What Is Stress? 137 Stress and the DSM 138 Factors Predisposing a Person to Stress 138 Characteristics of Stressors 139 Measuring Life Stress 140 Resilience 140
Stress and Physical Health 141 The Stress Response 142 The Mind–Body Connection 143 Understanding the Immune System 143
Stress and Immune System Functioning 145 Stress and Cytokines 145 Chronic Stress and Inflammation 146 Stress and Premature Aging 147
The World Around Us Racial Discrimination and Cardiovascular Health in African Americans 147
Emotions and Health 149 Personality 149 Depression 150 Anxiety 151 Social Isolation and Lack of Social Support 151 Positive Emotions 151 The Importance of Emotion Regulation 153
Treatment of Stress-Related Physical Disorders 153 Biological Interventions 153 Psychological Interventions 153
Stress and Mental Health 155 Adjustment Disorder 155 Adjustment Disorder Caused by Unemployment 156 Posttraumatic Stress Disorder 156
Perspectives to Understanding the Causes of Abnormal Behavior 66
The Biological Perspective 66 Genetic Vulnerabilities 67
Developments in Thinking Nature, Nurture, and Psychopathology: A New Look at an Old Topic 71
Brain Dysfunction and Neural Plasticity 72 Imbalances of Neurotransmitters and Hormones 73 Temperament 75 The Impact of the Biological Viewpoint 76
The Psychological Perspective 76 The Psychodynamic Perspective 77
Developments in Thinking The Humanistic and Existential Perspectives 82
The Behavioral Perspective 83 The Cognitive-Behavioral Perspective 86 What the Adoption of a Perspective Does and Does Not Do 89
The Social Perspective 90 Early Deprivation or Trauma 90 Problems in Parenting Style 93 Marital Discord and Divorce 95 Low Socioeconomic Status and Unemployment 96 Maladaptive Peer Relationships 97 Prejudice and Discrimination in Race, Gender, and Ethnicity 98 The Impact of the Social Perspective 99
The Cultural Perspective 99 Universal and Culture-Specific Symptoms of Disorders 99 Culture and Over- and Undercontrolled Behavior 100
The World Around Us Culture and Attachment Relationships 101
Unresolved Issues Theoretical Perspectives and the Causes of Abnormal Behavior 102 Summary 103
Key Terms 104
4 Clinical Assessment and Diagnosis 106
The Basic Elements in Assessment 107 The Relationship Between Assessment and Diagnosis 107 Taking a Social or Behavioral History 108 Ensuring Culturally Sensitive Assessment Procedures 109 The Influence of Professional Orientation 109 Reliability, Validity, and Standardization 110 Trust and Rapport Between the Clinician and the Client 110
Assessment of the Physical Organism 111 The General Physical Examination 111 The Neurological Examination 111 The Neuropsychological Examination 114
Psychosocial Assessment 115
vi Contents
Biological Causal Factors 191 Psychological Causal Factors 192
Developments in Research Nocturnal Panic Attacks 194
Treatments 195
Generalized Anxiety Disorder 197
DSM-5 Criteria for. . . Generalized Anxiety Disorder 198
Prevalence, Age of Onset, and Gender Differences 199 Comorbidity with Other Disorders 199 Psychological Causal Factors 199 Biological Causal Factors 201 Treatments 202
Obsessive-Compulsive and Related Disorders 203 Obsessive-Compulsive Disorder 203
Thinking Critically about DSM-5 Why Is OCD No Longer Considered to Be an Anxiety Disorder? 203
DSM-5 Criteria for. . . Obsessive-Compulsive Disorder 205
Prevalence, Age of Onset, and Gender Differences 206 Comorbidity with Other Disorders 206 Psychological Causal Factors 206 Biological Causal Factors 208 Treatments 210 Body Dysmorphic Disorder 212
DSM-5 Criteria for. . . Body Dysmorphic Disorder 213
Hoarding Disorder 215 Trichotillomania 215
Cultural Perspectives 216
The World Around Us Taijin Kyofusho 216
Unresolved Issues The Choice of Treatments: Medications or Cognitive-Behavior Therapy? 217 Summary 218
Key Terms 219
7 Mood Disorders and Suicide 220 Mood Disorders: An Overview 221
Types of Mood Disorders 221
DSM-5 Criteria for. . . Major Depressive Disorder 222
The Prevalence of Mood Disorders 222
DSM-5 Criteria for. . . Manic Episode 223
Unipolar Depressive Disorders 224 Major Depressive Disorder 224 Persistent Depressive Disorder 227
DSM-5 Criteria for. . . Persistent Depressive Disorder 228
Other Forms of Depression 228
Thinking Critically about DSM-5 Was It Wise to Drop the Bereavement Exclusion for Major Depression? 229
Developments in Thinking A New DSM-5 Diagnosis: Premenstrual Dysphoric Disorder 229
Thinking Critically about DSM-5 Changes to the Diagnostic Criteria for PTSD 157
Acute Stress Disorder 158
Posttraumatic Stress Disorder: Causes and Risk Factors 158
DSM-5 Criteria for… Posttraumatic Stress Disorder 159
Prevalence of PTSD in the General Population 160 Rates of PTSD after Traumatic Experiences 160 Causal Factors in Posttraumatic Stress Disorder 162 Individual Risk Factors 162 Biological Factors 163 Sociocultural Factors 164 Long-Term Effects of Posttraumatic Stress 165
Prevention and Treatment of Stress Disorders 165 Prevention 165
The World Around Us Does Playing Tetris After a Traumatic Event Reduce Flashbacks? 166
Treatment for Stress Disorders 167 Trauma and Physical Health 168
The World Around Us Virtual Reality Exposure Treatment for PTSD in Military Personnel 169
Unresolved Issues Why Is the Study of Trauma So Contentious? 170 Summary 170
Key Terms 172
6 Panic, Anxiety, Obsessions, and Their Disorders 173
The Fear and Anxiety Response Patterns 174 Fear 174 Anxiety 175
Overview of the Anxiety Disorders and Their Commonalities 176
Specific Phobias 177
DSM-5 Criteria for. . . Specific Phobia 177
Prevalence, Age of Onset, and Gender Differences 179 Psychological Causal Factors 179 Biological Causal Factors 181 Treatments 181
Social Phobia 183 Prevalence, Age of Onset, and Gender Differences 183 Psychological Causal Factors 184
DSM-5 Criteria for. . . Social Anxiety Disorder (Social Phobia) 184
Biological Causal Factors 185 Treatments 186
Panic Disorder 187
DSM-5 Criteria for. . . Panic Disorder 188
Agoraphobia 188 Prevalence, Age of Onset, and Gender Differences 189
DSM-5 Criteria for. . . Agoraphobia 189
Comorbidity with Other Disorders 190 The Timing of a First Panic Attack 190
Contents vii
Developments in Research What Can Neuroimaging Tell Us about Conversion Disorder? 280
Treatment of Conversion Disorder 280
Developments in Practice Treatment of a Patient Who Was Mute 281
Factitious Disorder 281
DSM-5 Criteria for. . . Factitious Disorder 282
Distinguishing Between Different Types of Somatic Symptom and Related Disorders 283
Dissociative Disorders: An Overview 283
Depersonalization/Derealization Disorder 284