Psychology: Psychological Disorders 1 Psychological Disorders 1: I) Defining Psychological Disorders (psychopathology and/or mental disorders) A) Psychopathology - patterns of thinking, feeling, and behaving that are maladaptive, disruptive, or uncomfortable for those who are affected or for those with whom they come in contact B) What is psychopathology depends on what a culture defines normal and abnormal: i) What is Abnormal? (a) If normality is basically what most people do, then statistical infrequency, that it doesn’t happen often/most people don’t do it, must be a good criterion of abnormality BUT, what about geniuses, minorities, etc… ? (b) (Social) norm violation – norm violation criterion says that people are abnormal when they behave in ways that are bizarre, unusual, or disturbing enough to violate social norms/cultural rules BUT, what about cultural differences and just personal quirks/eccentricities? (c) Personal suffering - experiencing distress is the criterion that people often use in deciding that their psychological problems are severe enough to require treatment BUT, we can do something infrequent, nonnormative, and have suffering without it being a disorder/abnormal! ii) Since each of these has limitations, the practical approach looks at a combination of all three in terms of: (a) What is the content of the behavior? 1 (b) What is the sociocultural context in which the behavior occurs? (c) What are the consequences of the behavior for that person & for others? (d) The practical approach pays special attention to impaired functioning - Difficulty in fulfilling appropriate & expected family, social, & work-related roles II) Explaining Psychological Disorder A) The Biopsychosocial Model i) The biopsychosocial model says that mental disorders are caused by a combination of biological, psychological, and sociocultural factors: (a) Biological factors (e.g., the hardware of mental disorders): This medical model began with the Greeks (Hippocrates) who said that bio disorders stemmed from imbalances among four humors (bodily fluids like blood, phlegm, black & yellow bile) Led to thinking about abnormality as mental illness, and is now called the neurobiological model – psychological disorders are seen as reflecting disturbances in the anatomy and chemistry of the brain and in other biological processes (i) People study these as if they’re like physical illnesses (b) Psychological processes (e.g., the software of mental disorders): Psychological model - mental disorders are seen as arising from psychological processes 2 Developed from the psychodynamic approach (Freud)’s study of the psyche – says that disorders are a result of unresolved, unconscious conflicts (i) Object relations theory (today) – says that disorders are a result of unhealthy childhood attachment Social-cognitive approach (social learning) – says that disorders are a result of past learning + current situation Humanistic approach – says that disorders are a result of healthy personal/self growth being blocked (c) Sociocultural Contexts Sociocultural model - Looking at mental disorders in relation to the sociocultural context; gender, age, ethnicity, and other social and cultural factors (i) Culture-general disorders - Appear virtually everywhere in the world but specific symptoms depend on culture (ii) But there are also culture-specific forms of disorders B) Diathesis-Stress as an Integrative Explanation i) Biological, psychological, and socialcultural factors combine to create a predisposition, diathesis, for a psychological disorder ii) Diathesis-stress approach - This predisposition (diathesis) interacts with sufficient levels of stress to trigger symptoms (a) Think of it in terms if risk – the more risk factors for a disorder a person has (genetic, personality traits, cultural traditions, stressful life events), the more likely (s)he will display a form of psychological disorder associated with those risk factors (b) Stress = type of risk factor 3