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4Ds Trephining, Torture, Lobotomies, Hospitals What is Abnormal? History Module 47 Intro to Abnormal Psych Philippe Pinel, Dorothea Dix Causes/Treatments Perspectives Medical Bio Psycho Social Labeling DSM-5 Pros Cons Do Now: • What is “normal”? • In terms of disorders, how should we define who is, and who isn’t “abnormal”? • Are you “normal”? Explain with specifics! Do Now • Have out your completed AP Exam, think of your happy & crappy, AND one way you experienced psychology over break. Be ready to share Abnormal Psychology • the scientific study of abnormal behavior in order to describe, predict, explain, and change abnormal patterns of functioning What makes a Behavior a Psychological Disorder? • Many definitions have been proposed, yet none are universally accepted • ¨ Most definitions, however, share some common features… • “The Four Ds” – Deviance – Distress – Dysfunction – Danger Psychological Disorders What is deviant, distressful, and dysfunctional may depend on… •Culture •Time Period •Environmental Conditions •Individual Person DSM-V Definition of Mental Disorder • A mental disorder is a syndrome characterized by clinically significant disturbance in an individual’s cognition, emotion regulation, or behavior that reflects a dysfunction in the psychological, biological, or developmental processes ,underlying mental functioning. Mental disorders are usually associated with significant distress or disability in social, occupational, or other important activities. An expectable or culturally approved response to a common stressor or loss, such as the death of a loved one, is not a mental disorder. Socially deviant behavior (e.g., political, religious, or sexual) and conflicts that are primarily between the individual and society are not mental disorders unless the deviance or conflict results from a dysfunction in the individual, as described above. (APA, 2013a, p. 20) Early Theories • Abnormal behavior was evil spirits trying to get out. • Trephining was often used. http://tywkiwdbi.blogspot.com/2013 /11/a-comparison-of-trephinationtechniques.html Early Theories • Another theory was to make the body extremely uncomfortable. Lobotomy! History of Mental Disorders • In the 1800’s, disturbed people were no longer thought of as madmen, but as mentally ill. • They were first put in hospitals. Early Mental Hospitals • They were nothing more than barbaric prisons. •The patients were chained and locked away. •Some hospitals even charged admission for the public to see the “crazies”, just like a zoo. Philippe Pinel • French doctor who was the first to take the chains off and declare that these people are sick and “a cure must be found!” Dorothea Dix • First American to advocate for more humane treatment of mentally ill • Lobbied Congress & created the first generation of American mental asylums Perspectives and Disorders Psychological School/Perspective Psychoanalytic/Psychodynamic Cause of the Disorder Internal, unconscious drives Humanistic Failure to strive to one’s potential or being out of touch with one’s feelings. Behavioral Reinforcement history, the environment. Cognitive Irrational, dysfunctional thoughts or ways of thinking. Sociocultural Biomedical/Neuroscience Dysfunctional Society Organic problems, biochemical imbalances, genetic predispositions. Current Perspectives on Causes/Treatments • Medical Perspective: psychological disorders are sicknesses and can be diagnosed, treated and cured. • Bio-Psycho-Social Perspective: assumes biological, psychological and sociocultural factors combine to interact causing psychological disorders. • “Who in the rainbow can draw the line where the violet tint ends and the orange tint begins? Distinctly, we see the difference of the colors, but where exactly does the one first blendingly enter into the other? So with sanity and insanity?” DSM V • Diagnostic & Statistical Manual of Mental Disorders: the big book of disorders. • DSM will classify disorders and describe the symptoms. • DSM will NOT explain the causes or possible cures. Labeling Psychological Disorders 1. Critics of the DSM-5 argue that labels may stigmatize individuals. 2. David Rosenhan Labeling Psychological Disorders Labels may be helpful for healthcare professionals when communicating with one another and establishing therapy. “Insanity” labels raise moral and ethical questions about how society should treat people who have disorders and have committed crimes. 4Ds Trephining, Torture, Lobotomies, Hospitals What is Abnormal? History Module 47 Intro to Abnormal Psych Philippe Pinel, Dorothea Dix Causes/Treatments Perspectives Medical Bio Psycho Social Labeling DSM-5 Pros Cons