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:
Maladaptive Behavior
- Difficulty in functioning in daily life (e.g., attending school or work).
- Example: Trouble getting to work or handling daily responsibilities.
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.
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.
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
- Biological Model: Disorders caused by neurobiological factors (e.g., genetic influences, brain chemistry changes).
- Behavioral Model: Disorders learned through conditioning; focuses on changing behavior.
- Cognitive Model: Focuses on irrational and maladaptive thought processes affecting mental health.
- Psychodynamic Model: Emphasizes unconscious motivations and childhood experiences shaping behavior.
- Humanistic Model: Addresses personal growth and environmental factors influencing well-being.
- 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.