WHAT IS SOCIAL DEVIATION? Social deviance is a phenomenon that has existed in all societies where there have been norms. There are two possibilities for how an individual will act in the face of social norms: conform or violate. There are implicit social norms and explicit social norms. ▪ Explicit social norms are not necessarily laws. ▪ Implicit social norms are followed through the use of common sense. ▪ In reality, there is often a blend of conformity and deviance in the ways people behave. ▪ Rarely, if ever, does a person deviate from or conform to all norms. ▪ Some behaviors reflect conformity and deviance at once. That is a critical feature of deviance, conformity, and norms. Relativity abounds. That is, norms can change over time. ▪ Depends on situational context. ▪ Depends on statuses. ▪ And any number of other factors. But it’s not all relative. These are about as universal as anything in the social sciences can be, such as when one maliciously harms a child. PHILOSOPHICAL CONSIDERATIONS FOR DEVIANCY In light of the way we think about norms, deviance, and conformity, many thinkers throughout history have tried to explain the causes behind deviance. ▪ When most of us think of deviant behavior, we think of someone who is breaking the law or acting out in a negative manner. ▪ ‘Different’ or ‘unexpected’ are words often used to describe from a sociological perspective. For our purposes, deviant means departing from the norm, and to a sociologist, that can be biased towards the positive or negative. While there are crimes that are certainly deviant because they are outside the norm (such as murder, rape, etc.), there are also crimes that are not deviant. ▪ Take speeding for example: It isn’t all unexpected to see someone speeding. From a sociological perspective, speeding would not be considered deviant in most cities in the United States. When an individual or a minority group’s behavior, belief, or appearance deviates from the normative standards, the individual or the group members risk becoming the targets of social disapproval and other forms of punishment. Examples of social deviance range from minor breaches of social etiquette to major violations of the law. Social Deviance, broadly defined, applies to any behavior, belief, or appearance that violates prevailing social norms. Norms are social standards concerning what members of a group expect and believe is acceptable in a given situation. ▪ The power of norms to govern individual behavior derives from the perception that others endorse and will enforce the normative standards. Deviance, in a sociological context, describes actions or behaviors that violate informal social norms or formally enacted rules. Among those who study social norms and their relation to deviance, all of whom investigate how norms change and are enforced over time: 1. Sociologists 2. Psychologists 3. Psychiatrists 4. Criminologists Deviance is often divided into two types of activities: ▪ The first, crime, is the violation of formally enacted laws and is referred to as formal deviance. (e.g., robbery, theft, rape, murder, assault, etc.) ▪ The second type of deviant behavior involves violation of informal social norms (norms that have not been codified into laws) and is referred to as informal deviance (e.g., picking one’s nose, belching loudly, standing unnecessarily close to a person, etc.) Deviance can vary differently across cultures. Cultural norms are relative, which makes deviant behavior relative as well. For example, in the United States, Americans do not generally impose time-based restrictions on speech. However, in the Christ Desert Monastery, specific rules govern determine when residents can and cannot speak, and speech is banned between 7:30 pm and 4:00 am. These rules are one example of how norms vary across cultures. PARADIGMS AND APPROACHES UNDERSTANDING AND RESPONDING SOCIAL DEVIATION ON TO Paradigm /ˈperəˌdīm/ ▪ A worldview, general perspective, a way of breaking down the complexity of the real world (Lincoln and Guba, 1985:15). ▪ Constitute cultural patterns of group life (Schutz, 1944). An entire constellation of beliefs, values, techniques, and so on, shared by the members of the given community (Kuhn, 1970). Paradigms shape and are shaped by values, knowledge, and beliefs about the nature of our worlds. For social workers, the notion of paradigm is particularly important, because if we can become conscious of the elements that result in different world views, this awareness can provide us with the tools to use to think about and to understand ourselves, others, and the environments we all inhabit. Approach - A way of dealing with something. The notion of paradigm can help us understand ▪ more completely the past perspectives, current realities, and future possibilities about what it means to be human. ▪ our own and others’ roles in creating and recreating the very meaning of humanness. The concept of paradigm ▪ can provide us with new ways of understanding human behavior in individual, family, group, organizational, community, and global contexts. ▪ can serve us very well to order and to increase our awareness of multiple theories, models, and perspectives about human behavior and the social environment. ▪ can help us to understand the way things are, and, equally important for social workers, it can help us understand the way things might be. TWO TYPES OF PARADIGMS 1. TRADITIONAL OR DOMINANT PARADIGMS Simply means the paradigm or worldviews that have most influenced the environment that makes up our world. ▪ According to the traditional or dominant approach, we assume that we can best understand the needs of the people in the community through structured data gathering (i.e., use of a survey or questionnaire). 2. ALTERNATIVE OR POSSIBLE PARADIGMS - Mean worldviews that have had less influence and have been less prominent in shaping our own others’ views about humans and their environments. ▪ The belief that we can learn as much or more about the world around us from qualitative and subjective, as from quantitative and objective, approaches to understanding reflects an alternative and nondominant view of the world. SOCIAL DEVIANCE AND SOCIAL WORK Deviance is a violation of established contextual, cultural, or social norms, whether folkways, mores, or codified law. ▪ It is a social creation in which “social groups create deviance by making the rules whose infraction constitutes deviance, and by applying those rules to particular people and labelling them as outsiders” (Howard Becker, 1963). ▪ Any behavior that differs significantly from what is considered appropriate or typical for a social group. Norms are social standards concerning what members of a group expect and believe is acceptable conduct in a given situation. ▪ The power of norms to govern individual behavior derives from the perception that others endorse and will enforce the normative standards. ▪ Defined as something that is considered normal and refers to something that is the usual, customary or accepted standard. ▪ The rules or expectations that determine and regulate appropriate behavior within a culture, group, or society. TYPES OF NORMS 1. Folkways - These are norms based on everyday cultural customs concerning practical matters like how to hold a fork, what type of clothes are appropriate for different situations, or how to greet someone politely. 2. Mores - Are more serious moral injunctions or taboos that are broadly recognized in a society. 3. Codified Laws - Are norms that are specified in explicit codes and enforced by government bodies. Social Deviance, broadly defined, applies to any behavior, belief, or appearance that violates prevailing social norms. TYPES OF DEVIANCE 1. Admired Behavior - Sometimes good behavior (not within the social norm) can also be considered deviant. Ex. putting yourself in danger to save someone. 2. Bad Behavior - Law-breaking and other criminal behavior would fit into this category. 3. Odd Behavior - This behavior, while not illegal, is not normally accepted or practiced. Ex. pet owners dying their dog’s hair. OBJECTIVIST CONCEPTION OF DEVIANCE IN TERMS OF THREE ASPECTS OF SOCIAL INTERACTION Objectivist Perspective revers to a theoretical perspective that views deviance as a behavior or characteristic that violates specific, objective societal norms and values, regardless of an individual’s intentions. In this perspective, deviance is seen as an objective fact. The Objectivist Perspective focuses on the acts itself rather than the intentions. 1. Behavior - Acts that violate norms are instances of deviance. 2. Norms - Rules of conduct; objective measuring rods for evaluating acts. 3. Societal Reactions - Audience reactions not central to objectivist definition of deviance. Deviance lies in the characteristics/qualities of an act or a person. ▪ There is something about a person or their behavior that makes them deviant. ▪ For people who believe this, it is often treated as common sense (ex. It is common sense that homicide is a deviant behavior) CHARACTERISTICS THAT MAKE SOMETHING DEVIANT 1. Harm - it inflicts harm to someone or something. 2. Rarity - it rarely happens. 3. Reactions - how the society reacts to it. 4. Norms - it violates social norms. SUBJECTIVIST CONCEPT OF DEVIANCE Deviance as an act (real or imagined) that has been labelled as deviant by the asocial audience. Behavior are norm-violating acts that is not deviance unless discovered and labeled as deviance. Norms are not the ultimate measuring rod for identifying deviance; norms may guide societal reactions in response to actual or perceived rule breaking. POSITIVIST PERSPECTIVE ON DEVIANCE Positivist - Those that attempt to explain the causes and consequences of normative violations. THREE ASSUMPTIONS OF WHAT DEVIANT IS: 1. Absolutism - Deviance is absolutely or intrinsically real. Deviant individuals have certain characteristics that make them different from conventional people. 2. Objectivism - Deviant people can be studied objectively like observable objects. 3. Determinism - Deviance is caused by factors beyond an individual’s control. In Positivist Perspective, deviance is determined or caused by factors beyond the individual’s control. Theories developed within the positivist perspective focus on variables which are quantifiable or measurable and constitutes acceptable and unacceptable behavior. HUMANIST PERSPECTIVE ON DEVIANCE The Humanist Perspective tends to accept different kinds of proof than only that which is quantifiable and objective. ▪ Recognizes social conflict and the unequal distribution of power in society. ▪ We are using the term humanistic perspective which emphasizes the individual’s freedom of action and search for meaning. Humanists believe that: 1. Each person is unique and has value. 2. Each person is responsible for the choices they make within the limits of freedom. 3. People always have the capacity to change themselves, even make radical change. 4. Human behavior can be understood only from the vantage point of the phenomenal self -from the internal frame of reference of the individual. 5. Behaving in ways that are not consistent with the true self causes anxiety. 6. Human behavior is driven by a desire for growth, personal meaning, and competence, and by a need to experience a bond with others. Social Psychological perspectives on deviance refer to discussions of the nature of deviance and explanations of the definition, antecedents, or consequences of deviance that implicate both personal (behavioral or intrapsychic) and social (interpersonal, group, macrosocial) structures and processes. NATURE OF DEVIANCE The very definition of deviant behavior as it is generally understood in contemporary social science is essentially social-psychological. Although definitions vary widely, most social psychologists would agree that deviance refers to behaviors or attributes manifested by specified kinds of people in specified circumstances that are judged to violate the normative expectations of a specified group. Shared normative expectations refer to group evaluations regarding the appropriateness or inappropriateness of certain attributes or behaviors when manifested by certain kinds of people in certain circumstances. The de facto deviation from the expectations of specified normative systems may be motivated or unmotivated. MOTIVATED DEVIATION Arises from either of two sets of circumstances. In the first set, the person is a member of a group that defines the attributes or behaviors in question as deviant. However, because of a variety of circumstances, the person loses motivation to conform to the normative expectations of the group and becomes motivated to adopt deviant patterns that are expected to satisfy the person's needs better than conventional patterns. In the second set of circumstances, the person is a member of a group in which the attributes or behaviors under consideration are normative though other groups may define the attributes or behaviors as deviant. The person is motivated to conform to the normative prescriptions or proscriptions as one who has been socialized in the group. The person is either unaware or considers it to be irrelevant that another group judges the attributes or behaviors. The person's motivation stems from the need to conform to group standards and to evoke approving responses from group members who share these standards for conforming to the group's normative expectations. UNMOTIVATED DEVIATION Refers to instances of failure to conform to the normative expectations of the person's membership or reference groups, where the failure to conform is contrary to the person's volition. I. STRAIN THEORY Robert K. Merton (born July 4, 1910, Philadelphia, Pennsylvania, U.S.—died February 23, 2003, New York, New York) was an American sociologist whose diverse interests included the sociology of science and the professions, sociological theory, and mass communication. ▪ Considered a founding father of modern sociology, and a major contributor to the subfield of criminology. He served as the 47th president of the American Sociological Association. ▪ In 1994 Merton became the first sociologist to receive a National Medal of Science. Emile Durkheim first coined the term "anomie" in 1893 when he published his book "The Division of Labor in Society". Durkheim used the term to describe a state of social disorder where societal norms and values are weakened, leading to feelings of aimlessness and disorientation among individuals; in societies or individuals, a condition of instability resulting from a breakdown of standards and values or from a lack of purpose or ideals. Robert Merton, in 1938, developed what later would become known as Anomie Theory, attributing deviance to anomie, the breakdown of social norms that results from society’s urging people to be ambitious but failing to provide them with legitimate opportunities to succeed. ▪ Since the early 1990s, other attempts have been made to extend the theory by emphasizing how the strain generated in people by anomie or other social conditions causes them to commit deviant acts (Agnew, 1992; Messner and Rosenfeld, 2001). The theory may thus be called Anomie-Strain Theory or simply, Strain Theory. THE AMERICAN DREAM Ideal that the United States is a land of opportunity that allows the possibility of upward mobility, freedom, and equality for people of all classes who work hard and have the will to succeed. The roots of the American Dream lie in the goals and aspirations of the first European settlers and colonizers. Most of these people came to the North American continent to escape tyranny, religious and political persecution, or poverty. ▪ The dominant cultural message was if you are ambitious, talented and work hard, then income and wealth should be your rewards. ▪ Merton developed the concept of ‘anomie’ to describe this imbalance between cultural goals and institutionalized means. Merton argued that such an imbalanced society produces anomie – there is a strain or tension between the goals and means which produce unsatisfied aspirations. Essentially, the American Dream is a key concept within strain theory, highlighting the societal pressure to achieve success that can drive criminal activity when legitimate pathways are blocked. FIVE ADAPTATIONS TO STRAIN Merton argued that when individuals are faced with a gap between their goals and their current status, strain occurs. When faced with strain, people have five ways to adapt: 1. Conformity is the most popular form of response. It involves accepting both the cultural goal of success and the use of legitimate means of working toward that goal. 2. Innovation is largely found among lowerclass people, who reject the use of legal means in favor of illegal ones in their attempts to achieve the high success goal that they have learned to accept. 3. Ritualism is common among lower-middleclass people who lower their aspirations or abandon high success goals so that they can more easily realize their aspirations. But in their attempts to realize these modest aspirations, they compulsively—hence, ritualistically—abide by the institutional norm of toiling as conscientious, loyal workers. 4. Retreatism is a withdrawal from society into the shell of one’s self. The retreatist does not care about success, nor does he or she care to work. 5. Rebellion involves rejecting the prevailing social expectation that we work hard in the so-called rat race to reach the goal of great success. The rebel also attempts to overthrow the existing system and put in its place a new one with new goals and new means of reaching those goals. SOCIAL CLASS AND CRIME Merton developed his theory from a well-established observation from official statistics – that a higher proportion of acquisitive crime is committed by those from unskilled manual backgrounds (or ‘lower social classes’). He argued that for those from lower social classes, the ‘American dream’ had become an ideology, masking the fact that the legitimate opportunities are not available to all, and worse, those who failed to achieve success via legitimate means were condemned for their apparent lack of effort. This situation puts great pressure on people to achieve material success by illegitimate means to avoid being branded a failure. Thus, it is not so much the individual’s flaws that lead them to crime, but rather ‘anomie’ in society – the combination of the pressure to be materially successful and the lack of legitimate opportunities to achieve that success. II. DIFFERENTIAL ASSOCIATION THEORY Edwin Sutherland (born August 13, 1883, Gibbon, Nebraska, U.S.—died October 11, 1950, Bloomington, Indiana) was an American criminologist, best known for his development of the differential association theory of crime. ▪ In recognition of his influence, the most important annual award of the American Society of Criminology is given in his name. According to this theory, an individual learns delinquent behavior, accepts it from others, and learning flows through the communication process. An individual becomes delinquent if he accepts values that support the violation of law, and not the values of conventional culture. Individuals have a greater tendency to deviate from societal norm when they frequently association with persons who are more favorable toward deviance than conformity. The term “association”, however, refines this idea by recognizing that it is not enough to simply be exposed to criminal individuals, but that these contacts must also successfully convey criminal definitions and attitudes. The principal part of the learning of criminal behavior occurs within intimate personal groups. NINE PROPOSITIONS ASSOCIATION OF DIFFERENTIAL 1. All criminal behavior is learned. 2. Criminal behavior is learned in interaction with other persons in a process of communication. 3. The principal part of the learning of criminal behavior occurs within intimate personal groups. 4. The learning of criminal behavior includes the learning of techniques to commit a crime as well as specific motives, rationalizations and attitudes that favor criminal behavior. 5. The specific direction of motives and drives is learned by defining laws positively or negatively. 6. A person becomes delinquent as a result of the predominance of attitudes that favor the violation over those that take a negative view of the violation. 7. Differential associations may vary in frequency, duration, priority, and intensity. 8. The process of learning criminal behavior includes all the mechanisms involved in any other learning process. 9. While criminal behavior is an expression of general needs and values, it is not explained by those general needs and values since noncriminal behavior is an expression of the same needs and values. IMPLICATIONS TO CRIMINAL POLICY Sutherland’s theory of differential association represents a rehabilitative ideal. Since criminal attitudes and activities can be learned, they can be logically deduced and unlearned, or compliant behavior, attitudes, and rationalizations can be achieved in the first place. III. SOCIAL CONTROL THEORY Travis Hirschi (born April 15, 1935, Rockville, Utah, U.S.—died January 2, 2017, Tucson, Arizona) was an American criminologist known for his social-control perspective on juvenile delinquency and his selfcontrol perspective on crime. ▪ In Causes of Delinquency (1969)—a groundbreaking work that had a profound influence on criminology during the next three decades—Hirschi argued that delinquency can be explained by the absence of social bonds. ▪ Hirschi received a number of awards for his work, including the C. Wright Mills Award from the Society for the Study of Social Problems and the Edwin H. Sutherland Award from the American Society of Criminology. Social Control Theory assumes that people can see the advantages of crime and are capable of inventing and executing all sorts of criminal acts on the spot without special motivation or prior training. It assumes that the impulse to commit crime is resisted because of the costs associated with such behavior. Control theorists approach the problem in a roundabout way: what causes conformity? Social control theory has intellectual origins dating to Thomas Hobbes. In his most famous book, Leviathan, Hobbes (2020) describes the life of early humans as “nasty, poor, brutish and short,” and as a “war of all against all”. Hobbes proposes an alternative to this violent life: a system of laws and a government with enough power to punish those who result to force and fraud in pursuing their private interests. People with weak self-control are said to be highly impulsive, reckless, and insensitive. They are a product of inadequate socialization. Such people then are likely to commit deviant acts (Hirschi and Gottfredson, 1994; Langton, Piquero, and Hollinger, 2006; Love, 2006). According to Charles Tittle (1995, 2004), however, it is the lack of control balance that causes deviance. Individuals with a lack of control balance are said to have either a control surplus or a control deficit. ▪ Control Surplus - such as the control we have over others being greater than the control others have over us. ▪ Control Deficit - the control others have over us being greater than the control we have over them. HIRSCHI’S BONDS OF ATTACHMENT 1. Attachment - Refers to the level of psychological affection one has for prosocial others and institutions (Hirschi, 1969). Attachment is prosocial in its role in stopping people from committing a crime. The impulse to commit a crime can be resisted because of the costs of crime associated with delinquent behaviors. ▪ One major cost is the disapproval of people whom the potential offender cares about. ▪ This brings in the concept of sensitivity. Psychologists argue that some people are more sensitive to the opinion of others, and the extent to which one is sensitive to others’ views will predict rates of criminal activity. ▪ Attachment is used to capture the emotions associated with committing a crime. 2. Commitment - Hirschi noted that people are less likely to commit crimes when they know that they have something to lose. A potential offender would calculate the benefits and costs of crime. The more he or she has to lose, the greater the potential costs of the crime, the less likely it is to be committed. 3. Involvement - People simply keep themselves so busy doing conventional things that they do not have time for partaking in deviant activities or even thinking about deviant acts. They hesitate to engage in criminal activity. 4. Belief - Individuals have a strong moral belief that they should obey the rules of conventional society. The assumption being that the more important such values are to a person, the less likely he or she is to engage in criminal/deviant behavior. FORMS OF SOCIAL CONTROL Formal - Exercised by secondary groups; man is forced to accept these forms. Means of Formal Social Control 1. Education 2. Law 3. Coercion Informal - Exercised by primary groups; Man is grown according to the needs of society. Means of Informal Social Control 1. Norms 2. Values 3. Folkways 4. Mores 5. Customs 6. Belief System 7. Ideology 8. Social Suggestion 9. Religion 10. Art AGENCIES OF SOCIAL CONTROL ▪ Family - Very important instrument and agency in social control. ▪ State - Chief agency of social control. ▪ Educational Institutions - Powerful agencies of social control; committed to molding the minds of the citizens. ▪ ▪ ▪ ▪ Neighborhood - Reinforce the individual family as an agency of social control. Public Opinion - Most important method of social control in a democratic set up. Propaganda and Press - The deliberate effort to control the behavior and relationships of social groups. Economic Organization - The fear of losing a job compels an individual to follow the rules and regulations of the industry. IV. DETERRENCE THEORY OF PUNISHMENT Thomas Hobbes (1588-1678), an English philosopher, originated the concept of the social contract, which posits that citizens will adhere to the rule of law in exchange for protection from the government via the criminal justice system. In his book “Leviathan”, published in 1651, Hobbes wrote that men are neither good nor bad. He believed that humans are rational enough to realize that their self-interests may lead to conflict and crime. Cesare Beccaria (1738-1794) developed deterrence theory and theorized that criminal punishment would only be an effective deterrent if the punishment were certain and implemented swiftly, and the severity of the punishment was proportional to the crime. Jeremy Bentham (1748-1832), along with Hobbes and Beccaria, relied on the individual components of severity, certainty, and celerity in the theory of deterrence. The more severe a punishment, the more likely that a rationally calculating human being will desist from criminal acts. Deterrence Theory, a foundation of criminological thought, posits that the threat of punishment can effectively discourage criminal behavior. It assumes individuals are rational actors who weigh the potential costs and benefits of their actions. ▪ The theory hinges on the idea that if the perceived consequences of committing a crime outweigh the potential rewards, individuals will be less likely to engage in illegal activities. Deterrence can be either specific or general: ▪ ▪ Specific Deterrence aims to prevent a particular offender from re-offending. General Deterrence seeks to discourage others in society from committing similar crimes by showcasing the consequences faced by those who break the law. THREE KEY ELEMENTS 1. Certainty - Refers to the likelihood of being caught and punished. 2. Severity - Refers to the degree of punishment imposed. 3. Swiftness - Emphasizes the time elapsed between the commission of a crime and the administration of punishment. V. INTERACTIONALIST LABELING THEORY Howard Becker (1928-2023) was a highly influential sociologist known for his work on deviance. His main contribution is labeling theory, which argues that deviance is not about individual actions but about how society labels those actions. By making rules and applying them, society creates "outsiders." Interactionist Labeling Theory, emerging from symbolic interactionism shifts the focus from individual deviance to how society defines and reacts to it. It argues that deviance isn't inherent in an act but is created by societal rules and the application of labels to those who break them, turning them into "outsiders". CORE CONCEPTS OF LABELING THEORY 1. Labeled/Labeling - Refers to the process by which society identifies an individual as deviant, often due to an initial act of deviance as a primary deviance. 2. The Social Construction - Is a sociological theory that posits that deviant behavior is not inherently "bad" or "wrong," but rather defined and labeled as such by society. 3. Primary Deviance - Initial acts of rulebreaking that have little impact on a person's self-concept. 4. Secondary Deviance - Deviance that results from being labeled and accepting that label, leading to a changed self-concept and further deviance. 5. Self-Fulfilling Prophecy - The process where a label leads a person to act in ways that confirm the label. look at one another, nod, murmur, take turns in speaking, and in asking and responding to questions. VI. ETHNOMETHODOLOGY THEORY VII. CONFLICT PERSPECTIVE Harold Garfinkel (1917-2011) born in Newark, New Jersey, he initially studied accounting before transitioning to sociology. Garfinkel earned his PhD from Harvard, influenced by Talcott Parsons and Alfred Schutz. ▪ He pioneered, explores how individuals create and understand social order in everyday life. including his Garfinkel's work, book Studies in Ethnomethodology, challenged traditional sociological analyses by focusing on the micro-level processes of social interaction. Karl Marx (1818-1883) was a philosopher, author, social theorist, and an economist. He is famous for his theories about capitalism and communism. Ethnomethodology Theory is a sociological approach that explores how people make sense of their everyday world and create social order. it examines the "ethno-methods," or common-sense practices, individuals use to navigate social interactions. ▪ Rather than imposing assumptions, ethnomethodology seeks to understand how individuals, as rational actors, employ practical reasoning to make their environment accountable. KEY CONCEPTS 1. Indexicality - Meaning is derived from context. There is no clear definition of any word because the meaning depends on the context and other words used. 2. Accountability - Actions are performed with an understanding that they will be assessed by others. 3. Breaching Experiments - Disrupting social norms to reveal the underlying methods people use to create social order. Garfinkel had his students ask 'What do you mean?' relentlessly during conversations to undermine the taken-for-granted rules. 4. Reflexivity - Our sense of order is created in talk, as to describe a situation is at the same time to create it. 5. Conversation Analysis Studying conversations to understand how social order is produced through interaction. People Conflict Perspective is a sociological theory that views society as a competition for limited resources, where dominant groups exploit and oppress others to maintain power and inequality. This perspective was heavily influenced by Karl Marx, who argued that society is divided into the bourgeoisie (owners of production) and the proletariat (workers). According to Marx, the ruling class uses laws, media, and institutions to maintain power and keep the working class oppressed. Alienation - is the systemic result of living in a socially stratified society, because being a mechanistic part of a social class alienates a person from his or her humanity. ▪ In a capitalist society, the worker's alienation from his and her humanity occurs because the worker can only express labor, a fundamental social aspect of personal individuality, through privately owned system of industrial production in which each worker is an instrument, a thing, not a person. CRIMINAL JUSTICE SYSTEM The criminal justice system is the set of agencies and processes established by governments to control crime and impose penalties on those who violate. GOALS OF CRIMINAL JUSTICE SYSTEM 1. To protect individuals and society. 2. To reduce crime by bringing offenders to justice. 3. To increase the security of the people. PARTICIPANTS OF CRIMINAL JUSTICE SYSTEM 1. Police 2. Prosecution 3. Court 4. Correction 5. Community issues of resistance. GOALS OF PUNISHMENT ▪ General Deterrence ▪ Specific Deterrence ▪ Incapacitation ▪ Redistribution/Just Desert ▪ Restitution ▪ Rehabilitation ▪ Diversion ▪ Restorative Justice COMPONENTS SYSTEM OF CRIMINAL inequality, oppression, and Critical Perspective regards deviance as conflict, generally as a rational adjustment to the contradictions of the capitalist social and economic system. It focuses attention on how political, economic, and social structures shape legal definitions of crime, and deviance. JUSTICE Law Enforcement - Police patrol communities to help prevent crimes, to investigate incidences of crime, and to arrest people suspected of committing crimes. The Court System - The court system consists of attorneys, judges, and juries as well as ancillary staff, the guilt or innocence of a suspect is to determine in court. Correction System - The corrections system incorporates all forms of sentencing and punishment; it includes incarceration and probation. WHITE COLLAR AND ORGANIZED CRIME White Collar Crime - Conflict theorist also looks at the types of crimes committed by members of the two classes, the Street and Elite Crimes. Organized Crime - There is also organized crime, which refer to illegal goods or services being provided by a business or group of people. VIII. CRITICAL PERSPECTIVE The critical perspective stems from the Marxist tradition. A critical perspective is an approach to analyzing texts, ideas, or social issues that questions assumptions, examines power structures, and considers alternative viewpoints. It often challenges dominant narratives and seeks deeper meaning beyond surface-level interpretations. ▪ It examines how norms and definitions of deviance are socially constructed, often shaped by those in power to maintain control. This approach questions who decides what is considered deviant and why, highlighting ECONOMIC INSTITUTION ▪ Exerts more influence on human life than any other institution. ▪ Sociologists see the economy generating a two-class system, being the cause of most of the society's social problems. ▪ Johnson describes a number of these problems, and shows how capitalism feeds into racial and gender inequalities in the differential distribution of wealth, power and respect. CAPITALISM, DIFFERENCE, AND PRIVILEGE: RACE It connects to white racism in ways that are both direct and indirect. Cheap Labor - Following the Civil War, the capitalist appetite for cheap agricultural labor was no less than before, and freed blacks were held in a new form of bondage by an oppressive system of tenant farming that kept them perpetually in debt. ▪ Whites developed the idea of whiteness to define a privileged social category elevated above everyone who wasn't included in it. Program - The controversy and conflict over affirmative action programs, for example, as well as the influx of immigrant workers from Mexico and Asia reflect an underlying belief that the greatest challenge facing white workers is unfair competition from people of color. CAPITALISM, DIFFERENCE, AND PRIVILEGE: GENDER Capitalism also shapes and makes use of gender inequality. Cultural devaluing of women, for example, has long been used as an excuse to pay them less and exploit them as a source of cheap labor. IX. GENDER PERSPECTIVE Gender Perspective focuses particularly on genderbased differences in status and power, and considers how much discrimination shapes immediate needs, as well as the long-term interests of women and men. ▪ Sex - Permanent and immutable biological characteristics common to individuals in all societies and cultures. ▪ Gender It is a sociocultural expression of particular characteristics and roles that are associated with certain groups of people with reference to their sex and sexuality. THEORETICAL FOUNDATIONS Gender as a Social Construct argues that gender is shaped by cultural, historical, and societal influences rather than being strictly determined by biology. Gender as Biological Determinism is the idea that gender differences are primarily or entirely the result of biological factors, such as chromosomes, hormones, and reproductive anatomy. Patriarchy is a social system in which men hold primary power in political, economic, and social spheres, often leading to the systematic oppression of women and marginalized genders. It is upheld through power structures, including laws, institutions, cultural norms, and social expectations that reinforce male dominance. GENDER PERSPECTIVE IN DIFFERENT FIELDS 1. Gender in Education examines how gender influences experiences, opportunities, and outcomes in learning environments. This perspective advocates for gender-inclusive education, ensuring that both boys and girls, as well as non-binary individuals, have equal access to resources, encouragement, and representation 2. Gender in Healthcare examines how gender influences access to medical services, health outcomes, and treatment experiences. It highlights disparities in healthcare access, with women, non-binary individuals, and marginalized genders often facing barriers such as biased diagnoses, inadequate research on female-specific health issues, and discrimination in medical settings. 3. Gender in the Economy and Labor Market refers to how gender influences economic participation, job opportunities, wages, and workplace experiences. Gender disparities are evident in wage gaps, occupational segregation overrepresented in (women lower-paying jobs being and underrepresented in leadership roles), and the unequal burden of unpaid labor (e.g., caregiving and household work). X. FEMINIST PERSPECTIVE The feminist perspective is a way of looking that focuses on addressing the inequality and power imbalances women face, aiming for gender equality by challenging systems that oppress them. It emphasizes women's experiences and advocates for change, distinguishing it from a broader gender perspective. FEMINIST PERSPECTIVE ON DEVIANCE The feminist perspective on deviance highlights how social structures and inequalities make women more vulnerable to victimization and shape society’s response to their experiences. ▪ Gender Inequality makes women more vulnerable to deviance as victims by normalizing violence, limiting their access to justice, and blaming them for their own victimization. Societal norms often excuse male perpetrators while silencing or shaming female victims, reinforcing cycles of abuse and discrimination. EXAMPLES OF DEVIANT BEHAVIOR AFFECTING WOMEN/VICTIMS 1. Sexual Harassment - This refers to unwanted advances, comments, or actions that degrade or intimidate women, often in workplaces or public spaces. Gender inequality enables this by normalizing male dominance and discouraging women from speaking out due to fear of retaliation. 2. Domestic Violence - This includes physical, emotional, or psychological abuse within intimate relationships. Societal norms and legal systems often fail to protect women, blaming victims or pressuring them to stay in abusive relationships due to economic dependence or social stigma. 3. Rape - In the context of deviance, rape is a serious violation of social and moral norms, driven by a disregard for consent and personal boundaries. Gender inequality contributes to the normalization of such violence by excusing male behavior and blaming female victims, making it harder for survivors to receive justice and support. 4. Prostitution Prostitution involves exchanging services for financial or material gain and is often linked to economic struggles and social vulnerabilities. Many women in this situation face risks such as exploitation, discrimination, and safety concerns, making it a complex social issue. EFFECTS OF DEVIANCE ON WOMEN/VICTIMS 1. Psychological Effects - Trauma, anxiety, low self-esteem, depression, and Post Traumatic Stress Disorder (PTSD) 2. Social Effects Stigma, strained relationships, and isolation. 3. Economic Effects - Job discrimination, limited education, and financial dependence. 4. Physical Effects - Injuries, chronic illness, and reproductive health risks. XI. PSYCHOLOGICAL PERSPECTIVES Psychological perspectives on social deviance focus on how a person’s thoughts, emotions, personality, and experiences influence their behavior. These perspectives explain deviance as a result of mental disorders, personality traits, childhood experiences, or social learning. They are important in understanding deviant behavior as they explore how different factors influence a person’s actions. They help explain why individuals behave in certain ways by considering personal, social, and environmental influences. By looking at these perspectives, we gain deeper insight into the causes of deviance and how it can be addressed effectively. BIOLOGICAL PERSPECTIVE ON DEVIANCE The biological perspective explains that a person’s behavior, including deviant actions, may be influenced by genetics, brain structure, or other biological factors. It suggests that some people may be more likely to engage in deviant behavior due to things like hormonal imbalances, neurological conditions, or inherited traits. This perspective looks at how the body and brain affect actions. Example: Chester has a condition that affects his brain’s ability to control anger. He often gets into fights, even when he doesn’t want to. Doctors found that he has a brain injury from an accident when he was younger, which may explain his aggressive behavior. PSYCHOSOCIAL PERSPECTIVE ON DEVIANCE It explores how a person’s thoughts, emotions, and social experiences shape their actions. It considers the influence of life experiences, relationships, and surroundings on behavior. This perspective helps explain why individuals respond differently to situations and how certain experiences may lead to behaviors that go against social norms. Example: Promise grew up feeling neglected and unloved by her family. She never felt important, so as a teenager, she started shoplifting and breaking rules to get attention. She believed that causing trouble was the only way people would notice her. SOCIO-CULTURAL INFLUENCES ON DEVIANCE Socio-cultural influences on deviance refer to how society, culture, and environment shape what is considered acceptable or deviant behavior. Norms, values, traditions, and social expectations influence how people act and how deviance is defined. Factors like peer influence, media, and economic conditions can also affect behavior and contribute to deviant actions. Example: Jovan lives in a neighborhood where many young people drop out of school and get involved in crime. Since he has no role models who encourage education or legal work, he starts selling illegal substances, thinking it’s a normal way to earn money. BIPOLAR DISORDER Bipolar disorder, formerly known as manicdepressive illness, is a brain and behavior disorder characterized by severe shifts in a person's mood and energy, making it difficult for the person to function. The condition typically starts in late adolescence or early adulthood, although it can show up in children and in older adults. People often live with the disorder without having it properly diagnosed and treated. Bipolar disorder causes repeated mood swings, or episodes, that can make someone feel very high (mania) or very low (depressive). The cyclic episodes are punctuated by normal moods. BIPOLAR DISORDER DIAGNOSIS Bipolar disorder cannot yet be diagnosed physiologically by blood tests or brain scans. Currently, diagnosis is based on symptoms, course of illness, and family history. The different types of bipolar disorder are diagnosed based on the pattern and severity of manic and depressive episodes. Doctors usually diagnose brain and behavior disorders using guidelines from the Diagnostic and Statistical Manual of Mental Disorders, or DSM. According to the DSM, there are three basic types of bipolar disorder: 1. Bipolar Disorder I 2. Bipolar Disorder II 3. Cyclothymic BIPOLAR I Bipolar I disorder is diagnosed when a person experiences a manic episode. During a manic episode, people with bipolar I disorder experience an extreme increase in energy and mood changes, including feeling extremely happy or uncomfortably irritable. Some people with bipolar I disorder also experience depressive or hypomanic episodes, and most people with bipolar I disorder also have periods of neutral mood. Symptoms of Bipolar I 1. Manic Episode - A manic episode is a period of at least one week when a person is extremely high-spirited or irritable most of the day for most days, possesses more energy than usual, and experiences at least three of the following changes in behavior: o Decreased need for sleep. o Increased or faster speech. o Uncontrollable racing thoughts or quickly changing ideas or topics when speaking. o Distractibility. Increased activity (e.g., restlessness, working on several projects at once). 2. Hypomanic Episode - A hypomanic episode, or hypomania, is characterized by less severe manic symptoms that need to last only four days in a row rather than a week. Hypomanic symptoms do not lead to the major problems in daily functioning that manic symptoms commonly cause. 3. Major Depressive Episode - A major depressive episode is a period of at least two weeks in which a person experiences intense sadness or despair or a loss of interest in activities the person once enjoyed. o BIPOLAR II To diagnose bipolar II disorder in an individual, they must have at least one major depressive episode and at least one hypomanic episode (see above). With bipolar II, it is common that people return to their usual functioning between episodes. People with bipolar II disorder often first seek treatment as a result of their depressive episodes, since hypomanic episodes often feel pleasurable and can even increase performance at work or school. People with bipolar II disorder frequently have other mental illnesses such as an anxiety disorder or substance use disorder, the latter of which can exacerbate symptoms of depression or hypomania. CYCLOTHYMIA Cyclothymic disorder is a milder form of bipolar disorder involving many "mood swings," with hypomania and depressive symptoms that occur frequently. People with cyclothymia experience emotional ups and downs but with less severe symptoms than bipolar I or II disorder. Cyclothymic disorder symptoms include the following: ▪ For at least two years, many periods of hypomanic and depressive symptoms, but the symptoms do not meet the criteria for hypomanic or depressive episodes. ▪ During the two-year period, the symptoms (mood swings) have lasted for at least half the time and have never stopped for more than two months. TREATMENT OF BIPOLAR DISORDER While no cure exists for bipolar disorder, it is treatable and manageable with psychotherapy and medications. Mood stabilizing medications are usually the first choice in medication. Lithium is the most commonly prescribed mood stabilizer. Anticonvulsant medications are usually used to treat seizure disorders, and sometimes offer similar mood-stabilizing effects as antipsychotics and antidepressants. Bipolar disorder is much better controlled when treatment is continuous. In addition to medication, psychotherapy provides support, guidance and education to people with bipolar disorder and their families. Psychotherapeutic interventions increase mood stability, decrease hospitalizations and improve overall functioning. ANXIETY DISORDERS Anxiety disorders include disorders that share features of excessive fear and anxiety and related behavioral disturbances. ▪ Fear - the emotional response to real or perceived imminent threat. ▪ Anxiety - is anticipation of future threats. Obviously, these two states overlap, but they also differ, with fear more often associated with surges of autonomic arousal necessary for fight or flight, thoughts of immediate danger, and escape behaviors, and anxiety more often associated with muscle tension and vigilance in preparation for future danger and cautious or avoidant behaviors. Sometimes the level of fear or anxiety is reduced by pervasive avoidance behaviors. Panic attacks feature prominently within the anxiety disorders as a particular type of fear response. Panic attacks are not limited to anxiety disorders but rather can be seen in other mental disorders as well. The anxiety disorders differ from one another in the types of objects or situations that induce fear, anxiety, or avoidance behavior, and the associated cognition. Thus, while the anxiety disorders tend to be highly comorbid with each other, they can be differentiated by close examination of the types of situations that are feared or avoided and the content of the associated thoughts or beliefs. Anxiety disorders differ from developmentally normative fear or anxiety by being excessive or persisting beyond developmentally appropriate periods. Anxiety disorders go beyond the regular nervousness and slight fear you may feel from time to time. An anxiety disorder happens when: ▪ Anxiety interferes with your ability to function. ▪ Your reactions are often out of proportion to situations (overreactions). ▪ You can’t control your responses to situations. Children, adolescents and adults can experience anxiety disorders. Women are about twice as likely as men to have one. Anxiety disorders can make it difficult to get through the day. Fortunately, there are several effective treatments for these conditions. TYPES OF ANXIETY DISORDERS 1. Selective Mutism - characterized by a consistent failure to speak in social situations in which there is an expectation to speak (e.g., school) even though the individual speaks in other situations. 2. Specific Phobias - A phobia is when something causes you to feel fear or anxiety that’s so severe it consistently and overwhelmingly disrupts your life. There are hundreds of different types of phobias, and there’s one diagnosis for almost all of them: specific phobia. Only one phobia, agoraphobia, is a distinct diagnosis. 3. Social Anxiety Disorder - In social anxiety disorder, the individual is fearful or anxious about or avoidant of social interactions and situations that involve the possibility of being scrutinized. These include social interactions such as meeting unfamiliar people, situations in which the individual may be observed eating or drinking, and situations in which the individual performs in front of others. 4. Panic Disorder - This condition involves multiple unexpected panic attacks. A main feature of the condition is that the attacks usually happen without warning and aren’t due to another mental health or physical 5. 6. 7. 8. condition. Some people with panic disorder also have agoraphobia. Agoraphobia - This condition causes an intense fear of becoming overwhelmed or unable to escape or get help. People with agoraphobia often avoid new places and unfamiliar situations, like large, open areas or enclosed spaces, crowds and places outside of their homes. Generalized Anxiety Disorder - This condition causes fear, worry and a constant feeling of being overwhelmed. It’s characterized by excessive, frequent and unrealistic worry about everyday things, such as job responsibilities, health or chores. Substance/Medication-Induced Anxiety Disorders - involves anxiety due to substance intoxication or withdrawal or to a medication treatment. In anxiety disorder due to another medical condition, anxiety symptoms are the physiological consequence of another medical condition. Separation Disorder - This condition happens when you feel excessive anxiety when you’re separated from a loved one, like a primary caregiver. While separation anxiety in babies and toddlers is a normal “stage of development”, separation anxiety disorder can affect children and adults. SYMPTOMS DISORDER AND CAUSES OF ANXIETY Symptoms of anxiety disorders vary depending on the type. Psychological Symptoms ▪ Feeling panic, fear, dread and uneasiness. ▪ Feeling on edge or irritable. ▪ Uncontrollable, obsessive thoughts. ▪ Difficulty concentrating. Physical Symptoms ▪ Restlessness ▪ Heart palpitations ▪ Shortness of breath ▪ Muscle tension ▪ Cold or sweaty hands ▪ Dry mouth ▪ Nausea ▪ Numbness or tingling in your hands or feet. ▪ Difficulty falling asleep or staying asleep (insomnia). WHAT CAUSES ANXIETY DISORDERS Like other types of mental health conditions, researchers don’t know exactly what causes anxiety disorders. But they think a combination of factors plays a role: ▪ Chemical imbalances: Several neurotransmitters and hormones play a role in anxiety, including norepinephrine, serotonin, dopamine and gammaaminobutryic acid (GABA). Imbalances in these chemicals can contribute to an anxiety disorder. ▪ Brain changes: A part of your brain called the “amygdala” plays an important role in managing fear and anxiety. Studies show that people with anxiety disorders show increased amygdala activity in response to anxiety cues. ▪ Genetics: Anxiety disorders tend to run in biological families. This suggests that genetics may play a role. You may be at an increased risk of developing one if you have a first-degree relative (biological parent or sibling) with an anxiety disorder. ▪ Environmental Factors: Severe or longlasting stress can change the balance of neurotransmitters that control your mood. Experiencing a lot of stress over a long period can contribute to an anxiety disorder. Experiencing a traumatic event can also trigger anxiety disorders. DIAGNOSIS AND TESTS If you or your child are experiencing symptoms of an anxiety disorder, see a healthcare provider. They’ll start with a medical evaluation. They’ll do a physical exam and ask about your medical history, any medications you’re taking and if any of your family members have been diagnosed with an anxiety disorder. There aren’t any blood tests or imaging scans that can diagnose anxiety disorders. But your provider may run some of these tests to rule out physical conditions that may be causing your symptoms, like “hyperthyroidism”, for example. If there isn’t an underlying physical cause, your provider may refer you to a mental health professional. A mental health professional, such as a psychologist or psychiatrist will do an interview or survey, asking questions about your symptoms, sleeping habits and other behaviors. They use criteria in the American Psychiatric Association’s DSM-5 to make diagnoses of anxiety disorders. MEDICATION FOR ANXIETY DISORDER Medications can’t cure an anxiety disorder. But they can improve the symptoms and help you function better. Medications for anxiety disorders often include: ▪ Antidepressants ▪ Benzodiazepines ▪ Beta-Blockers PSYCHOTHERAPY FOR ANXIETY DISORDERS “Psychotherapy,” also called talk therapy, is a term for a variety of treatment techniques that aim to help you identify and change unhealthy emotions, thoughts and behaviors. ▪ Cognitive Behavioral Therapy ▪ Exposure Therapy EATING DISORDERS Feeding and eating disorders are characterized by a persistent disturbance of eating or eating related behavior that results in the altered consumption or absorption of food and that significantly impairs physical health or psychosocial functioning. Diagnostic criteria are provided for pica, rumination disorder, avoidant/restrictive food intake disorder, anorexia nervosa, bulimia nervosa, and binge-eating disorder. However, obesity is not included in DSM-5 as a mental disorder. Obesity (excess body fat) results from the long-term excess of energy intake relative to energy expenditure. A range of genetic, physiological, behavioral, and environmental factors that vary across individuals contributes to the development of obesity; thus, obesity is not considered a mental disorder. SIGNS AND SYMPTOMS OF EATING DISORDERS Signs and symptoms of eating disorders vary based on the type but could include: ▪ Mood Swings ▪ Fatigue ▪ Fainting or dizziness ▪ ▪ ▪ Thinning hair or hair Loss Unexplained weight changes or drastic weight loss Unusual sweating or hot flashes Behavioral Symptoms of Eating Disorders may include: ▪ Restrictive eating ▪ Eating a lot in a short amount of time ▪ Avoiding food or certain foods ▪ Forced vomiting after meals or laxative misuse ▪ Compulsive exercising after meals ▪ Frequent bathroom breaks after eating ▪ Withdrawing from friends or social activities ▪ Hiding food or throwing it away ▪ Food rituals (chewing food longer than necessary, eating in secret) TYPES OF EATING DISORDERS ANOREXIA NERVOSA Anorexia nervosa is characterized by self-starvation and weight loss resulting in low weight for height and age. Dieting behavior in anorexia nervosa is driven by an intense fear of gaining weight or becoming fat. Although some individuals with anorexia will say they want and are trying to gain weight, their behavior is not consistent with this intent. For example, they may only eat small amounts of low-calorie foods and exercise excessively. Some persons with anorexia nervosa also intermittently binge eat and or purge by vomiting or laxative misuse. There are two subtypes of Anorexia Nervosa ▪ Restricting Type, in which individuals lose weight primarily by dieting, fasting or excessively exercising. ▪ Binge-Eating/Purging Type, in which persons also engage in intermittent binge eating and/or purging behaviors. LIMIA NERVOSA Individuals with bulimia nervosa typically alternate dieting, or eating only low calorie “safe foods” with binge eating on “forbidden” high calorie foods. Binge Eating is defined as eating a large amount of food in a short period of time associated with a sense of loss of control over what, or how much one is eating. Binge eating behavior is usually secretive and associated with feelings of shame or embarrassment. Binges may be very large and food is often consumed rapidly, beyond fullness to the point of nausea and discomfort. Binges occur at least weekly and are typically followed by what are called "compensatory behaviors" to prevent weight gain. These can include fasting, vomiting, laxative misuse or compulsive exercise. As in anorexia nervosa, persons with bulimia nervosa are excessively preoccupied with thoughts of food, weight or shape which negatively affect, and disproportionately impact, their selfworth. BINGE EATING DISORDER As with bulimia nervosa, people with binge eating disorder have episodes of binge eating in which they consume large quantities of food in a brief period, experience a sense of loss of control over their eating and are distressed by the binge behavior. Unlike people with bulimia nervosa however, they do not regularly use compensatory behaviors to get rid of the food by inducing vomiting, fasting, exercising or laxative misuse. Binge eating disorder can lead to serious health complications, including obesity, diabetes, hypertension and cardiovascular diseases. SPECIFIED FEEDING AND EATING DISORDER This diagnostic category includes eating disorders or disturbances of eating behavior that cause distress and impair family, social or work function but do not fit the other categories listed here. In some cases, this is because the frequency of the behavior does not meet the diagnostic threshold (e.g., the frequency of binges in bulimia or binge eating disorder) or the weight criteria for the diagnosis of anorexia nervosa are not met. AVOIDANT RESTRICTIVE FOOD INTAKE DISORDER (ARFID) ARFID is a recently defined eating disorder that involves a disturbance in eating resulting in persistent failure to meet nutritional needs and extreme picky eating. In ARFID, food avoidance or a limited food repertoire can be due to one or more of the following: ▪ Low appetite and lack of interest in eating or food. ▪ ▪ Extreme food avoidance based on sensory characteristics of foods e.g., texture, appearance, color, smell. Anxiety or concern about consequences of eating, such as fear of choking, nausea, vomiting, constipation, an allergic reaction, etc. ARFID does not include food restriction related to lack of availability of food; normal dieting; cultural practices, such as religious fasting; or developmentally normal behaviors, such as toddlers who are picky eaters. PICA Pica is an eating disorder in which a person repeatedly eats things that are not food with no nutritional value. The behavior persists over at least one month and is severe enough to warrant clinical attention. Typical substances ingested vary with age and availability and might include paper, paint chips, soap, cloth, hair, string, chalk, metal, pebbles, charcoal or coal, or clay. Individuals with pica do not typically have an aversion to food in general. RUMINATION DISORDER Rumination disorder involves the repeated regurgitation and re-chewing of food after eating whereby swallowed food is brought back up into the mouth voluntarily and is re-chewed and re swallowed or spat out. Rumination disorder can occur in infancy, childhood and adolescence or in adulthood. DIAGNOSIS AND TESTS A healthcare provider will make an eating disorder diagnosis by: ▪ Performing a physical exam. ▪ Reviewing your symptoms. ▪ Learning more about your eating and exercising habits. ▪ Ordering imaging, blood or urine tests (kidney function test, electrocardiogram) to rule out other possible causes of your symptoms or to determine if you have any complications. MANAGEMENT AND TREATMENT Treatments for eating disorders vary by type but could include: ▪ Psychotherapy ▪ ▪ Medications Nutritional Counseling The best approach is often a combination of treatment options. Your care team will work together to create a comprehensive treatment plan to address the physical, mental and behavioral aspects of the condition. PSYCHOTIC DISORDER A psychotic disorder is a severe mental condition in which an individual experiences a disconnection from reality. This is typically marked by symptoms such as delusions (false beliefs), hallucinations (perceiving things that aren't present), disorganized thinking, and abnormal behavior. These disturbances can significantly impair daily functioning and social relationships (American Psychiatric Association, 2013). OBSESSIVE COMPULSIVE DISORDER (OCD) is a mental health condition characterized by persistent, unwanted thoughts (obsessions) and repetitive behaviors or mental acts (compulsions) performed to reduce distress or prevent a feared event, even though these actions may not be logically connected to the feared outcome (American Psychiatric Association, 2013). Obsessions - Unwanted, distressing thoughts or urges (e.g., fear of contamination). Compulsions - Repetitive behaviors or rituals (e.g., excessive handwashing) meant to ease anxiety. TYPES OF PSYCHOTIC DISORDERS 1. Schizophrenia: A chronic condition characterized by persistent delusions, hallucinations, and disorganized thinking. 2. Schizoaffective Disorder: Features of schizophrenia accompanied by mood disorder symptoms, such as depression or mania. 3. Brief Psychotic Disorder: A short-term condition often triggered by a stressful event, lasting less than a month. 4. Delusional Disorder: Involves persistent delusions without the full spectrum of psychotic symptoms seen in schizophrenia. SYMPTOMS OF OCD COMMON OBSESSIONS ▪ Fear of contamination (e.g., germs, dirt). ▪ Unwanted aggressive or taboo thoughts. ▪ Need for symmetry or exactness. COMMON COMPULSIONS ▪ Excessive cleaning or handwashing. ▪ Repeated checking (e.g., locks, appliances). ▪ Counting or repeating words silently. CAUSES AND RISK FACTORS ▪ ▪ ▪ Biological Factors: Brain structure and function differences (basal ganglia, prefrontal cortex); Imbalance of serotonin and dopamine. Genetic Factors: Family history of OCD increases risk. Environmental Factors: Trauma, stress, or infections like Pediatric Autoimmune Neuropsychiatric Disorders (PANDAS). SYMPTOMS OF PSYCHOTIC DISORDERS POSITIVE SYMPTOMS ▪ Delusions: Fixed false beliefs that remain despite evidence to the contrary. ▪ Hallucinations: Sensory experiences (e.g., hearing voices, seeing things) that occur without external stimuli. ▪ Disorganized Speech: Incoherent or tangential communication. NEGATIVE SYMPTOMS ▪ Affective Flattening: Reduced emotional expression. ▪ Alogia: Poverty of speech. ▪ Avolition: Lack of motivation or inability to initiate activities. ▪ Cognitive Symptoms: Difficulties with attention, memory, and executive functioning. CAUSES AND RISKS BIOLOGICAL FACTORS ▪ Genetic predisposition plays a role, as individuals with a family history of psychotic disorders have an increased risk ▪ Neurotransmitter imbalances, particularly in dopamine pathways, are strongly linked with the development of these disorders. ▪ ENVIRONMENTAL FACTORS ▪ Stressful life events, trauma, and substance abuse (especially during adolescence) may trigger or exacerbate symptoms ▪ IMPACT OF ONLINE SEXUAL ABUSE AND EXPLOITATION OF CHILDREN: VICTIM AND SURVIVOR RA 11930 (ANTI-OSAEC AND ANTI-CSAEM ACT) An Act punishing Online Sexual Abuse or Exploitation of Children, penalizing the production, distribution, possession and access of Child Sexual Abuse or Exploitation Materials, amending Republic Act No. 9160, otherwise known as the “Anti-Money Laundering Act of 2001”, as amended and repealing Republic Act No. 9775, otherwise known as the “Anti child Pornography Act of 2009”. This Act shall be known as the “AntiOnline Sexual Abuse or Exploitation of Children (OSAEC) and Anti-Child Sexual Abuse or Exploitation Materials (CSAEM) Act”. OSAEC - refers to the use of ICT as a means to abuse and/or exploit children sexually, which includes cases in which offline child abuse and/or exploitation is combined with an online component. ICT - or information and communications technology (ICT) refers to the totality of electronic means to access, create, collect, store, process, receive, transmit, present and disseminate information. OSAEC can also include, but is not limited to: the production, dissemination and possession of CSAEM; online grooming of children for sexual purposes; sexual extortion of children, sharing image-based sexual abuse; commercial sexual exploitation of children; exploitation of children through online prostitution; and live streaming of sexual abuse, with or without the consent of the victim. ▪ In 2016 alone, before the pandemic even began, UNICEF already called the Philippines the “global epicenter of live-stream sexual abuse trade” and many of the victims are children. The country emerged as the “center of child sex abuse materials production in the world, with 80% of Filipino children vulnerable to online sexual abuse, some facilitated even by their own parents.” Unfortunately, there has been a 264% increase in OSAEC cases in the Philippines since the pandemic in 2020 (United Nations Office for the Coordination of Humanitarian Affairs, 2021). REASONS WHY ONLINE SEXUAL ABUSE AND EXPLOITATION OF CHILDREN THRIVED IN THE PHILIPPINES: ▪ ▪ ▪ ▪ ▪ Poverty Lack of Parental Supervision Easy Access to Internet English-speaking population Easy Money Transfer UNDERSTANDING TRAUMA VICTIMS AND SURVIVORS IN OSAEC Trauma - is a strong emotional and psychological response to a distressing or harmful event. In the case of OSAEC, trauma is invisible, unlike physical wounds, but it deeply affects a person's emotions, thoughts, and behavior. Impacts of OSAEC on Victims and Survivors 1. Emotional Impact: Fear, guilt, shame, depression, anxiety; Some survivors may have suicidal thoughts due to extreme distress. 2. Cognitive (Thinking) Impact: Difficulty concentrating, loss of self-esteem, selfblame; Flashbacks or nightmares about the abuse. 3. Physical Impact: Headaches, stomach problems, sleep disturbances; Extreme stress that affects overall health. 4. Behavioral Impact: Social withdrawal (avoiding people, especially adults); Aggressive or self-destructive behaviors; Some survivors may struggle with relationships and trust. PERCEPTIONS THAT CONTRIBUTE TO LESS VICTIMIZATION 1. OSAEC IS A SERIOUS CRIME OSAEC is not just "online activity" but a serious form of child abuse. Awareness helps people take action against it. 2. ANYONE CAN BE A VICTIM OSAEC can happen to any child, regardless of background or social status. Understanding this prevents people from ignoring or downplaying cases. 3. VICTIMS SHOULD BE SUPPORTED, NOT BLAMED Survivors need help and protection, not judgment. Blaming victims discourages them from seeking help and reporting abuse. 4. SPEAKING UP CAN SAVE LIVES Reporting suspicious activities can stop further abuse and protect other children. Silence allows abuse to continue, but taking action leads to justice. FACTORS THAT OUTCOMES FACILITATE HEALTH 1. Supportive Family and Community: Survivors recover better when they are believed, accepted, and provided with emotional support. 2. Access to Counseling and Therapy: Professional mental health support helps survivors cope with trauma. 3. Legal Action Against Abusers: Holding perpetrators accountable ensures justice and helps survivors feel safer. FACTORS THAT OUTCOMES HINDER HEALTHIER 1. Victim-Blaming and Stigma: When survivors are judged or shamed, they may struggle with self-worth and isolation. 2. Lack of Safe Spaces: Without shelters or protection, survivors remain vulnerable to further harm. 3. Lack of Mental Health Services: Without therapy, survivors may suffer from PTSD, depression, or anxiety.
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