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Copyright © 2012 by Pearson Education, Inc. All rights reserved. Abnormal Psychology: Historical and Modern Perspectives Chapter 1 Copyright © 2012 by Pearson Education, Inc. All rights reserved. Chapter Outline Normal vs. Abnormal Behavior The History of Abnormal Behavior and Its Treatment Current Views of Abnormal Behavior and Treatment Copyright © 2012 by Pearson Education, Inc. All rights reserved. Normal vs. Abnormal Behavior Being different Individuals possessing abilities that distinguish them from the general public Deviant behavior Behaviors straying from societal “norms” or standards Copyright © 2012 by Pearson Education, Inc. All rights reserved. Real People, Real Disorders… Does being a “loner” and “socially awkward” Ted Kaczynski constitute abnormal behavior? Gifted mathematician Modern technology (entered Harvard at 16) causes stress & unnatural demands Diagnosed with paranoid schizophrenia His plan for revenge Left civilization for a Have you ever wished you life of isolation Copyright © 2012 by Pearson Education, Inc. All rights reserved. could live a day without technology? Why or why not? Is this abnormal? Normal vs. Abnormal Behavior Behaving dangerously Result from intense emotional states or may signal the presence of a psychological disorder, but alone is not necessary or sufficient Behaving dysfunctionally Patterns of behavior that interfere with normal daily routines, such as one’s social, occupational, and emotional functioning, causing significant distress Copyright © 2012 by Pearson Education, Inc. All rights reserved. Definition of Abnormal Behavior Inconsistent with societal norms Inconsistent with cultural norms Abnormal Behavior Emotional Distress Inconsistent with developmental norms Copyright © 2012 by Pearson Education, Inc. All rights reserved. Interferes with daily functioning Factors to Consider When Addressing Abnormal Behavior Personal characteristics, such as sex, race, or ethnicity Age (chronological age vs. developmental maturity) Developmental trajectory is when symptoms vary by age. Socioeconomic status (SES) Education level Biological changes (particularly hormonal changes associated with puberty) Downward drift is impairment as a result of psychological disorder. Copyright © 2012 by Pearson Education, Inc. All rights reserved. Prevalence of Psychological Disorders in Children by Age and Sex Figure 1.1 The rate of psychological disorders decreases as boys enter teen years, but increases as girls enter adolescence. Adapted from Costello, E.J., Mustillo, S., Erkanli, A., Keeler, G., & Angold, A., "Prevalence and development of psychiatric disorders in childhood and adolescence." Archives of General Psychiatry, 60, 837-844. Figure 1. Copyright © 2003 by the American Medical Association. Reprinted by permission of the publisher. Copyright © 2012 by Pearson Education, Inc. All rights reserved. What factors do you think contribute to the increase or decrease of psychological disorders based on gender? History and Abnormal Behavior Ancient Theories -Ancient cultures, such as ancient Egypt, believed in spirits who controlled much of the environment, including aspects of a person’s behavior. -Treatment -Trephination a method used to create a hole in the skull to release the evil spirits Copyright © 2012 by Pearson Education, Inc. All rights reserved. History and Abnormal Behavior Classical Greek and Roman Views -Hippocrates (460–377 BC), father of medicine -The first to identify the following psychological symptoms: hallucinations, delusions, melancholia, hysteria, and mania most often associated with schizophrenia, somatoform disorders, and mood disorders -Environmental factors, physical factors, and four humours (blood, phlegm, yellow bile, and black bile) Copyright © 2012 by Pearson Education, Inc. All rights reserved. History and Abnormal Behavior Middle Ages through the Renaissance -Influence of the Roman Catholic Church -Abnormal behavior = work of the devil -Witchcraft evolved as a popular theory to explain abnormal behavior with100,000 women slain in Europe as a result of these accusations -Mass hysteria -Enlightenment by Johann Weyer and Dr. Paracelsus Copyright © 2012 by Pearson Education, Inc. All rights reserved. Copyright © 2011 by Pearson Education, Inc. All rights reserved. Witchcraft, Demons, and Alien Abductions, Oh My… Let’s examine the evidence 1. Do you believe in ghosts and the supernatural? Or that other life forms exist? Fact: Over hundreds of years, many people have reported cases of spiritual visitation Evidence: -No objective scientific data -Lack of physical proof Copyright © 2012 by Pearson Education, Inc. All rights reserved. History and Abnormal Behavior Nineteenth Century – moral treatment characterized by: -The removal of patients from “warehouse” asylums into specialized facilities devoted to the care and treatment of the mentally ill -Advocacy for a more humane method of treatment -The use of respect, kindness, religion, and vocation -Key founders: Philippe Pinel, William Tuke, Benjamin Rush, Dorothea Dix, and Emil Kraepelin Copyright © 2012 by Pearson Education, Inc. All rights reserved. Quick Recap 1. During _____, people believed abnormal behavior stemmed from an imbalance of humours, which consisted of blood, black bile, yellow bile, and phlegm. (a) ancient times (b) the Middle Ages (c) The classical period (Greek and Romans) (d) the Renaissance Copyright © 2012 by Pearson Education, Inc. All rights reserved. Quick Recap 2. During the ______, the emphasis was on viewing people with mental illness as worthy of receiving respect and kindness, and incorporating moral treatment as the method of care. (a) Roman period (b) Middle Ages (c) twentieth century (d) nineteenth century Copyright © 2012 by Pearson Education, Inc. All rights reserved. Current Views of Abnormal Behavior and Treatment Copyright © 2012 by Pearson Education, Inc. All rights reserved. The Neuron Fires, Sending An Impulse to the Next Neuron Dendrite: tree-like branches that receive messages from the neurons Neurotransmitters: chemicals that transmit information to and from neurons Figure 1.2 Soma: keeps the cell alive Neuron: nerve cells found throughout the body and brain that send and receive messages Axon: tube-like structures that carry messages to the cells Synapse: space between neurons Copyright © 2012 by Pearson Education, Inc. All rights reserved. Biological Models Biological scarring – years of living with a disorder causes changes in the brain Behavioral genetics. Hereditary factors Brain malfunctioning or structural abnormalities Viral infection theory – when a fetus is exposed to toxins or a virus while in the prenatal stage of pregnancy, or shortly after birth Copyright © 2012 by Pearson Education, Inc. All rights reserved. Psychological Models Psychoanalysis - Founder Sigmund Freud (1856-1939) - Three regions of the mind: id, ego, and superego - Defense mechanisms used as a way to prevent or cause abnormal behavior - Psychosexual stages of development: oral phase, anal phase, phallic phase, latency phase, and genital phase - Treatment options centered around: dream analysis, interpretation, free association, insight, and catharsis Copyright © 2012 by Pearson Education, Inc. All rights reserved. Psychological Models Modern Psychoanalytic - Carl Jung and the development of analytic therapy - Alfred Adler and the development of individual psychology - Contemporary models of psychoanalysis - Ego psychology - Object relations theory Copyright © 2012 by Pearson Education, Inc. All rights reserved. Psychological Models Behavioral - We are “Products and Producers” of our environment, meaning we learn our behaviors, or in some cases we adopt maladaptive behaviors as a source of coping - Vicarious conditioning is learning by observing a person’s behavior and then incorporating that into your own way of behaving - Behavior is learned in a variety of fashions, such as social learning, operant conditioning, reinforcement, and punishment - Treatment Copyright © 2012 by Pearson Education, Inc. All rights reserved. History and Abnormal Behavior: Twentieth Century Psychoanalytic 1. Sigmund Freud 2. Unconscious 3. Environmental factors 4. Parental influence 5. Infancy, particularly the first five years of life 6. Sexual urges Behaviorism 1. Ivan Pavlov and John B. Watson 2. Pavlov’s dogs and classical conditioning 3. Little Albert 4. Little Peter 5. Behavior can be learned and unlearned Copyright © 2012 by Pearson Education, Inc. All rights reserved. Psychological Models Cognitive - Founder Aaron Beck (1921- ) - “Perception is our Reality,” meaning how we perceive the occurrence of an event or situation impacts how we act, think, and feel - According to Beck, three distorted views exist for someone with depression: negative view of self, the world, and the future - Treatment is focused on changing these distorted cognitions or thoughts through the use of behavioral experiments and traditional narrative or “talk” therapy Copyright © 2012 by Pearson Education, Inc. All rights reserved. Common Cognitive Distortions After reviewing these terms, think of a time when you personally adopted one of these negative assumptions. Where did this faulty belief come from? How would you stop this way of thinking in the future? Copyright © 2012 by Pearson Education, Inc. All rights reserved. Psychological Models Humanistic 1. Founder Carl Rogers (1902-1987) He believed abnormal behavior originates when one’s self image and actual self are incongruent, thus limiting a person’s ability to achieve her or his full potential Phenomenology is the term meaning one’s worldview 2. Client-centered therapy Genuineness Empathic understanding Unconditional positive regard Copyright © 2012 by Pearson Education, Inc. All rights reserved. Sociocultural Models Combine Issues Surrounding… Gender roles Social norms Socioeconomic status Cultural expectations Race and ethnicity Presence or absence of social support Interpersonal resources Copyright © 2012 by Pearson Education, Inc. All rights reserved. How each piece of the puzzle works… Biopsychosocial Model - Since each individual case is unique, no single model can fully explain the presence of abnormal behavior - Systemic approach acknowledges that many different factors contribute to the illness as a “whole” - Diathesis-stress model - Examines biological, psychological, social, and cultural factors related to abnormal behavior Copyright © 2012 by Pearson Education, Inc. All rights reserved. The Diathesis-Stress Model Figure 1.3 Copyright © 2012 by Pearson Education, Inc. All rights reserved. How it all comes together…an adolescent has been diagnosed with anorexia nervosa Biological model “There is an imbalance of serotonin in the brain” A biopsychosocial way of thinking! Cognitive model “Distorted thoughts about one’s body weight and appearance” Sociocultural model Psychological model “Societal and familial “Inability to cope with influences on the view of stress” beauty, emphasizing thin ideal” Copyright © 2012 by Pearson Education, Inc. All rights reserved.