Abnormal Behavior in Historical Context Abnormal Psychology Chapter 1 What is Psychopathology? A field concerned with the nature and development of abnormal behavior, thoughts, and feelings Psychological Disorders “A psychological dysfunction within an individual associated with distress and impairment in functioning and a response that is not typical or culturally expected” (Proposed) Components of Abnormal Behavior Statistical infrequency Psychological dysfunction Violation of norms Unexpectedness Personal distress Atypical/not culturally expected Statistical Infrequency One aspect of abnormal behavior- it is infrequent The majority of individuals fall in the middle, with few falling at either extreme Limitations to this approach? Statistical Infrequency Violation of Norms Behavior that violates social rules- Deviance Examples of deviance/rule violations? Limitations to this approach? Personal Distress Personal suffering- the individual is tormented by their symptoms Examples of distress in the context of a psychological disorder? Limitations to this approach? Psychological Dysfunction An impairment affecting some aspect of the individual’s life cognitive functioning, behavioral functioning, emotional functioning, work, personal relationships Limitations to this approach? Dysfunction exists on a continuum, with few clear boundaries Unexpectedness An unexpected response to an environmental stressor Is the response out of proportion to the situation? Limitations to this approach? How do we construct what is an expected vs. an unexpected response? Atypical and Not Culturally Expected Deviates from the average Behavior that is deviant and unexpected in the context of a particular culture Limitations to this approach? Historical Perspectives: Focus on the Supernatural Supernatural explanations- good vs. evil; displeasure of the gods, possession by the devil Demonology- early Egyptians, Greeks, Chinese; the devil takes control of the mind Exorcism and drilling into the skull Focus on the Supernatural 14th Century- belief in demons and witches; this view was endorsed by the Catholic Church 15th Century- evil was blamed for abnormal behavior- Salem witch trials Focus on the Supernatural Confinement, beating, and torture of those exhibiting abnormal behavior Cold water dunking; hanging people over snake pits, etc. Historical Perspectives: Asylums Began in the 15th/16th Century; confinement of the mentally ill Deplorable conditions; cruel medical treatments London- St. Mary of Bethlehem; a tourist attraction Historical Perspectives: The Moral Turn Philippe Pinel (1745-1826)- “struck the chains from the insane”; freeing patients from dungeons Differential treatment based on social class Patients improved dramatically with humane treatment Historical Perspectives: The Moral Turn William Tuke (1732-1822): created an institution that was a retreat in the countryside Moral Treatment Movement: attendants developed supportive relationships with patients Historical Perspectives: The Moral Turn Dorothea Dix (1802-1877): a school teacher who crusaded for institutional reform and humane care Lead to the construction of large state hospitals- discrimination toward immigrants The Moral paradigm was replaced by notions of brain pathology- biological perspectives Historical Perspectives: Somatogenesis Somatogenesis- belief that there is something wrong with the soma (physical body) which causes abnormal behavior Hippocrates (460-377B.C.)- recognizing abnormal behavior as rooted in illness Historical Perspectives: Somatogenesis Hippocrates: hypothesized that mental illness resulted from an imbalance in bodily fluids“humors” Parallel to modern day chemical imbalances Treatment; rest, sleep, changing the environment Historical Perspectives: Somatogenesis Resurgence of the biological perspective in the 19th Century Research on syphilis: an STD which causes delusions Renewed interest in biological perspectives- lead to brain surgery and ECT Historical Perspective Consequences of the biological tradition: Emil Kraeplin (1856-1926) Modern psychiatry; focus on diagnosis and classification; based on behavioral symptoms Historical Perspectives: Competing Paradigms Schools of Thought: 20th Century Psychoanalysis Behaviorism Humanism Psychoanalysis Sigmund Freud Emphasis on the unconscious mind Psychoanalysis- to reach catharsis Psychosexual stages Psychoanalysis Structure of the mind: largely unconscious Id: governed by the pleasure principle Ego: governed by the reality principle Superego: “internalized parent” Psychoanalysis Defense Mechanisms: unconscious reactions to prevent us from overwhelming anxiety Denial, displacement, projection, rationalization, reaction formation, repression, sublimation Behaviorism Classical conditioning Operant conditioning B.F. Skinner & John Watson Behaviorism Behavior Therapy Joseph Wolpe- systematic desensitization Present day- anxiety reduction strategies Humanism Reflections on the positive, optimistic side of human nature Self actualization: reaching our highest potential Carl Rogers- unconditional positive regard Toward a Holistic Perspective Each tradition has shortcomings No one influence occurs in isolation: Biological, behavioral, cognitive, social, and social influences interact in complex ways Understanding psychopathology through integrative models