Chapter 15: Abnormality, Therapy, and Social Issues
Chapter 15: Abnormality, Therapy, and Social Issues
Kalat
Chapter 15: Abnormality, Therapy, and Social Issues
Chapter 15
Module 15.1
Abnormal Behavior: An Overview
Introduction to Psychology, 7th Edition, James W. Kalat
Chapter 15: Abnormality, Therapy, and Social Issues
Psychopathology
Most of us feel sad, anxious, or angry occasionally.
Our moods change, we have or develop bad habits, and we
have “funny” beliefs.
Mental health diagnoses are reserved for people with
problems that seriously interfere with their lives.
Introduction to Psychology, 7th Edition, James W. Kalat
Chapter 15: Abnormality, Therapy, and Social Issues
but insists that they are A-OK, many people who are in
fact suffering from mental illness could not be diagnosed
and treated.
Introduction to Psychology, 7th Edition, James W. Kalat
Chapter 15: Abnormality, Therapy, and Social Issues
African students.
Running amok consists of episodes of indiscriminant
personalities.
Each has its own disposition, behavior, and name, as
reported.
Some observers began to claim that the disorder did not
exist at all.
It is most likely that it was being promoted by over eager
therapists.
Introduction to Psychology, 7th Edition, James W. Kalat
Chapter 15: Abnormality, Therapy, and Social Issues
Disorders
This manual has been created to establish uniform
disorders.
It lists symptoms and criteria for making diagnoses
I.
Introduction to Psychology, 7th Edition, James W. Kalat
Chapter 15: Abnormality, Therapy, and Social Issues
Table 15.1 Some major categories of psychological disorders according to Axis I of DSM-IV.
Introduction to Psychology, 7th Edition, James W. Kalat
Chapter 15: Abnormality, Therapy, and Social Issues
mental retardation.
These are disorders that persist throughout life.
Table 15.2 Some major categories of psychological disorders according to Axis II of DSM-IV.
Introduction to Psychology, 7th Edition, James W. Kalat
Chapter 15: Abnormality, Therapy, and Social Issues
differential diagnoses.
They look at all the disorders with similar symptoms
illness?
Statistics on prevalence of disorders are uncertain and
the person?
Introduction to Psychology, 7th Edition, James W. Kalat
Chapter 15: Abnormality, Therapy, and Social Issues
Figure 15.1 According to one extensive survey, about half the people in the United
States will suffer at least one psychological disorder at some time. (The figures for the
individual conditions do not add up to the total percentage for “any disorder” because
some people have more than one disorder.) However, the exact percentages depend
on where one draws the dividing line between “normal” and “abnormal.” (Based on data
of Kessler et al., 1994
Introduction to Psychology, 7th Edition, James W. Kalat
Chapter 15: Abnormality, Therapy, and Social Issues
Psychological Disorders
There is a stigma associated with receiving a mental health
diagnosis.
Module 15.2
Psychotherapy: An Overview
Introduction to Psychology, 7th Edition, James W. Kalat
Chapter 15: Abnormality, Therapy, and Social Issues
Psychotherapy
Psychotherapy is a treatment of psychological disorders by
methods that include an ongoing relationship between a
trained therapist and a client.
Psychotherapy is utilized for a wide variety of disorders.
Introduction to Psychology, 7th Edition, James W. Kalat
Chapter 15: Abnormality, Therapy, and Social Issues
Psychotherapy
Psychotherapy is sought by or prescribed for a diverse
range of clients, from those with very serious emotional
disturbance, to the “worried well” and those who are
basically well but wish to function more effectively.
There are many techniques of psychotherapy, but all of
them seem to depend in large part on the client’s motivation
to improve.
Introduction to Psychology, 7th Edition, James W. Kalat
Chapter 15: Abnormality, Therapy, and Social Issues
Schools of Psychotherapy
Psychoanalysis
The psychodynamic therapies are based on the theories
of Sigmund Freud.
These methods try to relate personality to the
Schools of Psychotherapy
Psychoanalysis
The psychodynamic therapies
Schools of Psychotherapy
Psychoanalysis
The psychodynamic therapies
and feelings.
Introduction to Psychology, 7th Edition, James W. Kalat
Chapter 15: Abnormality, Therapy, and Social Issues
Schools of Psychotherapy
Psychoanalysis
The psychodynamic therapies
Schools of Psychotherapy
Behavior therapy
Behaviorists believe that human behavior is learned and
Figure 15.4 A child can be trained not to wet the bed by using classical conditioning
techniques. At first, the sensation of a full bladder (the CS) produces no response, and
the child wets the bed. This causes a vibration or other alarm (the UCS), and the child
wakes up (the UCR). By associating the sensation of a full bladder with a vibration, the
child soon begins waking up to the sensation of a full bladder alone and will not wet the
bed.
Introduction to Psychology, 7th Edition, James W. Kalat
Chapter 15: Abnormality, Therapy, and Social Issues
Schools of Psychotherapy
Therapies that focus on thoughts and beliefs
Some therapies focus on what is in the client’s mind right
Schools of Psychotherapy
Therapies that focus on thoughts and beliefs
Cognitive-behavior therapy sets clear goals for
Schools of Psychotherapy
Humanistic therapy
Humanistic therapists believe that people naturally strive
Schools of Psychotherapy
Humanistic therapy
Person-centered therapy
regard.
Unconditional positive regard is an ideal state, similar
Concept Check:
In which type of therapy would the therapist be most likely to
interpret a thought, feeling or dream?
Psychodynamic or psychoanalysis
Introduction to Psychology, 7th Edition, James W. Kalat
Chapter 15: Abnormality, Therapy, and Social Issues
Concept Check:
In which therapies are treatment goals stated in clear and
specific terms?
Concept Check:
In which therapy is the client viewed as essentially good
and wishing to achieve full potential in life?
Person-centered (humanistic)
Introduction to Psychology, 7th Edition, James W. Kalat
Chapter 15: Abnormality, Therapy, and Social Issues
Schools of Psychotherapy
Family systems therapy
Family systems therapy treats the person in the context
of the family.
The underlying assumption of family systems is that
Schools of Psychotherapy
Other trends in psychotherapy
Eclectic therapists do not use any single method
Schools of Psychotherapy
Other trends in psychotherapy
Group therapy involves the treatment of many clients
therapist involved.
Introduction to Psychology, 7th Edition, James W. Kalat
Chapter 15: Abnormality, Therapy, and Social Issues
Psychotherapy
How effective is psychotherapy?
According to some research studies, many people start
Psychotherapy
How effective is psychotherapy?
A recent study by Consumer Reports of mental health
others.
Introduction to Psychology, 7th Edition, James W. Kalat
Chapter 15: Abnormality, Therapy, and Social Issues
Psychotherapy
How effective is psychotherapy?
Although it is a complex and tricky business to evaluate
Psychotherapy
How effective is psychotherapy?
Similarities among psychotherapeutic methods
and improve.
Introduction to Psychology, 7th Edition, James W. Kalat
Chapter 15: Abnormality, Therapy, and Social Issues
Psychotherapy
How effective is psychotherapy?
Advice for potential clients
recommendations.
You may feel most comfortable with a therapist from
Psychotherapy
How effective is psychotherapy?
As with any other “remedy” be skeptical of
Module 15.3
Social and Legal Aspects of Treatment
Introduction to Psychology, 7th Edition, James W. Kalat
Chapter 15: Abnormality, Therapy, and Social Issues
Deinstitutionalization
Deinstitutionalization refers to the trend over the second
part of the twentieth century of removing patients from
mental hospitals.
There are alternatives to long-term inpatient care.
Unfortunately, many patients were discharged without the
benefit of adequate planning for their future care.
Introduction to Psychology, 7th Edition, James W. Kalat
Chapter 15: Abnormality, Therapy, and Social Issues
Deinstitutionalization
As a result of this lack of foresight, many former mental
hospital patients are now:
Homeless
Imprisoned
Dead
Introduction to Psychology, 7th Edition, James W. Kalat
Chapter 15: Abnormality, Therapy, and Social Issues
ill.
People have been committed to mental hospitals just to
should be committed.
Introduction to Psychology, 7th Edition, James W. Kalat
Chapter 15: Abnormality, Therapy, and Social Issues
Figure 15.8a People with schizophrenia who refuse drug therapy impress their
physicians as being seriously disturbed. Patients who refuse drugs rate themselves as
dissatisfied with their physicians and their treatments. (a) Physicians’ ratings of their
patients. High scores indicate greater disturbance. Those refusing treatment showed
greater indications of disturbance on most scales.
Introduction to Psychology, 7th Edition, James W. Kalat
Chapter 15: Abnormality, Therapy, and Social Issues
Figure 15.8b People with schizophrenia who refuse drug therapy impress their physicians as
being seriously disturbed. Patients who refuse drugs rate themselves as dissatisfied with their
physicians and their treatments. (a) Physicians’ ratings of their patients. High scores indicate
greater disturbance. Those refusing treatment showed greater indications of disturbance on
most scales.
Introduction to Psychology, 7th Edition, James W. Kalat
Chapter 15: Abnormality, Therapy, and Social Issues
one.
Its definition is more judicial than scientific.
demonstrate insanity.
The most famous definition of insanity is based on the
Concept Check:
Can you think of some other steps that would promote good
mental health and improve psychological functioning overall
in our society?
Introduction to Psychology, 7th Edition, James W. Kalat
Chapter 15: Abnormality, Therapy, and Social Issues