Describe and Evaluate the Psychodynamic approach to Abnormality

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Describe and evaluate the Psychodynamic model of abnormality

Freud (1856 – 1939) and others developed the psychodynamic model in the later part of the 19th century through their clinical work with mentally disordered patients. They challenged the biomedical view that mental disorders had physical origins. The psychodynamic model views abnormal behaviour as caused by unconscious, underlying psychological forces.

Freud believed that all behaviour, normal and abnormal, derived from unconscious forces that psychopathology arose from the dynamic working of the personality (psyche), rather than from physical cases. In other words, psychopathology is psychological in origin. According to Freud, the psyche consists of three interrelated structures, and the id and the superego are bound to conflict. Therefore the ego has a vital role to play if a healthy personality is to develop. Psychological disturbances in adulthood are assumed to be the result of unconscious, unresolved psychological conflicts and experiences that date back to childhood. The ego may be unable to balance the competing demands of the id and the superego. Freud maintained that these internal conflicts occur at an unconscious level, so that we are unaware of their influence. Although conflict between the superego and the id can occur at any time in our life, it is most marked in early childhood because the ego is not yet fully developed. Freud also believed that children go through stages of psychosexual development: oral, anal,  phallic, latency and genital. If conflicts arising within these stages are not satisfactorily resolved then psychological or behavioural problems may arise later on, the type of problem being determined by the stage at which the unresolved conflict happened. For example, children who fail to identify with their parents during the phallic stage will find it impossible to develop a conscience and will be at risk of developing antisocial personality disorder.

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The immature ego is not developed fully enough to deal with external events such as maternal abscences, paternal shortcomings or competition with siblings. Traumatic or confusing events in childhood, therefore, are pushed into the unconscious, a process which Freud called repression, because they are too painful for the ego to bare, or because the child hasn't developed sufficient knowledge of the world to make sense of the event. Distressing feelings around traumatic events do not disappear, however, simply because they are repressed. They find expression in dreams and irrational behaviour and may eventually erupt and express themselves in psychological ...

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