disease 333

Theories 333



Treatment 336











Perspective 345


SUMMARY 346

KEY TERMS 347

CHAPTER 14




Disorders 350



Disorders 351










Disorder 358


Disorder 360







Disorder 364


Disorder (BPD) 365




xv








Perspective 375


SUMMARY 376

KEY TERMS 377

CHAPTER 15

Ethical and Legal

Issues 378



Competence 382



System 382


Confidentiality 385


Collaborators 390



Record Keeping 392


Services 392





Treatment 395








SUMMARY 401

KEY TERMS 402

Glossary G-1


Name Index I-1

Subject Index I-9



xvi

PREFACE





SmartBook








Real-Time Reports




xvii



Supported Research












You Be the Judge








xviii

How Will You Study


Behavior





















xix

Chapter-by-Chapter

Changes















Treatment
















xx









Legal Issues







xxi














Support Materials


For the Instructor







xxii

Acknowledgments






























xxiii









SEVENH EDIION







United States


1 2 3 4 5 6 7 8 9 0 DOWDOW 1 0 9 8 7 6 5 4 3



























wwwmhhecom













ABOUT THE AUTHORS

vi



vii

Preface xvi



3 Assessment 46

4












Glossary G-1

References R-1

Credits C-1

Name Index I-1

Subject Index I-9

BRIEF CONTENTS



viii

Preface xvi

CHAPTER 1



11 What Is Abnormal

Behavior 4




Biological Causes 7












Mental Disorder 15



Places 16


Survey 17


Psychosis 18






Perspectives 22


SUMMARY 23

KEY TERMS 23

CHAPTER 2





The Client 26

The Clinician 27





(DSM-5) 28





Case Formulation 35





Prescribers 37

Treatment Site 38








Treatment 41




CONTENTS



ix


Disorder 42



SUMMARY 44

KEY TERMS 45

CHAPTER 3

Assessment 46



Assessments 48















Legal System 64

39 Neuroimaging 65


Bipolar Disorder 66



SUMMARY 69

KEY TERMS 69

CHAPTER 4


Case Report Meera

Krishnan 71



Theories 72

Treatment 77

43 Trait Theory 80


Approaches 81




Treatment 86


Theories 86


Practice 87

Treatment 88


Theories 89

Treatment 90


Theories 91

Treatment 93


Theories 94

Treatment 94






SUMMARY 98

KEY TERMS 99



x

CHAPTER 5




Disorder) 103








Rett Syndrome 115









(ADHD) 122


ADHD in Adults 125






Tic Disorders 131



Perspective 132


SUMMARY 133

KEY TERMS 134

CHAPTER 6


Case Report David

Marshall 137






Diagnosis 145






Theories 150


Treatments 153


Theories 154

Treatments 156


Theories 156

Treatments 158


Perspective 159


SUMMARY 160

KEY TERMS 161

CHAPTER 7

Depressive and




xi









Disorder 168














74 Suicide 180


Perspective 182


SUMMARY 183

KEY TERMS 183

CHAPTER 8












Panic Disorder 193

Agoraphobiar 194










Disorder 199


Neurosurgery 201









Disorder 207




Perspective 210


SUMMARY 211

KEY TERMS 212



xii

CHAPTER 9


Case Report Rose

Marston 215




Disorders 217




Disorder 220







Disorders 224








Condition 228








SUMMARY 234

KEY TERMS 235

CHAPTER 10



Case Report Rosa

Nomirez 237



















Pyromania 252



Kleptomania 254




SUMMARY 256

KEY TERMS 257



xiii

CHAPTER 11












Disorders 266



Disorders 267









Offenders 275






Addiction 278



Dysphoria 282




SUMMARY 284

KEY TERMS 285

CHAPTER 12




Disorders 289


Dependence 290


Substances 290

Alcohol 292


Use Disorders 295




Stimulants 299

Amphetamines 299

Cocaine 300

Cannabis 301

Hallucinogens 303

Opioids 306




Caffeine 309



Tobacco 311

Inhalants 311



xiv


Disorders 311






Perspective 316

Return to the Case

Carl Wadsworth 316

SUMMARY 317

KEY TERMS 318

CHAPTER 13




132 Delirium 324


Disease 327




Disorders 329




Disease 333

Theories 333



Treatment 336











Perspective 345


SUMMARY 346

KEY TERMS 347

CHAPTER 14




Disorders 350



Disorders 351










Disorder 358


Disorder 360







Disorder 364


Disorder (BPD) 365




xv








Perspective 375


SUMMARY 376

KEY TERMS 377

CHAPTER 15

Ethical and Legal

Issues 378



Competence 382



System 382


Confidentiality 385


Collaborators 390



Record Keeping 392


Services 392





Treatment 395








SUMMARY 401

KEY TERMS 402

Glossary G-1


Name Index I-1

Subject Index I-9



xvi

PREFACE





SmartBook








Real-Time Reports




xvii



Supported Research












You Be the Judge








xviii

How Will You Study


Behavior





















xix

Chapter-by-Chapter

Changes















Treatment
















xx









Legal Issues







xxi














Support Materials


For the Instructor







xxii

Acknowledgments






























xxiii


















ABOUT THE AUTHORS

vi



vii

Preface xvi



3 Assessment 46

4












Glossary G-1

References R-1

Credits C-1

Name Index I-1

Subject Index I-9

BRIEF CONTENTS



viii

Preface xvi

CHAPTER 1



11 What Is Abnormal

Behavior 4




Biological Causes 7












Mental Disorder 15



Places 16


Survey 17


Psychosis 18






Perspectives 22


SUMMARY 23

KEY TERMS 23

CHAPTER 2





The Client 26

The Clinician 27





(DSM-5) 28





Case Formulation 35





Prescribers 37

Treatment Site 38








Treatment 41




CONTENTS



ix


Disorder 42



SUMMARY 44

KEY TERMS 45

CHAPTER 3

Assessment 46



Assessments 48















Legal System 64

39 Neuroimaging 65


Bipolar Disorder 66



SUMMARY 69

KEY TERMS 69

CHAPTER 4


Case Report Meera

Krishnan 71



Theories 72

Treatment 77

43 Trait Theory 80


Approaches 81




Treatment 86


Theories 86


Practice 87

Treatment 88


Theories 89

Treatment 90


Theories 91

Treatment 93


Theories 94

Treatment 94






SUMMARY 98

KEY TERMS 99



x

CHAPTER 5




Disorder) 103








Rett Syndrome 115









(ADHD) 122


ADHD in Adults 125






Tic Disorders 131



Perspective 132


SUMMARY 133

KEY TERMS 134

CHAPTER 6


Case Report David

Marshall 137






Diagnosis 145






Theories 150


Treatments 153


Theories 154

Treatments 156


Theories 156

Treatments 158


Perspective 159


SUMMARY 160

KEY TERMS 161

CHAPTER 7

Depressive and




xi









Disorder 168














74 Suicide 180


Perspective 182


SUMMARY 183

KEY TERMS 183

CHAPTER 8












Panic Disorder 193

Agoraphobiar 194










Disorder 199


Neurosurgery 201









Disorder 207




Perspective 210


SUMMARY 211

KEY TERMS 212



xii

CHAPTER 9


Case Report Rose

Marston 215




Disorders 217




Disorder 220







Disorders 224








Condition 228








SUMMARY 234

KEY TERMS 235

CHAPTER 10



Case Report Rosa

Nomirez 237



















Pyromania 252



Kleptomania 254




SUMMARY 256

KEY TERMS 257



xiii

CHAPTER 11












Disorders 266



Disorders 267









Offenders 275






Addiction 278



Dysphoria 282




SUMMARY 284

KEY TERMS 285

CHAPTER 12




Disorders 289


Dependence 290


Substances 290

Alcohol 292


Use Disorders 295




Stimulants 299

Amphetamines 299

Cocaine 300

Cannabis 301

Hallucinogens 303

Opioids 306




Caffeine 309



Tobacco 311

Inhalants 311



xiv


Disorders 311






Perspective 316

Return to the Case

Carl Wadsworth 316

SUMMARY 317

KEY TERMS 318

CHAPTER 13




132 Delirium 324


Disease 327




Disorders 329




Disease 333

Theories 333



Treatment 336











Perspective 345


SUMMARY 346

KEY TERMS 347

CHAPTER 14




Disorders 350



Disorders 351










Disorder 358


Disorder 360







Disorder 364


Disorder (BPD) 365




xv








Perspective 375


SUMMARY 376

KEY TERMS 377

CHAPTER 15

Ethical and Legal

Issues 378



Competence 382



System 382


Confidentiality 385


Collaborators 390



Record Keeping 392


Services 392





Treatment 395








SUMMARY 401

KEY TERMS 402

Glossary G-1


Name Index I-1

Subject Index I-9



xvi

PREFACE





SmartBook








Real-Time Reports




xvii



Supported Research












You Be the Judge








xviii

How Will You Study


Behavior





















xix

Chapter-by-Chapter

Changes















Treatment
















xx









Legal Issues







xxi














Support Materials


For the Instructor







xxii

Acknowledgments






























xxiii








vii

Preface xvi



3 Assessment 46

4












Glossary G-1

References R-1

Credits C-1

Name Index I-1

Subject Index I-9

BRIEF CONTENTS



viii

Preface xvi

CHAPTER 1



11 What Is Abnormal

Behavior 4




Biological Causes 7












Mental Disorder 15



Places 16


Survey 17


Psychosis 18






Perspectives 22


SUMMARY 23

KEY TERMS 23

CHAPTER 2





The Client 26

The Clinician 27





(DSM-5) 28





Case Formulation 35





Prescribers 37

Treatment Site 38








Treatment 41




CONTENTS



ix


Disorder 42



SUMMARY 44

KEY TERMS 45

CHAPTER 3

Assessment 46



Assessments 48















Legal System 64

39 Neuroimaging 65


Bipolar Disorder 66



SUMMARY 69

KEY TERMS 69

CHAPTER 4


Case Report Meera

Krishnan 71



Theories 72

Treatment 77

43 Trait Theory 80


Approaches 81




Treatment 86


Theories 86


Practice 87

Treatment 88


Theories 89

Treatment 90


Theories 91

Treatment 93


Theories 94

Treatment 94






SUMMARY 98

KEY TERMS 99



x

CHAPTER 5




Disorder) 103








Rett Syndrome 115









(ADHD) 122


ADHD in Adults 125






Tic Disorders 131



Perspective 132


SUMMARY 133

KEY TERMS 134

CHAPTER 6


Case Report David

Marshall 137






Diagnosis 145






Theories 150


Treatments 153


Theories 154

Treatments 156


Theories 156

Treatments 158


Perspective 159


SUMMARY 160

KEY TERMS 161

CHAPTER 7

Depressive and




xi









Disorder 168














74 Suicide 180


Perspective 182


SUMMARY 183

KEY TERMS 183

CHAPTER 8












Panic Disorder 193

Agoraphobiar 194










Disorder 199


Neurosurgery 201









Disorder 207




Perspective 210


SUMMARY 211

KEY TERMS 212



xii

CHAPTER 9


Case Report Rose

Marston 215




Disorders 217




Disorder 220







Disorders 224








Condition 228








SUMMARY 234

KEY TERMS 235

CHAPTER 10



Case Report Rosa

Nomirez 237



















Pyromania 252



Kleptomania 254




SUMMARY 256

KEY TERMS 257



xiii

CHAPTER 11












Disorders 266



Disorders 267









Offenders 275






Addiction 278



Dysphoria 282




SUMMARY 284

KEY TERMS 285

CHAPTER 12




Disorders 289


Dependence 290


Substances 290

Alcohol 292


Use Disorders 295




Stimulants 299

Amphetamines 299

Cocaine 300

Cannabis 301

Hallucinogens 303

Opioids 306




Caffeine 309



Tobacco 311

Inhalants 311



xiv


Disorders 311






Perspective 316

Return to the Case

Carl Wadsworth 316

SUMMARY 317

KEY TERMS 318

CHAPTER 13




132 Delirium 324


Disease 327




Disorders 329




Disease 333

Theories 333



Treatment 336











Perspective 345


SUMMARY 346

KEY TERMS 347

CHAPTER 14




Disorders 350



Disorders 351










Disorder 358


Disorder 360







Disorder 364


Disorder (BPD) 365




xv








Perspective 375


SUMMARY 376

KEY TERMS 377

CHAPTER 15

Ethical and Legal

Issues 378



Competence 382



System 382


Confidentiality 385


Collaborators 390



Record Keeping 392


Services 392





Treatment 395








SUMMARY 401

KEY TERMS 402

Glossary G-1


Name Index I-1

Subject Index I-9



xvi

PREFACE





SmartBook








Real-Time Reports




xvii



Supported Research












You Be the Judge








xviii

How Will You Study


Behavior





















xix

Chapter-by-Chapter

Changes















Treatment
















xx









Legal Issues







xxi














Support Materials


For the Instructor







xxii

Acknowledgments






























xxiii








viii

Preface xvi

CHAPTER 1



11 What Is Abnormal

Behavior 4




Biological Causes 7












Mental Disorder 15



Places 16


Survey 17


Psychosis 18






Perspectives 22


SUMMARY 23

KEY TERMS 23

CHAPTER 2





The Client 26

The Clinician 27





(DSM-5) 28





Case Formulation 35





Prescribers 37

Treatment Site 38








Treatment 41




CONTENTS



ix


Disorder 42



SUMMARY 44

KEY TERMS 45

CHAPTER 3

Assessment 46



Assessments 48















Legal System 64

39 Neuroimaging 65


Bipolar Disorder 66



SUMMARY 69

KEY TERMS 69

CHAPTER 4


Case Report Meera

Krishnan 71



Theories 72

Treatment 77

43 Trait Theory 80


Approaches 81




Treatment 86


Theories 86


Practice 87

Treatment 88


Theories 89

Treatment 90


Theories 91

Treatment 93


Theories 94

Treatment 94






SUMMARY 98

KEY TERMS 99



x

CHAPTER 5




Disorder) 103








Rett Syndrome 115









(ADHD) 122


ADHD in Adults 125






Tic Disorders 131



Perspective 132


SUMMARY 133

KEY TERMS 134

CHAPTER 6


Case Report David

Marshall 137






Diagnosis 145






Theories 150


Treatments 153


Theories 154

Treatments 156


Theories 156

Treatments 158


Perspective 159


SUMMARY 160

KEY TERMS 161

CHAPTER 7

Depressive and




xi









Disorder 168














74 Suicide 180


Perspective 182


SUMMARY 183

KEY TERMS 183

CHAPTER 8












Panic Disorder 193

Agoraphobiar 194










Disorder 199


Neurosurgery 201









Disorder 207




Perspective 210


SUMMARY 211

KEY TERMS 212



xii

CHAPTER 9


Case Report Rose

Marston 215




Disorders 217




Disorder 220







Disorders 224








Condition 228








SUMMARY 234

KEY TERMS 235

CHAPTER 10



Case Report Rosa

Nomirez 237



















Pyromania 252



Kleptomania 254




SUMMARY 256

KEY TERMS 257



xiii

CHAPTER 11












Disorders 266



Disorders 267









Offenders 275






Addiction 278



Dysphoria 282




SUMMARY 284

KEY TERMS 285

CHAPTER 12




Disorders 289


Dependence 290


Substances 290

Alcohol 292


Use Disorders 295




Stimulants 299

Amphetamines 299

Cocaine 300

Cannabis 301

Hallucinogens 303

Opioids 306




Caffeine 309



Tobacco 311

Inhalants 311



xiv


Disorders 311






Perspective 316

Return to the Case

Carl Wadsworth 316

SUMMARY 317

KEY TERMS 318

CHAPTER 13




132 Delirium 324


Disease 327




Disorders 329




Disease 333

Theories 333



Treatment 336











Perspective 345


SUMMARY 346

KEY TERMS 347

CHAPTER 14




Disorders 350



Disorders 351










Disorder 358


Disorder 360







Disorder 364


Disorder (BPD) 365




xv








Perspective 375


SUMMARY 376

KEY TERMS 377

CHAPTER 15

Ethical and Legal

Issues 378



Competence 382



System 382


Confidentiality 385


Collaborators 390



Record Keeping 392


Services 392





Treatment 395








SUMMARY 401

KEY TERMS 402

Glossary G-1


Name Index I-1

Subject Index I-9



xvi

PREFACE





SmartBook








Real-Time Reports




xvii



Supported Research












You Be the Judge








xviii

How Will You Study


Behavior





















xix

Chapter-by-Chapter

Changes















Treatment
















xx









Legal Issues







xxi














Support Materials


For the Instructor







xxii

Acknowledgments






























xxiii








ix


Disorder 42



SUMMARY 44

KEY TERMS 45

CHAPTER 3

Assessment 46



Assessments 48















Legal System 64

39 Neuroimaging 65


Bipolar Disorder 66



SUMMARY 69

KEY TERMS 69

CHAPTER 4


Case Report Meera

Krishnan 71



Theories 72

Treatment 77

43 Trait Theory 80


Approaches 81




Treatment 86


Theories 86


Practice 87

Treatment 88


Theories 89

Treatment 90


Theories 91

Treatment 93


Theories 94

Treatment 94






SUMMARY 98

KEY TERMS 99



x

CHAPTER 5




Disorder) 103








Rett Syndrome 115









(ADHD) 122


ADHD in Adults 125






Tic Disorders 131



Perspective 132


SUMMARY 133

KEY TERMS 134

CHAPTER 6


Case Report David

Marshall 137






Diagnosis 145






Theories 150


Treatments 153


Theories 154

Treatments 156


Theories 156

Treatments 158


Perspective 159


SUMMARY 160

KEY TERMS 161

CHAPTER 7

Depressive and




xi









Disorder 168














74 Suicide 180


Perspective 182


SUMMARY 183

KEY TERMS 183

CHAPTER 8












Panic Disorder 193

Agoraphobiar 194










Disorder 199


Neurosurgery 201









Disorder 207




Perspective 210


SUMMARY 211

KEY TERMS 212



xii

CHAPTER 9


Case Report Rose

Marston 215




Disorders 217




Disorder 220







Disorders 224








Condition 228








SUMMARY 234

KEY TERMS 235

CHAPTER 10



Case Report Rosa

Nomirez 237



















Pyromania 252



Kleptomania 254




SUMMARY 256

KEY TERMS 257



xiii

CHAPTER 11












Disorders 266



Disorders 267









Offenders 275






Addiction 278



Dysphoria 282




SUMMARY 284

KEY TERMS 285

CHAPTER 12




Disorders 289


Dependence 290


Substances 290

Alcohol 292


Use Disorders 295




Stimulants 299

Amphetamines 299

Cocaine 300

Cannabis 301

Hallucinogens 303

Opioids 306




Caffeine 309



Tobacco 311

Inhalants 311



xiv


Disorders 311






Perspective 316

Return to the Case

Carl Wadsworth 316

SUMMARY 317

KEY TERMS 318

CHAPTER 13




132 Delirium 324


Disease 327




Disorders 329




Disease 333

Theories 333



Treatment 336











Perspective 345


SUMMARY 346

KEY TERMS 347

CHAPTER 14




Disorders 350



Disorders 351










Disorder 358


Disorder 360







Disorder 364


Disorder (BPD) 365




xv








Perspective 375


SUMMARY 376

KEY TERMS 377

CHAPTER 15

Ethical and Legal

Issues 378



Competence 382



System 382


Confidentiality 385


Collaborators 390



Record Keeping 392


Services 392





Treatment 395








SUMMARY 401

KEY TERMS 402

Glossary G-1


Name Index I-1

Subject Index I-9



xvi

PREFACE





SmartBook








Real-Time Reports




xvii



Supported Research












You Be the Judge








xviii

How Will You Study


Behavior





















xix

Chapter-by-Chapter

Changes















Treatment
















xx









Legal Issues







xxi














Support Materials


For the Instructor







xxii

Acknowledgments






























xxiii








x

CHAPTER 5




Disorder) 103








Rett Syndrome 115









(ADHD) 122


ADHD in Adults 125






Tic Disorders 131



Perspective 132


SUMMARY 133

KEY TERMS 134

CHAPTER 6


Case Report David

Marshall 137






Diagnosis 145






Theories 150


Treatments 153


Theories 154

Treatments 156


Theories 156

Treatments 158


Perspective 159


SUMMARY 160

KEY TERMS 161

CHAPTER 7

Depressive and




xi









Disorder 168














74 Suicide 180


Perspective 182


SUMMARY 183

KEY TERMS 183

CHAPTER 8












Panic Disorder 193

Agoraphobiar 194










Disorder 199


Neurosurgery 201









Disorder 207




Perspective 210


SUMMARY 211

KEY TERMS 212



xii

CHAPTER 9


Case Report Rose

Marston 215




Disorders 217




Disorder 220







Disorders 224








Condition 228








SUMMARY 234

KEY TERMS 235

CHAPTER 10



Case Report Rosa

Nomirez 237



















Pyromania 252



Kleptomania 254




SUMMARY 256

KEY TERMS 257



xiii

CHAPTER 11












Disorders 266



Disorders 267









Offenders 275






Addiction 278



Dysphoria 282




SUMMARY 284

KEY TERMS 285

CHAPTER 12




Disorders 289


Dependence 290


Substances 290

Alcohol 292


Use Disorders 295




Stimulants 299

Amphetamines 299

Cocaine 300

Cannabis 301

Hallucinogens 303

Opioids 306




Caffeine 309



Tobacco 311

Inhalants 311



xiv


Disorders 311






Perspective 316

Return to the Case

Carl Wadsworth 316

SUMMARY 317

KEY TERMS 318

CHAPTER 13




132 Delirium 324


Disease 327




Disorders 329




Disease 333

Theories 333



Treatment 336











Perspective 345


SUMMARY 346

KEY TERMS 347

CHAPTER 14




Disorders 350



Disorders 351










Disorder 358


Disorder 360







Disorder 364


Disorder (BPD) 365




xv








Perspective 375


SUMMARY 376

KEY TERMS 377

CHAPTER 15

Ethical and Legal

Issues 378



Competence 382



System 382


Confidentiality 385


Collaborators 390



Record Keeping 392


Services 392





Treatment 395








SUMMARY 401

KEY TERMS 402

Glossary G-1


Name Index I-1

Subject Index I-9



xvi

PREFACE





SmartBook








Real-Time Reports




xvii



Supported Research












You Be the Judge








xviii

How Will You Study


Behavior





















xix

Chapter-by-Chapter

Changes















Treatment
















xx









Legal Issues







xxi














Support Materials


For the Instructor







xxii

Acknowledgments






























xxiii








xi









Disorder 168














74 Suicide 180


Perspective 182


SUMMARY 183

KEY TERMS 183

CHAPTER 8












Panic Disorder 193

Agoraphobiar 194










Disorder 199


Neurosurgery 201









Disorder 207




Perspective 210


SUMMARY 211

KEY TERMS 212



xii

CHAPTER 9


Case Report Rose

Marston 215




Disorders 217




Disorder 220







Disorders 224








Condition 228








SUMMARY 234

KEY TERMS 235

CHAPTER 10



Case Report Rosa

Nomirez 237



















Pyromania 252



Kleptomania 254




SUMMARY 256

KEY TERMS 257



xiii

CHAPTER 11












Disorders 266



Disorders 267









Offenders 275






Addiction 278



Dysphoria 282




SUMMARY 284

KEY TERMS 285

CHAPTER 12




Disorders 289


Dependence 290


Substances 290

Alcohol 292


Use Disorders 295




Stimulants 299

Amphetamines 299

Cocaine 300

Cannabis 301

Hallucinogens 303

Opioids 306




Caffeine 309



Tobacco 311

Inhalants 311



xiv


Disorders 311






Perspective 316

Return to the Case

Carl Wadsworth 316

SUMMARY 317

KEY TERMS 318

CHAPTER 13




132 Delirium 324


Disease 327




Disorders 329




Disease 333

Theories 333



Treatment 336











Perspective 345


SUMMARY 346

KEY TERMS 347

CHAPTER 14




Disorders 350



Disorders 351










Disorder 358


Disorder 360







Disorder 364


Disorder (BPD) 365




xv








Perspective 375


SUMMARY 376

KEY TERMS 377

CHAPTER 15

Ethical and Legal

Issues 378



Competence 382



System 382


Confidentiality 385


Collaborators 390



Record Keeping 392


Services 392





Treatment 395








SUMMARY 401

KEY TERMS 402

Glossary G-1


Name Index I-1

Subject Index I-9



xvi

PREFACE





SmartBook








Real-Time Reports




xvii



Supported Research












You Be the Judge








xviii

How Will You Study


Behavior





















xix

Chapter-by-Chapter

Changes















Treatment
















xx









Legal Issues







xxi














Support Materials


For the Instructor







xxii

Acknowledgments






























xxiii








xii

CHAPTER 9


Case Report Rose

Marston 215




Disorders 217




Disorder 220







Disorders 224








Condition 228








SUMMARY 234

KEY TERMS 235

CHAPTER 10



Case Report Rosa

Nomirez 237



















Pyromania 252



Kleptomania 254




SUMMARY 256

KEY TERMS 257



xiii

CHAPTER 11












Disorders 266



Disorders 267









Offenders 275






Addiction 278



Dysphoria 282




SUMMARY 284

KEY TERMS 285

CHAPTER 12




Disorders 289


Dependence 290


Substances 290

Alcohol 292


Use Disorders 295




Stimulants 299

Amphetamines 299

Cocaine 300

Cannabis 301

Hallucinogens 303

Opioids 306




Caffeine 309



Tobacco 311

Inhalants 311



xiv


Disorders 311






Perspective 316

Return to the Case

Carl Wadsworth 316

SUMMARY 317

KEY TERMS 318

CHAPTER 13




132 Delirium 324


Disease 327




Disorders 329




Disease 333

Theories 333



Treatment 336











Perspective 345


SUMMARY 346

KEY TERMS 347

CHAPTER 14




Disorders 350



Disorders 351










Disorder 358


Disorder 360







Disorder 364


Disorder (BPD) 365




xv








Perspective 375


SUMMARY 376

KEY TERMS 377

CHAPTER 15

Ethical and Legal

Issues 378



Competence 382



System 382


Confidentiality 385


Collaborators 390



Record Keeping 392


Services 392





Treatment 395








SUMMARY 401

KEY TERMS 402

Glossary G-1


Name Index I-1

Subject Index I-9



xvi

PREFACE





SmartBook








Real-Time Reports




xvii



Supported Research












You Be the Judge








xviii

How Will You Study


Behavior





















xix

Chapter-by-Chapter

Changes















Treatment
















xx









Legal Issues







xxi














Support Materials


For the Instructor







xxii

Acknowledgments






























xxiii








xiii

CHAPTER 11












Disorders 266



Disorders 267









Offenders 275






Addiction 278



Dysphoria 282




SUMMARY 284

KEY TERMS 285

CHAPTER 12




Disorders 289


Dependence 290


Substances 290

Alcohol 292


Use Disorders 295




Stimulants 299

Amphetamines 299

Cocaine 300

Cannabis 301

Hallucinogens 303

Opioids 306




Caffeine 309



Tobacco 311

Inhalants 311



xiv


Disorders 311






Perspective 316

Return to the Case

Carl Wadsworth 316

SUMMARY 317

KEY TERMS 318

CHAPTER 13




132 Delirium 324


Disease 327




Disorders 329




Disease 333

Theories 333



Treatment 336











Perspective 345


SUMMARY 346

KEY TERMS 347

CHAPTER 14




Disorders 350



Disorders 351










Disorder 358


Disorder 360







Disorder 364


Disorder (BPD) 365




xv








Perspective 375


SUMMARY 376

KEY TERMS 377

CHAPTER 15

Ethical and Legal

Issues 378



Competence 382



System 382


Confidentiality 385


Collaborators 390



Record Keeping 392


Services 392





Treatment 395








SUMMARY 401

KEY TERMS 402

Glossary G-1


Name Index I-1

Subject Index I-9



xvi

PREFACE





SmartBook








Real-Time Reports




xvii



Supported Research












You Be the Judge








xviii

How Will You Study


Behavior





















xix

Chapter-by-Chapter

Changes















Treatment
















xx









Legal Issues







xxi














Support Materials


For the Instructor







xxii

Acknowledgments






























xxiii








xiv


Disorders 311






Perspective 316

Return to the Case

Carl Wadsworth 316

SUMMARY 317

KEY TERMS 318

CHAPTER 13




132 Delirium 324


Disease 327




Disorders 329




Disease 333

Theories 333



Treatment 336











Perspective 345


SUMMARY 346

KEY TERMS 347

CHAPTER 14




Disorders 350



Disorders 351










Disorder 358


Disorder 360







Disorder 364


Disorder (BPD) 365




xv








Perspective 375


SUMMARY 376

KEY TERMS 377

CHAPTER 15

Ethical and Legal

Issues 378



Competence 382



System 382


Confidentiality 385


Collaborators 390



Record Keeping 392


Services 392





Treatment 395








SUMMARY 401

KEY TERMS 402

Glossary G-1


Name Index I-1

Subject Index I-9



xvi

PREFACE





SmartBook








Real-Time Reports




xvii



Supported Research











whi33389_ch06_136 161indd 3 62013 448 PM F 469 201MH02079whixxxxx_disk1of1xxxxxxxxxxwhixxxxx_pagefiles

You Be the Judge








xviii

How Will You Study


Behavior





















xix

Chapter-by-Chapter

Changes















Treatment
















xx









Legal Issues







xxi














Support Materials


For the Instructor







xxii

Acknowledgments






























xxiii








xv








Perspective 375


SUMMARY 376

KEY TERMS 377

CHAPTER 15

Ethical and Legal

Issues 378



Competence 382



System 382


Confidentiality 385


Collaborators 390



Record Keeping 392


Services 392





Treatment 395








SUMMARY 401

KEY TERMS 402

Glossary G-1


Name Index I-1

Subject Index I-9



xvi

PREFACE





SmartBook








Real-Time Reports




xvii



Supported Research












You Be the Judge








xviii

How Will You Study


Behavior





















xix

Chapter-by-Chapter

Changes















Treatment
















xx









Legal Issues







xxi














Support Materials


For the Instructor







xxii

Acknowledgments






























xxiii








xvi

PREFACE





SmartBook








Real-Time Reports




xvii



Supported Research












You Be the Judge








xviii

How Will You Study


Behavior





















xix

Chapter-by-Chapter

Changes















Treatment
















xx









Legal Issues







xxi














Support Materials


For the Instructor







xxii

Acknowledgments






























xxiii








xvii



Supported Research












You Be the Judge








xviii

How Will You Study


Behavior





















xix

Chapter-by-Chapter

Changes















Treatment
















xx









Legal Issues







xxi














Support Materials


For the Instructor







xxii

Acknowledgments






























xxiii








xviii

How Will You Study


Behavior





















xix

Chapter-by-Chapter

Changes















Treatment
















xx









Legal Issues







xxi














Support Materials


For the Instructor







xxii

Acknowledgments






























xxiii








xix

Chapter-by-Chapter

Changes















Treatment
















xx









Legal Issues







xxi














Support Materials


For the Instructor







xxii

Acknowledgments






























xxiii








xx









Legal Issues







xxi














Support Materials


For the Instructor







xxii

Acknowledgments






























xxiii








xxi














Support Materials


For the Instructor







xxii

Acknowledgments






























xxiii








xxii

Acknowledgments






























xxiii








xxiii






whi33389 fm i xxiii

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