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What is Abnormal Psychology? • behaviors, thoughts, & moods outside what is considered “normal” in culture - atypical • However… what is normal? what is abnormal? Psychopathology CATEGORIES • Neuroses - anxiety based • - Phobias - Panic Disorders - GAD - OCD - Hypochondriasis - Depressions - Amnesias - PTSD - DID Psychoses – physiological based - Personality Disorders *Addictions *Schizoid * Borderline - Depressions - Bipolar Disorder - Paranoia - Schizophrenias Whitlock’s Line of Psychopathology Schizophrenia Bi-Polar Disorder Psychoses Paranoid BDD Psychogenic Pain Pseudocysis SAD Eating Disorders Munchausen Self-mutilation Phobias PTSD RAD Trichotillomania Fugue DID Addictions Reality GAD Hypochondriasis Pyromania OCD Kleptomania Sexual Deviance (Pedophilia) Neuroses Historical Views of Abnormal Behavior • Demonology, Gods, & Magic – Abnormal behavior often attributed to possession – “Good”or“Bad” possession depended on symptoms • Hippocrates (460-377 B.C.) - Mental disorders due to natural causes - Humors = Fluids Twentieth Century Treatment • 1946 – 1963: Changing views of mental health services – National Institute of Mental Health organized – DSM-I published – Mary Jane Ward published The Snake Pit – Goffman published Asylums – Hill-Burton Act is passed – Community Health Services Act of 1963 20th Century Deinstitutionalization Deinstitutionalization and Community Mental Health Care1970s • Forces that initiated – Miracle drugs – Reconceptualization of Mental Illness – Recognition of Institutional Hazards – Economic Incentives Is this a mental disorder? • A man can’t get through the day without crying • A woman stays in bed until noon • A woman believes that her daughter’s spirit is escaping from her body • A man sets fire to his land What are we studying? • • • • • Abnormal Behaviors Psychopathology Mental Disorders Mental Illnesses Deviant Behaviors Defining Mental Disorder Must Have…. • • • • • • • Distress Maladaptiveness Irrationality Unpredictability Unconventionality Observer Discomfort Violation of Moral and Ideal Standards Mental Health Professionals • Clinical Psychologist (Ph.D., C. Psych.) • Psychiatrist (M.D.) • Psychiatric Social Worker (M.S.W.) • Psychoanalyst • Therapist/Counselor Being Sane in Insane Places • Rosenhan Pseudopatient Study, 1973 • Eight healthy participants complained of hearing voices saying “thud,” “hollow,” and “empty,” but did not feign any other symptoms • Admitted to inpatient hospital • Once admitted, “stopped” hearing these voices • Seven received diagnosis of Schizophrenia • Stays ranged from 7 to 52 days, average of 19 days • Family and friends could identify no significant differences in behavior of “pseudo-patients” • 35/118 other patients identified “pseudo-patients” as being sane – “You’re not crazy. You’re a journalist or a professor. You’re checking up on the hospital.” • Otherwise normal behavior was interpreted by hospital staff as symptoms of illness – Writing in journal was interpreted as compulsive behavior – Walking around floor was interpreted as anxiety Key points • When thinking about mental disorders, it is important to remember: – Knowing person’s diagnosis and understanding that diagnosis is important, but it is not sufficient to understanding person – It is important to take person’s culture into consideration when thinking about their symptoms – People are not defined by their diagnosis • No one would talk about a cancer patient and say, “He’s cancerian” but people will say “He’s schizophrenic” when talking about someone suffering from schizophrenia