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How do psychologists conceptualize "abnormality"? By following the four criteria: 1. Statistical deviance - a behavior is abnormal if it rarely happens in the total population. 2. Cultural deviance - if it violates cultural norms. 3. Emotional distress - if it leads to emotional upset. 4. Dysfunction - if it prevents a person from functioning in everyday life. What is the DSM-IV? Diagnostic Statistics Manual, fourth complete revision. There are five axes: 1. Axis one - clinical disorders 2. Axis two - personality disorders and mental retardation 3. Axis three - general medical conditions 4. Axis four - psychosocial and environmental problems 5. Axis five - global assessment functioning Schizophrenia - psychotic disorder marked by severely impaired thinking, emotions, and behaviors. The "splitting apart" of mental functions. Enhanced perception of sounds, colors, and other environmental features. Gradually lose ability to take care of personal needs. Delusions, hallucinations, hearing voices, thought insertion or withdrawal. - Axis One Diagnosis Treatments: antipsychotic drugs; dopamine antagonists - haloperidol Haldol ; , chlorpromazine Thorazine ; , fluphenazine Prolixin ; , clozapine Clozaril ; , risperidone Risperdal ; , and olanzapine Zyprexa ; . Mood disorders - mental disorders characterized by periods of depression, sometimes alternating with periods of elevated mood. Bipolor disorder, mania Loss of appetite, insomnia, hopelessness, fatigue, difficulty concentrating, grief, stomaches and headaches. Axis One diagnosis Treatments: Heterocyclic antidepressants HCA's ; like amitriptyline Elavil ; , selective serotonin reuptake inhibitors SSRI's ; like fluoxotine Orozac ; , paroxetine Paxil ; , and sertraline Zoloft ; . Anxiety disorders - excessive apprehension and worry that in turn impairs normal functioning. - panic disorders - obsessive-compulsive disorders - phobias - post-traumatic stress disorders - generalized anxiety disorders Axis one diagnosis Treatments: Psychotherapy alone may suffice, alternative treatments yoga, meditation, etc.

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Continue to take prozac even if you feel well. Audie A. Atienza, 1 Amy L. Yaroch, 1 Louise C. Msse, 1 Richard Moser, 1 Brad Hesse, 1 and Abby King.2 1National Cancer Institute, Bethesda, MD; and 2Stanford University, Stanford, CA. Developing effective intervention strategies for the 24-28% of US adults who are sedentary requires that we gain a better understanding of the multidimensional factors that influence sedentary lifestyles. This study identified key characteristics of various subgroups with lower and higher rates of physical inactivity using signal detection methodology. We randomly partitioned data from the nationally representative Health Information National Trends Survey HINTS; N 6, 369 ; into two samples. Exploratory analyses were employed on the first sample to identify various subgroups, and confirmatory analyses were conducted on the second sample. The signal detection analyses identified eight distinct subgroups with varying rates of inactivity. Three subgroups had inactivity rates greater than 40%, while the lowest subgroup had a rate of 12.9%. The highest inactivity subgroup 50% ; consisted of college-educated individuals in fair poor health and who watched 4 + hours of TV day. The second highest inactivity subgroup 47.8% ; was composed of individuals without a college education and with the lowest values on all communication variables. The third highest inactive subgroup 43.7% ; consisted of those without a college education, who read the newspaper, and were obese. Confirmatory analyses validated the findings of the exploratory analyses. By applying signal detection methodology to data from a nationally representative communication survey, we were able to identify characteristics of sedentary individuals that should be useful in creating evidence-based, tailored intervention strategies. CORRESPONDING AUTHOR: Audie Atienza, PhD, Health Promotion Research Branch, National Cancer Institute, 6130 Executive Blvd, Bethesda, MD, USA, 20892-7335; atienzaa mail.nih.gov and relafen.
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Recent research studied 90 patients whose seizures failed to respond to antiepileptic medication and underwent brain surgery to remove tissue that was the focus of the seizures. Patients with a lifetime history of depression were less likely to become seizure-free, the researchers found. This suggests depression could be a biological marker for a more severe form of epilepsy. Whatever biological links the two disorders may share, clinicians and patients alike need to be more aware of the significant incidence of depression among those with epilepsy. That is true even of patients who exhibit less severe forms of the condition than those treated at specialized clinics and major medical centers. In another recent study, researchers surveyed 775 epilepsy patients in community settings, 395 asthma patients and 362 healthy control subjects. Among those with epilepsy, 36.5 percent reported symptoms of depression, compared to 27.8 percent of asthmatics and 11.8 percent of controls. The study also found that nearly 39 percent of the patients with epilepsy had never been evaluated for depression. It is important for doctors and patients to understand that those with epilepsy, even mild forms of the condition, face an elevated risk of depression. Patients with epilepsy usually respond well to anti-depression medication and with lower doses. There is a lot of misperception that if you use an antidepressant, it will worsen the seizures. That is not really so. A class of drugs called selective serotonin reuptake inhibitors which include Zoloft, Paxil and Prozwc ; have proved safe in patients with epilepsy. AAAS, February 15, 2005 Page 5 and psilocybin.

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