Defining and Supporting Psychological Development Notes
3.1 Overview
- Psychological development may not always occur as expected, leading to atypical behavior.
- Atypical development: Differs significantly from what is usual or appropriate, involving developmental processes or outcomes.
- Small delays or rapid progress are normal unless they noticeably stand out.
- Terms 'normal' and 'typical' are often used interchangeably.
- Understanding normality is important for recognizing abnormality.
- No clear line exists between normal and abnormal psychological development.
- Exploration of normality and how typical or atypical development, behavior, and mental processes are culturally defined, classified, and categorized.
- Consideration of concepts like 'adaptive', 'maladaptive', 'neurotypicality', and 'neurodiversity'.
- Neurotypicality and neurodiversity explained through developmental disorders like ADHD and autism.
- Examination of the role of mental health workers, psychologists, psychiatrists, and organizations in supporting psychological development and mental wellbeing.
3.2 Categorising Behaviour as Typical or Atypical
- Typical and atypical terms are used to describe behavior and mental processes, either generally or regarding a specific characteristic.
- Applies to individuals, groups, crowds, or any collection of people.
- Typical behavior: Occurs usually, is appropriate, and is expected in a given situation; what most people would ordinarily do.
- In relation to an individual, typical means acting as they usually do in a given situation, with temporary variations.
- Atypical behavior: Not typical, differs markedly from what is expected, uncommon, and not what most people would do.
- In relation to an individual, atypical means behaving unusually for them, 'out of character'.
- Example: A friendly person becoming withdrawn is considered atypical.
- Whether behavior is typical or atypical depends on the individual, circumstances, and perspective.
- Factors include whether the behavior is maladaptive, causes personal distress, and comparisons to others of the same age and sex in similar situations.
- Also depends on society's expectations and cultural context.
- Key Questions include: Is the behavior culturally appropriate? Is it statistically rare? Does it cause personal distress? Is it maladaptive? Does it violate social norms?
Social Norms
- Atypical behavior violates society's ideas about acceptability.
- Social norms: Widely held standards governing appropriate behavior in different situations.
- Often not written down, they are generally known ways of behaving.
- Used consciously or unconsciously to judge acceptability of behavior.
- Examples of typical behaviors: thanking for a gift, smiling when happy, feeling sad at a loss.
- Examples of atypical behaviors: infrequent bathing, standing too close, wearing pajamas to a funeral.
- Age-specific and gender-specific norms also influence behavior.
- Short attention span is typical in 2-year-olds but atypical in adults.
- Social norm perspective is useful because norms are widely known and used intuitively.
- Absorbed in childhood through socialization and taken for granted.
- Limitation: Judgments of atypical behavior vary between societies.
- What is atypical in one place may be typical elsewhere.
- Norm violations may be illegal rather than atypical.
- Social norms change over time, altering the views of typical and atypical behavior.
- Example: Online dating was once considered atypical but is now acceptable.
- Consider cigarette smoking: once typical, now increasingly unacceptable and illegal in public settings.
- Social norms also vary across and within cultures.
- Multicultural societies have increasingly variable norms, which tend to become vague or unacceptable in different groups.
Cultural Perspective
- Each culture/ethnic group has norms for acceptable behavior.
- Violating a social norm in one culture may not do so in another.
- Example: Communication with dead ancestors is atypical in some cultures but not in others, where it may be seen as a gift.
- Showing fear at a spider may be typical in one culture but atypical in remote jungle communities is also important to consider.
- Everyday body language also has different meanings across cultures.
- Raised thumb is typical in one culture but an insult in another.
- Gender-specific norms also vary across cultures.
- Wailing at a stranger's funeral is expected in some cultures, especially by women, but atypical in others.
- The cultural perspective must be considered in distinguishing behavior.
- Cultures vary globally and within multicultural societies, values changing over time.
- No universal cross-cultural standard exists for categorizing behavior.
Statistical Rarity
- Statistical perspective assumes behaviors fall in a normal distribution curve.
- Typical and atypical behavior determined by frequency.
- Typical behavior: Occurs most frequently; statistical average.
- Example: Laughing at a funny joke.
- Atypical behavior: Occurs least frequently; statistical extremity.
- Example: Laughing when a loved one dies.
- Statistical perspective is useful when cut-off points are known.
- Example: IQ scores; mean IQ set at 100.
- Individuals within one standard deviation are of 'average intelligence' (typical).
- Individuals more than two standard deviations are 'very superior' or 'extremely low' (atypical).
- What if cut-off points are unknown or arbitrary?
- Dividing lines may be disputable.
- Average IQ is between 85 and 115; scores of 84 or 116 raise questions.
- How to describe those whose IQ falls between average and extremities?
- Intellectual disability, geniuses, obese/thin, alcoholics/non-drinkers, extremely sad/happy are considered atypical.
- Care must be taken not to equate statistical rarity with undesirable behavior.
- Not using illegal drugs is rare and atypical but desirable.
- Voodoo beliefs may be statistically rare (atypical) in one culture but common (typical) in another.
- Some behaviors may be considered atypical despite not being statistically rare.
- Depression is common (1 in 7 Australians) yet associated with atypical behavior.
Personal Distress
- Distress: Being extremely upset and suffering emotionally.
- A natural reaction in everyday life to events like loss, trauma, disease, financial issues, or disappointment.
- If distress is a reasonable response and appropriate in their culture, it is considered typical.
- If distress is intense, disruptive, and persistent, interfering with function for a prolonged period, it is considered atypical.
- Although the personal distress perspective is useful, limitations exist.
- Experience of distress is highly variable among individuals.
- No clear-cut dividing line serves as a reference point.
- Judgment of distress is subjective rather than objective.
- Personal distress alone is not sufficient to categorize atypical behavior.
- Some people engage in atypical behavior without distress.
- Perpetrators of serious crimes may experience little distress.
- Someone with antisocial personality disorder manipulates and breaks the law without guilt or anxiety.
Maladaptive Behavior
- Adaptive behavior enables individuals to adjust appropriately and effectively to their environment.
- Involves actions that enable a person to carry out daily life tasks and meet their responsibilities.
- The individual is able to 'adapt' to daily living demands age-appropriately and independently.
- Examples: eating dinner, brushing teeth, setting an alarm, going to school on time, greeting friends, controlling impulses.
- Adaptive behavior is generally positive, constructive, and age-appropriate within the individual's socio-cultural environment.
- Maladaptive behavior: Detrimental, counterproductive, interferes with adjustment and fulfilling societal roles.
- Impairs a person’s ability to perform usual tasks and cope with daily life challenges.
- Reduced ability to practice personal hygiene, sleep well, eat, make decisions, learn, go to work, and maintain relationships.
- Most people have engaged in maladaptive behavior at some point.
- Maladaptive behavior tends to violate social and cultural norms.
- Statistically less common and often causes personal distress due to its disruptive effects.
- Considered atypical and the terms are sometimes used interchangeably.
- Considering maladaptive behavior helps mental health professionals identify individuals needing support.
- Behavior from phobias and obsessive-compulsive disorder can hinder basic tasks.
- Phobias can stop someone from going to school or work, shopping, etc.
- Repeated hand washing is maladaptive if it interferes with the ability to get on with everyday living.
- Mental health professionals have expertise in assessing maladaptive behavior, but the public may have differing views.
- These views may vary in relation to different social norms across cultures.
- Some maladaptive behavior may be categorized as typical when viewed from a statistical perspective.
- Talking on a hand-held mobile phone while driving is maladaptive but common
- Maladaptive behaviors may alleviate distress despite being atypical.
- Hand washing may be calming for those with obsessive-compulsive disorder.
- Responding to messages from aliens may be enjoyable for someone with schizophrenia.
- No perspective is fully satisfactory for distinguishing typical and atypical behavior.
- Judgments of behavior should be based on a combination of standards from different perspectives.
3.3 Concepts of Normality and Neurotypicality
- No universally accepted single definition of normality in psychology.
- Varies considerably depending on the perspective adopted.
- Psychologists tend to avoid defining it.
- Instead, they focus on the concept, or 'idea', of normality, how it can be recognized, and key characteristics for doing so.
- Broad concept, most commonly used in relation to mental health and wellbeing.
- May be considered roughly the equivalent of good mental health.
- Psychological and behavioral characteristics help to recognize normality.
- Refer to ways of thinking, feeling, and behaving that indicate a person can perform everyday tasks at the level required to fulfill roles in society.
- Characteristics include:
- Freedom from disabling thoughts
- Capacity to think and act effectively
- Freedom from disabling feelings
- Freedom from extreme emotional distress
- Ability to cope with life demands
- Absence of mental health disorder symptoms
- These traits are not rigid benchmarks, nor are they presented in order of importance.
- Flexible, considering variety in cultures.
- Provides a basis for identifying adaptive or maladaptive actions.
- Foundation for describing abnormality: Deviation from what is considered normal, typical, usual, or healthy.
- Useful for diagnosing and treating developmental and mental health disorders, but care is taken when using the term abnormality (and abnormal).
- Appropriate when used in a medical or scientific context such as 'an abnormality of the brain', 'an abnormal test result' or 'an abnormal distribution of scores'
- Derogatory and not appropriate when describing a person.
- Use depends on what is being considered and the perspective being made.
- Abnormality in relation to mental health may be maladaptive.
- Dedicating one’s life to living among impoverished people to help them would be abnormal from a statistical perspective but would be praised.
- Neurotypicality means being neurologically typical.
- Used to describe people whose neurological development and cognitive functioning are typical.
- Brain and its functioning are like that of a typical, 'average' person.
- Skills associated with perception, learning, memory, understanding, awareness, reasoning, judgment, intuition, and language fall within the range of normal experience.
- Variations can occur but remain typical like those experienced by most.
- Skills and behaviors are also commonly expected in associated cognitive, emotional and social development.
- Emotions align with common expectations.
- Social skills enables interactions with people of different ages and backgrounds, forming close interpersonal relationships, participating in community activities, and so on.
- Behaviors are likely adaptive rather than maladaptive.
3.4 Neurodiversity — Normal Variations of Brain Development within Society
- Describes people whose neurological development/cognitive functioning are atypical, deviating from what is considered typical/normal.
- Range of differences among neurodivergent individuals is part of normal variation of brain development in any group or society.
- Neurodiversity occurs when one or more members differ substantially in neurological development/cognitive functioning.
- Families, friendship groups, psychology classes, schools, suburbs, casts of characters in tv shows.
- Individuals with intellectual disability (limitations in cognitive abilities & skills for functioning independently) may be described as neurodivergent.
- Like any form of neurodivergence, intellectual disability may vary in severity, within & between individuals.
- Every individual has unique characteristics/strengths.
- Neurodiversity recognizes the similarities/differences in the abilities of individuals with neurological disorders.
- Many neurological disorders are disabilities, but they also represent normal human variation in the cognitive functioning within our society.
- All forms of neurological diversity should be respected as differences in how people think, see the world & process information.
- Viewed as natural and valuable human diversity, like differences in biological sex, ethnicity, eye color, hair color.
- Terms associated with neurotypicality and neurodiversity also involves appropriate/inappropriate are used.
- Neurotypical can be either an adjective to describe someone (e.g. ‘He’s neurotypical’) or a noun (e.g. ‘She’s a neurotypical’).
- No such person as a 'neurodiverse individual'.
- Correct term is 'neurodivergent individual'.
- Individual can diverge/deviate from normal/typical, but an individual cannot be diverse.
- Neurodiverse cannot be used to mean 'non-neurotypical', because neurotypical people are part of the spectrum of human neurodiversity.
- Neurotypical/neurodiverse do not describe an ability, set of abilities, personality or a personality trait.
- Neurotypical or neurodiversity are not derogatory when used to describe a person.
- Neurodivergence is an umbrella term that covers all psychological disorders with some neurological disturbance due to hereditary/environmental influences, or both.
- May be largely/entirely inherited or produced through experience that changes brain functioning, such as a brain injury from an accident, by misuse of an illegal drug, or lifestyle factors.
- Autism, ADHD & dyslexia are three of many forms of neurodivergence.
- Each condition should be viewed as neurological disorder involving normal variations in brain development.
- Individuals diagnosed with one of these conditions are not 'all the same' and don’t necessarily 'all need fixing'.
- They all have brains that are 'wired differently', just like neurotypicals.
- Brain functioning alters how they think, feel & behave uniquely.
- Experience many of the same symptoms.
- Retain their individuality, and will have many positive attributes.
- May also have attributes that are strengths which neurotypicals lack.
- A person diagnosed with autism who has an exceptional ability like a prodigious memory for facts, may prefer respect for the ability rather than treatment for their autism.
3.4.1 Autism
- Autism is a neurodevelopmental disorder affecting communication/interaction with others and the world.
- Diagnosed when a person displays behavior involving persistent difficulties interacting/communicating with others.
- Also, highly restricted/repetitive behaviors, interests & activities than typically expected.
- May be accompanied by reactions to sensory stimuli, like over or under- sensitivity to lighting, sounds, tastes, smells, or touch.
- Being a neurodevelopmental disorder means autism has a neurological basis (brain/nervous system) and onset occurs during development.
- Develops before birth, but difficulties apparent in early childhood, and may be reliably diagnosed by age 18 months–2 years.
- Not just a childhood condition; it is a lifelong and will almost always be present in some form throughout the entire life span.
- Predominantly diagnosed in childhood with some reaching adulthood without diagnosis.
- No specific medical procedure for diagnosing autism.
- Behaviors are abilities across a broad range of areas considered.
- Mental health professionals use detailed parent interviews.
- Behavioral observations and developmental assessments to establish an understanding of the child’s behavior patterns.
- Profile is then compared with evidence-based criteria and formally recognized by mental health professionals for a diagnosis of autism.
- Medical evaluation included as part of the assessment to rule out medical causes for behaviors/other characteristics of concern.
- Characteristics for diagnosis fall into three broad categories.
- Social interaction
- Social communication
- Restricted or repetitive patterns of behavior, interests, or activities.
Social interaction
- Difficulties with social interaction in autistic individuals.
- Little/no response to social interaction from others.
- Little/no initiation of social interaction, or sharing of emotions.
- Hard to form ‘normal’ social relationships.
- Difficulty adjusting behavior to suit different social contexts.
- Many autistic infants do not demonstrate typical behaviors with a secure attachment.
- Make very little eye contact with people.
- Don't tend to respond by snuggling when held.
- Seldom seek comfort from a caregiver when distressed.
- Difficulty showing affection but this doesn’t mean a lack of interest in being affectionate.
- May be oversensitive to touch or hugs, or not understanding the hug's reason.
- Children likely to have difficulty making Friends by spending time alone in the school playground at recess and lunchtime.
- Show little/no interest in others and often don't respond when someone calls their name.
- Response in a social situation often inappropriate.
- Children unlikely to engage in pretend/interactive play and prefer a small range of toys being used in same way.
- Unlikely to share enjoyment with showing things to another person.
Social communication
- Social communication problems also being evident in many autistic individuals.
- Problems compounded by: Delayed speech development.
- Limited language skills.
- Limited range of facial expressions.
- Facial expressions, gestures, and body movements are often not integrated/don't match conversation.
- Difficulties with everyday conversation back-and-forth are common.
- Seem to have no understanding of the 'social rules' of listening and then talking.
- Fail to respond/slow to respond to someone calling name and other verbal attempts.
- Difficulty understanding the other person’s point of view/actions.
- Tone of speech may be unusual by being mechanical and monotone with little variation.
- Language may be unusual to express needs/wants.
- Repeating or echoing words/phrases that someone else has said.
Restricted or repetitive behavior, interests, and activities
- Includes behavior with limitations, such as fixation on certain activities, sameness & rigid routines along with hypersensitivity to sensory input.
- Spend long periods of time repeating simple movements (Hand flapping or rocking back and forth).
- Spend a lot of time repeating things like spinning a coin, arranging objects so they are in a straight line.
- Excessively like routine and need sameness along with resisting to change.
- Becomes upset/distressed by a slight change in a routine.
- Can become strongly attached to particular objects and some develop a preoccupation with moving objects/parts (hands and fingers).
- Some spend time intently watching things by movement. (hands and fingers)
Autism spectrum disorder
- Wide variation in the type and severity of characteristics is the reason why autism is known to be a ‘spectrum’ disorder.
- Includes 2: Asperger syndrome and pervasive developmental disorder.
- Estimates suggest 1 and 100 having it and being more common to males by 4%
- Individual/Personal experiences will very with each person.
- Commonality with those with autism have language that will very depending on who they are around and what their background is.
Risks and contributing factors
- Research shows that multiple different changes in the development of the brain may result in such things as biological changes or chemical changes.
- Interactions of several genes involved in brain development/ Chromosomal conditions.
- Inheritance can be correlated with parents having a 20% risk of the child also having it.
Factors include
- Individual differences for the person.
- Whether they have something with the spectrum like an intellectual disability.
- School Environment.
- Timing.
- Etc.
3.4.2 Attention Deficit Hyperactivity Disorder (ADHD)
- ADHD is classified as a neurodevelopmental disorder
- Classified as an ongoing and continuous thing.
- Behavior includes being inattentive, hyperactive, and or impulsive. This will affect their everyday lifestyle.
ADHD Categories
- Inattention
- Hyperactivity
- Impulsivity
ADHD Types
- In the individual, three types include.
- Being predominantly inattentive.
- Predominantly hyperactive with impulsivity.
- And lastly having a mix with both.
ADHD Contributing factored factors
- Those affected interact with hereditary and environmental risk. Specific factors will vary as well.
- Inheritance has a significant role that varies based on how the brain has developed.
- Research also says genetics can account for something like 70%!
Not Supported Through Science
- Extra Sugar intake.
- Food Additives.
- Excessive screen time.
- Poor Child management.
3.4.3 Learning Disabilities
- Disability is an impairment that can be a mental, physical, or a common of both.
- Can be at birth or at any other time in life.
- Disability can be acquired at birth at any time in life.
- Impairs learning and results in them learning with a greater difficulty than one without the disorder.
Learning Disability versus Learning Difficulty.
- Psychologists, however, tend to distinguish them. Those with difficulty have the ability to reach their potential by receiving proper support and instruction.
- Learning disability can impair mental and physical.
- A learning disability can effect knowledge which consist with everyday life.
The main learning disabilities consist of
- Dyslexia (affects reading and writing).
- Dyscalculia (affects math).
- Dyspraxia (affect coordinating movement).
- Is a learning difficulty classified by hard time processing letters to a letter’s pronunciation.
- Have troubles distinguishing sounds.
- Trouble learning the names of letter and reading.
- This does not mean they lack intelligence to learn.
- Can be tested and proven through imaging and a number of research projects.
- Difficulty in mathematical concepts where numbers will be jumbled, and number patterns are hard to process.
- Issues include
- Understanding time.
- Understanding concepts.
- Mathematical formulas.
- No real cause in developmental dyscalculia
- Has those with the condition having a hard time coordinating certain physical movements
- Having trouble with self-care things for oneselves.
- There are a wide arrange of options of help to those that improve coordination with verbal skills.
3.5 Supporting Psychological Development and Mental Wellbeing
- Mental health professionals/organizations involved.
- psychologists, psychiatrists and various organizations employing mental health professionals/other mental health workers.
- Psychologists/psychiatrists best-known/most qualified mental health professionals, they have skills/knowledge, and roles may overlap.
- Some deal with all problems; others specialize.
- Some works relatively independently, others works as team.
- Many take on different roles.
- Psychologist is professional trained in the science of how people think, feel & behave, they can use the title if registered as a psychologist. Registration and regulation helps ensure qualifications/skills.
- Registered psychologists must have completed a minimum of six years of training and supervised experience and to engage in ongoing education to keep their skills and knowledge up to date.
- Shows trainings people need over in Australia.
- Many complete an additional 2 to becoming experts.
- Psychiatrist is qualified medical doctor who has furthered and qualified to become expert with mental illness.
- Involves at least 11 years of study, usually more.
- Psychiatrists focus and treat people.
- Some complete additional training to assess ND and also LD.
- Can provide range of treatments, according to problem what will best assist and help.
- Must be referral from doctor see a psychiatrist.
- Psychologists likely to see people with conditions helped with psychological treatments, these might include ADD, EDD, and BPD.
- Can assess/diagnose mental health disorders, not medical doctors; cannot prescribe.
- No referral for psychologist.
- Psychologists/psychiatrists often work together
- May also work together with other organ. part of health multi, team.
3.5.2 Other Mental Health workers
- Tends and needs mental health in nursing counsel's & support works.
- Also a big part can come into the Administrative work.
- Help support other mental health workers who will help in care.
- The family doc is very key first for psychological or concern.
- Doctor must use the appropriate steps into understanding that an underlying neurological concern occurs to help the person.
- Some GPS have extra help that can help in a mental health way.
3.5.3 Organizations
- A lot of organ. in V that offer mental health supportive services.
- These can be paid via private and free through NON-profit organizations
- Some commonly used organizations include Headspace, Kids helpline, and beyond blue to mention a few.
- Those services help with access, info, and advice from professionals to support a person and the problems they have.
3.5.4 Assessment of psychological development and atypical behaviour
- Assessment: collecting and interpreting information on how one makes a diagnosis for treat.
- May need info about a person, about and other relevance to current life.
- Overall biol, psych and social factors.
- Process mostly happens in appoints with the profession.
- Biological/Psychology, social aspects are all considered!
Steps During a Clinical Assessment
- Interview with an expert.
- In office Behavior assessments will be conducted.
- Tests of the psyche such as a psychological scale (the test)
- Systematic procedures for interview/ observations and testing.
- First Step: To get a F2F with said person to explore their emotions from past/present.
Ways to observe for significant notes include
- The tone in how questions answered.
- Eyes contact and expression.
- How they appear in cleaniness and other dress modes.
Psychological tests are a great source of information where they are tests/scales for valid, and variety use.
3.5.5 Classifying and Categorising Behaviour for Diagnosis
- All sciences classify disorders or types of disorders depending on what a person is experiencing.
- Symptoms that are frequently reoccurring can be considered a part of a specific disorder.
- A diagnosis is a way to see what are the symptoms/signs of ones self and from this point be put into a section or disorder. this provides clarity too ones self of their own behavior