Chapter 2. Understanding Psychological Disorders

When does a psychological problem become a disorder?

Fundamental & Powerful Concepts:

continuum - a spectrum [of behavior] ranging from mild to severe, infrequent to constant, controllable to uncontrollable, with no clear dividing line to indicate when normal becomes abnormal

psychological disorder – classified by indicators of personal distress and functional impairment

Vocabulary:

deviation from statistical norm – occurring very infrequently

deviation from social norm – culturally different

personal distress – subjective state characterized by emotional pain and suffering

functional impairment – dysfunctional state occurring when a person is unable to fulfill school or work obligations, sustain social relationships, or take care of oneself or children

internal dysfunction – origin of psychological problem is within the person, not an expected response to an event

What causes a psychological disorder?

Fundamental & Powerful Concepts:

biopsychosocial approach - framework to understand abnormal behavior, considers psychopathology as pattern of behavior with biological, psychological, and social causes B = f (P + E + PE) – equation that illustrates how to think about behavior, where:

B = the behavior of the person with a disorder, and

P = internal factors pertaining to the person, and

E = external factors pertaining to the environment, and

PE = the complex interaction of person and environment.

diathesis-stress model – mechanism for explaining how psychological disorders can develop, wherein both the diathesis and the stress are necessary in the development of a disorder

Vocabulary:

etiology - the origin or cause (of abnormal behavior)

demonology – ancient belief that individuals with psychopathologies were possessed by evil spirits or demons

medical model – biological approach to psychological problems, considers psychpathology as disease with specific etiology, symptoms, and prognosis

symptoms - common set of behavioral indicators

prognosis – predictable course over time

diathesis – biological and/or psychological factors that increase a person’s chance of developing a disorder [or disease]

predisposition – vulnerability or inclination to respond in a certain way

stressor – stressful life experience or event

How are psychological disorders classified?

Fundamental & Powerful Concepts:

classification – process of describing and categorizing [behavior]

Vocabulary:

DSM-IV-TR - Diagnostic and Statistical Manual of Mental Disorders, published by the American Psychiatric Association, classification system for psychopathologies, 4th edition, released in 2000

stigma - negative attitudes and beliefs [about psychopathology]

categorical – way of classifying psychopathology, one either has or does not have the disorder

dimensional – way of classifying psychopathology, abnormal behavior exists on continuum, symptoms of disorder are more extreme forms of everyday behavior

comorbidity - co-occurrence of two or more disorders

culture-specific disorders – disorders that have a set of symptoms found only in that particular culture

How common are psychological disorders?

Fundamental & Powerful Concepts:

Epidemiology - study of the frequency and distribution of disorders within specific populations over a specified period of time

Vocabulary:

prevalence – how common or rare something is in a given population over a given period of time

How are psychological disorders treated?

Fundamental & Powerful Concepts:

treatment – providing clients with relief from distress caused by their symptoms

Vocabulary:

biomedical therapy - attempts to correct the specific biological defects underlying disorders and alleviate symptoms, often using drugs

psychotherapy - process during which a trained clinician interacts with a client to help her/him feel, think, and behave differently

psychotherapeutic approaches – treatments based on the viewpoint of the therapist

evidence-based practice – treatment that incorporates the best available research evidence with clinical expertise and knowledge of the client’s sociocultural background, preferences, and values

eclecticism – not rigidly adhering to a single theoretical perspective, but instead drawing form a variety of techniques for therapy.

How do we know if and when treatment works?

Fundamental & Powerful Concepts:

treatment effectiveness – outcome indicating that treatment works

Vocabulary:

spontaneous remission – symptoms improved or returned to a normal level simply with the passage of time

placebo effect – symptoms improved because the person in treatment expected to get better

randomized controlled trials – research method where scientist controls for confounding variables by using a control group and random assignments

double-blind randomized controlled trials – research method where neither the client nor the researcher/therapist is aware of which intervention the client is receiving

meta-analysis - a statistical procedure to combine, or pool, the strength of a particular finding across a number of studies investigating the same or similar topics

therapeutic alliance – bond between therapist and client

Which psychopathologies should we study in Intro Psych? Why and how should we study them?

Fundamental & Powerful Concepts:

describe [behavior]- process of stating what behaviors are occurring and when

explain [behavior]- process of stating how and/or why the behaviors are occurring

predict [behavior]- process of stating what is likely to occur and under what conditions

change [behavior]- process of knowing how to control or alter behavior

Vocabulary:

fundamental questions – what, when, how, why, what will happen, by what means