Tuesday, 21 April 2015

Abnormality - Definitions

Deviation from social norms                                  Culture differences are an issue for all of these
Failure to function adequately                              Time is an issue
Deviation from ideal mental health

Evaluation

- Rosenhan did the experiment with the schizophrenics makes it obvious that it's very difficult to define abnormality and it is all relative. 
- Era dependent.
- Culture differences.



Thursday, 16 April 2015

Abnormality - Psychodynamic

Behaviour is due to childhood experiences and the unconscious mind. 

Approach

Psychosexual Development 

Oral - smoking, nail biting etc - ID
Anal - creativity, OCD - ego
Phallic* - superego
Latency Period - no fixation
Genital - well-adjusted

* Oedipus complex - Males are attracted to mother so identify with the father
   Electra complex - Females are attracted to father and identify with mother. Also experience penis envy.

Structure of personality

ID - derives from pleasure, inbuilt: sexual offence, aggression, addiction etc...
Ego - balances id and superego
Superego - derives from morals picked up from parents' behaviour : anxiety, OCD, phobias etc...

If either of these overbalances, defence mechanisms take place. (e.g. repression, projection, regression, sublimation, denial)


Evaluation

+ Influential - Books/ films
                     - Started psychology
+ Research indicates that people can recollect every trauma.

- Untestable
- Retrospective data - unreliable
- Current experiences aren't taken into consideration
- Ethics - parents are to blame for abnormality

Treatments (psychoanalysis)

Free Association 

- Patients talk freely about whatever they want.
- Facing away from therapist so not being judged.
- Therapist analyses what has been said.
- Brings repressed memories into consciousness.

Dream Analysis

- Dreams represent what happens in the unconscious mind
- Mostly sexual.
- Manifest content is interpreted to latent content by the therapist.

Projective Tests

- Given stimulus material and asked what is seen.
- Thought to represent unconscious thoughts.
- Ink blots are deliberately ambiguous.


Evaluation

- Expensive
- Not suitable for schizophrenia
- Ethical issues
- Behaviourists' criticism
- Time consuming



Wednesday, 15 April 2015

Abnormality - Cognitive

A person's thoughts are responsible for their behaviour. Deals with the way information is processed in the brain and the impact of this behaviour. How a person perceives, anticipates and evaluates events has an effect on behaviour. 

Healthy thoughts and cognitions lead to normal behaviour whereas faulty thoughts and cognitions lead to abnormal behaviour.

Irrational Thinking - Ellis

- Assumes emotional problems can be attributed to distortions in thinking process.
- Distortions take the form of maladaptive thoughts.
- Polarised thinking: Seeing everything in black and white.
- Magnification and minimisation: person may magnify failure and minimise success.
- ABC MODEL:
A - Negative event
B - Rational belief
C - Healthy negative emotion

OR

A - Negative event
B - Irrational belief
C - Unhealthy negative emotion

The cognitive triad and errors in logic - Beck

- Negative thoughts underlie mental disorders.
- Depressed people draw illogical conclusions when evaluating themselves (overgeneralisation).
- Negative thoughts can lead to negative feelings.




Evaluation

+ Gustafan found that maladaptive thinking processes were displayed by many people with anxiety, depression and sexual disorders. 
+ Individual responsibility.
+ Emphasises important role of cognitive factors. 

- Doesn't examine the origins of disorder. 
- Cognitive processes may be a consequence rather than a cause. 
- Everyone should be self-sufficient.
- No sympathy. 
- Not clear how irrational thoughts should be measured. 
- Ignores biological factors. 

Treatments 

Cognitive Behavioural Therapy

- CBT changes patterns of thoughts and behaviours that are causing the problem. 
- Increasingly more popular. 

Evaluation

+ Not threatening. 
+ Empowers clients with self-help.
+ At least as effective as drugs. 
+ Collaborative
+ Avoids in-depth probing. 
+ Less time consuming and more cost effective.
+ Brings together different factors.

- Ignores biological factors. 
- Schizophrenia not suited to CBT.
- Doesn't address underlying causes. 
- Clients become dependent on therapist. 
- Self monitoring may be too difficult 

The three forms of CBT include:
Becks' cognitive therapy
• Ellis- rational emotive behavioural therapy
• Meichenbaum's stress inoculation therapy

Abnormality - Biological

Mental disorders are thought to be related to the physical structure and functioning of the brain. 

Approach

1) Classify disorder by identifying symptoms.
2) Identify underlying cause.
3) Prescribe a treatment/therapy.

Causes of Mental Disorder:

1) BRAIN DAMAGE
2) INFECTION
3) BIOCHEMISTRY
4) GENES

BRAIN DAMAGE

- Abnormal behaviour can occur if the brain structure has been damaged.
- Once damage has caused mental deterioration, there't not much that can be done to treat it. e.g. Alzheimer's
- Excessive use of alcohol or drugs can cause brain damage.

INFECTION

- Barr et al found a high amount of schizophrenics' mothers were ill with the flu when pregnant.
- Brown et al found that 14% of schizophrenia could be linked to exposure to the flu virus when in the womb.
- Syphilis is a cause of brain damage.

BIOCHEMISTRY

- Neurotransmitters are thought to be out of balance in the nervous system.
- Schizophrenia associated with excessive dopamine.
- Depression associated with decreased serotonin.
- Mann et al used brain scans to show this.

GENES

- Individuals may inherit predispositions to certain illnesses.
- Masterson and Davis found that relatives of schizophrenics were 18x more likely to be diagnosed with symptoms themselves.
- Genetic links investigated by testing families and twins.
- Wender et al found relatives of people with depression were 8x more likely to be diagnosed with the disorder.


Evaluation

+ No blame - the person is not responsible for their behaviour.
+ A huge amount of research proves these ideas.
+ McGuffin found 40% concordance in identical twins and 20% in fraternal twins with depression.

- Szaz - mental illness is something people fear and this can lead to the people being shunned.
- Encourages people to be passive and give responsibility to doctors, doing nothing for themselves.
- Reductionist.
- Nature vs nurture issue.

Treatments

DRUG THERAPY

- BZs
- SSRIs
- Anti-psychotics

Drugs have been effective in relieving many mental disorders but not all.

Evaluation

- Use of drugs is controversial.
- Fisher and Greenberg believe drugs have limited positive effects.
- Kirsch and Sapirstein believe beneficial effects are down to the placebo effect.
- Side effects.
- Withdrawal.
- Targets symptoms, not the disorder.
- Ethical issues.

ELECTRO-CONVULSIVE THERAPY

- Patients are attached to electrodes.
- A shock of 450 volts is administered for half a second.
- Convulsions usually last one minute.
- Two to three times a week over four weeks.

Evaluation

+ Quick form of treatment.
+ Effective short-term for depression.
+ Side effects have decreased over time.

- 60% become depressed again within one year.
- Serious side effects.
- Can lead to memory impairment.
- History of abuse.
- Ethical issues.

PSYCHOSURGERY

- Brain tissue is surgically adapted.
- Sometimes includes lobotomies.

Evaluation

+ Some procedures alleviate symptoms of severe anxiety or OCD.

- Rarely used anymore.
- Was performed on thousands of people in the 1950s for lack of a better treatment.
- Damage to the brain is irreversible.
- Unpredictable.
- People with disorders are unlikely to be able to give consent.


Sunday, 12 April 2015

Abnormality - Behavioural

Abnormal behaviour is learned through experience in the same way as most other behaviour. It ignores the role of biology or any internal thoughts/feelings. It explains abnormal behaviour through conditioning. 

CLASSICAL CONDITIONING - LEARNING THROUGH ASSOCIATION

Pairing the unconditioned stimulus with the neutral stimulus, creating a conditioned response to the neutral stimulus.

This explains the development of phobias, especially seen in Watson and Raynor's (1920) : Little Albert.

Watson and Raynor: Little Albert

Procedure:
- 11 month old boy conditioned to fear white rats.
- Showed no fear initially but was then presented with the rat and a loud noise, creating a conditioned response.
- Little Albert became afraid of white animals.


OPERANT  CONDITIONING- LEARNING THROUGH REINFORCEMENT

Skinner (1974) proposed that conditioning through reward and punishment was fundamental in human development. He used pigeons and rats which would perform certain tasks for rewards.

SOCIAL  LEARNING THEORY - LEARNING THROUGH VICARIOUS REINFORCEMENT

Individuals learn through seeing others being rewarded and punished - Bandura (1960s)

e.g. People may see others being rewarded with attention for abnormal behaviour and then display the same behaviour; models etc...

Observation then imitation of role models.

Evaluation

+ Behavioural approach is convincing - classical conditioning in phobias and social learning in eating disorders.
+ Focus on behaviour - The behavioural model concentrates on the behaviour that is adaptive or maladaptive. Behaviour is what is stigmatised and labelled, not the person.
+ Focus on functioning - If the behaviour presents no problem to individual or others, there is no reason to regard it as a mental disorder.

- For many people who have a phobia, there is little evidence for early fearful encounters that lead to classical conditioning.
- Nature vs nurture - behavioural approach explains all behaviour through nurture and doesn't consider genetic contribution.
- Accused of being reductionist and simplistic.
- Heavily deterministic.
- Underlying causes not considered.

TREATMENTS

Systematic Desensitisation 

Procedure

- Reverses conditioning and replaces maladaptive response by encouraging a healthier response.
- Done in stages:
1) Relaxation - individual learns relaxation techniques.
2) Hierarchy of anxiety-provoking situations.
3) Reciprocal inhibition - 2 incompatible emotional states cannot exist at the same time.
4) Complete treatment - treatment ends when client is desensitised.
5) in vivo and in vitro - procedure can be carried out in real life (in vivo) or imagined (in vitro).

Evaluation

+ Gradual changes cause minimal distress
+ Not as unethical as flooding
+ Can be very effective in treating phobias and no evidence that it is temporary
+ Tolerating imagined stressful situations is followed by reduction in anxiety.
+ In vivo has shown more effective than in vitro.
+ Commonly used to treat phobias.

- Can still cause distress
- In vitro may not be realistic enough to desensitise
- Therapy targets learnt associations but doesn't address deeper psychological issues
- Ethical issues
- Time consuming

Aversion Therapy

Procedure

- Pairs an unwanted habit with unpleasant consequences.

Evaluation

+ Some studies support claim that nausea paired with alcohol can result in conditioned aversions
+ Provide a window of opportunity

- Doubts about this being maintained
    • Also uses more positive techniques to teach behaviours
- Ethical issues

Behavioural Modification

Procedure

- Based on operant conditioning
- Reinforces appropriate behaviour and ignores inappropriate behaviour

Evaluation

+ Rewards = effective way of changing behaviour and useful in improving antisocial behaviour

- Usually set in highly structures institutions - not generalisable to the real world
- Highly reductionist
- Based on learning principles and ignore biological factors