Abnormal Flashcards
what is abnormal psychology?
scientific study of abnormal behaviour emotion and cognition
empirical method - description
Classification
Diagnosis
Delineate from different disorders
Very ongoing process
Aims to help us better understand classification and diagnosis
empirical method - causation
Biological: gene, age, gender.
Psychological: able to cope, emotions, attitude, beliefs.
Social: family, economic status, friends, working, study, culture
empirical method - treatment
Effectiveness
Randomised control trials - testing a treatment
Identify why some treatment methods are more effective.
Need good diagnosis + classification before enacting treatment
The three D’s are used to
classify behaviour/condition as abnormal, must be a combination - cannot classify anything with only one D
Deviant
Rare, inconsistent with social norms
may be positively valued - being extremely tall or fast
Some social norms change, such as homosexuality not being considered a mental illness anymore
Deviated from something
Distressing
E.g. depression and anxiety
But distress is a normal part of life and you can have psychopathology without personal distress
Dysfunctional
Interfering with day to day
E.g. adhd will interfere with day to day life
But some disorders don’t interfere with goals, and dysfunctional does NOT equal psychopathology
issue with diagnosis
Presence of psychological abnormality mental disorder is not as readily definable as a physical illness
Definition of psychological abnormality reflect culture values and social norms
supernatural approach to mental illness
Cause : demons, evil spirits, stars, moon, past live.
Treatment: exorcism, prayer, magic etc.
biological approaches to mental illness
Cause: internal physical problems = biological function
Treatment: bleeding, diet, celibacy, exercise, rest, medication.
psychological approaches to mental illness
Cause: beliefs, perceptions, values, goals, motivation - psychological dysfunction
Treatment: ‘talking therapy’/psychotherapy
sociocultural approach to mental illness
Cause: poverty, prejudice, cultural norms
Treatment: social work to fix social ills, advocating for structural change
integrative approach
bio-psycho-social model
psychiatrist
Fully qualified medical Dr, prescribe medication. Specialised knowledge of the neurobiological feature of mental disorders
clinical psychologist
Specialist training and qualification in psychological assessment, treatment, formulation and prevention of behavioural, mental and emotional health issues - takes bio-psycho-social approach
registered/general psychologist
Less specialist and more generalist - treat people without serious/complex mental disorders
social worker
- Work in direct service for example healthcare, welfare housing etc - Helping people cope with problems such as poverty, legal issues or human rights
- Work in the clinical field (more similar to psychologists) - Diagnose and treat mental, behavioural or emotional health issues.
counsellor
Assist people to gain understanding of themselves and make changes in their lives
May simply provide a non judgemental ‘listening ear’
abnormal
difficult to define, does not have one necessary or sufficient characteristic
psychopathology
mental ill health. Has multiple causes, need to consider relationship between biological, psychological, social cultural factors
biological/medical model
Dominant model in psychiatry, the underlying model of the DSM-5
Can be diagnosed similar to physical illness
Can be explained in terms of a biological disease process such as structural brain abnormalities (grey matter differences in schizophrenia) or neurochemical imbalance (depression)
Biological Model: Criticisms & Limitations
Need to avoid extreme reductionism
Need to avoid over-extrapolation from animal research
Need to avoid assuming causation from treatment efficacy
May not be applicable to conceptualising and diagnosis of mental illness
psychoanalytic model
Id + superego = const conflict. Ego tries to problem solve how to meet the needs of both.
ego
Conscious self (proposed to develop at around age 2)
Rational, organised, obeys ‘reality principle’
According to freud is what people see of you
Balances conflicting demands between id and superego
super-ego
Moral self (proposed to develop at age 5-6)
Develops through socialisation (right and wrong)
Id
Innate, instinctual self
Pleasure principle
Seeks immediate gratification of basic needs (hunger, sex etc.)
“Inner child”
If the ego is unable to resolve the conflict…
lead to anxiety, shame, guilt, embarrassment etc
To avoid the pain of unresolved conflict, the ego develops defence mechanism
Distorting id impulses into acceptable forms
Repressed id impulses into unconscious
Short term
E.g. oedipus complex
repression
unconscious mechanism - keep disturbing/threatening thoughts from becoming conscious
denial
blocking external events from awareness - too much to handle, refuses to experience it
projection
attributing own unacceptable thoughts/feelings/motives into another person
displacement
satisfying an impulse with a substitute object
regression
movement back in psychological time when one is faced with stress
sublimantion
satisfying an impulse with a substitute, in socially acceptable way
maladjustment
defence mechanisms excessively and/or rigidly applied (symptoms/suffering)
E.g displacement - depression
E.g projection - paranoia
Psychoanalytic Model: Diagnosis
2 people with the same underlying conflicts can have different symptoms
2 people with the same symptoms can have different unresolved conflicts, defences, etc.
Psychoanalytic Model: Treatment
Goal: to gain INSIGHT into unconscious processes
Develop awareness of the unresolved conflict and of the defence mechanism/s used
significance of psychoanalytic model
Revolutionised the concept of mental illness
Made no clear dividing line between normal and abnormal processes
Had a strong influence on the early development of the DSM
criticism/limitations of psychoanalytic model
Lacks empirical evidence
Unfalsifiable
behavioural model and phobias
If someone gets attacked in a park the reaction would be fear so people would avoid the stimulus (the park) and thus develop a pattern of avoidance.
Suggests both normal and abnormal behaviour comes from your learning history
cognitive-behavioural model
What we think influences how we feel and what we do
Currently the dominant model in clinical psychology
Cognitive behavioural therapy (CBT)
Aims to reduce (inflated) threat appraisal
Lower the probability x cost
“Something bad might happen but I will be able to cope”
emotional reasoning
assuming because we feel a certain way it must be true
labelling
assigning labels to ourselves or other people
personalisation
blaming yourself or taking responsibility for something that wasn’t completely your fault. vice versa
all or nothing thinking
something called ‘black and white thinking’ -absolutes
mental filter
only paying attention to certain types of evidence - failure to take a wider perspective on situations
jumping to conclusions
mind reading and fortune telling
over-generalisation
seeing a pattern based upon a single event or being overly broad in the conclusion we draw
disqualifying positive
discounting the good things that have happened or that you have done for some reason or another
magnification and minimisation
blowing things out of proportion (catastrophising) or inappropriately belittling something.
treatment of cognitive distortions
Cognitive restructuring - challenging or testing irrational beliefs
behavioural experiments
why classify?
Identifying diagnosis categories can lead to specific treatment
Delineate from different disorders (difference between social and general anxiety)
why diagnose?
Improve communication
Improve understanding
May help reduce stigma
Will it help or hinder the patient if you tell them their diagnosis (BPD, Narcissistic personality disorder etc.)
Diagnostic and statistical manual of mental disorders (DSM)
American psychiatric association
1st edition: 1952
Currently it is the 5th edition, text revision: DSM-5-TR (2021)
Australia/USA/English speaking world.
International classification of diseases and health related problems (ICD)
World health organisation
Mental disorders added in 1948
changes in DSM
homosexuality removed (1973)
GAD introduced (1987)
binge eating disorder included (2013)
what does the DSM do?
Defines symptoms/criteria/differential diagnosis
Most agreed upon definitions/current consensus
Helpful but only a guideline
first editions of the DSM were problematic because…
Problematic reliability -can we agree on the diagnosis? Not a consensus on the diagnosis and was unhelpful?
Problematic validity - is this really what depression is? Based on unproven theories on causation.