psychopathology Flashcards
what are the definitons of abnormality?
-statistical infrequency(SI)
-failure to function adequately(FFA)
-deviation from social norms(DSN)
-deviaiton from ideal mental health(DIMH)
things to consider with abnormality?
1.culture
-certain cultute have diff norms
-if behavior is culturally relative it cant be universal or common for all
2.context
-depend on situation or surroundings
3.time
-as history changes things become accpeted/ unaccepted e.g homosexuality, women rights
how are psychological disorders diagnosed?
-DSM-5 book with all disorders with symptoms asscoiated
-for doctors to decide what behaviours meet criteria
what was rosenhans experiment?
-see wether psychiatrists could tell difference between sane and insane
-field exp
-8 sane people claim they heard voices e.g ‘empty’ and ‘thud’
-said to have schizophrenia
-discharged with ‘schizophrenia in remission’
what does normal distribution look like?
-bell shape curve
-mean, mode, median in middle
-symmetrical
-dispersion either side is consistent
-most ppl near or on mean whilst gradually other decline away
what seen as abnormal on a graph?
-2SD points above or below mean
-usually approx 5% of population
abnormality and statistical infrequency?
-abnormal behaviour is statistically rare
-focus on number of people showing the bahviour rather than the accpetbality(DSN) or imapact it has on daily life(FFA) or overall happiness (DIMH)
-no judgement about quality of life or nature of mental disorders
strenghts of definitons of abnormality?
-real world app
-clinical practice for diagnosis
-intellectual disability- defined in terms of normal distribution using concept of SD to establish cut of point for abnormality
-diagnosis of this disorder can require IQ under 70%(bottom 2%)
-used with assesment tool (BDI) score of 30+ = top 5% indicates severe depression
-provides an overview of what behaviors are infrequent within the population.
strenghts- (no value judgement)
-behavior not judged to be wrong or unaccpetbale just less frequent
-objective-definiton can provide objective way of defining abnormal based on data once a way of collecting data about a behvaiour/characterisitic and cut point is agreed.
limitations(cut point between normality and abnormality is subjectively decided)
-e.g depression symptom is difficulty sleeping so we may decide to sleep fewer hours then 80% of pop is abnormal but others may feel that 90% is a better cut point
limitations(cultural factors)
-doesnt consider that whats statitstically normal in one culture is not in another
-problem to judge people of one culture with statistical norms of another
-doesnt distinguish between desirable and undesirable
(some behaviours are desirable and dont indicate mental disorder e.g high IQ but some statistically infrequent may indicate mental disorder.
strength and limitation (support for IQ)
-benefit of having intellectual disability is being able to access support services (used as evidence for assistance)
-HOWEVER, not all benefit from labels, some who can cope with their condition wont benefit from a label(social stigma associated with labels)
what are the key ideas on abnormality?
-crucial for defining and identifying psychological disorders
-hard to define
-must consider context
- culture also plays a role
-at what point does abnormality show a psychological disorder
-definitons of whats abnormal helps doctors class mental disorders
definitions of abnormal?
-statistical infrequency
-deviation from ideal mental health
-failure to function properly
-deviate from social norms
what are social norms?
-rules that society has about behaviours,values and beliefs are acceptable
-every society sets up rules for behaviour based on a set of moral standards
-anyone who deviates is considered abnormal
what is unacceptable behaviour?
(explicit rules?)
-spoken/writtem and policed by laws e.g murder, robbery
-others unspoken/written e.g be polite
implicit rules?
-e.g not laughing at a funeral is a implicit social rule but causing disorder in public is both deviaiton from social norms and againist the law
Norms?
-vary overtime based on social attitudes
-behaviour that was normal in the past may be abnormal today vice versa.
what can deviate from social norms?
-appearance
-speech
-attitudes
-values
-behavior
what is DSN (deviation from social norms)?
-unwritten rules that society outlines expected standards and behavior
-person may think/behave in a way that violates expectations
-whats acceptable is the ‘norm’
-norms are culturally relative(very few behaviors are actually universally abnormal)
strengths (protects society)
-distinguishes between desirable and non desirbale behaviour so considers effects of peoples behaviour on others so rules can be established
-so people can live in harmony
strengths (help people)
-allows people in society to intervene
-people can help others that may need help but cant get it themselves
strengths (real life application)
-in diagnosis of anti social personality disorder
-one of the symptoms is ‘absence of prosocial internal standards asscoiated with the failure to conform to lawful or culturally normative ethical behvaiour
-clinical
-key to defining characteristic of anti social personality
-e.g reckless and agressive
-signs of deviaitng from social norms
-diagnosis of schizotypal anti social disorder term ‘strange’ used to characterise thinking and behaviour
-therefore value placed for those in psychiatry
limitations (culturally differences)?
-social norms vary within and accross cultures and its hard to know when its being broken
-hearing voices normal in some cultures but abnormal in UK
-‘agressivness and deceitful behaviour’ in context of family life is socially unacceptable than in context of co-operate deal making.
limitations (individualism)?
-those who dont conform to social norms may not be abnormal but individualistic or eccentric and not problematic.
limitations (situational and developmental norms)?
-situation is important
-naturists break social norms but not percieved as having mental disorder
-nudity beaches e.g wearing clothes here would be odd
-also developmental and age norms e.g 2 year old can wear a nappy but odd for a 40 year old to wear a nappy
limitations (ethnocentric bias in diagnosis)
-western social norms reflect the behaviour of the majority(white population)
-deviates from social norms from ethnic minorities means they over represent in mental ilness statistics
-cochrane (1977) black people often diagnosed as schizophrenic then white/asian but not as high in places e.g jamaica
-here the black people are majoirty so theres bias amogst british psychiatrists
limitations (subjective)
-social norms arent real
-based on societies opinions rather than majorities
-then used to control those seen as a threat to social order
-true definition of abnormality should be objective and free from subjective factors
limitations (value of breaking social norms)
-sometimes beneficial
-e.g suffragettes did it which led to votes for women
-perhaps unfair for such situations as these to be seen as abnormal
-unfair labelling
-Nymphomania= this diagnosis was used to control women
-Drapetomania= control slaves and avoid debate
what is failure to function adequately?
-abormal behavioir shown when they cant cope with the demands of everyday life
-dont experience range of emotions or behvaiours
-behaviour leads them to dysfunction e.g disrupt work ability, eating, washing clothes and communication
what did rosenhan and seligman(1989) suggest?
-personal dysfunction has several factors
-the more an individual has , the more they are classed as abnormal
when is someone considered to be failing to function adequately?
- person no longer conforms to standard interpersonal rules e.g maintaining eye contact, respecting personal space
2.person experiences severe personal distress
3.persons behavior becomes irrational and dangerous to themselves or others
What were the several features rosenhan and seligman found to be associated with dysfunction?
-maladaptive behaviour
-personal distress
-violation of moral standards
-observer discomfort
-irrationality
-unconventionality
-unpredictability
what is personal distress?
-includes depression and anxiety
disorders.
what is maladaptive behavior ?
-Behaviour that stops individuals from attaining satisfactory goals,
both socially and occupationally e.g. enjoying good relationships
with other people or working effectively.
what is unpredictablity?
Displaying unexpected behaviours characterised by loss of
control e.g. attempting suicide after failing a test.
what is irrationality?
- behaviour that cannot be explained in a rational way.
However, people who suffer from migraines may behave irrationally.
what is observer discomfort?
-Displaying behaviour causing discomfort to others.
what is violation of moral standards?
-Displaying behaviour violating society’s moral behaviour.
what is unconventionality?
-Displaying unconventional behaviours.
strengths of FFA(personal perspective)
-recognises the personal experiences of sufferers, focusing on specifically
observable behaviours
strengths of FFA(tests for abnormality)
-judge wether prsn is distressed or distressing
-some patients may be distressed but judged as not suffering
-use of objective methods is important e.g checklists used global assesement for functioning scale
strengths of FFA(matches suffers perceptions)
-sue et al
-most people seeking clinical help believe they are suffering psycholgicaly which disrupts their ability to function
-so they seek help when they cant function = supports definiton
strengths of FFA(observable behaviours)
-judgement made on wether individuals can function by looking at obserbale behaviours
limitations of FFA(exhibiting dysfunction)
-abnormality not always presenting dysfunction
-e.g anti social personality disorder can cause great harm but appear normal
-these people considered abnormal despite not showing dysfunctional behvaiours
limitations of FFA(normal abnormality)
-there are times in people’s lives when it is normal to suffer distress,
-ike when loved ones die. Grieving is psychologically healthy to overcome loss.
limitations of FFA(reward of abnormality)
an individual’s apparently dysfunctional behaviour may
actually be rewarding. For example, a person’s eating disorder can bring affection and
attention from others.
limitations of FFA(distress to others)
behaviour may cause distress to other people and be regarded as
dysfunctional, while the person themselves feels no distress.
limitations of FFA(cultural differences)
-‘normal functioning’ varies culture to culture
-abnormal functioning of one culture should not be used to judge people from other cultures/subcultures
limitations of FFA(subjective nature)
-doesnt consider behavior from individual perspective
e.g wearing flaboyant clothing can be normal for eccentric but not a introvert
-doesnt take individual lifestyle into consideration
FFA DOESNT CONSDIER CAUSE OF POOR FUNCTIONALITY!
ways to define abnormality
-‘deviation from social norms’(what others think ab us)
-failure to function adequately(own sense of functioning)
-statistical infrequency(displaying less common characterstic)
-‘deviation from ideal mental health’ mixture of first two
what is definition of ideal mental health?
-jahoda - looks for absence of well being
-she found 6 major charactersitcs
-the absence of the criterias indicate abnormality and therefore deviate from ideal mental health
what are the 6 criterias?
1.personal autonomy= being indpendant and being able to remain stable during difficult situations
2.self attitude= having high self esteem
3.accurate perception= seeing world around them in realisitic fashion
4.resistance to stress= being able to cope w stress
5.self actualisation= being able to develop capabilities
6.adapting to environment= being competent in all areas of life e.g work, personal
strengths of DIMH
-focus on desirability and not undesirable
-holistic- condiers individual as a whole rather then certain areas of behaviour
limitaitons of DIMH(subjective)
-subjective - criteria may be hard to measure
diagnosing mental health is more subjective
relies on self report who are mentally ill, therefore relaibale