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).