Psychological Disorders Overview

Abnormal Psychology

  • Focuses on the study and treatment of psychological disorders and mental illnesses.
  • Includes subfields such as clinical and health psychology.

Criteria for Psychological Disorders

Four main criteria used to define psychological disorders:

  1. Maladaptive Behavior

    • Difficulty in functioning in daily life (e.g., attending school or work).
    • Example: Trouble getting to work or handling daily responsibilities.
  2. Personal Distress

    • Individual perception of emotional distress varies (e.g., how a teenager vs. adult perceives emotional pain).
    • Perception impacts the recognition of distressing symptoms.
  3. Atypical Behavior

    • Behavior that deviates from cultural or social norms (e.g., unusual actions that may seem ‘weird’).
    • Example: A teacher behaving unusually in class can raise concerns.
  4. Violating Social Norms

    • Engaging in behavior that is socially unacceptable (e.g., acting out in public).

Consequences of Labeling Patients

  • Potential negative consequences such as stigma and discrimination.
  • Rosenhan Experiment (1975):
    • Conducted by David Rosenhan to observe psychiatric diagnosis processes.
    • Involved pseudo-patients (mentally healthy individuals) feigning symptoms to gain entry into hospitals.
    • Revealed challenges in distinguishing between sanity and insanity when individuals behaved normally.
    • Criticized diagnostic criteria and the representation of mental illness.

DSM-5 (Diagnostic and Statistical Manual of Mental Disorders)

  • A comprehensive resource for diagnosing mental disorders with descriptions, symptoms, and guidelines.
  • Evolved since its inception in 1952; originally aimed at war veterans and insurance standardization.
    • Example: Homosexuality reclassified in 1973.
    • Continuously updated to reflect changes in understanding of mental disorders.

Stigma and Legal Issues

  • Confidentiality Laws: Protect patient information in psychological diagnoses.
  • Insanity Definition: A legal term regarding accountability for crimes; involves assessing mental state at the time of the crime.
    • Example: Andrea Yates' case of severe mental illness leading to a tragic outcome.

Sociocultural Model of Disorders

  • Describes how mental disorders manifest differently across cultures:
    • Han: Cultural phenomenon in Korea reflecting unresolved anger.
    • Taijin Kyofusho: Social anxiety in Japan centered on embarrassment.
    • Muk: Homicidal rage in Southeast Asia due to perceived insults.
    • Susto: Severe anxiety rooted in cultural beliefs in Latin America.

Models of Psychopathology

  1. Biological Model: Disorders caused by neurobiological factors (e.g., genetic influences, brain chemistry changes).
  2. Behavioral Model: Disorders learned through conditioning; focuses on changing behavior.
  3. Cognitive Model: Focuses on irrational and maladaptive thought processes affecting mental health.
  4. Psychodynamic Model: Emphasizes unconscious motivations and childhood experiences shaping behavior.
  5. Humanistic Model: Addresses personal growth and environmental factors influencing well-being.
  6. Evolutionary Model: Examines mental disorders through inherited survival traits.

Treatment Approaches to Disorders

  • Behavioral Approach: Conditioning can effectively alter behavior; however, it may overlook biological factors.
  • Biological Approach: Relies on medical data and medications but can neglect environmental influences.
  • Cognitive Approach: Effective for anxiety disorders, aids in restructuring thought patterns.
  • Humanistic Approach: Adaptable to individual experiences but can be subjective.
  • Sociocultural Approach: Benefits from real-world observations but faces challenges in variable control.

Review Questions

  • Rosenhan's study showed:
    • Illustrates negative impact of labels on treatment perceptions.
  • Definition of a mental disorder:
    • A prolonged problem impacting a person’s ability to cope.

Conclusion

  • Understanding psychological disorders involves multiple perspectives and evolving definitions.
  • Reminder: Always consider the social and individual context in which these issues arise.