Psychopathology Flashcards
What are the 4 definitions of abnormality?
- Statistical infrequency
- Deviation from social norms
- Failure to function adequately
- Deviation from ideal mental health
What is statistical infrequency?
How often we observe a type of behaviour is how we can see whether it is “normal” or “abnormal” behaviour.
Occurs when an individual has a less common characteristic. For example, being more depressed/intelligent than most of the population
What is deviation from social norms?
Concerns behaviour that is different from the accepted standards of behaviour in a community or society. In other words, when people are behaving differently to how we expect they should behave (norms).
Different cultures/generations have different norms and therefore different senses of abnormality.
What is failure to function adequately?
Occurs when someone does is unable to cope with ordinary demands of day-to-day living such as keeping up with basic hygiene and nutrition, keeping a job etc.
What signs did David Rosenham and Martin Seligmen suggest to show that someone is failing to function adequately?
- No longer able to conform to interpersonal rules such as eye contact, personal space
- Suffering from sever distress
- Irrational/dangerous behaviour
What is deviation from ideal mental health?
Occurs when someone does not meet a set criteria for good mental health.
List Jahoda’s criteria for ideal mental health
What good mental health looks like:
- no distress
- rational thinkers
- we reach our potential (self-actualise)
- cope/manage stress
- view the world in a realistic way
- good self-esteem and lack guilt
- independent to all others
- we work, love and enjoy our leisure successfully
Evaluate failure to function adequately
✗ Subjective and culturally based
✗ Outdated
✓ Acknowledges experience of individuals is important
✓ Helps define when people may need help
✗ Hard to distinguish between deviation from social norms + failure to thrive
✗ Risk discriminating against people with label
Evaluate deviation from ideal mental health
✗ Culturally bound - in some cultures people are more collectivist and less independent
✗ Outdated
✗ Labelling those with a diagnosis can worsen existing issues
✗ High, unrealistic standards
What is a phobia?
An irrational fear of an object or situation.
It is categorised by…
- excessive fear and anxiety
- the extent of the fear is out of proportion to any real danger presented by the phobic stimulus
What are the three categories the DSM-5 recognises of phobias?
- Specific - intense fear or anxiety about a specific object or situation e.g. arachnophobia (spiders)
- Social anxiety - intense fear of social situations e.g. enochlophobia (crowds)
- Agoraphobia - phobia of being outside
Behavioural characteristics of a phobia
Responding to fear by changing behaviours. This includes high levels of anxiety and trying to escape the phobia.
- Panic e.g. crying, screaming
- Avoidance - going out of their way to avoid the stimulus
- Endurance - when the person chooses to remain in the presence of the phobic stimulus e.g. keeping an eye on the spider on the wall
Emotional characteristics of a phobia
- Anxiety - unpleasant state of high arousal
- Fear - feeling terrified and screaming in fear
- Unreasonable emotional response - anxiety/fear is disproportionate to the threat
Cognitive characteristics of a phobia
- Selective attention to the phobia - if a phobic stimulus can be seen it is hard to look away from it (survival behaviour)
- Irrational beliefs - unfounded thoughts in relation to the phobic stimulus that can’t really be explained
- Cognitive distortions - perceptions of the stimulus are distorted
What does the Two-Process Model state about phobias
(Behavioural Approach)
Phobias are acquired by classical conditioning (learning through association) and then continue because of operant conditioning (learning through consequences)
Acquisition by classical conditioning
Maintenance by operant conditioning
For example,
Classical conditioning –> Little Albert. Learning to associate a neutral stimulus (white rat) with something that already triggers a fear response (unconditioned stimulus - loud bang). The conditioning is the generalised to similar objects.
Another example,
Operant conditioning –> In the case of negative reinforcement, an individual avoids an unpleasant situation. This has desirable a consquence meaning the behaviour will be repeated. The reduction in fear by avoiding the stimulus reinfornces the avoidant behaviour and so the phobia is maintained.
What 2 treatments does the behavioural approach believe in to treat phobias?
- Systematic desensitisation
- Flooding
What is systematic desensitisation?
Behavioural therapy designed to reduce unwanted response such as anxiety. Gradually reduces anxiety through the principle of classical conditioning.
If the person can learn to relax in the presence of the phobic stimulus they will be cured.
The learning of the new response in association with the phobic stimulus is called counterconditioning.
Explain the process of systematic desensitisation
- The anxiety hierarchy - client and therapist work together to create a list of situations with the phobic stimulus rated least to most frightening
- Relaxation - therapist teaches client to be as relaxed as possible. Relaxation prevents stress as they can’t be both at the same time
- Exposure - individual is exposed to the phobic stimulus in a relaxed state and gradually moves up the anxiety hierarchy over several sessions