Unit 3 Abnormal Psychology Please write down only underlined info today in your notes! These notes are in outline form!~ A. Possible Indications of Abnormal Behavior 1. Maladaptiveness – Does behavior interferes with regular life activities? 2. Irrationality – Does the person think logically? 3. Observer discomfort – Does the person’s behavior make others feel uncomfortable? 4. Unpredictability – Is their behavior consistent or “out of the blue”? 5. Distress – Does the person have distress such as extreme anxiety or prolonged depression? 6. Unconventionability – Is their behavior bizarre? B. 5 different perspectives on the causes of mental illness 1. Biological Perspective • Biological factors affect mental health – Genetics – Chemical imbalances – Brain structure – Injuries to the brain – Infections 2. Psychodynamic Perspective • Look to an individuals unconscious for the cause of the disorder – Do this through conversations with patient to explore events and relationships throughout their life that have shaped their attitude 3. Behavioral Perspective • Believe disorders are the result of faulty learning • Life experiences have conditioned us to respond to events or situations in a particular way • To remedy the situation we must “unlearn” these behaviors (like phobia’s) 4. Cognitive Perspective • Disorders arise from faulty thoughts – Ex. If a person always thinks , “I’m not very interesting, nobody likes me.” • This person may then mis-interpret how others respond to her and begin believing these things • To remedy the situation we must change the thoughts – Many popular self help books are based on cognitive psychology 5. Humanistic Perspective • Disorders develop due to people adopting standards and values that conflict with their true inner feelings • To remedy this therapists work to help them identify and embrace their genuine goals and desires C. Classifying Mental Illness • Mental illnesses today are classified based on their symptoms – American Psychiatric Association defines them in the Diagnostic and Statistical Manual of Mental Disorders IV-TR (DSM-IV) D. 7 types of mental illness (disorders) 1. Anxiety Disorders • Among the most common psych. disorder…1015% of US pop./ year • Anxiety is a feeling of apprehension that danger or misfortune is looming • Physical symptoms: rapid heart rate, perspiration, nausea, dizziness • Types of anxiety disorders: – – – – – Phobic disorder Generalized Anxiety Disorder Panic Disorder Post-traumatic Stress Disorder Obsessive-Compulsive Disorder 2. Somatoform Disorders • Physical symptoms arise from psychological causes – A person may suffer physical symptoms even though there is nothing physically wrong or no physical explanation • Types of somatoform disorders: – Conversion disorder – Hypochondriasis 3. Dissociative Disorders • Escape from painful problems or situations by dissociating (cutting themselves off) from certain parts of themselves – May happen gradually or suddenly – May be temporary or permanent • Can disturb normal life function and cause extreme distress • Types of Dissociative disorders: – Amnesia – Dissociative fugue – Dissociative Identity Disorder 4. Affective Disorders (Mood disorders) • Experiences moods so extreme that they interfere with their daily life • Types of affective disorders: – Dysthymic disorder (moderate depression) – Major depression – Bipolar disorder 5. Psychotic Disorders • People lose contact with reality so very difficult to carry on normal life activity • During a psychotic episode may experience hallucinations or delusions – Hallucinations :Person senses something that isn’t there • Auditory most common – Delusions: unshakable beliefs that are obviously not true (believing they are Santa) • Person may have coherent periods in between psychotic episodes • Types of psychotic disorders: – Schizophrenia • • • • Disorganized Catatonic Paranoid Undifferentiated – Delusional Disorder 6. Personality Disorders • Maladaptive personality traits usually more disturbing to other people than the individual • Types of personality disorders: – Antisocial Personality Disorder – Borderline Personality Disorder 7. Childhood Disorders • Categorized separately from disorders that occur in adulthood due to the differences in children and adults • Abnormal behavior difficult to assess in children because they each develop at different rates • Types of childhood disorders: – Attention-Deficit Hyperactivity Disorder – Autistic Disorder Etiology Genetics • Investigated through family studies, mainly of monozygotic (identical) and dizygotic (fraternal) twins, often in the context of adoption. • These studies allow calculation of a heritability coefficient. Biological factors • Investigates effects of hormones, neurotransmitters and neuron damage in mental illness, for example Alzheimer's Disease (neuronal degeneration), Seasonal Affective Disorder (hormonal imbalance) and depression/anxiety. • Different theories focus on structural, biochemical and genetic theories. Etiology Psychological factors • Psychoanalysis (Freud) • Behavioural therapy (Wolpe) based on behaviourism, and involving classical and operant conditioning. • Humanistic therapy aiming to achieve self-actualisation (Carl Rogers, 1961) • Cognitive Behavioural Therapy aims to influence thought and cognition (Beck, 1977). Socio-cultural factors • Effects of urban/rural dwelling, gender and minority status on state of mind. • Conducted by Jenkins (1998) Etiology Systemic factors • Family systems • Negatively Expressed Emotion playing a part in schizophrenic relapse and anorexia nervosa. Biopsychosocial factors • Holistic causal model • Illness dependent on stress 'triggers'.