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Richard P. HalginSusan Krauss Whitbourne
University of Massachusetts at Amherst
slides by Travis LangleyHenderson State University
Abnormal Psychology
Clinical Perspectives on Psychological Disorders 5e
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Chapter 1
Understanding Abnormality:A Look at History and Research Methods
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DO YOU THINK ANY OF THESE BEHAVIORS ARE ABNORMAL? Having a “lucky” seat in an exam? Being unable to eat, sleep, or study for days after
the breakup of a relationship? Breaking into a cold sweat at the thought of being
trapped in an elevator? Refusing to eat solid food for days to stay thin? Thorough hand-washing after riding a bus? Believing government agents monitor your phone
calls? Drinking a 6-pack daily to be “sociable”?
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ABNORMAL BEHAVIOR:
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Distress Impairment Risk to self or
other people Socially and
culturally unacceptable behavior
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What Causes Abnormality?
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Causes of Abnormality Biological genetic inheritance
medical conditionsbrain damageexposure to environmental stimuli
Psychological traumatic life experienceslearned associationsdistorted perceptionsfaulty ways of thinking
Sociocultural disturbances in intimate relationshipsproblems in extended relationshipspolitical or social unrestdiscrimination toward one’s social group
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Causes of Abnormality
Three dimensions of the causes of abnormality: biological psychological sociocultural
Social scientists use the term BIOPSYCHOSOCIAL to characterize the interactions among these three dimensions.
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Biological Causes
Possible biological causes Genetics Disturbances in physical functioning
Medical conditions (e.g., thyroid problem) Brain damage Ingestion of substances Environmental stimuli (e.g., toxins)
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Psychological Causes
Possible psychological causes Troubling life experiences
Interpersonal – between people(e.g., arguments)
Intrapsychic – within thoughts and feelings(e.g., irrational interpretations)
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Sociocultural Causes
Sociocultural circles of influence Immediate circle – people with whom we
interact most locally. Extended circle of relationships such as
family back home or friends from high school.
People in our environment with whom we interact minimally.
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Biopsychosocial Perspective
Diathesis-Stress Model:The proposal that people are born with a predisposition (or "diathesis”) that places them at risk for developing a psychological disorder if exposed to certain extremely stressful life experiences.
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Abnormal Psychology Throughout
History
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The mystical The scientific The humanitarian
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Three prominent themes in explaining psychological disorders recur throughout history:
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Prehistoric Times: Abnormal Behavior as Demonic Possession Trephining Exorcism
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Ancient Greece and Rome: Emergence of the Scientific Model
Hippocrates (circa 460-377 B.C.) Theory of 4 Humors
• Black bile (“melancholic”)• Yellow bile (“choleric”)• Phlegm (“phlegmatic”)• Blood (“sanguine”)
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Ancient Greece and Rome: Emergence of the Scientific Model Hippocrates (circa 460-377 B.C.)
Galen (130-200 A.D.)
Aesclepiades (1st Century B.C.)
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The Middle Ages and Renaissance: Re-emergence of Spiritual Explanations
Explanations: Superstition, astrology, alchemy
Treatments: Magical rituals, exorcism, folk medicines
Witch hunts Asylums
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Europe and the United States in the 1700s: The Reform Movement
Vincenzo Chiarugi Philippe Pinel
Jean-Baptiste Pussin
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More Reformers
William Tuke, Moral Treatment
Benjamin Rush Dorothea Dix,
State Hospital Movement
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Benjamin Rush’s Methods
Rush and his contemporaries thought that the fright induced by their methods would counteract their patients’ mental illnesses.
Source of illustration: National Library of Medicine.
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1800s to 1900s:
AlternativeModels Medical Model
Mesmerism, Hypnotism
Psychoanalytic Model Psychoanalysis Psychotherapy
Source of illustration: Corbis/Bettmann.
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The Late Twentieth Century: The Challenge of Providing Humane and Effective Treatment
Medications Deinstitutionalization Movement Managed Health Care
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Research Methods in Abnormal
Psychology
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The Scientific Method
Objectivity Observation Hypothesis Formation Ruling Out Competing Explanations
With Proper Controls
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The Experimental Method
independent variable
(the possible cause)
dependent variable
(the outcome measured)
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The Correlational Method
correlation:an association (or co-relation) between two variables.
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The Correlational Method
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The Correlational Method
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The Survey Method
Incidence:The frequency of new
cases within a given time period.
Prevalence:The number of people
who ever had a disorder or the total number of cases at a given time.
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Researcher use the survey method to gather information from a sample considered representative of a particular population.
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The Case Study Method
Single-Subject Design
Studies of Genetic Influence
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The Human Experience of Psychological
Disorders
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MYTHS OF MENTAL ILLNESS
Creative people are a little “crazy.” People with mental disorders are dangerous. Most older people are senile. Freud was only concerned with sex. Criminals are born “bad.” Asthma is caused by emotional problems. Suicidal individuals rarely talk about suicide. People with schizophrenia have multiple
personalities.
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Impact on the Individual
Stigma
Stigma:A label that causes certain people to be regarded as different, defective, and set apart from mainstream members of society.
Distress
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Impact on the Family
Affected by loved ones’ distress. Also share a sense of stigma.
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Impact on the Community and Society Homelessness Health attention Communities divided
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