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Psychopathology: Understanding Abnormality

Core Focus

What is Psychopathology?

Psychopathology is the study of abnormal psychological disorders, their causes, symptoms, and treatments. It enables understanding mental illnesses and guiding effective therapies. We begin by exploring the complex definitions of abnormality itself.

Defining Abnormality

There is no single universally accepted definition. Four distinct perspectives are used to judge behavior as abnormal:

1

Statistical Infrequency

Behavior is abnormal if itโ€™s rare or not statistically common (e.g., IQ scores below 70).

Limitation: Not all rare traits are negative; high IQ is rare but positive.

2

Deviation from Social Norms

Behavior that violates societal rules or expectations (e.g., antisocial behavior).

Limitation: Norms vary across cultures and times; can lead to discrimination.

3

Failure to Function Adequately

Abnormal when someone cannot cope with everyday life and causes distress or disability (e.g., inability to hold a job).
4

Deviation from Ideal Mental Health

Failure to meet criteria for perfect mental health (JAHODA, 1958) such as self-actualisation or autonomy.

Major Psychological Disorders

Understanding the key characteristics and common explanations for these core illnesses.

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Depression

Characterized by pervasive sadness, lack of energy, and loss of interest.
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Phobias

Irrational fears causing extreme avoidance and high levels of distress.
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OCD

Involves uncontrollable obsessions (thoughts) and compulsions (behaviors).
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Schizophrenia

Severe disorder featuring hallucinations, delusions, and disorganized thought.

Explanations of Abnormality

Most modern approaches use an Interactionist perspective, combining both models.

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Biological Model Focuses on genetics, neurochemistry (e.g., Dopamine hypothesis), and brain structural abnormalities.
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Psychological Model Includes learning theories (conditioning for phobias) and cognitive distortions (Beck's negative triad).

Treatments for Psychopathology

Therapeutic interventions fall into three main categories:

1

Biological Treatments

Drug therapies (SSRIs, Antipsychotics) provide rapid symptom relief. Also includes ECT for severe depression.
2

Psychological Therapies

Cognitive Behavioral Therapy (CBT) challenges maladaptive thoughts and behaviors. Psychoanalysis focuses on unconscious conflicts.
3

Behavioral Therapies

Systematic Desensitization (gradual exposure paired with relaxation) and Flooding (immediate exposure).

Therapy Evaluation

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Is drug therapy or talk therapy generally better?
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Evaluation shows CBT has strong empirical support, but it requires patient motivation. Drug therapy is fast but has side effects and ethical concerns.

Ethical Considerations

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Avoiding Stigma: Protection from harm and minimizing the negative impact of diagnosis (labeling) are crucial. Ensure confidentiality and informed consent in all research and treatment.

Key Research Studies

Essential studies that shaped our understanding of causes and treatments:

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Beck (1967)

Developed the cognitive theory of depression (Negative Triad: self, world, future).
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Seligman (1975)

Proposed the Learned Helplessness psychological explanation of depression.
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Ost and Westling (1995)

Demonstrated the effectiveness of Systematic Desensitization for phobias.
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Nestadt et al. (2010)

Confirmed strong genetic influences in the development of Obsessive-Compulsive Disorder (OCD).
Psychopathology Deck
Term
Psychopathology

What is psychopathology?

Answer
Definition

The study of abnormal psychological disorders, their causes, symptoms, and treatments.

Term
Statistical Infrequency

What does the statistical infrequency definition of abnormality state?

Answer
Explanation

Behavior is abnormal if it is rare or statistically uncommon.

Term
Limitation of Statistical Infrequency

Name a limitation of defining abnormality by statistical infrequency.

Answer
Limitation

Some rare traits like high IQ are positive, and not all abnormal behaviors are rare.

Term
Deviation from Social Norms

What does deviation from social norms mean?

Answer
Definition

Behavior that violates societal rules or expectations is considered abnormal.

Term
Example of Deviation

Give an example of deviation from social norms.

Answer
Example

Antisocial behavior such as criminal acts.

Term
Failure to Function Adequately

What is "failure to function adequately"?

Answer
Explanation

When a person cannot cope with everyday life, causing distress or disability.

Term
Strength of Failure to Function

What is a strength of the failure to function adequately definition?

Answer
Strength

It focuses on personal experience and distress.

Term
Jahoda's Criteria

What are Jahoda's criteria in deviation from ideal mental health?

Answer
Criteria

Self-actualisation, autonomy, realistic perception of reality, among others.

Term
Limitation of Jahoda's Criteria

Identify one limitation of Jahoda's ideal mental health criteria.

Answer
Limitation

They are difficult to meet fully and may be culturally biased.

Term
Symptoms of Depression

What are common symptoms of depression?

Answer
Symptoms

Sadness, low energy, loss of interest, appetite and sleep changes.

Term
Beckโ€™s Cognitive Explanation

What is Beckโ€™s cognitive explanation for depression?

Answer
Explanation

The negative triad: negative views about self, world, and future.

Term
Biological Factor in Depression

Name a biological factor linked to depression.

Answer
Factor

Genetic predisposition and neurotransmitter imbalance (low serotonin).

Term
Phobias

What are phobias characterized by?

Answer
Characteristics

Irrational fears causing avoidance and distress.

Term
Classical Conditioning and Phobias

What is classical conditioning's role in phobias?

Answer
Role

It leads to acquisition of the fear.

Term
OCD

What does OCD involve?

Answer
Description

Uncontrollable obsessions and compulsions.

Term
Biological Explanation for OCD

Name a biological explanation of OCD.

Answer
Explanation

Genetic factors and brain abnormalities like in the basal ganglia.

Term
Main Symptom of Schizophrenia

What is a main symptom of schizophrenia?

Answer
Symptom

Hallucinations, delusions, and disorganized thinking.

Term
Dopamine Hypothesis

Describe the dopamine hypothesis related to schizophrenia.

Answer
Description

Excess dopamine activity contributes to symptoms.

Term
Biological Model of Abnormality

What does the biological model of abnormality focus on?

Answer
Focus

Genetics, neurochemistry, and brain abnormalities.

Term
Psychological Model of Abnormality

What does the psychological model of abnormality include?

Answer
Includes

Learning theories and cognitive distortions.

Term
Biological Treatment

Give an example of a biological treatment for psychopathology.

Answer
Example

Drug therapy such as SSRIs for depression.

Term
Psychological Therapy

What is a psychological therapy commonly used?

Answer
Therapy

Cognitive Behavioral Therapy (CBT).

Term
How CBT Works

How does CBT work?

Answer
Mechanism

By challenging and changing maladaptive thoughts and behaviors.

Term
Behavioral Therapy for Phobias

What behavioral therapy is used for phobias?

Answer
Therapy

Systematic desensitization.

Term
Limitation of Drug Therapies

What is a limitation of drug therapies?

Answer
Limitation

Side effects and ethical concerns.

Term
Cognitive Theory Developer

Who developed the cognitive theory of depression?

Answer
Developer

Beck (1967).

Term
Ethical Issues

What ethical issues arise in psychopathology research?

Answer
Issues

Confidentiality, informed consent, and avoiding stigma.

๐Ÿง  Psychopathology Quiz

1. Which of the following is NOT a criterion from Jahodaโ€™s ideal mental health?

Social withdrawal is often a symptom of abnormality, not part of ideal mental health.

2. Which biological factor is primarily linked to depression?

Low serotonin is associated with depressive symptoms.

3. Systematic desensitization involves immediate, intense exposure to the feared stimulus.

Systematic desensitization uses gradual exposure paired with relaxation, not immediate intense exposure.

4. What does the negative triad in Beckโ€™s cognitive theory of depression include?

The negative triad involves these three negative cognitive perspectives.

5. Which of the following is a limitation of using deviation from social norms to define abnormality?

Social norms vary across cultures and times, making this definition subjective.

6. Name two types of phobias.

Correct answers include specific phobia, social phobia, and agoraphobia.

7. OCD compulsions are maintained by negative reinforcement through anxiety reduction.

Performing compulsions reduces anxiety, reinforcing the behavior.

๐Ÿ“Š Results