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that over 25% of all undergraduate students do not utilize their required
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student retention is dropping nationwide and while the higher education


community has done a remarkable job of opening the doors of college to
more and more students, we have not seen equal strides in the number of
students who actually complete four-year degrees. (Education Trust, 2004)

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Durand/Barlow:
Essentials of Abnormal Psychology, 4e

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Chapter 1
Abnormal Behavior in
Historical Context
Myths and Misconceptions About Abnormal
Behavior
No Single Definition of Psychological
Abnormality
No Single Definition of Psychological
Normality
What is a Psychological Disorder?

Psychological Dysfunction
Breakdown in cognitive, emotional, or
behavioral functioning
Personal Distress
Difficulty performing appropriate and
expected roles
Impairment is set in the context of a persons
background
Atypical or Not Culturally Expected Response
Reaction is outside cultural norms
Abnormal Behavior Defined

Working Definition
A psychological dysfunction associated
with distress or impairment in functioning
that is not typical or culturally expected
The Diagnostic and Statistical Manual (DSM-
IV-TR)
DSM Contains Diagnostic Criteria
The Field of Psychopathology
The scientific study of psychological
disorders
The Science of Psychopathology

Mental Health Professionals


The Ph.D.s: Clinical and counseling
psychologists
The Psy.D.s: Clinical and counseling
Doctors of Psychology
M.D.s: Psychiatrists
The Science of Psychopathology
(continued)
M.S.W.s: Psychiatric and non-psychiatric
social workers
MN/MSNs: Psychiatric nurses
Lay public and community groups
United by the Scientist-Practitioner
Framework
The Scientist-Practitioner

Producers of Research
Consumers of Research
Evaluators of Their Work Using Empirical
Methods
Functioning as a Scientist-Practitioner

Fig. 1.2, p. 6
Clinical Description

Begins with the Presenting Problem


Description Aims to
Distinguish clinically significant dysfunction
from common human experience
Describe Prevalence and Incidence of
Disorders
Clinical Description (continued)

Describe Onset of Disorders


Acute vs. insidious onset
Describe Course of Disorders
Episodic, time-limited, or chronic course
Prognosis
Good vs. guarded
Causation, Treatment, and Outcome

Etiology
What contributes to the development of
psychopathology?
Treatment Development
How can we help alleviate psychological
suffering?
Includes pharmacologic, psychosocial,
and/or combined treatments
Causation, Treatment, and Outcome
(continued)
Treatment Outcome Research
How do we know that we have helped?
Limited in specifying actual causes of
disorders
Historical Conceptions of Abnormal
Behavior
Major Psychological Disorders Have Existed
In all cultures
Across all time periods
Causes and Treatment of Abnormal Behavior
Varies Widely Across cultures, time
periods, world views
Historical Conceptions of Abnormal
Behavior (continued)
Three Dominant Traditions
Supernatural
Biological
Psychological
The Supernatural Tradition

Deviant Behavior as a Battle of Good vs.


Evil
Caused by demonic possession, witchcraft,
sorcery
Treatments included exorcism, torture,
beatings, and crude surgeries
The Moon and the Stars
Paracelsus and lunacy
The Biological Tradition

Hippocrates: Abnormal Behavior as a


Physical Disease
Hysteria The Wandering Uterus
Galen Extends Hippocrates Work
Humoral theory of mental illness
Treatments remained crude
The Biological Tradition (continued)
Galenic-Hippocratic Tradition
Linked abnormality with brain chemical
imbalances
Foreshadowed modern views
The 19th Century

General Paresis (Syphilis) and the Biological


Link With Madness
Several unusual psychological and
behavioral symptoms
Pasteur discovered the cause A bacterial
microorganism
Led to penicillin as a successful treatment
Bolstered the view that mental illness =
physical illness
The 19th Century (continued)

John Grey and the Reformers


Championed biological tradition in the USA
Consequences of the Biological Tradition

Mental Illness = Physical Illness


Emil Kraeplin
Diagnosis and Classification
The Psychological Tradition

The Rise of Moral Therapy


More humane treatment of institutionalized
patients
Encourage and reinforced social
interaction
The Psychological Tradition (continued)

Proponents of Moral Therapy


Philippe Pinel and Jean-Baptiste Pussin
Benjamin Rush Led reforms in U.S.
Dorothea Dix Mental hygiene movement
William Tuke - Followed Pinels lead in
England
The Falling Out of Moral Therapy
Emergence of Competing Alternative
Psychological Models
Psychoanalytic Theory

Freudian Theory of the Structure and


Function of the Mind
Structure of the Mind
Id (pleasure principle; illogical, emotional,
irrational)
Ego (reality principle; logical and rational)
Superego (moral principles; keeps Id and
Ego in balance)
Psychoanalytic Theory (continued)

Defense Mechanisms: Ego Loses the Battle


with the Id and Superego
Displacement & denial
Rationalization & reaction formation
Projection, repression, and sublimation
Psychosexual Stages of Development
Oral, anal, phallic, latency, and genital
stages
Later Developments in Psychoanalytic
Thought
Anna Freud and Self-Psychology
Emphasized influence of the ego in
defining behavior
Melanie Klein, Otto Kernberg, and Object
Relations Theory
Emphasized how children incorporate
(introject) objects
Objects images, memories, and values of
significant others
Later Developments in Psychoanalytic
Thought (continued)
The Neo-Freudians: Departures From
Freudian Thought
De-emphasized the sexual core of Freuds
theory
Jung, Adler, Horney, Fromm, and Erickson
Psychoanalytic Psychotherapy: The
Talking Cure
Unearth the Hidden Intrapsychic Conflicts
The Real Problems
Therapy Is Often Long Term
Techniques
Free Association
Dream Analysis
Examine Transference and Counter-
Transference Issues
Little Evidence for Efficacy
Humanistic Theory

Major Players
Abraham Maslow and Carl Rogers
Major Themes
That people are basically good
Humans strive toward self-actualization
Humanistic Theory (continued)

Humanistic Therapy
Therapist conveys empathy and
unconditional positive regard
Minimal therapist interpretation
No strong evidence that humanistic therapies
work
The Behavioral Model

Derived from a Scientific Approach to the


Study of Psychopathology
Classical Conditioning (Pavlov; Watson)
Ubiquitous form of learning
Contingency between neutral and
unconditioned stimuli
Conditioning was extended to the
acquisition of fear
The Beginnings of Behavior Therapy

Challenged Psychoanalysis and Non-


Scientific Approaches
Early Pioneers
Joseph Wolpe Systematic desensitization
Operant Conditioning (Thorndike; Skinner)
Another ubiquitous form of learning
Voluntary behavior is controlled by
consequences
The Beginnings of Behavior Therapy
(continued)

Learning Traditions Influenced the


Development of Behavior Therapy
Behavior therapy tends to be time-limited
and direct
Strong evidence supporting the efficacy of
behavior therapies
The Present: An Integrative Approach

Psychopathology Is Multiply Determined


Unidimensional Accounts of Psychopathology
Are Incomplete
The Present: An Integrative Approach
(continued)
Must Consider Reciprocal Relations Between
Biological, psychological, social, and
experiential factors
Defining Abnormal Behavior
Complex, multifaceted, and has evolved
The Supernatural Tradition
Has no place in a science of abnormal
behavior

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