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Abnormal Behavior: Understanding and Defining Mental Disorders, Study notes of Abnormal Psychology

A comprehensive overview of abnormal behavior, exploring its definition, historical perspectives, and key concepts. It delves into the criteria for diagnosing mental disorders, including the four d's of psychological deviance, dysfunction, distress, and disability. The document also examines different forms of intellectual abnormality, including low intellectual capacity, deterioration of intellectual ability, and distorted memory. It further explores disordered thinking, affect, and historical perspectives on psychological disorders, highlighting key figures and their contributions to the field.

Typology: Study notes

2024/2025

Uploaded on 02/03/2025

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Abnormal Psychology
Normality
- It is the expected behavior or way of living based on
what is commonly observed in the majority of the
population.
Abnormality
- There is no single determinant or a generally
accepted definition of abnormality. However, there are
several elements that may help in determining the
presence of an abnormality in an individual.
ABNORMAL
- Abnormal describes behavioral, emotional, or
cognitive dysfunctions that are unexpected in their
cultural context and associated with personal distress
or substantial impairment in functioning
DSM-IV-TR
LOOKING AT ABNORMALITY
Continuum Model of Abnormality
- No clear line between normal and abnormal
- Requires subjective decisions about when
a person has a disorder or not
Past Criteria for Normal and Abnormal
- Cultural relativism
- Unusualness of behavior
- Distress (discomfort of the person exhibiting the
behavior)
- Mental Illness
1. Cultural Relativism
- No universal standards or rules for labeling a
behavior as abnormal
- Instead, behaviors can only be abnormal relative to
cultural norms.
Example: In many cultures, family members sleep
together in one room, often in the same bed. in the US,
it is considered normal for babies to sleep in their own
room.
Gender Role Expectations
- How are men expected to act? What types of
behaviors are discouraged?
- How are women encouraged to act? What types of
behaviors are discouraged?
2. Unusualness
- Is the behavior rare? (Depends on the norms for that
behavior in a culture)
3. Distress
- Proponents of this view argue that a behavior is only
abnormal if the individual suffers as a result of the
behaviors) and wishes to be rid of them.
- Some therapists object to the subjective discomfort
criterion because people are not always aware of
problems that their behavior may create for
themselves or others.
4. Mental Illness
- Implies there is a disease process, like hypertension
- Psychological diagnosis is a label for a set of defined
symptoms
UNDERSTANDING
Why is abnormal behavior hard to define?
- No single descriptive feature is shared by all forms of
abnormal behavior, and no one criterion for
"abnormality" is sufficient.
- No discrete boundary exists between normal and
abnormal behavior.
Many individuals still equate abnormal behavior with:
- bizarre behavior
- dangerous behavior
- shameful behavior
Three proposed definitions of abnormal behavior:
- Conformity to norms
- The experience of subjective distress
- Disability or dysfunction
1. CONFORMITY TO NORMS
- A person's behavior becomes patiently deviant,
outrage nonconforming.
- Statistical infrequency or violation of social norms
Advantages:
*Cutoff points
*Intuitive/instinctive appeal
Disadvantages:
*Choice of cutoff points
*The number of deviations
*Cultural and developmental relativity
2. SUBJECTIVE DISTRESS
- subjective feelings and sense of well-being
crucial consideration: whether the person feels
tranquil/ troubled, happy/sad, fulfilled/barren.
Advantages:
*reasonable to expect that individuals have the
*capacity to assess their emotions or behaviors and
can share information when asked
Disadvantages:
*Not everyone that we consider to be "disordered"
reports subjective distress.
*Amount of subjective distress necessary to be
considered abnormal
3. DISABILITY, DYSFUNCTION or IMPAIRMENT
- for behavior to be considered abnormal, it must
create some degree of social (interpersonal) or
occupational problems for the individual
Advantages:
Little inference is required, problems in the social and
occupational spheres often prompt individuals to seek
out help
Disadvantages:
Who should judge the standard for dysfunction?
How to agree on what specifically constitutes an
adequate level of functioning?
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Abnormal Psychology Normality

  • It is the expected behavior or way of living based on what is commonly observed in the majority of the population. Abnormality
  • There is no single determinant or a generally accepted definition of abnormality. However, there are several elements that may help in determining the presence of an abnormality in an individual. ABNORMAL
  • Abnormal describes behavioral, emotional, or cognitive dysfunctions that are unexpected in their cultural context and associated with personal distress or substantial impairment in functioning DSM-IV-TR LOOKING AT ABNORMALITY
  • Continuum Model of Abnormality
  • No clear line between normal and abnormal
  • Requires subjective decisions about when a person has a disorder or not
  • Past Criteria for Normal and Abnormal
  • Cultural relativism
  • Unusualness of behavior
  • Distress (discomfort of the person exhibiting the behavior)
  • Mental Illness 1. Cultural Relativism
  • No universal standards or rules for labeling a behavior as abnormal
  • Instead, behaviors can only be abnormal relative to cultural norms. Example: In many cultures, family members sleep together in one room, often in the same bed. in the US, it is considered normal for babies to sleep in their own room.
  • Gender Role Expectations
  • How are men expected to act? What types of behaviors are discouraged?
  • How are women encouraged to act? What types of behaviors are discouraged? 2. Unusualness
  • Is the behavior rare? (Depends on the norms for that behavior in a culture) 3. Distress
  • Proponents of this view argue that a behavior is only abnormal if the individual suffers as a result of the behaviors) and wishes to be rid of them.
  • Some therapists object to the subjective discomfort criterion because people are not always aware of problems that their behavior may create for themselves or others. 4. Mental Illness
  • Implies there is a disease process, like hypertension
    • Psychological diagnosis is a label for a set of defined symptoms UNDERSTANDING Why is abnormal behavior hard to define?
    • No single descriptive feature is shared by all forms of abnormal behavior, and no one criterion for "abnormality" is sufficient.
    • No discrete boundary exists between normal and abnormal behavior. Many individuals still equate abnormal behavior with:
    • bizarre behavior
    • dangerous behavior
    • shameful behavior Three proposed definitions of abnormal behavior:
    • Conformity to norms
    • The experience of subjective distress
    • Disability or dysfunction
    1. CONFORMITY TO NORMS
    • A person's behavior becomes patiently deviant, outrage nonconforming.
    • Statistical infrequency or violation of social norms Advantages: *Cutoff points *Intuitive/instinctive appeal Disadvantages: *Choice of cutoff points *The number of deviations *Cultural and developmental relativity
    1. SUBJECTIVE DISTRESS
    • subjective feelings and sense of well-being crucial consideration: whether the person feels tranquil/ troubled, happy/sad, fulfilled/barren. Advantages: *reasonable to expect that individuals have the *capacity to assess their emotions or behaviors and can share information when asked Disadvantages: *Not everyone that we consider to be "disordered" reports subjective distress. *Amount of subjective distress necessary to be considered abnormal 3. DISABILITY, DYSFUNCTION or IMPAIRMENT
    • for behavior to be considered abnormal, it must create some degree of social (interpersonal) or occupational problems for the individual Advantages: Little inference is required, problems in the social and occupational spheres often prompt individuals to seek out help Disadvantages: Who should judge the standard for dysfunction? How to agree on what specifically constitutes an adequate level of functioning?

KEY POINTS

  • Abnormal behavior does not necessarily indicate mental illness.
  • Mental illness refers to: "a large class of frequently observed syndromes that are comprised of certain abnormal behaviors or features". Others:
  • Sufferings
  • Maladaptive
  • Statistical Deviancy
  • Violation of Societal Standards
  • Social discomfort
  • Irrational and Unpredictability
  • Dangerousness MENTAL ILLNESS (DSM-IV-TR) ...is conceptualized as a clinically significant behavioral or psychological syndrome or pattern that occurs in an individual and that is associated with present distress (e.g., a painful symptom) or disability (i.e., impairment in one or more important areas of functioning) or with a significantly increased risk of suffering, death, pain, disability or important loss of freedom. In addition, this syndrome or pattern must not be merely an expectable and culturally sanctioned response to a particular event. Whatever its original cause, it must currently be considered a manifestation of behavioral, psychological, or biological dysfunction in the individual. Neither deviant behavior (e.g., religious, political, or sexual) nor conflicts that are primarily between the individual and society are mental disorders unless the deviance or conflict is a symptom of the dysfunction in the individual as described above. Diagnostic Statistical Manual for Mental Disorders
  • published by the American Psychiatric Association contains descriptions, symptoms, and other criteria for diagnosing mental disorders.
  • DSM-IV (fourth edition) or DSM-IV-TR (fourth edition, text revision) contains descriptions of all psychological disorders/mental disorders HISTORY: 1952 DSM (a.k.a. DSM-I) 1968 DSM-II (based on ICD) 1980 DSM-III (more quantitative, objective) 1987 DSM-M-R 1994 DSM-IV 2000 DSM-IV-TR (multi-axial system) THE FIVE AXES OF DSM-IV-TR: Axis I - Clinical Disorders Axis II - Personality Disorders and Mental Retardation Axis III - General Medical Conditions Axis IV - Psychosocial and Environmental Problems Axis V - Global Assessment Functioning (helps assess prognosis) Which of the following is included in the DSM?
    • A discussion of the various causes of mental disorders.
    • A means of identifying different mental disorders
    • A description of the necessary and sufficient conditions for mental illness.
    • A description of all of the possible treatments for each disorder. DSM
    • Diagnostic and Statistical Manual of Mental Disorders
    • produced by a single national professional association ( American Psychiatric Association )
    • approved by the assembly of the American Psychiatric Association, a group much like APA's Council of Representatives
    • generates a very substantial portion of the American Psychiatric Association's revenue, not only from sales of the book itself, but also from related products and copyright permissions for books and scientific articles ICD
    • International Classification of Diseases and Related Health Problems
    • produced by a global health agency (World Health Organization)
    • approved by the World Health Assembly, composed of the health ministers of all 193 WHO member countries
    • distributed as broadly as possible at a very low cost, with substantial discounts to low-income countries UNDERSTANDING ABNORMALITY ABNORMAL
    • literally "away from the norm"; deviant Criteria (4 D's)
    1. DYSFUNCTION - impairment to conduct daily activities
    2. DISTRESS - emotional or physical pain; may or may not be present
    3. DEVIANCE - different, extreme, unusual, bizarre; differ from the society's norms about the proper functioning
    4. DANGEROUSNESS - potential to harm self and others CULTURAL RELATIVISM - a view that there are no universal standards or rules for labeling a behavior as abnormal Which concept refers to the breakdown in cognitive, emotional, or behavioral functioning? Psychological Deviance Psychological Dysfunction Psychological Distress Psychological Disability MENTAL DISORDER (DSM-V)
    • Syndrome characterized by clinically significant disturbance in one's cognition, emotion, regulation, or behavior that reflects a dysfunction in the

FORMS OF INTELLECTUAL ABNORMALITY:

  • Low intellectual capacity
  • Deterioration of intellectual ability later in life
  • Intellectual functioning markedly below ability
  • Distorted memory and thinking with or without intellectual deterioration LOW INTELLECTUAL CAPACITY
  • Low IQ scores of 70 or less
  • Also termed as intellectual subnormality, mental deficiency, mental retardation or amnesia.
  • Marked by a limited capacity to comprehend or master new material, by memory deficits, and by difficulties in forming discriminations, making judgements and solving problems DETERIORATION IN INTELLECTUAL ABILITY
  • Usually associated with the aging of a person and with brain disorders.
  • Example: difficulty in comparing 2 simple things (like the similarities and differences between a fish and a bird) when before, person can perform algebraic operations. INTELLECTUAL FUNCTIONING MARKEDLY BELOW ABILITY
  • Typically results from emotional difficulty.
  • Often see in people who worry, ruminate or daydream excessively. DISTORTION OF MEMORY
  • Pathological loss of the ability
  • Amnesia - total lack of recall common among organic brain syndrome or rare functional disorders such as psychoneurotic dissociative reactions; typically occurs after a traumatic head injury or a severe emotional shock. DISTORTED MEMORY Retrograde Amnesia: Inability to recall events preceding the shock. Anterograde Amnesia: Inability to recall events following the shock. DISORDERED THINKING: Sequence of Thinking. Confabulation:
  • Filling of amnesic gaps with imaginary experiences.
  • Characterized by the production of fabricated, distorted, or misinterpreted memories without the intention to deceive Fugue:
  • Amnesia accompanied by physical flight; individual assumes a new identity and name and starts a new life (?) a new identity Blocking
    • Sudden Stoppage/Slowdown of the sequence of thought. Impoverished Ideation
    • Patient produces only a few ideas which may recur over and over in a stereotyped fashion Circumstantiality
  • Sequence of thoughts and spoken words in which trivial details are unnecessarily and explicitly elaborated. DISORDERED THINKING: Content of Thinking Obsession:
  • Persistent Intrusion into consciousness of an unwanted and unpleasant thought or impulse Delusion
  • False belief inconsistent of an individual’s own knowledge and experience Phobia
  • Irrational and Obsessive fear not warranted by an actual danger Disordered Affect - These are consciously experienced emotional reactions - An affect lasting over a long period of time is called a mood - Mood refers to a long-lasting emotional state that is more general and less intense than specific feelings or emotions - Feelings are subjective experiences of emotions that are often triggered by specific events or stimuli Euphoria or Elation
  • Exaggerated feeling of well-being takes possession of the individual along with a pleasant feeling of liberation from the restraints of conscience Depression
  • Morbid sadness and dejection increased perception of physical pain and a guild ridden, remorseful oversensitivity to conscience Pathological Anger
  • Generalized Disposition to be aggressive towards everyone and everything, or it may be focused on a specific person. Irrational Anxiety
  • Consists of Apprehension, Tension, and Uneasiness. Free-Floating Anxiety
  • Individual cannot specify the object of their fears Apathy
  • Emotional flatness; Individual is neither euphoric, depressed, anxious, or angry. Ambivalence
  • Simultaneously existence of conflicting feelings or emotional attitudes towards the same object, person, or goal. This may lead to inability to make decisions.

Disordered Verbal and Motor Behavior

**1. Stuttering/Stammering

  1. Mutism**
  • Complete Inability or refusal to speak 3. Loggorhea - Excessive Speech 4. Neologisms
  • Coining of new words
  • Ex. Radimoney from the words Radio and Money 5. Verbigeration
  • Monotonous repetition of words and sentences without apparent meaning. 6. Echolalia
  • Echo-like repetition by the patient of what has been said to him 7. Word Salad
  • Unintelligible/Incoherent Mixture of Real Words and meaningful phrases with neologisms. 8. Compulsion
  • Overwhelming urge to perform an act or ritual 9. Tic - Periodic muscular twitch especially facial 10. Chorea
  • Irregular, Involuntary, Spasmodic contractions or trembling 11. Tremor
  • Continuous Involuntary, Spasmodic contractions or trembling 12. Stupor
  • State of Lethargy and Immobility in which it is very difficult to arouse a patient.
  • State of Unresponsiveness 13. Catalepsy
  • Increase in muscle tone with fixity or posture 14. Echopraxia
  • Compulsion to imitate the movement of another person 15. Posturing
  • Patient assumes an unusual posture and maintain it over a period of time Historical Perspectives Prominent Themes in Examining Psychological Disorders MYSTICAL OR SUPERNATURAL VIEW - Abnormal behavior as a product of possession SCIENTIFIC APPROACH - Natural causes to explain abnormal behavior - Ex. Biological Imbalances, Learning Processes, etc. HUMANITARIAN APPROACH - Psychological disorders resulted from cruelty, nonacceptable, poor living conditions A. Stone Age Trephination – Drilling holes in the skull Lobotomy – Advance/Modern Trephination Ancient ChinaYin & Yang - Positive Force ( Yang ) - Negative Force ( Yin ) Demonology, Gods, and Magic - Chinese, Greek, Egyptian, & Hebrew - Possession by Hood/Evil Spirits Treatment: Exorcism Hydrotherapy - Patients were shocked back to their senses by being submerged in ice-cold water B. Greek Period Hippocrates – Father of Modern Medicine , Importance of Heredity - Recognized the influence of Heredity on Health and believed that a person’s physical and mental characteristics could be influenced by their family history Hippocrates’ Classification Systems Mania – Excessive excitement, Restlessness, and emotional disturbance Melancholia – Prolonged Sadness, Depression, and Despondency Phrenitis (Brain Fever) – Inflammation of the brain and mind Galen - Followed Hippocrates - There is a biological and mental cause of disturbances - Divided the causes of psychological disorders into physical and mental categories Plato