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what is the third definition of ideal mental health
failure to function adequately (FFA)
what is failure to function adequately
when a person is unable to live a normal daily life, e.g. conventionally people wake up in the morning, wash their face and brush their teeth, if they don’t do this they are considered abnormal
who developed the 5 indicators of failing to function adequately
Rosenhan and Seligman
what are the 5 indicators of failing to function adequately
Observer discomfort
Personal distress
Irrational behaviour
Unpredictable behaviour
Maladaptive-ness / dysfunctional behaviour
what is Maladaptive-ness/dysfunctional behaviour
behaving in a way that interferes with a persons ability to lead a persons typical daily life e.g. eating and working
what is personal distress
being unable to function due to emotional instability E.G. DEPRESSION
what is observer discomfort
causing upset and discomfort to others e.g. schizophrenia and OCD
what is unpredictable behaviour
behaving in an unexpected way e.g. suicide attempt after failing driving test
what is irrational behaviour
behaving in a way that makes no sense to others e.g. schizophrenic painting room black and taping curtains shut
what does it mean if a person has more than 1 of these behaviours
more likely that the person will be considered abnormal
why are subjective definitions an issue (FFA limitation)
in order to use this definition subjective judgements are still required for each of the main indictors of FFA e.g. one person may see observer discomfort whereas another person may not
why are situational factors an issue (FFA limitation)
people may be unable to function properly which can be caused by temporary situations e.g bereavement or exams, can lead to symptoms e.g. withdrawal
why is cultural relativity an issue (FFA limitation)
standards for adequate functioning vary across cultures e.g. normal is abnormal is a different country
why is adaptive behaviour an issue (FFA limitation)
some behaviours can be seen as FFA but in reality may be adaptive and helpful to the individual
what are the practical applications of FFA (strength)
used in real life clinical practices to determine whether someone needs support and treatment and focuses on how a person copes with everyday life
what is meant by a patient centred and humane approach in FFA (strength)
FFA considers the individuals subjective experiences, including distress and suffering, avoiding labelling someone as abnormal
why is FFA considering everyday functioning important (strength)
looks at whether behaviour interferes with everyday life and therefore makes the definition more realistic
what is statistical infrequency
an idea based on behaviours that are statistically rare and so are considered to be abnormal. A normal distribution shows how measurements of human behaviour are distributed in the general population, if a person scores at an extreme end they are considered abnormal
how do you draw a distribution curve
draw an upside down u shape where ends of the u shape are thinner and draw a straight line down the highest point, draw horizontal lines across to represent what % of the population are part of that section
what is the issue with the extreme sections of the curve (statistical infrequency limitation)
definition fails to distinguish between undesirable behaviours with are problematic and need treatment and behaviours that are unproblematic and desireable e.g. high IQ
what is the issue with the cut off point for abnormal behaviours (statistical infrequency limitation)
not clear how far along behaviour should be in order to be considered abnormal, e.g. if 70 is abnormal then how is 69 not?
what is the benefit of the statistical infrequency definition (statistical infrequency strength)
practical applications - has been used by clinicians as a formal diagnosis as it helps assess symptoms by severity
what is cultural relativism
a central limitation to the statistical infrequency definition
how is cultural relativism an issue in the statistical infrequency definition
behaviours that are rare/common change overtime and are different in different countries so has low generalisability
how is the DSM definition culturally relative
homosexuality used to be classed as a mental disorder but overtime has became more common
how is the FFA definition culturally relative
what is considered part of daily functioning life varies per country e.g. stay at home mums may be usual in one country but usual in another
how is the DIMH definition culturally relative
collectivism cultures may not agree with Jahoda’s criteria of autonomy or personal growth therefore making it unapplicable to them