Critically assess the extent to which the medical model of abnormality has successfully explained mental-ill health.

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Critically assess the extent to which the medical model of abnormality has successfully explained mental-ill health. (18 Marks)

The medical model (sometimes known as the biological model) became most dominant in the middle of the 19th Century, and is still the most dominant model up to date. It was thought that abnormal behaviour came from mental illness caused by organic or physical disorder. This is a biological approach regarding abnormality as an illness or disease.

Some mental illnesses have been linked to microorganisms. Barr et al 1990 found there was increased evidence of schizophrenia in children whose mothers had the flu when they were pregnant. This suggests that the cause of mental illness might be a disease.

Psychiatrists usually adopt this model as they are trained in medicine having obtained a medical degree. Doctors base their diagnosis on physical symptoms e.g. raised blood pressure. Although many psychological disorders do not have physical basis so psychologists have to base their diagnostic on behaviour, thoughts, and feelings. So they rely upon their interpretation of patient’s reports about feelings and behaviour. When doctors use this model it is good because it ignores the question of culture.

There is a theory to go with the medical model, which is called the Biochemical Theory, which shows that disorders are now seen to be a consequence of bio chemical changes. Changing could be because of 1) infection (mothers who had flu mentioned in 2nd paragraph), 2) live stress and 3) a genetic deflects. E.g. people who have schizophrenia have an excessive amount of dopamine (a chemical substance in the brain). Although a critisism of this would be that you do not know which direction the correlation of stress and dopamine is going, meaning you don’t know whether the dopamine caused the stress, or the stress caused the dopamine.

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In stress the biological state raises hormone level so psychological state causes the biochemical abnormality.

One theory for depression is all about neurotransmitters serotonin and noradrenaline (happy hormones) and if you have a low amount of these you are more likely to get depressed. Barlow and Durand 1999

The best way to investigate whether mental illness is inherited or not is through family history, or mono-zygotic twins.

Research shows that genetically some people are more at risk than others for developing a mental disorder. E.g. there has been strong evidence that Manic Depression of this disorder ...

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