Abnormal Psychology
Abnormal Psychology
Abnormal Psychology
DSM
(Diagnostic and Statistical Manual of Mental Disorders)
Provides a way for psychologists to diagnose their patients
Contains all the symptoms of all known psychological disorders.
Periodically revised
Perspectives
Many different perspectives have different ideas of what causes
a psychological disorder.
Perspective
Psychoanalytic/ Psychodynamic
Humanistic
Behavioral
Cognitive
Sociocultural
Biomedical
Causes of disorders
Internal unconscious conflicts
Failure to strive towards ones
potential or being out of touch with
ones feelings
Reinforcement history, the
environment
Irrational, dysfunctional thoughts or
ways of thinking
Dysfunctional society
Organic problems. Biochemical
imbalances, genetic predispositions
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Perspective
Psychoanalytic
Behaviorists
Cognitive
Biological
Theory
An anger directed inward, loss
during the early psychosexual
stages, or an overly punitive
superego
Bringing about some kind of
reinforcement such as attention or
sympathy
Aaron Beck- Results from
unreasonable negative ideas that
people have about themselves,
their world, and their futures
(Cognitive triad)
They can look at the cause by
seeing the kind of explanations
the patient gives to their
experiences.
Pessimists are more likely to
promote depression
Learned helplessness- Dog
shocking experiment
When ones prior experiences
have caused that person to view
himself or herself as unable to
control the aspects of the future
that are controllable.
Results in positivity and
depression
Low levels of serotonin
More receptors for acetylcholine
(bipolar)
Low levels of norepinephrine
Responds to somatic therapy
Genetic
Schizophrenic Disorders
Disordered or distorted thinking often demonstrated through
delusions, hallucinations, disorganized language, and unusual motor
behavior. Hits people as they enter young adulthood
Symptoms
Delusions of persecution- belief that people are out to get you
Delusions of grandeur- belief that you enjoy greater power and
influence than you do
Hallucinations- Perceptions in the absence of any sensory
stimulation
Neologisms- making up their own words
Clang association- string together a series of nonsense words that
rhyme.
Inappropriate affect- showing the wrong emotion ex. Crying when
someone dies
Flat affect- Having absolutely no emotional response
Positive symptoms- excesses in behavior, thought, or mood like
neologisms and hallucinations
Negative symptoms- deficits such as catatonia or flat affect
5 Categories
Disorganized
o Disorganized or difficult to understand speech and thoughts
o Flattening or inappropriate emotions.
Paranoid
o Make you feel like the world is out to get you
o Delusions and auditory hallucinations
o Results in aggression to defend themselves against harmful people
Catatonic
o No speech, movement or response
o If there is speech it is repetitive
Undifferentiated
o A person falls under so many symptoms of other categories that
they are placed into undifferentiated
Residual
o Past history of schizophrenia
o Person no longer displays prominent symptoms and have lessened
in severity
Perspective
Biological
Cognitive behavioral
Theory
Dopamine hypothesis- high levels
of dopamine (positive symptoms)
Treatment drugs result in a lower
dopamine level. Over use of drug
can cause negative side affects
like muscle tremors and stiffness
(tardive dyskinesia)
Parkinsons disease is treated with
I-dopa, which increases dopamine
levels. Over dose causes
schizophrenic like distortions in
thought
Enlarged brain ventricles related
to schizophrenic disease
Genetic relation (negative
symptoms)
Believes that certain kind of
environments may cause or
increase likelihood of
schizophrenia.
Double blinds- when a person is
given contradictory messages
Diathesis-stress- environment
stressors can provide the
circumstances under which a
biological predisposition for illness
can express itself
Personality Disorders
Well-established, maladaptive ways of behaving that negatively
affect peoples ability to function.
Antisocial personality disorder Have little regards for other peoples feelings
View the world as a hostile pace where people need to look out for
themselves
Dependent personality disorders Rely too much on the attention and help of others
Paranoid personality disorders
Feel persecuted
Narcissistic personality disorder Seeing you as the center of the universe. Self love
Histrionic personality disorder Overly dramatic behavior
OCD- Obsessive compulsive disorder
Persistent, unwanted thoughts cause someone to feel the need to
engage in a particular action.
Common obsession is cleanliness
Causes anxiety that is only reduced when a person performs the
compulsory behavior.
Borderline personality disorder Unstable moods, behaviors or relationships
Caused by self perception
Avoidant
Overly shy introvert that avoids people
Other Disorders
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Neurocognitive disorders
Alzheimers disease- deterioration of cognitive abilities
Autism/ Aspergers
Hypochondriasis
Divided into
disorganized, paranoid,
catatonic, and
undifferentiated
Included four separate
but related diagnoses
including autistic
disorder and Aspergers
Diagnosed when many
seemingly typical
physical sensations
were interpreted as
signs of catastrophic
illness
DSM-5
Classified under OCD
and related disorders
Classified under
trauma and stressor
related disorders
Subcategories
eliminated
Autism spectrum
disorder replaces the
four
Now diagnosed as
somatic symptom
disorder
History
In early societies mentally ill were seen to be possessed by
spirits
Trephining- an early form of treatment that was supposed to
let the harmful spirits escape
o Talking to psychologists
Biological psychologists believe in somatic treatments
Patient- a person who coms to a psychologist for help
Humanistic therapists call their patients clients
Psychoanalytic Therapy
Developed by Freud
Lengthy and expensive
Patient lies on a couch, while the therapist sits on a chair out of
their line of vision.
Claim the cause of disorders is an unconscious conflict and try to
identify the underlying cause.
Determinism- People have no control over what happens to them
and that their choices are predetermined by forces outside of
their control.
Believe other methods rid the patient of symptoms but not the
true problem.
o Symptoms are outward manifestations of deeper problems
that can only be cured through analysis.
o Symptom substitution
A person is successfully treated for one psychological
disorder but they develop another.
Techniques developed to delve into the unconscious mind which
rely heavily on the interpretations of the therapist
o Hypnosis- an altered state of consciousness where the
patient is less likely to repress troubling thoughts in this
state.
o Free association- to say whatever comes to mind without
thinking, preventing censorship to what we say so that we
dont hide thoughts from ourselves, and we elude our egos
defense mechanisms.
o Dream analysis- the patient is asked to describe their
dreams, because their egos defense is relaxed when
sleeping
Manifest content- the part of the dream that the
patient reports
Resistance
o When patients disagree with the therapists interpretation
because they are in a painful process of coming to terms
with depressed troubling thoughts.
o The stronger the resistance is an indication that the analyst
is getting closer to solving the problem.
Transference
o The patient begins to have strong feelings towards the
therapist
o May think they are in love, have serious hatred or see them
as a parental figure.
o Reflect strong feelings of people with troubling
relationships onto their therapist.
Psychodynamic theorists believe in the unconscious mind but
they also use a variety of techniques.
Humanistic Therapies
Insight therapy- the patients/ clients gaining understanding of
their problems
Focus on helping people to understand and accept themselves to
strive for self actualization
Self actualization- reaching ones highest potential.
Operate from the belief that people are innately good and also
possess free will (controlling of their own destinies)
Carl Rogers created client centered therapy/ person centered
therapy
o Unconditional positive regard a blanket of acceptance and support of a person
regardless of what they do or say.
People without this experience see themselves in a
different way than other people made them feel.
Helps client accept and take responsibility for
themselves.
o Non directive- do not tell the patient what do to, but would
help the client chose a course of action for themselves.
Behavioral Therapies
Believe that all behavior is learned
Counterconditioning
o Developed by Mary Cover Jones
o An unpleasant conditioned response is replaced with a
pleasant one
Systematic desensitization
o Created by Joseph Wolpe
o Used in anxiety disorders and phobias
o Replaces the feelings of anxiety with relaxation
o First the person is taught how to relax through different
techniques like breathing exercises and meditation.
o Then an anxiety hierarch is constructed
Cognitive Therapies
They believe that the cause of the problem is in the way people
think, and concentrate on changing the unhealthy thought patterns.
Attributing failure to internal, global or permanent aspects of the
self is unhealthy, but healthy would be viewing the failure as a
result of external, specific or temporary causes.
Created by Aaron Beck
o The treatment of depression.
o Encourage participation in things that would bring them
success.
o Helps alleviate depression and identify and challenge the
irrational thoughts that cause unhappiness.
o Cognitive triad People's beliefs about themselves, their worlds and
their futures.
Somatic Therapies
Biomedical psychologists believe psychological disorders are caused
by organics like imbalances of neurotransmitters, hormones,
structural abnormalities in the brain, or genetic predispositions
Somatic therapy produces bodily changes.
Drug therapy/ psychopharmacology/ chemotherapy
o Drugs treat many things from anxiety disorder to mood
disorders to schizophrenia.
o The more severe is the more likely treatment with drugs
becomes
o Schizophrenia almost always treated with drugs because
peoples communication of feeling is hindered by their
disorder.
Treated with antipsychotic drugs like Thorazine or
Haldol
Drugs block receptor sites for dopamine
Side affects are tardive dyskinesia, like Parkinsons
o Mood disorders respond well with chemotherapy
Unipolar depression is often treated with tricyclic
antidepressants, monoamine oxidase (MAO)
inhibitors, and serotonin reuptake inhibitor drugs
(Prozac)
Medicines increase the activity of serotonin
The metal lithium is used to treat the manic phase of
bipolar disorder
o Anxiety disorders are treated with drugs
Depresses the activity of the central nervous system,
making the person feel more relaxed
Barbiturates like Miltown
Benzodiazepines like Xanax and Valium
Electroconvulsive therapy (ECT)
o Bilateral- An electric current is passed through both
hemispheres of the brain.
Has more negative side effects like loss of memory
Psychiatrists
o Medical doctors
o Only therapists permitted to prescribe medication in most
U.S. States
o Often favor the biomedical model of mental illness because
of less training in psychotherapy
Clinical psychologist
o Earn doctoral degree that require four of more years of
study
o Must do an internship which they are overseen by a more
experience professional
o Deal with patients suffering from more severe problems
than everyday difficulties with work or family
Counseling therapists
o Have a graduate degree in psychology
o Must do an internship which they are overseen by a more
experience professional
o School psychologists and marriage and family therapists
o Help people whose problems are less severe than those of
a clinical psychologist
Psychoanalysts
o People specifically trained in Freudian methods
o May or may not hold medical degrees.
How effective is Therapy?
Many people recover from disorders without intervention
Not always successful
Studies have showed that therapy is generally affective.
Success can be affected by the relationship between client and
therapist
Social cognition
Attitude Formation and Change
Attitude- a set of beliefs and feelings that are evaluative
The mere exposure effect- the more one is exposed to
something, the more one will come to like it
Central route- deeply processing the content of the message
(what makes this potato chip better than the rest?
Compliance Strategies
People often use strategies to get other people to comply with their
wishes called compliance strategies.
Foot in the door phenomenon- If you can get people to agree on
a small request, they will become more likely to agree to a follow
up request that is larger.
Door in the face strategy- After people refuse large request, they
will agree with a follow up request that seems more reasonable
in comparison.
Norms of reciprocity- When someone does something nice for
them, they should do something nice in return.
Attribution Theory
Another area of study within the field of social cognition which tries to
explain how people determine the cause of what they observe
Combating Prejudice
Contact theory- Contact between hostile groups will reduce
animosity, if the groups are made to work toward a goal
(superordinate goal) that benefits all and necessitates the
participation of all. Often used by educators for social groups in
schools
Sherif (1966)- Robbers cave study/ camp study
o Split summer camp into two and made them compete in a
series of activities, and created negative feelings between
the groups.
o He then made several emergencies that required the two
groups to cooperate, improving relations between the
groups.
Attraction
The study of the factors that increase the chances of people liking one
another
We like others on these three criterias
o Similarity- We like people who are similar to us in attitudes,
backgrounds, and interests
o Proximity- Exposure effect, the more exposure one has to
another, the more one generally comes to like that person.
Talking is a major part of proximity, because you
have to be able to talk to discover similarities
o Reciprocal liking- the more someone likes you, the more
you will probably like them
Many people are attracted to others who are physically attractive
Group Dynamics
Norms- rules about how group members should act
Groups also have certain roles.
Social loafing- When a person does not put in as much effort
when in a group as they would when alone.
o People see efforts as less discernable and feel less
motivated
o People reap the rewards of the group effort without their
own stress.
Group polarization- the tendency of a group to make more
extreme decisions than a group member would individually
make.
Groupthink- describes the tendency for groups to make bad
decisions.
o Caused by group members suppressing their reservations
on an idea.
o False unanimity is caused.
o Highly cohesive groups tend to be more at risk
Deindividuation- loss of self-restraint that occurs when group
members feel anonymous and aroused.
o Phillip Zimbardo
Asked a group of Stanford students to play the role of
prison guard or prisoner in uniform.
The prisoners were numbered and locked up.
The prison guards took their roles too well and the
experiment was ended early because of the
treatments inflicted on the prisoners.
Experimenter
LaPiere
Topic
Attitudes
Festinger and
Carlsmith
Cognitive
Dissonance
Rosenthal
and Jacobson
Self fulfilling
prophecy
Sherif
Superordinate
goals
Darley and
Latane
Bystander effect
Asch
Conformity
Milgrim
Obedience
Zimbardo
Roles,
Major findings
Attitudes dont always predict
behavior
Chinese couple said they
wouldnt serve the couple
Changing ones behavior can lead
to a change in attitudes.
The $1 group had to change
opinion because of like of
motivation unlike for the $20
group
One persons attitudes can elicit a
change in another persons
behavior
Teacher positive expectation
led to increase in the IQ
scores
Intergroup prejudice can be
reduced by working towards a
goal
Campers in competitive
groups had to come together
and solve camp wide
problems causing positive
feelings about one another
The more people that witness an
emergency, the less likely a
person is to help
College student would be
more likely to help if they
over hear a peer having a
seizure than if the student
thought others heard as well
People are loathe to contradict
the opinions of a group
70% of people reported one
obvious incorrect answer
People tend to obey authority
figures
60% thought they delivered
the maximum possible level
of shock
Roles are powerful and can lead
Deindividuation
to Deindividuation
People playing prisoner guard
acted in a negative and
hostile way.