Psychology: Thomas Szasz's Views on Mental Illness
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Questions and Answers

According to Thomas Szasz, what is the condition for treating a person for mental illness?

  • The person considers their symptoms a problem (correct)
  • It is culturally appropriate to do so
  • The person suffers from a personality disorder
  • A complete psychodynamic formulation has been done
  • What does the term 'psychopathology' literally mean?

  • Disorder of feelings
  • Sickness of the mind (correct)
  • Abnormality of thought
  • Disease of the brain
  • What is the primary characteristic of psychoses?

  • Enduring maladaptive patterns of thought
  • Chronic disturbances in interpersonal functioning
  • Loss of touch with reality (correct)
  • Repetitive interpersonal problems
  • What is the main idea behind Thomas Szasz's view on mental illness?

    <p>Mental illness is a myth used to make people conform to society's standards of normality</p> Signup and view all the answers

    What is the term for problematic patterns of thought, feeling or behaviour that disrupt an individual's sense of well-being, social or occupational functioning?

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

    What is the primary difference between neurotic symptoms and psychotic states?

    <p>Neurotic symptoms occur in severely disturbed individuals, while psychotic states occur in relatively healthy individuals</p> Signup and view all the answers

    What is the term for gross disturbances involving a loss of touch with reality?

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

    What is the term for enduring maladaptive patterns of thought, feeling, and behaviour that lead to chronic disturbances in interpersonal and occupational functioning?

    <p>Personality disorder</p> Signup and view all the answers

    According to which model, people with an underlying vulnerability may develop a disorder under stressful circumstances?

    <p>Diathesis-stress</p> Signup and view all the answers

    What type of diagnostic system does DSM-5 use?

    <p>Non-axial diagnostic</p> Signup and view all the answers

    What is one of the common symptoms exhibited by children with attention-deficit hyperactivity disorder?

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

    What is the primary focus of the first question a psychodynamic psychologist asks?

    <p>Dominant motives and conflicts</p> Signup and view all the answers

    What is the primary cause of psychoses according to the aetiology?

    <p>Biological abnormalities</p> Signup and view all the answers

    Approximately what percentage of Australians had sampled illegal drugs in the 12 months preceding a recent study?

    <p>13.4</p> Signup and view all the answers

    Which of the following theories is NOT integrated by cognitive-behavioural practitioners?

    <p>Information-processing approach</p> Signup and view all the answers

    Why are positive symptoms of schizophrenia so named?

    <p>They reflect the presence of something not usually or previously there</p> Signup and view all the answers

    What does the biological approach to psychopathology take into consideration?

    <p>All the above options</p> Signup and view all the answers

    What is an example of a negative symptom of schizophrenia?

    <p>Blunted emotional response</p> Signup and view all the answers

    What is the estimated heritability of schizophrenia according to a study of twins born in Finland between 1940 and 1957?

    <p>83%</p> Signup and view all the answers

    What approach to psychopathology looks for the roots of mental disorders in the broader social context?

    <p>Systems approach</p> Signup and view all the answers

    What does the diathesis-stress model propose about the development of schizophrenia?

    <p>People with an underlying vulnerability may develop symptoms under stressful circumstances</p> Signup and view all the answers

    What do family systems theorists examine in assessing the family?

    <p>Family boundaries</p> Signup and view all the answers

    What is the term for constellations of symptoms that tend to occur together?

    <p>Clinical syndromes</p> Signup and view all the answers

    What is a characteristic of attention-deficit hyperactivity disorder?

    <p>It is characterised by inattention and hyperactivity</p> Signup and view all the answers

    What is the primary focus of the third question a psychodynamic psychologist asks?

    <p>How the patient experiences himself or herself and others</p> Signup and view all the answers

    What does the second question a psychodynamic psychologist asks focus on?

    <p>Ego functioning</p> Signup and view all the answers

    What is NOT a focus of the biological approach to psychopathology?

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

    What neurotransmitter may be important in addition to dopamine in schizophrenia, as suggested by PCP's effects?

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

    In the dopamine hypothesis, which neural circuits are responsible for positive symptoms in schizophrenia?

    <p>Subcortical circuits projecting from the midbrain to the limbic system and basal ganglia</p> Signup and view all the answers

    What is a characteristic abnormality in the brain structure of individuals with schizophrenia?

    <p>Enlargement of the ventricles, the fluid-filled cavities of the brain</p> Signup and view all the answers

    What environmental variable is particularly important in the onset and course of schizophrenia?

    <p>Expressed emotion</p> Signup and view all the answers

    Which disorder is depression most likely to be associated with?

    <p>Anxiety disorders</p> Signup and view all the answers

    What is a characteristic of depression in terms of gender differences in Australia?

    <p>Australian women are more likely to suffer from depression than Australian men</p> Signup and view all the answers

    What does Aaron Beck call the mechanisms by which a depressed person transforms neutral or positive information in a depressive direction?

    <p>Cognitive distortions</p> Signup and view all the answers

    In the dopamine hypothesis, what is the role of subcortical circuits projecting from the midbrain to the prefrontal cortex?

    <p>They produce too little dopamine and seem to be responsible for negative symptoms</p> Signup and view all the answers

    What is the term for the tendency of family interactions to be characterized by criticism, hostile interchanges, and emotional over-involvement?

    <p>Expressed emotion</p> Signup and view all the answers

    What is the prevalence of depression among Australian females aged between 25-34 years, according to the Australian Institute for Health and Welfare?

    <p>27%</p> Signup and view all the answers

    What is the term for mechanisms by which a depressed person transforms neutral or positive information in a depressive direction?

    <p>Cognitive distortions</p> Signup and view all the answers

    What percentage of the population is affected by generalised anxiety disorder?

    <p>2 percent</p> Signup and view all the answers

    What is the characteristic of veterans who are most likely to develop PTSD?

    <p>Lower IQ</p> Signup and view all the answers

    Which disorder is characterised by attacks of intense fear and feelings of doom or terror not justified by the situation?

    <p>Panic disorder</p> Signup and view all the answers

    What is the new disorder included in the DSM-5?

    <p>Binge eating disorder</p> Signup and view all the answers

    What are personality disorders characterised as?

    <p>Chronic and severe disturbances that substantially inhibit the capacity to love and to work</p> Signup and view all the answers

    What is borderline personality disorder characterised by?

    <p>All of the options listed</p> Signup and view all the answers

    Which of the following is not a personality disorder listed in the DSM-5?

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

    What is the prevalence of personality disorders in the general population estimated to be?

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

    What is typical of depressed patients identified by Beck?

    <p>Cognitive errors</p> Signup and view all the answers

    Substance-related disorders are characterised by:

    <p>continued use of a substance that negatively affects psychological and social functioning</p> Signup and view all the answers

    Which personality disorder is more prevalent in women?

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

    What is the term for a set of hypotheses about a patient's personality structure and the meaning of the symptom?

    <p>Psychodynamic formulation</p> Signup and view all the answers

    According to which theory, a diagnosis of mental illness is simply a way to categorise individuals whom a society considers deviant?

    <p>Labelling theory</p> Signup and view all the answers

    What is the term for perceptual experiences that distort or occur without external stimulus?

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

    What is characterised by a period of abnormally elevated or expansive mood?

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

    What is the term for methods that families use to preserve equilibrium?

    <p>Homoeostatic mechanisms</p> Signup and view all the answers

    Which approach to psychopathology integrates an understanding of classical and operant conditioning with a cognitive-social perspective?

    <p>Cognitive-behavioural</p> Signup and view all the answers

    What is the term for common patterns of thought, feeling, or behaviour that disrupt an individual's sense of well-being, social or occupational functioning?

    <p>Mental disorder</p> Signup and view all the answers

    Which personality disorder is more prevalent in men?

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

    Which diagnostic category is used to describe individuals who seem to have attributes of both schizophrenia and psychotic depression?

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

    What is the characteristics of seasonal affective disorder (SAD)?

    <p>More frequent during the winter months, due to the lack of sunlight</p> Signup and view all the answers

    What is the term for a disturbance of childhood characterized by persistent violation of societal norms and the rights of others?

    <p>Conduct disorder</p> Signup and view all the answers

    When do most forms of schizophrenia begin?

    <p>Late teens/early adulthood</p> Signup and view all the answers

    What is the relationship between dopamine and schizophrenia?

    <p>Positive symptoms reflect too much dopamine activity in sub-cortical circuits</p> Signup and view all the answers

    How long do major depressive episodes usually last?

    <p>About 5 months</p> Signup and view all the answers

    What is NOT a typical symptom of mania?

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

    What is the term for a person who experiences periods of mania and depression?

    <p>Bipolar disorder</p> Signup and view all the answers

    What do psychodynamic theories of depression focus on?

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

    What is NOT a compulsion?

    <p>Repetitive thoughts</p> Signup and view all the answers

    Study Notes

    Abnormal Psychology

    Thomas Szasz's View

    • According to Thomas Szasz, a person should only be treated for mental illness if they consider their symptoms a problem.

    Psychopathology

    • Refers to problematic patterns of thought, feeling or behaviour that disrupt an individual's sense of well-being, social or occupational functioning.

    Psychoses

    • Are chronic and severe disturbances that substantially inhibit the capacity to love and to work.
    • Can involve a loss of touch with reality (e.g., hearing voices, believing in conspiracy theories).

    Psychodynamic Psychology

    • Asks three questions to create a set of hypotheses about a patient's personality structure and meaning of their symptoms:
      1. What does the patient wish for and fear?
      2. What psychological resources does the person have at their disposal?
      3. How does the patient experience themselves and others?

    Aetiology of Psychoses and Neuroses

    • Psychoses result primarily from biological abnormalities.
    • Neuroses and personality disorders stem more from environmental experiences.

    Cognitive-Behavioural Practitioners

    • Integrate an understanding of:
      1. Classical conditioning
      2. Operant conditioning
      3. Cognitive-social perspective

    Biological Approach

    • Looks for the roots of mental disorders in:
      1. Genetic factors
      2. Brain regions
      3. Brain circuitry

    Systems Approach

    • Examines the physical and psychological limits of the family and its subsystems.
    • Includes looking at family boundaries.

    Clinical Syndromes

    • Constellations of symptoms that tend to occur together.

    Diathesis-Stress Model

    • Proposes that people with an underlying vulnerability may develop a disorder under stressful circumstances.

    Attention-Deficit Hyperactivity Disorder (ADHD)

    • Characterized by impulsiveness, inattention, and hyperactivity.

    Schizophrenia

    • Heritability estimated at 83%.
    • Positive symptoms: delusions, hallucinations, loose associations.
    • Negative symptoms: blunted emotional response, lack of motivation, socially inappropriate behaviour, and intellectual impairment.

    Dopamine Hypothesis

    • Suggests that individuals with schizophrenia have excess dopamine in subcortical circuits.

    Environmental Variables

    • Expressed emotion (criticism, hostility, emotional over-involvement) can contribute to the onset and course of schizophrenia.

    Mood Disorders

    • Depression is likely to be associated with anxiety disorders.
    • Women are more likely to suffer from depression than men.

    Cognitive Distortions

    • Mechanisms by which a depressed person transforms neutral or positive information in a depressive direction.

    Generalised Anxiety Disorder

    • Characterized by persistent anxiety at a moderate but disturbing level and excessive and unrealistic worry about life circumstances.

    Post-Traumatic Stress Disorder (PTSD)

    • More likely to develop in veterans with lower IQ.

    Panic Disorder

    • Characterized by attacks of intense fear and feelings of doom or terror not justified by the situation.

    Eating Disorders

    • Binge eating disorder is a new disorder included in the DSM-5.

    Personality Disorders

    • Chronic and severe disturbances that substantially inhibit the capacity to love and to work.
    • Examples include borderline, histrionic, and schizotypal personality disorders.

    Schizoaffective Disorder

    • A diagnostic category used to describe individuals who seem to have attributes of both schizophrenia and psychotic depression.

    Seasonal Affective Disorder (SAD)

    • More frequent during the winter months due to lack of sunlight.

    Conduct Disorder

    • A disturbance of childhood characterized by persistent violation of societal norms and the rights of others.

    Schizophrenia Onset

    • Most forms of schizophrenia begin in the late teens and early twenties.### Amphetamines and Psychosis

    • Amphetamines increase dopamine activity, leading to psychotic-like symptoms such as paranoia and hallucinations in normal people when taken in high doses.

    Major Depressive Episodes

    • Major depressive episodes typically last about 5 months.

    Mania Symptoms

    • Symptoms of mania include an inflated sense of self, racing thoughts, and a constant need to talk.
    • People during a manic episode are not persistent, and their thoughts and behavior jump from one thing to another.

    Bipolar Disorder

    • Bipolar disorder is characterized by periods of mania and depression.
    • Individuals with bipolar disorder experience both depression and mania.

    Psychodynamic Theories of Depression

    • Psychodynamic theories of depression focus on motivation, including identification with a depressed or belittling parent or an attachment history that predisposes fear of rejection or abandonment.

    Compulsions and Obsessions

    • Compulsions include counting, hand washing, and touching.
    • Repetitive thoughts are an obsession, not a compulsion.
    • Substance-related disorders are characterized by continued use of a substance that negatively affects psychological and social functioning.

    Personality Disorders

    • Borderline personality disorder is more prevalent in women.
    • Antisocial personality disorder is more prevalent in men.

    Labelling Theory

    • Labelling theory suggests that a diagnosis of mental illness is simply a way to categorize individuals whom a society considers deviant.

    Psychodynamic Formulation

    • A psychodynamic formulation is a set of hypotheses about a patient's personality structure and the meaning of the symptom, used to assess psychopathology.

    Cognitive-Behavioural Therapy

    • Cognitive-behavioural therapists integrate an understanding of classical and operant conditioning with a cognitive-social perspective.

    Family Systems Model

    • Family systems model suggests that families use homoeostatic mechanisms to preserve equilibrium.

    Hallucinations and Schizophrenia

    • Hallucinations are perceptual experiences that distort or occur without external stimulus, and are common in individuals suffering from schizophrenia.
    • Auditory hallucinations (hearing voices) are the most frequent kind experienced by people suffering from schizophrenia.

    Mania

    • Mania is characterized by a period of abnormally elevated or expansive mood, during which an individual has an inflated sense of self that reaches grandiose proportions.
    • During a manic episode, people generally require less sleep, experience their thoughts as racing, and feel a constant need to talk.

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    Description

    Learn about Thomas Szasz's views on mental illness, including his proposal that mental illness is a myth and its implications on treatment and societal norms.

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