Psychopathology

Disorders and their Characteristics

Depression

Phobias

OCD

Emotional

Cognitive

Behavioural

Compulsions - Repetitive behaviours used to manage or reduce obsessions

Distress - Anxiety caused by obsessions. Can often lead to depression. Feelings of guilt and disgust

Obsessions - Intrusive, recurring, unwanted thoughts

Emotional

Cognitive

Behavioural

Disturbances in sleep, change in appetite, change in activity level

Low mood, feelings of worthlessness, lack of interest or pleasure in activities

Diminished ability to concentrate, irrational negative thoughts, occasional suicidal thoughts

Emotional

Cognitive

Behavioural

Avoidance - staying away from stimuli, High stress - flight, fight or freeze

Excessive and unreasonable fear, anxiety, and panic

Selective attention - fixated on stimulus, Irrational thinking - beliefs about phobic stimulus

Definitions of Abnormailty

Deviation from Social Norms

Failure to Function Adequately

Deviation from Ideal Mental Health

Statistical Infrequency

Abnormality is behaviour that breaks societies rules about acceptable conduct. They are often simple unwritten rules we learn from living in a society.

OCD - A social norm would be to shake someones hand. An abnormality would be that someone with a dirt/germ obsession may refuse
Depression - A social norm would be to eat the food someone has made for you. An abnormality is that someone with depression may have a low appetite and not eat
Phobias - A social norm would be to celebrate a friends birthday. An abnormality would be that someone with a fear of social situations may not turn up

Evaluation

Era Dependant

Context Dependant

Culturally Relative

Behaviour is abnormal if it prevents a person from leading a normal, everyday life and coping with everyday situations.


Rosenham and Seligman argue that behaviour is abnormal when it is: Maladaptive (stops you from achieving goals, socially and occupationally), Irrational(cannot be explained in a reasonable way), Unpredictable(characterised by a loss of control), or cause Observer Discomfort(makes other people uncomfortable)

OCD - A compulsive hand washer will often scrub the skin off their hands. This can cause observer discomfort.
Depression - Often self loathing and suicidal, which can cause observer discomfort
Phobias - Can freeze, faint, or panic when in presence of phobic stimulus, which can cause observer discomfort

Evaluation

Culturally relative

Not a defining feature

Subjective judgements

Jahoda identified 6 criteria for what is ideal mental health. These include: Positive self attitudes, Accurate Perception of Reality, Personal Growth, Integration.
Behaviour is abnormal if it lacks these criteria

OCD - Have obsessions that are irrational therefore do not have an accurate perception of reality
Depression - Have low self-esteem and feelings of worthlessness, therefore lack positive self-attitudes
Phobias - Suffers anxiety and panic in the presence of everyday objects, therefore lack integration.

Evaluation

Subjective judgements

Takes a positive approach

Unrealistic

Behaviour is abnormal if it is considered abnormal in the general population. If a characteristic only occurs in a minority of people (2 standard deviations from the mean), It is considered statistically infrequent and therefore abnormal

OCD - Approximately 0.5% of US adults are diagnosed with severe OCD
Depression - Approximately 2.5% of US adults are diagnosed with severe depression
Phobias - Approximately 1.9% of US adults are diagnosed with a severe specific phobia

Evaluation

Not necessarily a defining feature of abnormality

Era Dependant

More objective than other definitions

Behavioural Approach to Explaining Phobias

Behavioural Approach to Treating Phobias

Assumptions

Phobias are learnt through conditioning

Classical Conditioning suggests phobias are learnt through two stimuli paired together

All behaviour is learnt rather than inherited

Operant Conditioning suggests phobias are learnt through reinforcement

Two Process Model

Initiation: Classical Conditioning

Maintenance: Operant Conditioning

Stage 1: Before: UCS produces UCR, ie. the stimulus produces a response which is unlearned and natural. Such as being stung produces pain and fear.

Stage 2: During: A second new stimulus (NS) which originally produced no response is associated with the 1st stimulus(UCS).In phobias often one trial learning occurs which means it is not necessary for it to be repeated fro the association to be made. Such as the sting(UCS) might be associated with a wasp

Stage 3: After: The CS has been associated with the UCS to create a new CR. For example wasps(CS) which were tolerated before the sting, now produce a fear response by themselves(CS). A phobia of wasps has now been learnt

Operant conditioning explains why individuals continue to have phobias. according to this theory behaviour towards the phobia usually involves avoidance. Avoiding the phobia becomes a behaviour which is repeated as it is rewarding as it reduces anxiety and fear. Therefore avoidance acts as a negative reinforcement as it removes the unpleasant situation.

A person with anxiety will feel a reduction in fear if they decide to avoid a large social event. This avoidance results in the removal of the unpleasant anxiety. Avoidance behaviour therefore acts as a negative reinforcement as it removes fear

If an individual with social anxiety did attempt to go to a party and experienced a panic attack and therefore left, this person will see a reduction in there anxiety. This behaviour of leaving the party is therefore reinforced by a reduction in panic. Avoidance and escape negatively reinforce the social phobia and so it is repeated.

Evaluation

Contradictory evidence

Alternative biological explanations

Scientific

Reductionist

Supporting evidence

Assumptions

Phobias can be treated under the principles of classical conditioning.

Counter Conditioning replaces the learnt fear response with a relaxation response

This can occur through systematic desensitisation or flooding

Systematic Desensetisation

Flooding

Wolpe(1958) developed a technique where phobics were given an opportunity to learn that their feared stimulus poses no threat by gradually being exposed to it. It involves the patient being taught to associate the phobic stimulus with a new response of relaxation. The patient is taught relaxation techniques, then devises a fear hierarchy with the therapist. At the bottom is what they would feel most comfortable doing, this gradually builds up to what creates the most fear. The patient is then gradually exposed to each scenario. When they can remain calm, they move on to the next step, working up to the most feared situation

Evaluation

Relatively fast and easy to administer

Only effective for a limited number of phobias

Found to be effective

Parts may be unnecessary

Instead of gradual exposure to a phobic stimulus, flooding involves forced and prolonged exposure to the fear in one session. This may be difficult to achieve in a therapy session, as it may be impractical to fill a room with snakes or spiders. Therefore in the mid 1960s a modified technique called implosion therapy was created involving patients being given detailed descriptions rather than actual experience.

Flooding works by replacing a fear response with relaxation. A persons fear response will activate the sympathetic branch of the autonomic nervous system to release adrenaline into the. This causes an increase in heart rate and breathing. Once this state of bodily arousal has been reached, the parasympathetic branch will reverse these effects and adrenaline levels will decrease. A new stimulus-response relationship will have been learned between the phobic stimulus and relaxation.

Evaluation

Flooding can be a highly traumatic procedure

Likely to produce symptom substitution

More effective an quicker than systematic desensetisation

Likely to produce symptom substitution