Introduction to Psychopathology

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Questions and Answers

What should a professional evaluate to ensure effective communication with patients regarding medication?

  • The patients' financial status
  • The hospital's medication policy
  • Their own feelings and attitudes about medication (correct)
  • The duration of the patient's illness

Which factor is NOT considered when exploring a patient's adherence to medication?

  • Adverse effects of the medication
  • Routes of medication administration (correct)
  • Feelings about the medication
  • Personal attitudes towards treatment

What relationship aspect is important for patients when discussing medication use?

  • A formal and rigid relationship
  • An impersonal relationship with no emotional connection
  • An open and comfortable relationship (correct)
  • A competitive relationship with providers

Which of the following areas is crucial for professionals to work on regarding pharmacotherapy?

<p>Information (A)</p> Signup and view all the answers

What effects can the pharmaceutical phase involve?

<p>How medication is administered (D)</p> Signup and view all the answers

What should professionals do to maintain their knowledge level about pharmacotherapy?

<p>Engage in continuous educational experiences (B)</p> Signup and view all the answers

Which factors influence response to treatment in pharmacotherapy?

<p>Pharmaceutical, pharmacokinetic, and pharmacodynamic factors (D)</p> Signup and view all the answers

What is a potential risk of IV medication administration?

<p>More severe and rapid side effects (C)</p> Signup and view all the answers

What is the primary focus of genetic linkage analysis?

<p>To identify individual genes related to inherited traits (A)</p> Signup and view all the answers

Which of the following best describes the diathesis-stress model?

<p>An interaction of genetic predispositions and environmental stressors leads to mental health issues. (C)</p> Signup and view all the answers

What is one limitation of biological models of psychopathology?

<p>They lack empirical support for biological causes. (B)</p> Signup and view all the answers

What do concordance studies measure in the context of psychology?

<p>The probability of relatives developing similar psychological disorders (C)</p> Signup and view all the answers

What does heritability indicate in the study of psychopathology?

<p>It determines the extent to which symptoms are genetically influenced. (A)</p> Signup and view all the answers

Which aspect of personality disorders is highlighted in the content?

<p>Distress may be situationally appropriate. (D)</p> Signup and view all the answers

What factor is NOT supported by the biological models of psychopathology?

<p>The existence of biological causes for all psychiatric conditions (D)</p> Signup and view all the answers

How do twin studies contribute to understanding psychopathy?

<p>They compare the development of symptoms between identical and fraternal twins. (A)</p> Signup and view all the answers

What is one advantage of online therapy for shy clients?

<p>They may feel more open compared to in-person interactions. (C)</p> Signup and view all the answers

What is a primary limitation of using online therapy?

<p>Challenges in ensuring confidentiality. (B)</p> Signup and view all the answers

Which of the following is a goal of the Improving Access to Psychological Therapies (IAPT) initiative?

<p>Improving access and reducing waiting times for treatment. (C)</p> Signup and view all the answers

In evaluating treatment effectiveness, what is a significant challenge?

<p>Identifying universal measures of success across all therapies. (A)</p> Signup and view all the answers

What technology is highlighted as beneficial in identifying triggers in mental health problems?

<p>Virtual reality exposure (VRE) (D)</p> Signup and view all the answers

What economic benefit can result from the IAPT initiative?

<p>Clients returning to work more quickly. (B)</p> Signup and view all the answers

Which factor can hinder a client's recovery during therapy?

<p>An unsupportive home environment. (B)</p> Signup and view all the answers

Which of the following statements is true regarding virtual reality environments in therapy?

<p>They can be adapted to address specific symptoms. (A)</p> Signup and view all the answers

What is the primary role of the ego in the psyche?

<p>To control impulses of the id (C)</p> Signup and view all the answers

Which term describes the means by which the ego manages unacceptable impulses?

<p>Defense mechanisms (D)</p> Signup and view all the answers

In what stage might a child become fixated due to unmet oral needs?

<p>Oral stage (A)</p> Signup and view all the answers

What concept links two stimuli in classical conditioning?

<p>Conditioned stimulus (B)</p> Signup and view all the answers

Which approach focuses on overcoming psychological issues through personal insight and self-actualization?

<p>Humanist-existential approach (D)</p> Signup and view all the answers

What might self-stigma lead to in individuals with mental health issues?

<p>Feelings of shame (B)</p> Signup and view all the answers

Which therapy approach combines changing thoughts and behavior?

<p>Cognitive Behavioral Therapy (CBT) (D)</p> Signup and view all the answers

Which principle is used in behavior therapy to modify behaviors?

<p>Operant conditioning (A)</p> Signup and view all the answers

What does the term 'associative stigma' refer to?

<p>Discrimination experienced by families of the mentally ill (D)</p> Signup and view all the answers

What is one limitation of the behavioral model in understanding psychopathology?

<p>It ignores cognitive processes (D)</p> Signup and view all the answers

What might irrational beliefs cause according to the cognitive model?

<p>Psychopathology symptoms (D)</p> Signup and view all the answers

Which of the following is NOT a defense mechanism identified by the ego?

<p>Substitution (A)</p> Signup and view all the answers

Who primarily prescribes psychoactive medications?

<p>Psychiatrists (D)</p> Signup and view all the answers

What is the primary focus of client-centered therapy?

<p>Promoting client self-awareness and personal growth (D)</p> Signup and view all the answers

What is NOT a reason for classifying psychopathology?

<p>To suggest treatment methods based on causes (C)</p> Signup and view all the answers

What does the DSM emphasize when defining psychopathology?

<p>Chronic distress and impairment in functioning (A)</p> Signup and view all the answers

What can the common problem with classification lead to?

<p>Stigmatization of individuals (C)</p> Signup and view all the answers

Which of the following was the first comprehensive classification system for psychopathology?

<p>Kraepelin's classification system (C)</p> Signup and view all the answers

Which of the following is a criticism of the DSM?

<p>It does not address causes of disorders (B)</p> Signup and view all the answers

What is the main purpose of categorization according to the DSM?

<p>To provide a basis for systematic application of diagnostic criteria (A)</p> Signup and view all the answers

What does the term comorbidity refer to?

<p>The simultaneous presence of multiple psychological disorders (C)</p> Signup and view all the answers

Which of the following is true regarding the DSM's approach to diagnosis?

<p>It entirely avoids suggesting causes unless definitively established. (D)</p> Signup and view all the answers

How does the WHO's International Classification of Diseases (ICD) compare to the DSM?

<p>It first appeared in 1939 as a comprehensive listing. (A)</p> Signup and view all the answers

What did DSM revisions aim to integrate into their criteria?

<p>New research findings to refine categories (B)</p> Signup and view all the answers

What does dimensional approach in classification try to address?

<p>Arbitrary cut-off points in diagnostic criteria (D)</p> Signup and view all the answers

Which features are essential for defining a psychological disorder according to the DSM?

<p>Chronic distress and/or disability (D)</p> Signup and view all the answers

Which statement is accurate regarding hybrid disorders?

<p>They may represent symptoms from different disorders causing considerable distress. (D)</p> Signup and view all the answers

According to the DSM, what constitutes a disorder?

<p>A combination of distress with observable symptoms (B)</p> Signup and view all the answers

What is the primary focus of mindfulness-based cognitive therapy (MBCT)?

<p>Achieving a mental state characterized by present-moment focus and non-judgmental awareness (A)</p> Signup and view all the answers

What approach does acceptance and commitment therapy (ACT) primarily advocate?

<p>Noticing and accepting thoughts as private events without the need to change them (D)</p> Signup and view all the answers

Which therapy focuses on addressing activities that individuals with depression have been avoiding?

<p>Behavioral activation (D)</p> Signup and view all the answers

What is a critical feature of client-centered therapy as founded by Carl Rogers?

<p>Client independence and self-directedness in resolving conflicts (B)</p> Signup and view all the answers

Which method in Gestalt therapy involves the client addressing an empty chair as if it contains another person?

<p>Empty chair technique (C)</p> Signup and view all the answers

What is a common purpose of family and systemic therapies?

<p>To improve communication among family members (A)</p> Signup and view all the answers

Which class of antidepressants was developed first in the 1960s?

<p>Tricyclic antidepressants (C)</p> Signup and view all the answers

What is a significant concern associated with the use of benzodiazepines as anxiolytics?

<p>They may lead to dependence and can be abused. (A)</p> Signup and view all the answers

What do selective serotonin reuptake inhibitors (SSRIs) primarily target?

<p>Uptake of serotonin (B)</p> Signup and view all the answers

Which of the following statements about drug treatments for psychopathology is correct?

<p>They can sometimes medicalize mild psychopathologies. (A)</p> Signup and view all the answers

What do group therapy sessions primarily leverage for effectiveness?

<p>Shared experiences among those with the same issues (D)</p> Signup and view all the answers

How do second-generation antipsychotic drugs differ from first-generation drugs?

<p>They show higher response rates and fewer side effects. (A)</p> Signup and view all the answers

What is a general outcome of mindfulness practices in therapy?

<p>Greater awareness of present-moment experiences (A)</p> Signup and view all the answers

Flashcards

Concordance Studies

A research method investigating whether family members share psychopathology based on their genetic relatedness. It assesses the probability of developing a disorder based on family connections.

Twin Studies

Twin studies compare the likelihood of identical (MZ) and fraternal (DZ) twins developing similar psychopathology symptoms. This helps estimate the contribution of genetic factors to the disorder.

Offspring Studies

Studying offspring of MZ twins who themselves may or may not possess the psychopathology. This helps isolate genetic influences by comparing children of twins even though they have different expressions of the disorder.

Diathesis-Stress Model

A model that suggests a mental health problem arises from an interaction between a genetic predisposition and environmental triggers. This means you might inherit a tendency towards a disorder, but it might only manifest under certain stressful conditions.

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Heritability

A measure of how much a trait or condition is due to genetic factors. It ranges from 0 (no genetic influence) to 1 (completely determined by genes).

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Molecular Genetics

A genetic approach that aims to identify specific genes associated with transmitting psychopathology symptoms. This focuses on individual genes and their role in the development of disorders.

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Genetic Linkage Analysis

Comparing the inheritance of characteristics with known gene locations to identify genes associated with specific psychopathology symptoms.

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Multifaceted Influence on Psychosis

Genes, biological factors, behavioral patterns, and psychological experiences all contribute to the development of psychotic symptoms. This highlights the complex interplay of multiple factors in mental health.

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Ego

A part of the psyche responsible for rational thought and controlling impulses from the 'id'.

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Defense Mechanisms

Mechanisms used by the ego to manage unacceptable impulses from the 'id' and reduce anxiety.

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Denial

Denying the existence of a threatening or unpleasant reality.

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Repression

Pushing unacceptable thoughts or impulses out of conscious awareness.

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Regression

Reverting to a behavior from an earlier stage of development.

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Reaction Formation

Behaving in a way that's the opposite of your true feelings.

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Projection

Attributing your own unacceptable thoughts or impulses to someone else.

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Rationalization

Creating logical explanations for unacceptable behaviors or thoughts.

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Displacement

Shifting unacceptable impulses from one target to another.

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Sublimation

Channeling unacceptable impulses into socially acceptable behaviors.

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Superego

Part of the psyche that represents internalized moral values and ideals.

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Psychopathology

A state of mental distress arising from conflicts between the id, ego, and superego.

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Learning Theory

A set of principles that explain how behaviors are learned through associations with stimuli or consequences.

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Classical Conditioning

Learning by associating two stimuli, where one triggers the other.

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Operant Conditioning

Learning by associating behaviors with their consequences.

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Medication Protocol

The process of how a medication is given, including the route, dosage, and frequency.

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Route of Administration

The way a medication is delivered into the body (e.g., oral, intravenous).

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Dosage

The amount of medication given at a time, and how often it's given.

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Steady State

The point where repeated doses of a medication reach a stable level in the body.

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Pharmaceutical Phase

The initial phase of medication use, focusing on how the medication is given (administration) and the medication protocol.

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Pharmacokinetics

The study of how the medication moves through the body (absorption, distribution, metabolism, and excretion).

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Pharmacodynamics

The study of how the medication interacts with the body at the cellular level (how it produces its effects).

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Between-Person Differences

The factors that influence how medication works in different individuals, such as genetic differences, environmental factors, and other medications.

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Classifying Psychopathology

The process of assigning individuals to specific categories based on their symptoms and behaviors, aimed at understanding the cause of these issues, organizing support, facilitating communication, and evaluating treatment effectiveness.

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Syndrome

A set of symptoms that consistently occur together and are thought to represent a specific mental disorder.

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Aetiology

The study of the origins of mental health disorders, including their biological, psychological, and social causes.

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Kraepelinian Classification

The first comprehensive classification system for mental disorders, developed by Emil Kraepelin.

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International Classification of Diseases (ICD)

A diagnostic system developed by the World Health Organization (WHO) to categorize illnesses, including mental health disorders.

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Diagnostic and Statistical Manual of Mental Disorders (DSM)

A diagnostic manual published by the American Psychiatric Association (APA) that provides criteria for diagnosing mental disorders.

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Assessment

The process of gathering information about an individual's mental health, including symptoms, history, and functioning, to provide a comprehensive picture.

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Diagnostic Criteria

A set of specific criteria used to diagnose a disorder, based on the presence or absence of symptoms.

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Differential Diagnosis

The process of distinguishing one disorder from another, ensuring the correct diagnosis is made.

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Comorbidity

The co-occurrence of two or more mental disorders in one individual.

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Hybrid Disorder

A disorder that shares characteristics of several different disorders, blurring the lines between them.

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Disorder Spectrum

A range of disorders that share common symptoms, but with varying degrees of severity.

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Subthreshold Symptoms

The presence of symptoms that do not meet the full criteria for a specific disorder, but still cause significant distress or impairment.

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Clinical Significance

The level of severity of a mental health disorder, based on the impact on daily functioning and distress.

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Dimensional Approach

The idea that mental health disorders are not simply present or absent, but rather exist along a continuum, with varying degrees of severity.

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Improving access to psychological therapies (IAPT)

A large-scale initiative designed to increase the availability of evidence-based interventions for mental health issues, such as anxiety and depression.

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Psychological well-being practitioners

Professionals trained to deliver evidence-based psychological interventions to individuals facing mental health challenges.

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Virtual reality environments in therapy

A structured, computer-generated environment that replicates real-life situations, allowing individuals to practice coping skills and manage anxiety in a safe and controlled setting.

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Virtual reality exposure (VRE)

Form of virtual reality exposure therapy that aims to help individuals confront their fears and anxieties in a simulated environment, gradually reducing their distress. By safely exposing them to feared stimuli, it aims to help them overcome their anxiety related to those triggers.

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Evaluating mental health treatment effectiveness

Evaluating the effectiveness of mental health treatments can be challenging, as different theoretical approaches may have differing views on what constitutes successful therapy.

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Factors that help recovery in therapy

Factors that can positively contribute to therapeutic progress, such as a supportive therapist, a positive client attitude, and a healthy home environment.

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Factors that hinder recovery in therapy

These aspects can hinder a client's progress in therapy, such as an unsupportive home environment, poorly structured interventions, and a therapist who lacks empathy.

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Video-based communication and online therapy

The use of video-based communication and online platforms to deliver mental health services.

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Mindfulness

A method of therapy that emphasizes the present moment and non-judgmental observation of thoughts and feelings.

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Mindfulness-Based Cognitive Therapy (MBCT)

A type of therapy that combines mindfulness principles with cognitive therapy techniques. It aims to reduce emotional distress by increasing awareness of thoughts and their impact.

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Acceptance and Commitment Therapy (ACT)

A therapy approach that focuses on accepting and understanding thoughts rather than trying to change them. It emphasizes values and taking actions aligned with those values.

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Behavioral Activation (BA)

A therapy method that encourages individuals to engage in activities they have been avoiding, believing that it can alleviate depression symptoms.

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Humanistic Therapies

A therapy approach that values a personal and empathetic connection between the therapist and client, believing that it fosters self-realization and self-growth.

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Gestalt Therapy

A type of humanistic therapy focused on the individual's present experiences and how they interact with their environment. It aims to increase awareness and encourage self-expression.

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Client-Centered Therapy

A type of humanistic therapy based on the belief that individuals have an innate capacity for growth and self-actualization. It emphasizes empathy, unconditional positive regard and client-centered approach.

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Family and Systemic Therapies

An approach used in therapy that involves family members to address psychopathology, considering their relationship dynamics and communication patterns.

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Drug Treatments

A common treatment method for psychopathology often used as the first line of intervention. They aim to alleviate symptoms by influencing neurochemicals in the brain.

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Tricyclic Antidepressants

A class of antidepressants that increase the availability of norepinephrine and serotonin in the brain. They were among the first antidepressants developed.

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Monoamine Oxidase Inhibitors (MAOIs)

A type of antidepressant that increases the availability of norepinephrine and serotonin in the brain by inhibiting an enzyme called monoamine oxidase.

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Selective Serotonin Reuptake Inhibitors (SSRIs)

A class of antidepressants that selectively inhibit the reuptake of serotonin, increasing its levels in the brain.

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Serotonin and Norepinephrine Reuptake inhibitors (SNRIs)

A class of antidepressants that inhibit the reuptake of both serotonin and norepinephrine in the brain.

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Anxiolytics (Benzodiazepines)

A class of medications used to treat anxiety and stress by increasing the levels of GABA, an inhibitory neurotransmitter in the brain.

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Antipsychotics

Drugs used to treat psychosis and schizophrenia by reducing the activity of dopamine receptors in the brain.

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Study Notes

Introduction to Psychopathology

  • Psychopathology is the in-depth study of mental health problems.
  • Clinical psychology is the branch of psychology responsible for understanding and treating psychopathology.
  • Behaviours that deviate from societal norms, appear irrational, or are maladaptive, can be considered psychopathological.
  • Determining psychopathology requires careful consideration as many behaviours that need clinical treatment are extremes of normal behaviour.

History of Psychopathology

  • Throughout history, behaviour considered unusual has been attributed to various causes, including demonic possession.
  • The medical model developed replacing religious explanations with biological/medical ones.
  • Descartes' mind-body dualism suggested mental illness originated in the body, particularly the brain.
  • The emergence of psychiatry emphasized biological causes treated by medication or surgery.
  • Humane treatment approaches were introduced that emphasized care and support.
  • The rise of clinical psychology involved experimental psychology and testing which led to the development of treatments focused on the interactions between individuals and their environment.

Defining Psychopathology

  • Different approaches are used for defining and diagnosing, most often involving the 4 Ds:
    • Deviance ( from a norm)
    • Dysfunction (social, occupational)
    • Distress (in self or others)
    • Danger (to self or others)
  • Deviation from statistical norms involves comparing an individual's behaviour to the average.
  • Societal norms reflect accepted standards in a particular culture.
  • A harmful dysfunction is the assumption of a breakdown in a normal process, resulting in harm.

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