Section 4 - Psychopathology Flashcards

1
Q

What can abnormality be described as?

A

A deviation from social norms

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2
Q

What is a problem with describing abnormality as a deviation from social norms?

A

That it could be used to justify the removal of ‘unwanted’ people from a society

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3
Q

What is a positive evaluation of deviation from social norms?

A

It does not impose a western side of abnormality on non-western cultures. Diagnosing abnormality according to social norms is not ethnocentric; it represents the cultural differences between societies

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4
Q

What are negative evaluations of deviation from social norms?

A

. Low temporal validity - societal norms change over time. ex - homosexuality was considered abnormal and defined as a mental health disorder. Now homosexuality is considered socially acceptable and normal by many societies. Social norms are not a valid measure of abnormality over time
. Cultural bias - what is normal in some cultures may be considered abnormal in others. ex - homosexuality in the UK is considered socially acceptable and normal but in places like Nigeria, it is considered abnormal and illegal. This definition of abnormality is not cross-culturally relative
. Context-dependent - behaviour considered normal in some contexts is considered abnormal in others meaning that this definition of abnormality is not stable. ex - wearing a bikini is normal at the beach but abnormal in a restaurant

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5
Q

How else can abnormality be described as?

A

As deviation from statistical norms

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6
Q

Abnormality can be seen as a statistically rare behaviour. How can this be shown in a graph of normal distribution?

A

. People who behave in the average way make up the middle of the bell shaped curve
. People who behave ‘abnormally’ make up the tail ends of the bell curve (this behaviour is rare; statistically infrequent)

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7
Q

What are the problems with defining abnormality in terms of statistical infrequency?

A
  1. Doesn’t take into account desirability of behaviour, just its frequency. ex - very high IQ is abnormal as is a very low one but high IQ more desirable than having a low one
  2. No distinction between rare, slightly odd behaviour and rare, psychologically abnormal behaviour
  3. No definite cut off point where normal behaviour becomes abnormal behaviour
  4. Some behaviours that are considered psychologically abnormal are quite common. Hasset and White argue that you cannot use statistical infrequency to define abnormality because of this. Using the statistical infrequency idea, some disorders would not be classed as anything unusual
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8
Q

What is a positive evaluation of statistical infrequency?

A

Individuals being assessed are evaluated objectively which is better than the dependency of a subjective opinion of a clinician as 2 clinicians may disagree

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9
Q

What is the failure to function adequately?

A

The individual is defined as abnormal if they cannot cope in their daily lives, including their ability to interact with the world and meet their challenges

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10
Q

What were Rosenhan and Seligman’s features of failure to function?

A

. Maladaptive behaviour
. Personal anguish
. Observer discomfort
. Irrationality
. Unconventionality

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11
Q

What is meant by maladaptive behaviour?

A

Individuals behave in a way that go against their long term interests

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12
Q

What is meant by personal anguish?

A

Individual suffers from anxiety and distress

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13
Q

What is meant by observer discomfort?

A

Individuals behaviour causes distress to those around them

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14
Q

What is meant by irrationality?

A

It is difficult to understand the motivation behind an individuals behaviour

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15
Q

What is meant by unconventionality?

A

Behaviour doesn’t match what is typically expected by society

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16
Q

Negative evaluations of the failure to function adequately (FFA)?

A

. Whether someone is coping or not is subjective and based on the clinicians opinion. Judgement may be biased meaning 2 clinicians may not agree on whether someone is managing
. FFA only includes people who cannot cope; psychopaths can often function in ways that benefit them such as lower empathy leading to success in business or politics; however this may have negative implications for those around them
. Not all maladaptive behaviour indicates mental illness; taking part in extreme sports, eating unhealthy food and drinking alcohol all risk health so are arguably maladaptive however it is disagreed that these behaviour are maladaptive

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17
Q

Positive evaluations of the failure to function adequately (FFA)?

A

The FFA definition respects individual and their own personal experiences unlike statistical infrequency and deviation from social norms cannot do as these definitions of abnormality are based on what is normal in general population

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18
Q

What are some negative evaluations of statistical infrequency?

A

. Subjective decision on the cut off point for what is statistically rare enough to be defined as abnormal. ex - defining intellectual disability as 70IQ and under means people with IQ just above 70 may be denied support
. Not all statistically rare traits are negative. ex - those at higher end of intelligence. IQs of 130 are as statistically rare as IQs of 70 so a good definition of abnormality should not identify people with high intelligence as having psychopathology and in need of additional support
. Certain psychopathologies are common like mild depression so this definition isn’t appropriate when considering society’s high incidence of mental health disorders

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19
Q

What is the deviation from ideal mental health’s definition of abnormality?

A

Similar to physical health by looking for signs of a deviation from normal functioning and well-being

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20
Q

Johoda identified 6 conditions associated with mental health what are they?

A
  1. Positive self attitude
  2. Self-actualisation
  3. Resistance to stress
  4. Personal autonomy
  5. Accurate perception of reality
  6. Adaptation to the environment
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21
Q

What is meant by adaptation to environment’?

A

Ability to adapt and thrive in new situations

22
Q

What is meant by personal autonomy?

A

Ability to act independently and trust in one’s own abilities

23
Q

What is meant by resistance to stress?

A

Internal strength to cope with anxiety caused by daily life

24
Q

What is meant by self-actualisation?

A

Ability to reach one’s potential through personal growth

25
Q

What is meant by positive attitude towards oneself?

A

Characterised by high self-esteem and self-respect

26
Q

What is meant by accurate perception of reality?

A

Ability to see world as it is without being distorted by personal biases

27
Q

Strengths of deviation from ideal mental health as a definition for abnormality?

A

. Puts the individual first - this definition prioritises the needs of the individual and their health

28
Q

Weaknesses of deviation from ideal mental health as a definition for abnormality?

A

. Unrealistic - the criteria for normality are demanding and unrealistic. According to Jahoda’s definition, most people would be classified as abnormal
. Western-centric - this definition uses western ideas regarding mental health as a universal judgement. This is culturally biased as it assumes western views on mental health are shared worldwide
. Vague - Jahoda’s criteria are vague and subjective; things like self-esteem or personal growth cannot be measured, meaning it would be down to personal opinion if a person has a mental health condition or not

29
Q

What is depression defined as?

A

Depression is characterised by a low mood and reduced activity for prolonged periods. It is a mental illness with severe mental, behavioural and physical symptoms that typically last for two weeks or more

30
Q

What are the three categories of symptoms of depression?

A

. Behavioural
. Emotional
. Cognitive

31
Q

What are behavioural symptoms of depression?

A

. Loss of sleep (insomnia)
. Loss of energy for daily activities
. Disturbed appetite (some eat less and some eat more)
. Withdrawal from others

32
Q

What are emotional symptoms of depression?

A

. Intense sadness
. Loss of interest in pleasure activities
. Feeling worthless
. Feeling irritable
. Exhibiting anger towards oneself and others

33
Q

What are cognitive symptoms of depression?

A

. Disturbed concentration and focus
. Low self-esteem and confidence
. Affected memory
. Negative thought patterns
. Suicidal thoughts

34
Q

What are the causes of depression?

A

. Genetic vulnerability
. Stressful life incidents
. Medical problems
. Side effects of medicines

35
Q

What is the genetic component to developing depression?

A

If you have a close family member with depression, you are at a higher risk of developing it. Does not mean you will get it but have a higher chance of developing it than if your family member did not have it

36
Q

What is serotonin?

A

A neurotransmitter responsible for sleep, mood, sexual desire and digestion

37
Q

What is the cognitive approach to depression?

A

Depression id due to irrational thoughts, resulting from maladaptive internal mental processes

38
Q

What are schemas?

A

Mental frameworks/expectations based on experience

39
Q

What do schemas allow us to do?

A

Quickly process large amounts of sensory information and make automatic assumptions and responses

40
Q

What do negative schemas result in?

A

Automatically negative cognitive biases

41
Q

What are the three schemas of Beck’s negative triad?

A

They are three schemas with a persistent automatic negative bias
. The self: aka self schemas, feeling ‘inadequate or unworthy’
. The world: thinking people are ‘hostile or threatening’
. The future: thinking ‘things will always turn out badly’
This can lead to avoidance, social withdrawal and inaction

42
Q

When does the negative triad develop?

A

It develops in childhood but provides framework for persistent biases in adulthood, leading to cognitive distortions perceiving the world inaccurately

43
Q

One type of cognitive distortion is ‘overgeneralisation’ explain this.

A

One negative experience results in an assumption that the same thing will always happen

44
Q

Another type of cognitive distortion is ‘selective abstraction’ explain this.

A

Mentally filtering out positive experiences and focusing on the negative

45
Q

What is Ellis’s ABC model?

A

. A - activating event
. B - belief
. C - Consequence

46
Q

What is meant by ‘activating event’ in Ellis’s ABC model?

A

It can be anything that happens to someone (large or small)

47
Q

What is meant by ‘belief’ in Ellis’s ABC model?

A

For people without depression, their beliefs about activating events are rational whereas people with depression, their beliefs are irrational

48
Q

What is meant by ‘consequence’ in Ellis’s ABC model?

A

Rational beliefs lead to positive consequences; irrational beliefs lead to negative consequences

49
Q

What is mustabatory thinking?

A

The consequences of not accepting we don’t live in a perfect world. There are three ‘musts’ that hold us back:
. I must do well
. You must treat me well
. The world must be easy
- Ellis

50
Q

Positive evaluations for the cognitive approach to explaining depression:

A

. Grazioli and Terry’s evaluation of 65 pregnant woman for cognitive vulnerability and depression after birth. Found a positive correlation between an increased cognitive vulnerability and an increased likelihood of acquiring depression after birth. Supports the link between faulty thinking and depression, which is in line with predictions made by Beck’s cognitive theory, increasing validity of theory
. Cognitive theories explaining depression have led to highly effective cognitive therapies; March showed that CBT had an effectiveness rate of 81% after 36 weeks of treatment which was the same as drug therapy - this suggests the underlying cognitive explanations are valid

51
Q
A