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Chapter 15: Abnormality, Therapy, and Social Issues

This chapter discusses abnormality, therapy, and social issues related to psychology. It defines abnormal behavior and outlines challenges in determining what is normal versus abnormal. Cultural influences on definitions of abnormality are explored. The biopsychosocial model of understanding mental illness is introduced. The chapter explains how the DSM-IV classifies and diagnoses psychological disorders across five axes and discusses criticisms of this system. Differential diagnosis and distinguishing between similar disorders is also covered.

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Mayer Adelman
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0% found this document useful (0 votes)
94 views

Chapter 15: Abnormality, Therapy, and Social Issues

This chapter discusses abnormality, therapy, and social issues related to psychology. It defines abnormal behavior and outlines challenges in determining what is normal versus abnormal. Cultural influences on definitions of abnormality are explored. The biopsychosocial model of understanding mental illness is introduced. The chapter explains how the DSM-IV classifies and diagnoses psychological disorders across five axes and discusses criticisms of this system. Differential diagnosis and distinguishing between similar disorders is also covered.

Uploaded by

Mayer Adelman
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPT, PDF, TXT or read online on Scribd
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Introduction to Psychology, 7th Edition, James W.

Kalat
Chapter 15: Abnormality, Therapy, and Social Issues

Chapter 15

Abnormality, Therapy, and Social Issues


Introduction to Psychology, 7th Edition, James W. Kalat
Chapter 15: Abnormality, Therapy, and Social Issues

Abnormality, Therapy and Social Issues


 On the surface it would appear that there is normal and
abnormal behavior, and the distinction between normal and
“weird” is clear to everyone.

 But when we go deeper into the issue of normal versus


abnormal, we start to see that behavior must be interpreted
in its context. Normal is a matter of place and time as well
as mental state and action.
Introduction to Psychology, 7th Edition, James W. Kalat
Chapter 15: Abnormality, Therapy, and Social Issues

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

Defining Abnormal Behavior


 There is probably no definition of “abnormal” that can’t be
questioned.
 If we use the standard of “subjective feelings of distress”

than anyone who thinks they have a problem


automatically qualifies.
 And if someone behaves in bizarre and dangerous ways,

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

Defining Abnormal Behavior


 If we say that behavior that could result in suffering or death
is a sign of mental illness, heroic deeds would be a bona
fide symptom.
 If we say that behavior that is very different from the usual
is a sign of a psychological disorder, very depressed people
would be diagnosed, but so would very happy people.
Introduction to Psychology, 7th Edition, James W. Kalat
Chapter 15: Abnormality, Therapy, and Social Issues

Defining Abnormal Behavior


 Cultural influences on abnormality
 Each era and society has had its own interpretations of

abnormal behavior. Culture-specific disorders are found


all over the planet.
 Demonic possession has been a common diagnosis

in some societies for thousands of years.


 Brain fag syndrome is a frequent complaint of West

African students.
 Running amok consists of episodes of indiscriminant

violent behavior in young Southeast Asian men.


Introduction to Psychology, 7th Edition, James W. Kalat
Chapter 15: Abnormality, Therapy, and Social Issues

Defining Abnormal Behavior


 Cultural influences on abnormality
 An American example: Multiple Personality Disorder

 The “split personality” syndrome, this is now referred

to as dissociative identity disorder.


 There is alternation between two or more

personalities.
 Each has its own disposition, behavior, and name, as

if each were a separate person.


Introduction to Psychology, 7th Edition, James W. Kalat
Chapter 15: Abnormality, Therapy, and Social Issues

Defining Abnormal Behavior


 Cultural influences on abnormality
 This was a very rare disorder until the 1950’s, when a

few cases received widespread publicity.


 By the early 1990s there were many cases of DID

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

Defining Abnormal Behavior


 The biopsychosocial model
 The predominant view in Western cultures today uses

the biopsychosocial model to understand mental illness.


 Biological roots - include genetic factors, injury,

disease processes, and the like which result in


abnormal brain development, damage, imbalances of
neurotransmitters and hormones, all of which can
result in abnormal behavior.
Introduction to Psychology, 7th Edition, James W. Kalat
Chapter 15: Abnormality, Therapy, and Social Issues

Defining Abnormal Behavior


 The biopsychosocial model
 Psychological roots – an individual’s life history and

experiences contribute to his or her ability to cope and


degree of vulnerability to stress.
 Social and cultural context – people are greatly

influenced by how other people act toward them and the


expectations people hold for them.
Introduction to Psychology, 7th Edition, James W. Kalat
Chapter 15: Abnormality, Therapy, and Social Issues

Classifying Psychological Disorders


 The DSM-IV
 The Diagnostic and Statistical Manual of Mental

Disorders
 This manual has been created to establish uniform

definitions and standards for diagnosis.


 It is now in its fourth edition.

 It lists acceptable labels for all psychological

disorders.
 It lists symptoms and criteria for making diagnoses

and contains information on differential diagnosis –


how to distinguish a particular disorder from others
that are similar to it.
Introduction to Psychology, 7th Edition, James W. Kalat
Chapter 15: Abnormality, Therapy, and Social Issues

Classifying Psychological Disorders


 The DSM-IV
 Diagnosis is made along five axes (lists).

 A person can have one or more diagnoses on a given

axis, or none at all.


 Clinical disorders are diagnosed on Axis I. These are

disorders that involve a deterioration of functioning.


 Most common psychological disorders are listed on Axis

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

Classifying Psychological Disorders


 The DSM-IV
 Axis II is reserved for personality disorders and

mental retardation.
 These are disorders that persist throughout life.

 A personality disorder is a maladaptive, inflexible way of

dealing with situations and people.


Introduction to Psychology, 7th Edition, James W. Kalat
Chapter 15: Abnormality, Therapy, and Social Issues

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

Classifying Psychological Disorders


 The DSM-IV
 Axis III is for general medical conditions that may

influence the person’s mood or behavior.


 Axis IV is for psychosocial and environmental

problems that may increase the person’s level of stress.


 Axis V is a 1-90 scale called the global assessment of

functioning. The lower the number assigned by the


assessing clinician, the less likely it is that the person
being diagnosed is able to function without treatment
and support.
Introduction to Psychology, 7th Edition, James W. Kalat
Chapter 15: Abnormality, Therapy, and Social Issues

Classifying Psychological Disorders


 Differential diagnosis
 As in medicine, diverse mental health disorders often

have similar or overlapping symptoms.


 Psychologists and psychiatrists are trained to make

differential diagnoses.
 They look at all the disorders with similar symptoms

that listed in the DSM-IV as well as disorders that are


purely medical but affect mood and behavior.
 They either rule these disorders out or revise their

original diagnosis based on the information they have


gathered.
Introduction to Psychology, 7th Edition, James W. Kalat
Chapter 15: Abnormality, Therapy, and Social Issues

Classifying Psychological Disorders


 Criticisms of DSM-IV
 The distinction between normal and abnormal can seem

arbitrary at times (5 months of a problem is not a


disorder, but 6 months is).
 Are criminal behaviors (child molesting) really a sign of

mental illness, or some other serious problem?


Introduction to Psychology, 7th Edition, James W. Kalat
Chapter 15: Abnormality, Therapy, and Social Issues

Classifying Psychological Disorders


 Criticisms of DSM-IV
 Is it an adjustment to a life stressor, or is it a mental

illness?
 Statistics on prevalence of disorders are uncertain and

at times seem inflated.


 To what extent is the situation the problem, rather than

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.

 Yet it is possible that as many as 50% of the population has


a diagnosable mental illness at some time in their lives
(according to the standards of the DSM-IV).

 If this is true, it is evidence that people with psychological


disorders are not very different from the rest of us. In fact,
maybe we are those people.
Introduction to Psychology, 7th Edition, James W. Kalat
Chapter 15: Abnormality, Therapy, and Social Issues

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

interplay of conflicting forces in the person.


 The individual may be unaware of some of these

forces and motives.


 Psychoanalysis is the oldest “talk” therapy. It

attempts to bring unconscious thoughts and emotions


to awareness, and help people understand their own
thoughts and actions.
Introduction to Psychology, 7th Edition, James W. Kalat
Chapter 15: Abnormality, Therapy, and Social Issues

Schools of Psychotherapy
 Psychoanalysis
 The psychodynamic therapies

 Psychoanalysis uses free association and

transference to bring unconscious material to


consciousness.
 This in turn produces catharsis, the release of pent-

up emotions associated with unconscious thoughts


and memories.
Introduction to Psychology, 7th Edition, James W. Kalat
Chapter 15: Abnormality, Therapy, and Social Issues

Schools of Psychotherapy
 Psychoanalysis
 The psychodynamic therapies

 In free association, the client thinks about a symptom

or problem and then says everything that comes to


mind related to it.
 This process is supposed to uncover hidden thoughts

and feelings.
Introduction to Psychology, 7th Edition, James W. Kalat
Chapter 15: Abnormality, Therapy, and Social Issues

Schools of Psychotherapy
 Psychoanalysis
 The psychodynamic therapies

 Transference refers to the client’s experience of

feelings previously associated with a parent or other


important figure that are “transferred” to the therapist.
 Psychoanalysts and other psychodynamic therapists

make active interpretations of the client’s statements.


 If a client disagrees with the therapist’s

interpretations, they may label this as resistance, a


continued repression that interferes with therapy.
Introduction to Psychology, 7th Edition, James W. Kalat
Chapter 15: Abnormality, Therapy, and Social Issues

Schools of Psychotherapy
 Behavior therapy
 Behaviorists believe that human behavior is learned and

can be unlearned. Behavioral therapy is based on this


principle.
 Treatment begins with specific behavioral goals, such

as “stay in seat for entire class period” or “spend a


maximum of X dollars a week.”
 The treatment plan entails how the client will learn to

behave in ways that will help him or her achieve the


goals.
Introduction to Psychology, 7th Edition, James W. Kalat
Chapter 15: Abnormality, Therapy, and Social Issues

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

now instead of on thoughts and feelings from the past.


 Cognitive therapy seeks to improve people’s

functioning by changing how they think and what they


believe about situations.
 Rational-emotive therapy assumes that thoughts

precede emotions, and that unpleasant feelings are a


result of irrational thoughts.
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
 Cognitive-behavior therapy sets clear goals for

changing behavior (like a behavioral therapist).


 The therapist puts more emphasis on also changing the

person’s interpretation of thoughts and events (like a


cognitive therapist).
Introduction to Psychology, 7th Edition, James W. Kalat
Chapter 15: Abnormality, Therapy, and Social Issues

Schools of Psychotherapy
 Humanistic therapy
 Humanistic therapists believe that people naturally strive

to achieve their full potentials.


 The source of psychological distress is perceived

incongruence between the way an individual’s self-


concept and his or her ideal image of self.
 The most common humanistic therapy is person-

centered (nondirective/client-centered) therapy.


Introduction to Psychology, 7th Edition, James W. Kalat
Chapter 15: Abnormality, Therapy, and Social Issues

Schools of Psychotherapy
 Humanistic therapy
 Person-centered therapy

 The therapist listens to the client non-judgmentally.

 The therapist also provides unconditional positive

regard.
 Unconditional positive regard is an ideal state, similar

to the regard that a loving parent has for a child.


 The therapist tries to be genuine, empathetic and

caring, and tries not to interpret the client’s thoughts


or feelings or offer advice.
Introduction to Psychology, 7th Edition, James W. Kalat
Chapter 15: Abnormality, Therapy, and Social Issues

Table 15.3 Comparison of five types of psychotherapy


Introduction to Psychology, 7th Edition, James W. Kalat
Chapter 15: Abnormality, Therapy, and Social Issues

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?

Behavioral and cognitive-behavioral


Introduction to Psychology, 7th Edition, James W. Kalat
Chapter 15: Abnormality, Therapy, and Social Issues

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

an individual’s problems arise in a family setting.


 Therefore the best way to deal with them is to change

and improve family relationships and communication.


Introduction to Psychology, 7th Edition, James W. Kalat
Chapter 15: Abnormality, Therapy, and Social Issues

Schools of Psychotherapy
 Other trends in psychotherapy
 Eclectic therapists do not use any single method

exclusively, but a combination of approaches.


 Brief therapy models are gaining in popularity.

 In brief or time-limited therapy, the therapist and client

agree to a certain length, number of meetings and


expectations and goals for the treatment.
Introduction to Psychology, 7th Edition, James W. Kalat
Chapter 15: Abnormality, Therapy, and Social Issues

Schools of Psychotherapy
 Other trends in psychotherapy
 Group therapy involves the treatment of many clients

by one or two therapists on an ongoing basis.


 Group therapy is less expensive and allows the clients to

help each other with advice and feedback.


 Self-help groups work in a similar way but there is no

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

to feel better anyway without psychotherapy


(spontaneous remission).
 Meta-analysis of many studies of psychotherapy

suggests that a majority of people do show


improvements after therapy.
 Keep in mind the “file-drawer” effect when considering

the results of meta-analyses.


Introduction to Psychology, 7th Edition, James W. Kalat
Chapter 15: Abnormality, Therapy, and Social Issues

Psychotherapy
 How effective is psychotherapy?
 A recent study by Consumer Reports of mental health

treatment and psychotherapy supported the conclusion


that most mental health treatment is helpful in improving
the psychological and emotional well being of clients.
 No one method of therapy stands out as better than the

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

the effectiveness of psychotherapeutic treatment, there


are distinct advantages to seeking professional mental
health care.
 A trained clinician keeps confidentiality, uses methods

with some demonstrated level of effectiveness, and can


make referrals to other professionals if he or she
suspects that this may be warranted (for example, if a
medical problem may exist).
Introduction to Psychology, 7th Edition, James W. Kalat
Chapter 15: Abnormality, Therapy, and Social Issues

Psychotherapy
 How effective is psychotherapy?
 Similarities among psychotherapeutic methods

 The creation of a therapeutic alliance that offers

social support for the client.


 The opportunity for the client to engage in self-

examination (this is not an advantage cross-culturally,


though).
 The opportunity to receive encouragement from the

therapist on a regular basis.


 There is an affirmation of the client’s desire to change

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

 Ask the local Mental Health Association for some

recommendations.
 You may feel most comfortable with a therapist from

a cultural background that is similar to yours.


 If spirituality or religion is important to you, you may

want to find a therapist who sympathizes with your


beliefs.
Introduction to Psychology, 7th Edition, James W. Kalat
Chapter 15: Abnormality, Therapy, and Social Issues

Psychotherapy
 How effective is psychotherapy?
 As with any other “remedy” be skeptical of

overconfidence and claims of amazing results.


 Expect at least some small improvement within a couple

of months of starting, and don’t be afraid to ask for your


therapist’s input if this doesn’t happen.
 Be an active participant in your own treatment – nobody

“fixes” you, rather, you receive help in changing your


own life.
Introduction to Psychology, 7th Edition, James W. Kalat
Chapter 15: Abnormality, Therapy, and Social Issues

Finding the Best Therapy


 Research suggests that the various methods of therapy and
professionals who provide services are about equally
effective. There is no “best” type of therapist or best
method.

 But no one way of doing psychotherapy is right for every


client. You need to use your knowledge to “shop” for the
therapist who will work best with you.
Introduction to Psychology, 7th Edition, James W. Kalat
Chapter 15: Abnormality, Therapy, and Social Issues

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

 Placed in nursing homes

 Imprisoned

 Dead
Introduction to Psychology, 7th Edition, James W. Kalat
Chapter 15: Abnormality, Therapy, and Social Issues

Involuntary Commitment and Treatment


 In the case of people with severe mental health problems,
the right to live freely among others can come into conflict
with the rights of others.
 If a person’s mental state represents a serious danger to
self, others or causes the individual to be completely unable
to care for him or herself, serious ethical issues are raised.
Introduction to Psychology, 7th Edition, James W. Kalat
Chapter 15: Abnormality, Therapy, and Social Issues

Involuntary Commitment and Treatment


 There are many potential problems in the process of
involuntary commitment:
 Not all seriously mentally ill patients realize that they are

ill.
 People have been committed to mental hospitals just to

be put “out of the way.”


 It is extremely difficult to determine which patients

should be committed.
Introduction to Psychology, 7th Edition, James W. Kalat
Chapter 15: Abnormality, Therapy, and Social Issues

Involuntary Commitment and Treatment


 Usually the opinion of one or more trained professionals
plus court action must be obtained in order to commit a
person with a mental illness.
 Even after commitment, the patient is always given the right
to refuse specific treatments.
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

The Duty to Protect


 The Tarasoff case
 The Tarasoff case established that a therapist who

knows that a client has harmful intent towards an


identified person or persons has a duty to break
confidentiality with the client to protect the endangered
person.
 Judging dangerousness is not a clear-cut matter and the

therapist must often weigh carefully the factors. Breach


of confidentiality is a serious violation of the patient’s
rights.
Introduction to Psychology, 7th Edition, James W. Kalat
Chapter 15: Abnormality, Therapy, and Social Issues

The Duty to Protect


 The insanity defense
 Insanity is a legal term, not a psychological or medical

one.
 Its definition is more judicial than scientific.

 Bizarre crimes in and of themselves do not

demonstrate insanity.
 The most famous definition of insanity is based on the

M’Naghten rule, from 19th Century British law.


Introduction to Psychology, 7th Edition, James W. Kalat
Chapter 15: Abnormality, Therapy, and Social Issues

The Duty to Protect


 The insanity defense
 The M’Naghten rule

 The gist of the law states that in order to be judged

insane at the time of a crime, a people must be so


disordered that they cannot understand what they are
doing.
 Some legal authorities felt that this rule was too

narrow and rigid.


Introduction to Psychology, 7th Edition, James W. Kalat
Chapter 15: Abnormality, Therapy, and Social Issues

The Duty to Protect


 The insanity defense
 Under 1% of accused felons plead insanity.

 The insanity defense is extremely rare.

 These cases receive a great deal of media attention.

 If the person is found not guilty by reason of insanity,

they will likely be institutionalized for a very long time.


Introduction to Psychology, 7th Edition, James W. Kalat
Chapter 15: Abnormality, Therapy, and Social Issues

Preventing Mental Illness


 Some psychologists, especially community psychologists
have started to create movement towards preventing
mental illness.
 Community psychologists focus on the needs of groups

rather than individuals.


 They look at various routes to circumventing mental

illness or lessening its damaging effects.


Introduction to Psychology, 7th Edition, James W. Kalat
Chapter 15: Abnormality, Therapy, and Social Issues

Preventing Mental Illness


 Prevention methods are aimed at stopping mental illness
before it begins.
 Intervention involves identifying a disorder in its early
stages and relieving it.
 Maintenance is taking steps to prevent an illness from
becoming more serious.

“An ounce of prevention is worth a pound of cure.”


-- Old aphorism
Introduction to Psychology, 7th Edition, James W. Kalat
Chapter 15: Abnormality, Therapy, and Social Issues

Preventing Mental Illness


 Some steps that would help in prevention efforts:
 Ban use of environmental toxins

 Promote good prenatal care and education

 Promote full employment

 Provide high quality and affordable child care

 Improve educational opportunities


Introduction to Psychology, 7th Edition, James W. Kalat
Chapter 15: Abnormality, Therapy, and Social Issues

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

Mental Illness: Science and Society


 The issues we have examined in this module are complex
and involve scientific, social and ethical dimensions.

 Even if you do not grow up to be a psychologist, as a citizen


of our country it is in your best interest to be informed about
the social and legal aspects of mental illness and the
benefits to society of promoting good mental health.

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