Lecture 3 - Theoretical Perspectives Part I Flashcards
What causes mental illness?
complex
clinical psychology seeks to understand …
… the nature of relationships among variables
- observe variables and outcome associations
Time factor of cause
- distal (distant, earlier) causal factors
- proximal (immediate) causal factors
- reinforcing contributory (cause maintains maladaptive behavior that is already occurring)
Bi-directionality
- cause or effect?
- bidirectional influence
- e.g. alcohol dependence w/ comorbid major depressive disorder
diathesis-stress models
combination of diathesis and stress to cause the disorder
diathesis
a predisposition to developing a disorder (biological, psychological, sociocultural)
stress
the response of an individual to demands perceived as taxing
influential factors
protective factors and resilience
protective factors
- modify stress response
- adverse consequences less likely
- e.g. the warmth of one parents/person in your life who validates you, you cares for you, who makes you feel you matter, who boosts your self esteem
resilience
- successful adaptation
- “overcoming the odds”
theoretical perspectives
- organize observations
- provide systems of thought
- suggest areas of focus
in clinical fields, referred to as Theoretical Orientation
the Biopsychosocial Model
integration of biological perspective, psychological perspective, sociocultural perspective, and biopsychosocial perspective
Biological Perspective
- genetics
- temperament
- neurotransmitters
- brain dysfunction
- neuroendocrine
- medical model is also included in this
Medical Model
- mental disorders are diseases
- posits that abnormal behaviors represent symptoms of underlying disorders or diseases (mental illnesses) that have biological causes
Impact of the biological perspective
- pharmacological and other biological interventions may alter the severity and course of certain mental disorders (e.g., schizophrenia)
- generally accepted that most if not all behavior (normal and abnormal) has a biological substrate
- DSM-5; pros and cons of biological focus
the Psychological Perspective
- psychoanalytic (psychodynamic)
- behavioral
- cognitive-behavioral
(note: there is a historical progression)
Freud-Psychoanalytic Theory
- Psychological Problems arise from unconscious motives and conflicts that are traced back to childhood
- Revolve around primitive sexual and aggressive instincts
- Structure of the Mind: conscious, preconscious and unconscious
- Structure of Personality
- Defense Mechanisms
- Psychosexual Developmental Theory
psychoanalysis consists of the …
therapeutic method and mechanism of change
therapeutic method
- free association
- childhood experiences
- therapeutic relationship - the Analyst and Analysand
(transference, countertransference)
mechanism of change
- making the “unconscious, conscious”
- therapeutic relationship as a model
Freud: structure of the mind
- Accessing the unconscious through the conscious and preconscious
- Superego and Ego is at every level (all three), but Id is only at unconscious
Structure of the personality
Freud theorized that a person’s behavior results from the interaction of three components of the psyche, the Id, the Ego, and the Superego
Id
the source of instinctual drives
- life (constructive, sexual) and death (destructive) instincts, pleasure principle, primary process thinking (mental images and wish-fulfilling fantasies)
Ego
mediates between the demands of the id and the realities of the external world
- reality principle, secondary process thinking (adaptive)
Superego
the outgrowth of internalizing the taboos and moral values of society, conscience
Freud: Structure of Psyche
Freud theorized that a person’s behavior results from the interaction of three components of the psyche
- Id: pleasure principle
- Ego: reason and good sense, Reality Principle, defense mechanisms
- Superego: internalization of moral standards and values from parents and society