Psychopathology Flashcards

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1
Q

What are the 4 definitions of abnormality?

A
  1. Statistical infrequency
  2. Deviation from social norms
  3. Deviation from ideal mental health
  4. Failure to function adequately
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2
Q

What is statistical infrequency?

A

When an individual has a less common characteristic, e.g. High IQ

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3
Q

What is deviation from social norms?

A

Behaviour that is different from the accepted standards of behaviour in a community or society
e.g. antisocial personality disorder (psychopathy)

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4
Q

What is failure to function adequately?

A

When someone is unable to cope with ordinary demands of day-to-day living

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5
Q

What is deviation from ideal mental health?

A

Occurs when someone does not meet a set of criteria for good mental health

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6
Q

who proposed some additional signs that can be used to determine when someone is not coping? and what are they?

A

Rosenhan & Seligman

  • when a person no longer conforms to standard interpersonal rules, e.g. personal space
  • when a person experiences severe personal distress
  • when a person’s behaviour becomes irrational or dangerous to themselves or others
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7
Q

Who suggested we are in good mental health if we meet the following criteria?

A

Jahoda

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8
Q

What are Jahoda’s criteria for good mental health?

A
  • no symptoms or distress
  • are rational and can perceive ourselves accurately
  • we self-actualise
  • can cope with stress
  • have a realistic view of the world
  • have good self-esteem & lack guilt
  • are independent of other people
  • can successfully work, love and enjoy our leisure
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9
Q

Strength of statistical infrequency as a definition of explaining abnormality?

A

Real world application

  • used in clinical practise
  • as part of formal diagnosis & as a way to assess severity of a person’s symptoms
    E.G. diagnosis of intellectual disability disorder requires IQ below 70 (bottom 2%)
    E.G. Assessment tool - Beck depression inventory (BDI), a score of 30+ (top 5% of respondents) is an indicator of severe depression
  • shows value of statistical infrequency criterion, as it’s useful in diagnostic & assessment processes
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10
Q

Limitation of statistical infrequency as a definition of explaining abnormality?

A

Unusual characteristics can be positive

  • infrequent characteristics can be positive and negative
    E.G. IQ above 130 - we would not see them as abnormal
    E.G. should also not think of someone with very low depression score on the BDI as abnormal
  • these show being unusual or at one end of a psychological spectrum doesn’t necessarily make someone abnormal
  • although SI can form part of assessment and diagnostic procedures,
  • SI is never sufficient as the sole basis for defining abnormality
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11
Q

Strengths of deviation from social norms as a definition of explaining abnormality?

A

Real world application

  • is a useful definition
  • used in clinical practice
    E.G. key defining characteristic of antisocial personality disorder is the failure to conform to culturally acceptable ethical behaviour, i.e. aggression, recklessness
  • these signs of the disorder are all deviations from social norms
  • shows that deviation from social norms criterion has value in psychiatry
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12
Q

Limitations of deviation from social norms as a definition of explaining abnormality?

A

Cultural and situational relativism

  • variability between social norms in different cultures & different situations
  • person from one cultural group may label someone from another group as abnormal using their own standards rather than the other person’s standards
  • E.G. hearing voices is the norm in some cultures (as messages from ancestors) but seen as a sign of abnormality in most parts of UK
  • means it’s difficult to judge deviation from social norms across different situations and cultures
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13
Q

Strengths of failure to function adequately as a definition of explaining abnormality?

A

Represents a threshold for help
- around 25% of people in the UK will experience a mental health problem in any given year
- however, many people also face fairly severe symptoms
- to the point where they fail to function adequately so seek professional help or are noticed and referred help by others
- This criterion means that treatment and services can be targeted to those who need the most

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14
Q

Limitations of failure to function adequately as a definition of explaining abnormality?

A

Discrimination and social control

  • is easy to label non-standard lifestyle choices as abnormal
  • hard to say when someone is really failing to function adequately or have simply chosen to deviate from social norms
    E.G. those who favour high-risk leisure activities could be classed as danger to self
  • This means that people who make unusual choices are at risk of being labelled abnormal and their freedom of choice may be restricted
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15
Q

Strengths of deviation from ideal mental health as a definition of explaining abnormality?

A

Comprehensive definition

  • Jahoda’s concept of ‘ideal mental health’ includes range of criteria for distinguishing mental health from mental disorder
  • covers most of the reasons we might seek help (or are referred help) with mental health
  • means that an individual’s mental health can be discussed meaningfully with a range of professionals who might take different theoretical views
    E.G. medically-trained psychiatrist= focus on symptoms & humanistic counsellor= interested in self-actualisation
  • means that ideal mental health provides a checklist against which we can assess ourselves and others and discuss psychological issues with a range of professionals
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16
Q

Limitations of deviation from ideal mental health as a definition of explaining abnormality?

A

May be culture-bound

  • it’s different elements are not equally applicable
  • some of Jahoda’s criteria for ideal mental health are firmly located in the context of the US & Europe
  • concept of self-actualisation would probably be dismissed as self-indulgent in much of the world
  • Even within Europe there is quite a bit of variation in the value placed on personal independence
    E.G. High in Germany, Low in Italy
  • what defines success in our working, social and love-lives is very different in different cultures
  • means that it’s difficult to apply the concept of ideal mental health from one culture to another