Which of the following is an approach that focuses on the impact of societal factors in explaining abnormal behaviors quizlet?

Those in the field of abnormal psychology study people's emotional, cognitive, and/or behavioral problems. Abnormal behavior may be defined as behavior that is disturbing (socially unacceptable), distressing, maladaptive (or self‐defeating), and often the result of distorted thoughts (cognitions).

Several perspectives (models, approaches derived from data) and theories attempt to explain the causes of abnormal behavior.

The medical perspective. Those who hold a medical perspective focus on biological and physiological factors as causes of abnormal behavior, which is treated as a disease, or mental illness, and is diagnosed through symptoms and cured through treatment. Hospitalization and drugs are often preferred methods of treatment rather than psychological investigation. (Recent research linking biochemical disorders with some abnormal behaviors has provided some support for this approach.)

The psychodynamic perspective. The psychodynamic perspective, proposed as an alternative to the medical model, evolved from Freudian psychoanalytic theory, which contends that psychological disorders are the consequence of anxiety produced by unresolved, unconscious conflicts. Treatment focuses on identification and resolution of the conflicts.

The behavioral perspective. Those espousing a behavioral perspective contend that abnormal behavior results from faulty or ineffective learning and conditioning. Treatments are designed to reshape disordered behavior and, using traditional learning procedures, to teach new, more appropriate, and more adaptive responses. For example, a behavioral analysis of a case of child abuse might suggest that a father abuses his children because he learned the abusive behavior from his father and must now learn more appropriate parenting tactics.

The cognitive perspective. According to the cognitive perspective, people engage in abnormal behavior because of particular thoughts and behaviors that are often based upon their false assumptions. Treatments are oriented toward helping the maladjusted individual develop new thought processes and new values. Therapy is a process of unlearning maladaptive habits and replacing them with more useful ones.

The social‐cultural perspective. From the social‐cultural perspective, abnormal behavior is learned within a social context ranging from the family, to the community, to the culture. Cultural variables, acquired through learning and cognitive processes, are believed to be important in producing abnormal behavior. Anorexia nervosa and bulimia, for example, are psychological disorders found mostly in Western cultures, which value the thin female body.

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abnormal psychology

the scientific study of abnormal behavior in an effort to describe, predict, explain, and change abnormal patterns of functioning and their treaments

abnormal disorder

harmful dysfunction in which behaviors are maladaptive, unjustifiable, disturbing, and atypical

stigma

a mark of shame or discredit

clinical significance

degree to which research findings have useful and meaningful applications to real problems

Distress vs. eustress

distress is negative stress and eustress is positive stress

five criteria for psychological disorder

1. Clinical significance
2. Dysfunction in psychological, biological, or developmental processes
3. Significant distress or disability
4. Behavior that cannot be defined as deviant in terms of sociopolitical, conflicts
5. Behavior that must reflect dysfunction in the individual.

biopsychosocial perspective

explains mental disorders as the result of interactions among biological (genetic)
psychological (learning experiences) and
social factors (stigma-discrimination)

spiritual explanations

regard psychological disorders as the product of possession by evil or demonic spirits

humanitarian explanations

regard psychological disorders as the result of cruelty, stress, or poor living conditions

scientific explanations

regard psychological disorders as the result of causes that we can objectively measure, such as biological alterations, faulty learning processes, or emotional stressors

independent variable

variable that is manipulated and controlled

dependent variable

The measurable effect, outcome, or response in which the research is interested.

Placebo

something which has a positive mental effect, but no physical effect

placebo condition

condition in an experiment in which participants receive a treatment similar to the experimental treatment, but lacking the key feature of the treatment of interest

placebo-controlled randomized clinical trial

experimental method in which participants are randomly assigned to a placebo versus treatment group

double-blind procedure

an experimental procedure in which both the research participants and the research staff are ignorant (blind) about whether the research participants have received the treatment or a placebo. Commonly used in drug-evaluation studies.

Incidence

number of new cases

prevalence

The number or proportion of cases of a particular disease or condition present in a population at a given time.

case study

an observation technique in which one person is studied in depth in the hope of revealing universal principles

Three themes of psychological disorders

Spiritual
Humanitarian
Scientific explanations

Client (patient)

This term refer to person seeking psychological treatment

clinician

the person providing treatment

psychologist

licensed healthcare professional offers psychological services

Psychiatrist (MD)

degree in medicine can prescribe drugs, specialized advanced training in psychotherapy or psychological disorders

Clinical Psychologists

Mental health professional with training in Behavioral Sciences who provides Direct Services

Diagnostic and Statistical Manual of Mental Disorders (DSM) V

Used by clinicians and researchers to diagnose and classify mental disorders,

principal diagnosis

the disorder that is considered to be the primary reason the individual seeks professional help

Commorbidity

co-occurrence of two or more Diagnoses within the same person

differential diagnosis

the process of systematically ruling out alternative diagnoses

types of treatments

Goals: short or long term
Site: In-patient​ / Halfway houses/Day treatment​ / Out-Patient​ (limited care)
Modality​: Individual​, Family​, Group​

milieu therapy

a humanistic approach to institutional treatment based on the belief that institutions can help patients recover by creating a climate that promotes self-respect, responsible behavior, and meaningful activity

What do we define abnormality

Clinical significance - measurable degree of impairment
Psychological disorder - evidence of dysfunction
Abnormality - behavior `" distress results to disability"
Socially defiant - religion, politics, sexuality ex. eating disorder.
Dysfunction within an individual - consequences of their actions ex. protesting that lead to missing school and fail in class.

biopsychosocial approach

an integrated approach that incorporates Biological, Psychological, and Social-cultural levels of analysis

Causes of abnormal behavior

biological factors
psychological factors
social factors

Biological Factors

Abnormal behavior criteria - Genetic inheritance, physiological changes, exposure to toxic substances.

Biological factors consist of anything physical that can cause adverse effects on a person's mental health. This includes genetics, prenatal damage, infections, exposure to toxins, brain defects or injuries, and substance abuse.

schizophrenia, bipolar, mental retardation

Psychological factors

Abnormal Behavior criteria - Past learning experiences, maladaptive thought patterns (drinking and gambling), difficulties coping with stress.

A psychological disorder is a condition characterized by abnormal thoughts, feelings, and behaviors.

Anxiety disorders.
Mood disorders.
Schizophrenia and psychotic disorders.
Dementia.
Eating disorders
PTSD

Abnormal Behavior Criteria - social policies, discrimination, stigma (negative perspective)

Sociocultural

sociocultural approach, which looks at the influence of society and culture on a person's mental health.

Key components of the sociocultural approach include societal pressures, cultural rules and expectations about race, gender and sexual orientation.

4 D's of abnormality

deviance, distress, dysfunction, danger

...

psychological distress that manifests psychologically or physically. Physical expressions: asthma, hypertension, fatigue, pain, hears palpitations. Psychological: extreme or prolonged emotional experiences

Distress

psychological distress that manifests psychologically or physically.

a. Physical Expressions: asthma, hypertension, fatigue, pain, hears palpitations

b. Psychological: extreme or prolonged emotional experiences

Deviance

Behaviors that Deviate from social or statistical norms
- Subjective
- Dictated by social norms

Dysfunction

- Impairment in one's ability to participate and fulfill expected psycho social roles

Ways to assess dysfunction:
- Compare an individual's performance with the requirements of a role

- Compare an individual's performance with their potential

Dangerousness

Danger to oneself or others

- Psychologists and statistical models are terrible at predictions

Experiment Design

independent variable, dependent variable, control variable, control group, replication, & statistics

Independent groups

adjusted or controlled by the experiment

ex. about a therapy reduces anxiety - experiment some provided therapy and some did not.

"therapy" is independent variable

dependent variable

The Measurable Effect, outcome, or response in which the research is interested.

ex. An example of a dependent variable is how tall you are at different ages. The dependent variable (height) depends on the independent variable (age)

level of stress and anxiety - independent variable

randomized controlled trial

experimental group randomly has interventions to minimize 'bias" to who needs treatment the most.

Method works with "evidenced- based treatment"

correlation design

studies intended to indicate how variables are related to each other

"No cause and effect, results can be generalized"

correlation numbers = +1 and -1

positive correlation - scores increases, so as the other increases (+ 43)

negative correlation - scores increases , other decreases (-43)

Experiment

cause and effects
variables are controlled and manipulated
cane be generalized

case study method

an in-depth study of one or more individuals

"explanatory and can not be generalized"

therapist describes cases to family members that share same unusual disorder

single experimental design (SCED)

same person serves as subject in both experimental and control conditions.

...

book

a widely used system for classifying psychological disorders such as individual's cognitive, emotion regulation, or behavior that reflects a dysfunction in psychology, biology, or developmental processes underlying mental functioning

- associated with significant distress or disability in psychological functioning

NOT: Culturally normative responses to common stressors are not considered mental disorders.

- Socially deviant behavior (e.g., political protest) that is primarily between the individual and society are not mental disorders.

Reliability and Validity

two factors that makeup a good psychological test

consistency; accuracy

Reliability

degree to which a test or measure procedures consistent results - diagnosis aligns to symptoms

validity

test, diagnosis, or rating accurately and distinctly characterizes a person's psychological status.

Diagnostic Procedures

principal diagnosis
comorbidity
differential diagnosis

treatment plan

- outline for how therapy should take place
- clinician describes the treatment goals, treatment site, modality of treatment, and theoretical approach

Treatment site

psychiatric hospitals - client receives medical interventions and intensive psychotherapy

specialized inpatient treatment centers - intensive supervision 24 hours supervisions - rehab drug addicts

outpatient treatment - community mental health centers (CMHCCs) - limited care

Halfway houses and day treatment programs -

clinical interview

A series of questions that clinicians administer in face to face interactions with client.

Clinical interview questions

Age and gender
Reason for referral
Education and work history
Current social situation
Physical and mental health history
Drug/alcohol use and current medication
Family history
Behavior observation

mental status examination

a method of objectivity assessing a client's behavior and functioning in a number of spheres, with particular attention to the symptoms associated with psychological disturbance

Content of thought
Appearance attitudes, behavior, mood
Speech
Perception
Cognition
Insight
Judgement

Structured vs unstructured interview

Structured interview - provides standardized series of questions with predetermined wording and order

More systematic approach to Diagnosed or classified clients symptoms -45-90 mins

Structured clinical interview for DSM 5 - CV

Intelligence testing

Clinicians use to in diagnosis of neurological and psychiatric disorders

Cognitive evaluation - prediction, learning disabilities, giftedness, intellectual ability

Stanford Binet 5

Deviation intelligence (IQ)
Average - 100 / SD -15

Below - 99

Wechsler intelligence scales

The first comprehensive individual test that researchers specifically design to measure adults intelligence.

Verbal and performance
Picture and actions b

Self-report clinical inventory

Pschological standardize fix questions

Test paper or online test

Biological Perspective

A psychological approach that emphasizes bodily events and changes associated with actions, feelings, and thoughts.

focused on the connection between Psychological Disorder and Specific brain areas.

check ABNORMALITIES of the following
neurotransmitter
brain structure
-genetic
-gene environment interaction

Biological perspective treatments

Drug therapy - antidepressant, anti-anxiety, antibipolar, antipsychotic

Electroconvulsive therapy (ECT)
- more popular
- if does not respond to medication

Psychosurgery
- lobotomy 1935 - psychosurgery, a neurosurgical treatment of a mental disorder remove a nerve in the brain
- invasive more precise
- only exercise in extreme cases

Inherited/Genes ----> TRAITS----> Behavior/Personality
However, our Genes ----> behavior (adaptive or evolve environmentally)

Projective test

Test take presented ambiguous images or task. Asked to provide own interpretations

Rorschach inkblot test

Neuropsychological assessment

Performance based method assessing cognitive function - injuries

Short term (attention and working) - scores will be based on response

comprehension, verbal, mental, speed processing

Executive function - formulate ablity to complete all task in a effective way.

Brain damage
Brain disease
Severe illnesses

Electroencephalogram (EEG)

Measures electrical wave activity in the brain

Alertness
Resting
Sleeping
Dreaming

Computed axial tomography scan (CAT or CT)

Series of X-rays to produce pictur of brain

Checks fluid area of brain (ventricles)
Structural damage (enlargement)
Lost of vital brain tissues

Magnetic resonance imaging (MRI)

Radio waves (capsules) to check nerve fibers (white matter) and nerve cells (grey matter) for disease

Powerful electromagnetic energy
Cannot be use - metallic joints, pacemakers, or any metallic implants.

Position emission tomography (PET) scan

Small amount of radioactive compound is injected into bloodstream to measure brain activity

Neurotransmitters

chemical messengers that cross the synaptic gaps between neurons

Genes

DNA segments that serve as the key functional units in hereditary transmission.

Genotype

genetic makeup of an organism

Allele

one of two or more a number of different forms of a gene

polygenic

describes a characteristic that is influenced by many genes

Phenotype

the expressed traits of an organism in the individual's physical and psychological attributes

psychodynamic perspective

the theoretical orientation in psychology that emphasizes unconscious determinants of behavior

-abnormal symptoms

-oldest and most famous psychological model
-Sigmund Feud (1856-1939) - father of psychodynamic and psychoanalytic

Feuds views of Abnormal Behavior

Id - pleasure principle, needs, impulses, "I want it know"

Ego- reality principle, defense mechanism or mediator, "satisfy Id w/o upsetting SuperEgo"

SuperEgo - morality principle, conscience, "adopted from parents"

treatments
-Free association - let client speaks her mind
-Interpretation - transference/counter transference

Short term - Psychodynamic therapies

Behavioral Perpective

theoretical assumption that abnormality is caused by faulty learning experience

-observable behavior
-factors might precipitate and consequences

two theories that focus
- emotional
-involuntary reaction - fear, or voluntary reaction - engaging in unwanted or undesirable habit

how behaviorists explain abnormal behavior

-Classical conditioning - pairing unrelated stimuli - PAVLOV and PHOBIAS

-Operant conditioning - Reward and Punishment, reinforces the behavior, - SKINNER

-Modeling - observe and repeat, "do what I say, not as I do" - anxiety

Treatment
-identify the behavior and replace them with more appropriate ones
-> classical, operant or modeling

note: therapist becomes "teacher"
- learn relaxation skills
- develop a fear hierarchy
- confront fear situation

cognitive perpective

focuses on memory, intelligence, perception, problem-solving, and learning
- a psychological disorder is a product of disturbing thoughts.

dysfunctional attitude (people will think less of me if I don't make mistake) ----> experience (I gave the wrong answer in class)---->autonomic thought (people think I am stupid)---->negative emotion (I feel sad and useless)

Assessment
-ask questions about assumptions, attitudes, thought of a client
- internal processes - challenge her belief that she let down family and friends
- present-focused - encourage her to challenge assumption on feeling toward her family

treatment:
-constructive restructuring
-change thoughts by challenging attitudes and belief
-cognitive behavioral therapy
-incorporate behavioral and cognitive

sociocultural perspective

A psychological approach that emphasizes social and cultural influences on behavior

assessment
-social and cultural forces - family belief
-labels and roles - discriminations gender, race,
-family systems theory -

treatment
- group therapy - experience is shared
- family therapy
- milieu therapy - therapeutic community, hospitals, to promote positive functioning of the client
- multicultural therapy - awareness, knowledge, and skills of the client's sociocultural context