Psychological Disorders and Abnormality
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Questions and Answers

The presence of abnormality is determined by statistical infrequency, deviation from social norms, failure to function adequately, and deviation from ______ mental health.

ideal

When human characteristics are translated into numbers and plotted on a graph, they seem to fall within a ______ distribution.

normal

______ looks at abnormality as anything that is different from the average.

statistical infrequency

The word 'norm' refers to something that is standard, usual, or ______ of a group.

<p>typical</p> Signup and view all the answers

Deviation from ______ is a factor that considers abnormality as any behaviour that does not conform to social norms.

<p>social norms</p> Signup and view all the answers

A characteristic is considered abnormal from a statistical infrequency perspective if it's ______ among human beings.

<p>less common</p> Signup and view all the answers

Unlike other definitions of abnormality, statistical infrequency does not consider whether something is good or bad, but rather focuses on how ______ it is.

<p>common</p> Signup and view all the answers

Deviations from social norms define abnormality based on whether behaviors conform to societal ______, which can change over time.

<p>expectations</p> Signup and view all the answers

[Blank] seeks to identify the organic components of mental disorders without insisting on an exclusively biological cause.

<p>Neuroscience</p> Signup and view all the answers

[Blank] theories trace abnormal behavior to a person's interaction with their environment, considering factors beyond just biology.

<p>Psychological</p> Signup and view all the answers

The ______ approach assumes that biological, socio-cultural, and psychological factors combine and interact to produce psychological disorders.

<p>biopsychosocial</p> Signup and view all the answers

The psychodynamic theory emphasizes unconscious conflicts, often originating in ______.

<p>childhood</p> Signup and view all the answers

A ______ approach examines the influence of social forces on behavior and diagnoses, highlighting the impact of societal factors.

<p>socio-cultural</p> Signup and view all the answers

The biopsychosocial approach integrates biological, ______, and psychological factors to understand the multifaceted origins of psychological disorders.

<p>socio-cultural</p> Signup and view all the answers

Diagnoses create a ______ shorthand for referring to a list of associated symptoms facilitating communication among professionals.

<p>verbal</p> Signup and view all the answers

Diagnoses allow us to statistically study many similar cases, learning to predict ______ and improve treatment strategies.

<p>outcomes</p> Signup and view all the answers

Up until the 1990s, the classification of homosexuality was considered ______ and labeled as a disorder.

<p>abnormal</p> Signup and view all the answers

When an individual can't maintain daily life without distress, it is known as failure to function ______.

<p>adequately</p> Signup and view all the answers

Deviation from ideal mental health uses specific ______ to identify the presence of mental sickness.

<p>indicators</p> Signup and view all the answers

According to Jahoda (1958), individuals with good mental health are able to be ______ and live independently.

<p>autonomous</p> Signup and view all the answers

A person's capacity to handle challenging situations and incorporate them into their psyche is considered an indicator of ideal mental ______.

<p>health</p> Signup and view all the answers

Having a realistic perception of their ______ is an indicator of good mental health.

<p>experiences</p> Signup and view all the answers

Globally, it was estimated that over 1.1 billion people had a mental or ______ abuse disorder in 2016.

<p>substance</p> Signup and view all the answers

Despite cultural differences, no known society is free of depression and ______.

<p>schizophrenia</p> Signup and view all the answers

According to Jahoda, possessing a strong ______ and a defined sense of self is indicative of sound mental well-being.

<p>self-esteem</p> Signup and view all the answers

According to Jahoda (1958)'s indicators an individual must be able to grow ______ and reach their potential.

<p>psychologically</p> Signup and view all the answers

Diagnostic manuals face criticism because they sometimes blur the lines between what's considered '______' and what's labeled as 'disordered'.

<p>normal</p> Signup and view all the answers

Relying on a recipe-like list of symptoms and diagnostic labels can influence how we perceive the world and human ______.

<p>behavior</p> Signup and view all the answers

Changes in diagnostic labels may cause individuals to lose access to treatment or ______.

<p>benefits</p> Signup and view all the answers

Examples of anxiety disorders include OCD and ______.

<p>PTSD</p> Signup and view all the answers

Besides anxiety and mood disorders, ______ disorders are also a major type of psychological condition.

<p>personality</p> Signup and view all the answers

Historically, treatments for psychological disorders included practices such as exorcism, being caged like animals, and even ______ with animal's blood.

<p>transfusion</p> Signup and view all the answers

Philippe Pinel advocated for a more humane approach to treating the mentally ill, insisting that madness was an ailment of the ______, not demonic possession.

<p>mind</p> Signup and view all the answers

Pinel's 'treatment' primarily focused on improving the patient's ______ and replacing harsh punishments with more compassionate care, such as patient dances.

<p>environment</p> Signup and view all the answers

The discovery that syphilis could lead to mental disorders prompted physicians to adopt a ______ model in reviewing the physical causes of these disorders.

<p>medical</p> Signup and view all the answers

The medical model views abnormal behavior as a disease, also known as ______, needing diagnosis based on symptoms and treatment through therapy.

<p>psychopathology</p> Signup and view all the answers

According to the medical model, the process of diagnosing abnormal behavior involves predicting its future development, which is referred to as the ______.

<p>prognosis</p> Signup and view all the answers

Prior to the scientific understanding of mental disorders, practices such as being burned and ______ were mistakenly used as treatments.

<p>mutilated</p> Signup and view all the answers

The shift toward humane treatment initiated by figures like Philippe Pinel was a move from the previously accepted practice of ______ the mentally ill.

<p>beating</p> Signup and view all the answers

The Diagnostic and Statistical Manual (DSM) is published by the ______ .

<p>American Psychiatric Association</p> Signup and view all the answers

The DSM includes descriptions of symptoms typically associated with psychological disorders, along with information about possible ______ and prognoses.

<p>treatments</p> Signup and view all the answers

Mental health ______ and insurance providers use the DSM to plan and fund therapeutic interventions for mental disorders.

<p>policy makers</p> Signup and view all the answers

Experts in mental health continually study and research the area, aiming to better capture the nature and ______ of each disorder between editions of the DSM.

<p>course</p> Signup and view all the answers

The International Classification of Diseases (ICD) is published by the ______.

<p>World Health Organisation</p> Signup and view all the answers

The DSM was last published in 2013, whilst the ICD last edition was published in ______ .

<p>2018</p> Signup and view all the answers

Similar to the DSM, the ICD includes ______ guidelines on mental and behavioural disorders.

<p>diagnostic</p> Signup and view all the answers

The ICD is essential for those tracking progress in global health and deciding on the ______ of health resources.

<p>allocation</p> Signup and view all the answers

Flashcards

Statistical Infrequency

Defining abnormality based on behavior different from the average.

Statistical infrequency

Anything that is different from average based on numbers.

Deviation from Social Norms

Defining abnormality based on violating societal standards.

Deviation from social norms

Abnormality is defined as any behavior that does not conform to social norms.

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Abnormality Assessment

Determining abnormality by assessing a number of factors.

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Presence of abnormality

Abnormality is determined by the presence of a number of factors.

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Failure to function adequately

Inability to maintain expected daily routines and functions.

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Deviation from ideal mental health

A criterion for abnormality focused on significant departure from comprehensive psychological well-being.

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Jahoda's Indicators of Good Mental Health

Independence, realistic perception, growth, self-esteem, environmental function, coping ability.

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Worldwide Mental Disorder Incidence (2016)

Globally, over 1.1 billion people had mental health or substance abuse disorders.

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Universal Psychological Disorders

Depression and Schizophrenia

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Diagnostic Boundary Issues

Challenges in clearly distinguishing between typical and atypical behaviour.

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Influence of Diagnostic Labels

Perceiving human behaviour through structured criteria, potentially overlooking individual factors.

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Impact of Diagnostic Revisions

Loss of access to care due to diagnostic changes, impacting individuals.

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Anxiety Disorders

Characterized by persistent worry or fear, impacting daily function.

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Personality Disorders

Involves inflexible and unhealthy personality traits causing distress or impairment.

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Historical treatments

Outdated treatments for psychological disorders. Often cruel and inhumane.

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Philippe Pinel

A French physician (1745-1826) who advocated for more humane treatment of the mentally ill.

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Environmental Interventions

An approach to treatment that emphasizes improving the environment and social conditions of patients.

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Medical Model

The idea that mental disorders are diseases with physical causes that can be diagnosed, treated, and sometimes cured.

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Psychopathology

Abnormal behavior or mental illness.

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Diagnosis

Identifying a disease based on its symptoms.

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Therapy

Treatment of a disease or disorder.

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Prognosis

The predicted course or outcome of a disease or disorder.

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Neuroscience Perspective

Examines organic components of mental disorders without insisting on a purely biological cause.

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Psychological Theories

Attribute abnormal behavior to interactions with the environment.

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Psychodynamic Theory

Emphasizes unconscious conflicts originating in childhood experiences.

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Behavioral Theory

Stresses the role of inappropriate conditioning in developing abnormal behavior.

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Cognitive Theory

Highlights unhelpful ways of perceiving oneself and the surrounding environment.

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Socio-cultural Approach

Examines how social forces affect behavior and diagnoses.

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Biopsychosocial Approach

Combines biological, socio-cultural, and psychological factors to explain disorders.

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Classifying Disorders Importance

Diagnoses create a verbal shorthand, enable statistical study, and predict outcomes.

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What is the DSM?

A manual published by the American Psychiatric Association (APA) that describes symptoms of psychological disorders, treatments, and prognoses.

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What is the DSM used for?

Used by mental health policymakers, insurance providers, etc., to plan and fund therapeutic interventions for mental disorders.

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When was the latest DSM published?

Published in 2013, it's periodically updated based on ongoing research in mental health to better capture disorders.

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What is the ICD?

A manual published by the World Health Organisation (WHO) that includes descriptions and diagnostic guidelines on mental and behavioral disorders.

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Who uses the ICD?

Used by WHO member states since 1994, health insurers, national health program managers, and data collection specialists.

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When was the latest ICD published?

Published in 2018, it provides guidelines on mental and behavioral disorders, impacting global health tracking and resource allocation.

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Who publishes the DSM?

The DSM is published by the American Psychiatric Association (APA).

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Who publishes the ICD?

The ICD is published by the World Health Organisation (WHO).

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Study Notes

  • Psychological disorders are patterns of thoughts, feelings, or actions that are deviant, distressful, or dysfunctional.
  • The scientific study of abnormal thoughts, behavior, and feelings is called psychopathology.
  • Abnormality is determined by multiple factors.

Statistical Infrequency

  • Statistical infrequency defines abnormality as anything different from the average.
  • A human trait or behavior is less common among human beings and is considered an abnormal perspective.
  • This perspective looks at numbers, not what is good or bad, desirable or undesirable.

Deviation from Social Norms

  • A 'norm' has been defined as something standard, usual, or typical of a group.
  • Social norms are established by people in a particular social context.
  • Abnormality is considered any behavior that does not conform to social norms.
  • Norms vary over time, such as homosexuality, which was considered abnormal and classified as a disorder until the 1990s.

Failure to Function Adequately

  • The ability of an individual to go about their daily life without being in distress is failure to function adequately.
  • Abnormality is seen in terms of not being able to cope such as communication with others, taking care of themselves, etc.
  • Abnormality also refers to distress in people around the individual, someone with narcissistic personality disorder may not be in touch with their inability to function adequately but their relatives and friends may end up distressed by their behavior.

Deviation from Ideal Mental Health

  • Deviation from ideal mental health uses particular indicators to determine the presence of mental 'sickness', these indicators suggest an absence of sound mental health
  • Indicators of good mental health refer to an individuals ability to:
    • Be autonomous and able to live with relative independence
    • Have a realistic perception of their experiences
    • Grow psychologically and reach their potential
    • Have good self-esteem and a solid sense of identity
    • Function well in their environment
    • Cope with difficult situations and integrate them in their psyche

Incidence of Psychological Disorders

  • In 2016, an estimated 1.1 billion people worldwide had a mental or substance abuse disorder (WHO).
  • Rates and symptoms of psychological disorders vary across cultures, but no society is free from depression and schizophrenia.

Treatments for Psychological Disorders in the Past

  • Treatments included exorcism, being caged like animals, beaten, burned, castrated, mutilated, transfused with animal's blood, trephination → Lobotomies

Change in Perspective

  • Philippe Pinel (1745-1826) sought to reform brutal treatment by promoting a new understanding of the nature of mental disorders.
  • Pinel insisted that madness was not due to demonic possession, but an ailment of the mind.
  • "Treatment" involved improving the environment and replacing asylum beatings with patient dances.
  • Pinel's humane environmental interventions improved lives but often did not effectively treat mental illness.

Medical Model

  • According to this model, abnormal behavior is like a disease (psychopathology).
  • Abnormal behaviour 'needs to be diagnosed on the basis of its symptoms and treated during therapy, which may include time in a psychiatric hospital
  • Medical professionals try to predict the development of the abnormal behavior in the future, i.e., the prognosis.

Other Perspectives to Understand Psychological Disorders

  • Neuroscience seeks to identify the organic components of mental disorders but does not insist on an exclusively biological cause.
  • Psychological theories trace abnormal behavior to a person's interaction with the environment.
    • Psychodynamic theory emphasizes unconscious conflicts originating in childhood.
    • Behavioral theory stresses inappropriate conditioning.
    • Cognitive theory focuses on unhelpful ways of perceiving the self and the environment.
    • Socio-cultural approach examines the influence of social forces on behavior and diagnoses.
    • Biopsychosocial approach assumes that biological, socio-cultural, and psychological factors combine and interact to produce psychological disorders.

Classifying Disorders

  • It is important for the patient to diagnose a disorder to decide treatment to understand the psychological symptoms.
  • There are two manuals that help psychologists diagnose psychological disorders.
  • Diagnoses are helpful because they:
    • Create a verbal shorthand for referring to a list of associated symptoms
    • Allow to statistically study many similar cases, learning to predict outcomes
    • Guide treatment choices

DSM 5

  • The Diagnostic & Statistical Manual (DSM) is published by the American Psychiatric Association (APA).
  • It describes symptoms typically associated with psychological disorders, as well as information about possible treatments and prognoses.
  • Policy makers and insurance providers use it to plan and fund therapeutic interventions for mental disorders.
  • The last version was published in 2013.

ICD-II

  • The International Classification of Diseases (ICD) published by the World Health Organization (WHO). The last edition was published in 2018.
  • Similar to the DSM, includes descriptions and diagnostic guidelines on mental and behavioral disorders.
  • Used it since 1994 by WHO member states.
  • It is used by health insurers whose reimbursements depend on ICD coding; national health program managers; data collection specialists; others who track progress in global health and determine the allocation of health resources.
  • The new ICD-11 also reflects progress in medicine and advances in scientific understanding

Critique of Diagnostic Manuals

  • Diagnostic manuals are highly criticized for different reason, such as:

    • It is often difficult to clearly mark the boundaries between what is ‘normal' and what is 'disordered'
    • The way of seeing world and human behavior is influenced by a recipe-like list of symptoms (behaviors and mental states) and diagnostic labels.
    • Due to the changes in diagnostic labels individuals may lose on treatment or benefits, e.g., children previously diagnosed with Asperger may as a result lose benefits/services.
  • Psychological disorders include

    • Anxiety Disorders
    • OCD
    • PTSD
    • Schizophrenia
    • Mood Disorders
    • Personality Disorders

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Description

Explore psychological disorders as patterns of thoughts, feelings, or actions that are deviant, distressful, or dysfunctional. Learn about statistical infrequency and deviation from social norms in defining abnormality. Understand how social norms vary over time.

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