Psychopathology Flashcards
What are the four definitions of abnormality?
Statistical deviation/infrequency
Deviation from social norms
Failure to function adequately
Deviation from ideal mental health
What is statistical deviation/infrequency?
A person’s trait/thinking/behaviour is abnormal if it’s numerically (statistically) rare/uncommon/anomalous
Mathematical method for defining abnormality
Abnormality should be based on infrequency - if rare, abnormal
What s
Limitation of statistical infrequency - cultural bias
IQ
Different around the world
Varies in every culture
What is deviation from social norms?
Each culture, country and social group have own social norms
Can easily detect those who deviate from social norms
What are social norms?
Unwritten rules of beliefs, attitudes and behaviours that are considered acceptable
Provide us with expected idea of how to behave and function to provide order and predictability in society
Strength of deviation from social norms - practical application
Antisocial personality disorder (sociopath)
Show disregard for normal social behaviour
Lack guilt or regret
Limitation of deviation from social norms - cultural bias
Hearing voices
Seen has a higher power (charman)
Psychics and medians (hear voices)
What is failure to function adequately?
A person is considered abnormal if they are unable to cope with demands of everyday life or experience personal distress
Unable to perform behaviours necessary for day-to-day living
What are the characteristics defining a failure to function adequately?
Suffering
Maladaptiveness (danger to self)
Vividness and unconventionality (stands out)
Unpredictability and a loss of control
Irrationality/incomprehensibility
Causes observer discomfort
Violates moral/social standards
Strength of failure to function adequately - practical application
Phobias
Cannot cope with different things
Agoraphobia - open spaces
Limitation of failure to function adequately - cultural bias
“hold down a job”
In other countries not everyone should hold down a job
Women aren’t always expected to have a job
What is deviation from ideal mental health?
Rational
Realistic
Actualise - set yourself a goal and stick to it
Independent
No distress
Stress-free
Self-esteem
Successful
Adaptiveness
Who created the criteria for deviation from ideal mental health?
Jahoda
Strength of deviation from ideal mental health - practical application
OCD and phobias and depression
Irrational thoughts
Limitation of deviation from ideal mental health - cultural bias
Stress
- if not stressed, abnormal
- or bad
Success
- changes in every culture
What is cultural relativism?
View that behaviour cannot be judged properly unless it’s viewed in the context of the culture which it originates
Limitation of definitions of abnormality - socially sensitive
Stigma behind mental health
Words we use aren’t great - negative
May stop people from seeking support
Limitation of definitions of abnormality - not sole explanation
Rosenhan’s study - don’t work on their own
Placed pseudo patients into a hospital
Found that doctors and nurses were unable to stop the “fake” patients
What are the behavioural characteristics of phobias?
Panic - sweating, trembling, nausea
Endurance - continuing to experience more severe panic
Avoidance - avoiding anything surrounding phobia
What are the emotional characteristics of phobias?
Anxiety
Unreasonable - describes the significantly high anxiety
What are the cognitive characteristics of phobias?
Selective attention - only pay attention to that phobia stimulus
Irrational beliefs - brain thinks irrationally to make the panic make sense
Cognitive distortions - distorting memories to make them feel worse
What is the two process model of phobias?
Classical conditioning - negative experience starts phobia
Operant conditioning - maintains phobia
What is classical conditioning in relation to phobias?
UCS (fear stimulus) –> UCR (anxiety)
NS (neutral stimulus) –> NR (no response)
UCS + NS –> UCR
CS (neutral is now fear stimulus) –> CR (anxiety)
How is a phobia maintained by operant conditioning?
Negative reinforcement
Maintains a learnt avoidance of phobia by removal (moving away from phobia) of the negative emotions and feelings will reinforce the behaviour
Allows individual to learn that avoiding situations will reduce negative situations
Strength of behavioural explanation of phobias - research evidence
Little Albert - Watson and Raynor
Conditioned after 6 negative experiences to fear rats/fluffy things
Affected his entire life
Limitation of behavioural explanation of phobias - incomplete explanation
Seligman 1971
Biological preparedness
Innate predisposition to acquire certain fears
Limitation of behavioural explanation of phobias - phobias don’t follow a trauma
Not all phobias are created due to bad experiences
Lots of people fear snakes but have never seen one (Sue et al)
Some people do have a bad experience with a stimulus but don’t create a phobia
Someone who is bitten by a dog doesn’t always lead to a phobia (DiNardio)
What are the behavioural treatments of phobias?
Systematic desensitisation (SD)
Flooding
What is SD?
Teach patients RELAXATION TECHNIQUES
Create an ANXIETY HIERACHY: situations that are least to most fearful with the phobia included
GRADUALLY EXPOSE patient to the anxiety hierarchy, using relaxation techniques at each stage
What is counter-conditioning?
Phobic stimulus (conditioned stimulus) paired with relaxation so it becomes and conditioned response
What is reciprocal inhibition?
Not possible to be afraid and relaxed at the same time so one emotion prevents the other
What is an anxiety hierarchy?
Fearful stimuli arranged in order from least to most frightening
What are some examples of relaxation techniques?
Deep breathing
Meditation
Mental imagery techniques
Counting
What is gradual exposure?
Patient works through the anxiety hierarchy
At each level, patient exposed to phobic stimulus in a relaxed state
Strength of SD - Gilroy et al
Followed up 42 people who had SD for spider phobia
SD less fearful than control group
Limitation of SD - practicality
Takes longer than other treatments and more expensive
If patients severely suffering, might want quick treatment
Strength of SD - research support
McGrath
75% of patients reported well to SD
Most successful part of treatments seems to be contact with feared stimulus
In vino treatment better than in vitro
Limitation of SD - economy
Due to SD taking several sessions, leads to higher cost for NHS
Means longer waiting times, meaning patients may not be able to return to work as quickly also negatively impacting the economy