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Abnormal Behavior in Historical
Context
Outline
• Understanding Psychopathology
- What is Normal?
- What is Psychological Disorder?
• Different Approaches to Psychopathology
- The Supernatural Tradition
- The Biological Tradition
- The Psychological Tradition
- The Present: The Scientific Method and an
Integrative Approach
Understanding Psychopathology
- What is normal?
- The definition of ABNORMAL used in
DSM-IV-TR (Diagnostic and Statistical Manual of
Mental Disorders, 4th^ edition)
- Abnormal describes behavioral, emotional, or
cognitive dysfunctions that are unexpected in
their cultural context and associated with
personal distress or substantial impairment in
functioning.
Understanding Psychopathology
- Judy
- Psychological disorder consists of three
components:
- Psychological dysfunction
- Breakdown in cognitive, emotional, or behavioral functioning (continuum vs. dimension)
- Personal distress
- Being extremely upset (caution – sometimes it is normal to be extremely upset)
- Atypical or not culturally expected behavior
- Social norms and their possible misuse
Different Approaches to Psychopathology
The Biological Tradition
◦ Hippocrates Mental illness caused by brain pathology, head trauma, heredity ◦ Galen Humoral theory of disorders (blood, black bile, yellow bile, phlegm) ◦ Pasteur’s germ theory of disease Mental illness can be caused by a bacterial infection (syphilis) ◦ John P. Grey Insanity is always due to physical causes and patients suffering from mental illness should be treated as physically ill
Different Approaches to Psychopathology
- The Biological Tradition
- Focus on diagnosis
- Search for biological causes and classification
- Therapy
- Undiscovered psychopathology – reduced interest in treating patients
- Insulin shock therapy
- Electroconvulsive therapy ECT
- Chemical drugs
Different Approaches to Psychopathology
- The Psychological Tradition
- Psychoanalytic theory Anna O.
- Mesmerism – ancestor of hypnosis, using unconscious processes in therapy
- Catharsis – rapid and sudden release of emotional tension
- Structure of the mind (id, ego, superego)
- Defense mechanisms (coping styles in response to particular situations, e.g. displacement, denial, projection, rationalization, sublimation)
- Psychosexual stages of development (oral, anal, phallic, latency, and genital)
- Therapy (free association, dream analysis, hypnosis)
Freud’s structure of the mind
Different Approaches to
Psychopathology
- The Present: An Integrative Approach Bedlam
- Integration of biological, psychological, social and other approaches to diagnosis and treatment of psychological disorder
- Scientific approach to mental disorders
- Prevalence (number of people in the population suffering from a disorder at a given time)
- Incidence (number of new cases appearing during a specific time period)
- Course (pattern of development, e.g. chronic course, episodic course, time-limited course)
- Prognosis (anticipated course of a disorder)
Different Approaches to Psychopathology
- The Present: An Integrative Approach
- Psychopathology
- The scientific study of psychological disorders
- Mental health professionals
- Clinical psychologists (more severe disorders)
- Counseling psychologists (vocational issues)
- Psychiatrists (emphasize biological treatments)
- Psychiatric social workers (treatment focused on social and family issues
- Psychiatric nurses (treatment in hospitals)