Abnormal Psychology: An Integrative Approach - Notes
- Authors: David H. Barlow, V. Mark Durand, Stefan G. Hofmann.
- Title: Abnormal Psychology: An Integrative Approach (Eighth Edition).
- Publisher: Cengage Learning, 2018.
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Key Concepts in Defining Psychological Disorders
- Psychological dysfunction is a breakdown in cognitive, emotional, or behavioral functioning.
- Distress occurs when the individual is extremely upset.
- Impairment happens when there are difficulties in social or occupational functioning.
- Atypical or Not Culturally Expected reactions are those that deviate from the average or violate social norms.
- Prototype: A "typical" profile of a disorder, where DSM-5 diagnostic criteria serve as prototypes that allow for variations in symptoms.
Science of Psychopathology
- Psychopathology: scientific study of psychological disorders.
- Involves clinical psychologists, counseling psychologists, psychiatrists, psychiatric social workers, psychiatric nurses, and other therapists.
- Scientist-Practitioner approach: Using scientific methods in clinical practice for diagnosis and treatment. Involves:
- Keeping up with latest scientific developments.
- Evaluating assessments and treatments.
- Conducting research.
Research Focus
- Clinical description to specify what makes the disorder different from normal behavior.
- Prevalence: how many people in the population as a whole have the disorder.
- Incidence: statistics on how many new cases occur during a given period.
- Course: the pattern a disorder follows, which can be chronic, episodic, or time-limited.
- Onset: how a disorder begins, either acute or insidious.
- Prognosis: the anticipated course of a disorder, which can be good or guarded.
- Etiology which includes:
- Biological dimensions (e.g., genetics).
- Psychological dimensions (e.g., cognitive and emotional factors).
- Social dimensions (e.g., cultural and interpersonal influences).
Historical Models of Abnormal Behavior
- Supernatural Model: Attributes behavior to external agents like divinities, demons, or spirits.
- Biological Model: Focuses on physical and biological causes of abnormal behavior.
- Psychological Model: Emphasizes psychological and social factors.
Supernatural Tradition
- Deviant behavior was seen as a battle between good and evil.
- Treatments included exorcism.
- Stress and Melancholy: Insanity was considered a natural phenomenon caused by mental or emotional stress.
- Mass Hysteria: Large-scale outbreaks
Biological Tradition
- Hippocrates and Galen:
- Proposed that psychological disorders could be treated like other diseases and might be caused by brain pathology, head trauma, or heredity.
- Humoral theory: Related normal brain functioning to four bodily fluids (humors): blood, black bile, yellow bile, and phlegm.
- The 19th Century:
- Discovery of the nature and cause of syphilis led to the idea that comparable causes and cures might be discovered for all psychological disorders.
- John P. Grey: Insisted that the causes of insanity were always physical, leading to improved hospital conditions but reduced interest in treatment.
- Development of Biological Treatments:
- Insulin shock therapy, electric shock.
- Development of Rauwolfia serpentine (reserpine) and neuroleptics (major tranquilizers).
Psychological Tradition
- Emphasized psychological, social, and cultural factors.
- Moral Therapy:
- Treating institutionalized patients as normally as possible.
- Encouraging social interaction.
- Providing positive consequences.
- Asylum Reform and Decline of Moral Therapy: Factors contributing to decline included increased patient loads, immigration, and belief that mental illness was due to brain pathology.
- Psychoanalytic Theory (Freud):
- Structure of the Mind: id, ego, superego.
- Defense Mechanisms: unconscious protective processes.
- Psychosexual Stages of Development: oral, anal, phallic, latency, and genital.
- Common self defeating defence reactions that Freud saw reflected in Phobic and obsessive symptoms. The symptoms typically show elements of the danger.
The Behavioral Model
- Focuses on learning and adaptation in the development of psychopathology.
- Classical Conditioning (Pavlov): Learning through association.
- Operant Conditioning (Skinner): Behavior is influenced by consequences (reinforcement and punishment).