3.2.2 Psychopathology Flashcards
Name the 4 definitions of abnormality
- Deviation from Social Norms
- Failure to Function Adequately
- Deviation from Ideal Mental Health
- Statistical Infrequency
Define Deviation from Social Norms
Deviation from unwritten social/societal rules for acceptable behaviour
Describe Deviation from Social Norms (AO1)
- Standards of acceptable behaviour set by social groups
- Everyone expected to follow these norms
- Social norms can be explicit
- i.e. laws - respect for human life and property
- Some can be implicit
- e.g. queuing at a bus stop without pushing in
- Is an acceptable behaviour
- When someone deviates from these socially acceptable behaviour = classed as abnormal
What are social deviants?
People who behave in an undesirable way
Deviation from Social Norms
Name +ve evaluation point
Society has right to intervene in abnormal people’s lives
Deviation from Social Norms
Name 2 -ve evaluation points
- Social norms change over time
- Cultural bias
Deviation from Social Norms
Describe the evaluation point: Society has right to intervene in abnormal people’s lives
- ∴ people can receive help and treatment they wouldn’t have gotten themselves
- Using this definition = allows people with mental health issues to receive treatment that will improve their lives
Deviation from Social Norms
Describe the evaluation point: Social norms change over time
- Socially acceptable behaviour may become socially deviant later & vice versa
- e.g. homosexuality = now socially acceptable & before = socially deviant & mental disorder
- ∴ defintion = era-dependent
- Form of diagnosis open to abuse
- e.g. 1950s Russia, people that disagreed with government = diagnosed as insane & put into mental institutions
- Using this definition = people being persecuted for being non-conformist
- Major changes in society happened due to socially deviant behaviour
- e.g. suffragettes movement = socially deviant behaviour but led to women voting
Deviation from Social Norms
Describe the evaluation point: Cultural bias
- e.g. western social norms reflect majority of white western population
- ∴ ethics groups which behave differently could classed as abnormal ∵ their behaviour is based on eastern/European values
- Cultural values may influence diagnosis
Define Failure to Function Adequately
Defined as failing to meet the demands of social life, preventing normal performance in daily activities
Failure to Function Adequately
Describe what Rosenhan et al. suggested
- Rosenhan et al. suggest that the concept of dysfunction includes key features
- More of these present = more likely abnormality will occur
Name the 5 key features of dysfunction
- Personal distress
- Maladaptive behaviour
- Unpredictability
- Irrationality
- Observer discomfort
Key Features of Dysfunction
Describe the feature: Personal distress
Displaying suffering and distress
Key Features of Dysfunction
Describe the feature: Maladaptive behaviour
Behaviour that stops people from attaining satisfactory goals - in social/work life
Key Features of Dysfunction
Describe the feature: Unpredictability
- Behaviour you wouldn’t expect in particular circumstances
- Show loss of control
Key Features of Dysfunction
Describe the feature: Observer discomfort
Behaviour causes distress and discomfort to others
Key Features of Dysfunction
Describe the feature: Irrationality
Behaviour that can’t be explained rationally
Failure to Function Adequately
Name +ve evaluation point
Recognises subjective experience of suffers
Failure to Function Adequately
Name 3 -ve evaluation point
- Sometimes normal to show features of dysfunction
- Abnormality ≠ observable dysfunctional traits
- Cultural bias
Failure to Function Adequately
Describe the evaluation point: Recognises subjective experience of suffers
- & patient centred view by allowing mental disorders to viewed from perception of suffers
- Allows for individuals differences between patients
Failure to Function Adequately
Describe the evaluation point: Sometimes normal to show features of dysfunction
- e.g. when loved one dies = normal to show personal distress and irrationality
- Definition doesn’t consider this = limitation
Failure to Function Adequately
Describe the evaluation point: Abnormality ≠ observable dysfunctional traits
- e.g. psychopaths can cause great harm yet appear to be normal
- e.g. Shipman, English doctor, murdered 215 patients over 20+ years and seemed to be respectable doctor
- Was abnormal but didn’t show features of dysfunction
- ∴ definition doesn’t account for all abnormal individuals
Failure to Function Adequately
Describe the evaluation point: Cultural bias
- Related to how one culture believes a person should live their lives
- Basing abnormality on failure to function = different diagnoses when used on people from different cultures
Define Deviation from Ideal Mental Health
Failing to meet the psychological criteria needed to be psychologically healthy
Deviation from Ideal Mental Health
What did Johoda do and believe?
- Johoda identified six major criteria for optimal living = promoted psychological healthy and wellbeing
- Absence of these criteria = abnormality & maybe mental disorder
Deviation from Ideal Mental Health
Name the six major criteria for optimal living
- Positive attitudes towards the self
- Potential for growth and development
- Autonomy
- Accurate perception of reality
- Resistance to stress
- Adapting to environment
Deviation from Ideal Mental Health
Describe the criteria: Positive attitudes towards the self
High self-esteem and strong sense of identity
Deviation from Ideal Mental Health
Describe the criteria: Potential for growth and development
Experiences personal growth and development towards their potential
Deviation from Ideal Mental Health
Describe the criteria: Autonomy
Independent, self-reliant & able to make personal decisions
Deviation from Ideal Mental Health
Describe the criteria: Accurate perception of reality
Perceiving the world in objective and realistic view
Deviation from Ideal Mental Health
Describe the criteria: Resistance to stress
Effective coping strategies to cope with everyday anxiety provoking situations
Deviation from Ideal Mental Health
Describe the criteria: Adapting to environment
Being competent in all areas of life and able to meet the demands of any situation
Deviation from Ideal Mental Health
Describe a +ve evaluation point
- Focuses on positive achievements than failures/distresses
- = stresses positive approach to mental healthy
- ∴ carries more positive view on human behaviour
Deviation from Ideal Mental Health
Name 3 -ve evaluation points
- Culture bias
- Changes over time
- Criteria is vague
Deviation from Ideal Mental Health
Describe the evaluation point: Culture bias
- Criteria based on western ideals of what ideal health looks like
- Used to judge people from different cultures = incorrect diagnosis of abnormality
- ∵ they have different beliefs on what “ideal mental health” looks like
- e.g. collectivist cultures focus on communal goals rather than personal autonomy
- ∴ using criteria ≠ diagnosing abnormality
- & the case for different social-economic backgrounds
- Poorer people struggle more with achieving ideal criteria than someone with vast resources and support
Deviation from Ideal Mental Health
Describe the evaluation point: Changes over time
- e.g. accurate perception of reality
- Once seeing visions = positive sign of religious commitment
- But now perceived as symptoms of Schizophrenia
- ∴ not static dentition
Deviation from Ideal Mental Health
Describe the evaluation point: Criteria is vague
- Difficult and subjective to measure objectivity
- Diagnoses relies on self-report of patients who may be ill & ∴ not reliable
Define Statistical Infrequency
A person’s trait, thinking or behaviour is classed as abnormal if it’s rare or statically unusually
Describe Statistical Infrequency
- Abnormality = behaviours that are statistically rare/deviate from mean average
- Statistics measure certain characteristics and behaviours = show how they’re distributed among general population
- Normal distribution is generated from data
- Most people will be near mean average
- Abnormal characteristics (& thus people) are around edges/tails = statistically rare & ∴ deviation from statistical norms
Statistical Infrequency
Draw the normal distribution curve
Statistical Infrequency
Name 2 +ve evalution points
- Appropriate in many situations
- Objective measure for abnormality
Statistical Infrequency
Name a -ve evalution point
Sometimes unsuitable
Statistical Infrequency
Describe the evalution point: Appropriate in many situations
- e.g. in definition of intellectual ability
- Normal mental ability can measured effectivity & those whose IQ falls more 2 SD points than general population = mental disorder
- Helped the diagnosis of intellectual ability disorder
Statistical Infrequency
Describe the evalution point: Objective measure for abnormality
- Once method of collecting data about behaviour/characteristics is established + cut-off point agreed = objective way to decide who’s abnormal
- However, cut-off point is subjectively determined - we decide what’s normal behaviour and abnormal
- e.g. feature for diagnosing depression may be sleep difficulty
- But sleep patterns vary a lot & someone who functions perfectly may be classed as depressed
- elderly people sleep less due to changing sleep cycles
Statistical Infrequency
Describe the evalution point: Sometimes unsuitable
- To define people’s characteristics based on statical rarity alone
- e.g. in theory, people with very high IQ’s could be diagnosed as having mental disorder
- As their intelligence is technically “abnormal”
- ∴ best to use statistical infrequency with other tools to define abnormality
Behavioural Approach
Name 2 explanations of phobias
- Two-process model
- Social Learning Theory
Name the 2 stages in the two-process model
- Acquisition of phobias
- Maintenance of phobias
Who proposed the two-process model?
Mowrer (1947)
Two-Process Model
Describe how phobias are acquired
- Classical conditioning
- Learnt to associate NS with UCS that triggers fear response
- If NS paired with UCS = association
- Eventually, NS = fear response & becomes CS
Two-Process Model
Describe how phobias are maintained
Operant conditioning
- Negative reinforcement = strengthens the behaviour
- Avoidance of fearful stimulus = reinforcement of behaviour ∴ person continues to avoid fearful stimulus
- Phobias ∴ become resistant to extinction ∵ sufferer constantly reinforcing avoidance responses
- Reduction of unpleasant feelings reinforces behaviour = phobia to continue
Describe how phobias are learned according to SLT
- Phobia learned through observation of role model & imitating phobic behaviours
- Occurs due to vicarious learning
Evaluation
Name 2 postive evaluation points of using the behavioural approach to explain phobias
- Real World Support
- Little Albert Study (1920)
Evaluation
Name 2 negative evaluation points of using the behavioural approach to explain phobias
- Safety signals hypothesis
- Diathesis-stress model
Behavioural Approach to Explain Phobias
Explain the evalution point: Real World Support
- Development of effective treatments with phobias
- Therapies are effective = strengthens behavioural explanation of phobias
Behavioural Approach to Explain Phobias
Explain the evalution point: Little Albert Study (1920) - conclusion
- Possible to use classical conditioning to learn fear response
- ∴ supports behavioural explanations of phobias
- However, case study & can’t be generalised to wider population
Behavioural Approach to Explain Phobias
Explain the evalution point: Safety signals hypothesis
- Undermines two-model process
- Avoidance behaviour isn’t motivated by negative reinforcement & reduction in anxiety BUT by positive feelings person associates with safety
- Support from agoraphobics: travel to work on certain routes ∵ they see these as trusted and representative of safety signals
Behavioural Approach to Explain Phobias
Explain the evalution point: Diathesis-stress model
- Combines psychological factors (e.g. two-process model) with genetic vulnerability
- Provides are more-rounded view of acquisition of phobias
- Suggests people inherit genetic vulnerability for developing mental disorders (phobias) + right environmental stressors trigger this
- Explains why phobias develop in some people but not in others
- e.g. not everybody bitten by a dog = phobia
Name 2 ways to treat phobias
- Systematic Desensitisation
- Flooding