Individual differences/abnormality.

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Psychology AS Level

Individual Differences/Abnormality

We define behaviour as abnormal if it falls into one of the following categories:

Behaviour that is statistically infrequent

Behaviour that deviates from social norms

Behaviour, which prevents an individual from functioning adequately

Behaviour that deviates from ideal mental health

Statistical Infrequency

If behaviour is frequent it is normal, if it is infrequent then it is abnormal

Some behaviour is measured on a quantitative scale e.g. how much anxiety someone experiences

This is the same for some physical characteristics e.g. height

This definition depends on comparing an individual's behaviour to that of the average person

Evaluation

Many behaviours are statistically rare but still desirable and healthy e.g. music and maths talent

There are behaviours that are not rare but not desirable either e.g. killing Jews in Nazi Germany

This equated conformists with normality yet non-conformists are valuable to society

There is no point where behaviour goes from normal to abnormal

Because of these points many people use this in conjunction with other criteria

Deviation from Social Norms

Society set rules and anyone who violates them is classified as abnormal

This is not universal because these rules vary from culture to culture

Evaluation

This view assumes that if behaviour is socially acceptable than it is normal, Nazi Germany was socially acceptable but not normal

All societies are different, society changes and there are different sub groups in society, which means different behaviour is seen as normal here, but abnormal there

This implies that a psychotherapist must make people comply to social norms rather than treat them to improve well being

Deviation from Ideal Mental Health

Maslow and Rodgers suggested that the goal was self-actualisation, to realise your full potential

People who have unconditional positive regard early in life are confident and reach it

People who have conditional regard feel unworthy, experience problems functioning and so have abnormal behaviour

Evaluation

Criteria based of a few ideas which means most people are abnormal

Different cultures have different standards of what is ideal

Failure to Function Adequately

It the behaviour hinders physical survival and/or the realisation of our potential

Rosen and Seligman suggested seven criteria, which may indicate of psychological disorder

Personal distress: experience unpleasant emotions e.g. guilt, anxiety and depression

Maladaptiveness: behaviour infers the ability to meet everyday responsibilities and cope with demands

Irrationality: behaviour that is unconnected with reality e.g. I am Joan or Arc

Unpredictability: behaviour that is impulsive and uncontrollable, disrupting lives of others

Unconventionality and statistical rarity: behaviour shown by the minority

Observer discomfort: breaking unwritten rules which makes other uncomfortable

Violation of moral and ideal standards: violating moral standards even when that behaviour is practiced

This is criteria rather than classifying abnormal behaviour

It bring in to it violating social norms and statistical infrequency

Evaluation

Some criteria depend on subjective judgements made by other people, which differ from person to person

The criteria of irrationality and uncontrollability refer to those who choose a non-conventional lifestyle rather than someone who has abnormal behaviour

Personal distress does not always go hand in hand with abnormal behaviour, some may gain pleasure from abnormal behaviour and sometimes personal distress is perfectly normal

Cultural Factors in Concept of Abnormality

Universal verses specific diagnosis

Cultural university means that all mental disorders are found worldwide

Cultural relativism means mental disorders are determined by values, norms and lifestyle

There are some disorders that only affect certain cultures, anorexia and bulimia in the West

There are some universal criteria for mental disorders

Some argue that depression and schizophrenia occur in all cultures

Cross-cultural research is needed because of the diverse social and political systems otherwise we are ethnocentric

Biological and Psychological Models of Abnormality

The Medical Model

Views behaviour as a cause of biological factors usually affecting the brain

Illness maybe caused by infection, genetics, biochemistry or neuroanatomy

Infection - invasion of the body by viruses and bacteria

The first illness associated with infection was syphilis

A person would become forgetful, intellectually impaired and paralysed before dying

It is doubtful that infections cause many mental illnesses

Biochemical factors - excess or deficiency of chemicals in the body especially in the brain

Neurotransmitters are chemicals and a chemical imbalance of some causes abnormal behaviour

Schizophrenia is associated with too much dopamine activity in the brain

Dopamine hypothesis states this condition results in too much dopamine in parts of the brain

This is supported evidence from people who take drugs that increase dopamine levels

They exhibit similar symptoms to those with schizophrenia

Treatment for schizophrenia is drug treatment, which reduces the dopamine level

Some say this is only circumstantial and there is no relation

Genetics - conditions like depression, schizophrenia and alcoholism might have genetic factors

Evidence comes from correlation studies from families to see if they have a genetic marker

This is for these conditions over many generations

Meehl and Rosenthal developed the diathesis-stress theory

This is that no abnormality is inherited but a predisposition to developing the illness

Environmental stressors may make venerable people suffer from the condition

Neurological factors - damage to the nervous system especially the brain lead to disruption of normal functioning

There are definite connections between a number of mental disorders and problems in the brain

Problems of old age are a result of deterioration of the higher levels in the brain

Implications for treatment/therapy

Drugs - most common, four groups, anti-psychotic drugs for treatment of schizophrenia

anti-depressants for treatment of depression

anti-anxiety drugs for treatment of anxiety disorders

anti-manic drugs for disorders such as bipolar depression

Electroconvulsive therapy - passing an electric current through one side of the head to the other

This remains controversial because is frightening, dangerous, no one knows why it works, can produce memory loss and other serious side effects

Others say it has saved lives and released people from sever depression

It is used as a last resort for patients who do not respond to other treatment

Psychosurgery - destroying areas of the brain, obviously permanent and needs full consent from the patient who have resisted all other forms of treatment and request this

Evaluation of the Medical Model

Positive points - it has lead to the recognition that some conditions have a biological origin even though the symptoms are psychological

The diathesis-stress model recognises that biological and environmental factors combine and offers explanations, which have been successfully applied to many conditions

Biological treatments give help and relief where others have failed

Negative points - this model puts all abnormal behaviour down to a disease of the brain when most of the time it is social and psychological factors are the main cause not a biological problem

The model also underplays the effect of social and interpersonal factors and that the biological factors only contribute

Many studies are done one animals instead of humans

Twin studies are biased because both twins lived with similar families and so this might be down to environmental factors rather than biological ones

The model cannot account for complex abnormal behaviour without a biological cause

The Ethical Implications of the Model

It doesn't blame the individual for the condition from which they suffer and emphasises the need for help

If only biological intervention is used this takes responsibility away from the patient and given to a doctor

If an individual knows they carry a genetic marker for a condition this may cause them stress

In ignoring psychological factors the treatment is incomplete

The Psychodynamic Model

This is based on the dynamics of the mind, the interaction of psychic forces founded by Freud

There is a conscious and unconscious part, repressed memories, which come out in various ways

Behavioural disorders are symbolic expressions of unconscious conflicts between the personalities

When this becomes excessive, defence mechanisms are overused distorting reality

Implications for Treatment

Psychoanalysis is used in a long-term procedure using four techniques to uncover conflicts

Free association - patient relaxes and says anything that comes into their mind no matter what it is

Interpretations look into the unconscious and the defence mechanism being used

Dream analysis - uncovers disguised meanings of dreams, gives an insight into what is causing anxiety

Analysis of resistance - analyst uses any evidence of resistance to reveal unconscious conflicts

Notes are made on hesitations, mind going blank or upset

Transference - client sees analyst as parents and re-enacts any early conflicts and resolves them

Evaluation of the Psychodynamic Model

Positive points - Freud helped us understand that psychological conflict is universal and only leads to abnormal functioning when the conflict becomes excessive

Freud did a great deal to remove the notion that people with mental disorders were possessed with demons

Freud argued for a respectable and humane attitude towards people who were mentally ill

Ethical Implication of the Model

Freud argued for a respectable and humane attitude towards people who were mentally ill

Freud did a great deal to remove the notion that people with mental disorders had demonic possession

It showed us that children's emotions should be cared for instead of repressed

It also shows how dangerous sexual repression is to people's emotional welfare

This model absolves people who have a mental condition from having any sense of blame

But because it is said to stem from childhood, this shifts the blame onto the parents instead

A serious ethical condition is false memory syndrome

This is when a psychoanalysis puts a memory that they say has been repressed in a patients head

This is usually a really bad memory such as sexual abuse

Usually it is not easy to tell if the memory is true or false

This sheds doubt on the testimony of people who have been the victim of crime

It can frame innocent people and tare families apart

This is also a pessimistic view; we spend our entire lives grappling with urges, anxiety and guilt

This gives a depressing and deterministic view of human nature and no room for free will and rationality

Violence and war are inevitable and we can never keep out aggression under control

The Behavioural Model

Behaviourism is a school of thought based on the principles of learning

It is objective study with objective measurements, it looks at observable behaviour

It works on the principle that all behaviour is as a result of learning experiences

A psychological disorder is because someone has leaned behaviour that is self-defeating or inefficient

This occurs due to either Pavlov's work on classical conditioning or Skinner on operant conditioning

Classical conditioning - occurs through association of two stimuli

The salivation at food is an innate response that does not need to be learned

The food is an unconditioned stimulus that produces an unconditioned response

The bell is a neutral stimulus before the pairings and produces no response

Once it has been paired with the food it is a conditioned stimulus with a conditioned, learned response of salivating

Before conditioning

food salivation

UCS UCR

bell no response

During conditioning

Bell + food salivation

UCS UCR

After conditioning

Bell salivation

CS CR

The story of Little Albert

Watson and Rayner conditioned a fear response in an 11-month-old boy. The boy was playing with a white rat and they made a loud noise behind his seven times. He grew afraid of small animals and fur coats.

Operant conditioning - rewards and punishments

It involves weakening and strengthens responses as a result of their consequences

Skinner placed a hungry pigeon in a cage and provided it with a pellet of food everything it pressed the bar

Skinner used the term reinforcer to describe anything, which increases the likelihood of a response

Positive reinforcer - anything pleasurable e.g. food, drink, sex

Negative reinforcer - removal or escape of something that is unpleasant and increases the likelihood of a response

Punishment - opposite of reinforcement, can be responsible for abnormal behaviour

Social Learning Theory - takes into account the role of modelling and observation, developed by Bandura

Implications for Treatment

Systematic Desensitisation - Wolpe designed this treatment for phobias, based on the fact that the fear can be unlearnt

The patient goes into a state of relaxation and is given a picture of their fear

The picture starts off small and simple and then grows

Aversion Theory - this eliminates undesirable behaviour by pairing it with extreme unpleasant experience

This can be used to treat drug addicts, gamblers and people with sexual disorders

This is very controversial and only used as a last resort

Token Economy - modifies behaviour using operant conditioning

Desirable behaviour is reinforced; clients are given tokens, which can be swapped for luxury food or additional recreation time

Modelling - based on social learning theory and involves observing and imitating model behaviour

Method is very effective for a variety of conditions

Evaluation of the Behavioural Model

Positive Points

The theory is precise and testable

A number of clinical syndromes have been created in laboratory conditions using conditioning

The use of the same principles has effectively treated a wide range of disorders

Criticisms and limitations

The model gives a mechanical view of people not allowing for personality, consciousness or freewill

Treatments are superficial and do not get to the root of the problem and tack its underlying problems

It underestimates the contribution of biology to mental disorders

Ethical Implications of the Behavioural Model

The way the model says people react to their environment like robots, this is disrespectful

Aversion therapy to pain is ethically problematic

It does fully recognise the social and cultural factors and offers a non-judgemental approach

The Cognitive Model

The model sees people as active processors of information

Problems arise when people learn faulty thinking patterns and attitudes

Implications for Treatment

Based on clients undergoing cognitive reconstruction

Rational Emotive Therapy - confrontational therapy, which shows the client how irrational and damaging their belief system, is

There is a list of ten common irrational beliefs to help see what the clients irrational beliefs are

Then using a persuasive argument persuades the client to see different

Evaluation

This ignores the unconscious and profound childhood experiences

It overestimates the importance of cognitive factors and underestimates emotional factors

It has a narrow scope, only looking at different parts of the person rather than the person as a whole

Maladaptive thinking is the result rather than the cause

Ethical Implications of the Cognitive Approach

This is far less deterministic than the others are returns the power to the individual

Faulty thinking puts blame back on the individual

IN CONCLUTION

An eclectic approach is best used to get the good points of all the models

Eating Disorders

Anorexia Nervosa - nervous lack of appetite

Anorexics are at least 15% below their minimum expected body weight

They fear gaining weight

They have a distorted body image; although they are thin they believe they are fat

They deny they have a problem

They are perfectionists

They are obsessed with food and its preparation with a tendency to hide it to conceal they aren't eating it

They avoid high calorie food

They excessively exercise

Women suffer with amenorrhoea

Physically they are extremely thin with dry, rough and dirty looking skin

Hair on the cheeks, neck, forearms or thighs is known are lanugos hair and they may loose scalp hair

They have an abnormal tolerance of the cold so have bluish fingers and toes

They have a low metabolic rate

They sleep less than normal and have low if any sex drive

They suffer from constipation and sometimes have swollen ankles

They develop mood disorders e.g. depression or anxiety disorders

They have a high abuse of alcohol

They often suffer from anaemia and dehydration and are likely to die of heart failure

The DSM 4, diagnostic and statistical manual for mental disorders issue 4, divides anorectics into two types: binging and non-binging, between 30% - 50% of anorectics also binge and vomit

90% are female; the male figure is increasing especially in the homosexual community, with it developing it the teenage years

20% have one episode but make a full recovery

60% have a pattern of weight gain and relapse over several years

20% are severely affected and usually need to be hospitalised

Mortality rate is 10% who either die of starvation or suicide

Explanations of Anorexia Nervosa

Biological Model

Genetic transmission - Holland et al Twin Studies

34 pairs of twins were used where one member of the pair has anorexia

far more MZ twins 56% both had anorexia where as just 7% of the DZ twins

there may be a genetic vulnerability but the twins were reared together so it might be dues to environmental conditions or one copying the other but this cannot explain the ones reared in different countries

Biochemical abnormalities - imbalances in the hormones serotonin and noradrenaline in anorexics but difficult to separate the cause and effect

Neuroanatomy - damage to they hypothalamus may result in a lack of appetite as well as disturbances to menstruation but there is no specific evidence to link this to anorexia

Evaluation of the Biological Model

Explains why anorexia happens during the teens because of hormonal changes

The diathesis-stress model shows there may be genetic vulnerability but there has to be a trigger

It doesn't explain the recent increase in the cases of anorexia

It isn't always possible to distinguish the cause and effect

Psychodynamic Model

Family System Theory - Minuchin et al said that anorexic families are enmeshed, the members don't have a clear identity and the family finds it hard to resolve conflicts

Autonomy - anorexics have obsessive personalities with low self-esteem and fear of their own autonomy

Certain mothers wished their daughters to remain dependent and so encourages anorexia which gave them control over their body, this is mainly seen in middle-class families where there are high expectations supporting this

Evaluation

The role of autonomy could explain why anorexia is common during adolescence

It can't explain the recent increase in the cases of anorexics

Parental conflict may be an effect rather then a cause of anorexia

The accounts are difficult to prove wrong

Behavioural Models

Classical conditioning - eating is associated with anxiety because eating too much makes people overweight and unattractive

Operant conditioning - weight loss is reinforcing because people praise it and the individual has escaped from an aversive stimuli

Social Learning Theory - feminine stereotypes in the media and the current emphasis on dieting promote a desire to be thin which is exaggerated in vulnerable individuals, supported by cross-cultural studies

Evaluations

Social Learning Theory can account for the increase in anorexia cases

It also explains cultural differences

Conditioning theory can explain how the disorder is maintained

Behavioural therapies have been successful in treating anorexia

Social factors alone cannot explain anorexia because otherwise more people would suffer from it

Cognitive Model

Distortion of body image - anorexics overestimate their body size compared with controls and this may explain why they loose more weight then others

Females more then males - females rate their ideal body image lower then was found attractive by males

Males rated their ideal body image higher then their actual weight

Evaluation

The disordered thinking may be an effect rather than a cause of anorexia

Bulimia Nervosa - from the Greek ox appetite

Binge eating followed by behaviour to prevent weight gain e.g. vomiting, laxatives or excessive exercising or dieting

Someone is classified as bulimic if they binge and purge on average 2-3 times a week

They have normal weight but a distorted body image

They secretively eat up to 10,000 calories at a time of fattening foods, eating rapidly with little chewing

Depression and guilt are common and recognise their behaviour as abnormal and aware of loss of self-control

They often have swollen features with puffy paratoide glands caused by vomiting

They often self-mutilate

Nearly all are females 95%

The onset is slightly later than anorexics

Bulimics suffer from cardiac problems, epileptic seizures, kidney damage, hair loss, metabolic disturbance, throat damage and dental erosion

Explanations of Bulimia

Biological Model

Genetic - Kendler et al found an 23% concordance rate for bulimia in identical twins compared with a 9% in non-identical twins

Biochemical abnormalities - seasonal variations, during the winter they become depressed

Imbalance in hormones creates depression

Psychodynamic Model

Family conflicts have also been identified in families with bulimics

Behavioural Model

Conditioning - binging causes anxiety and purging reinforces it causing the cycle to be reinforced

Social Learning Theory - Lee et al Bulimia in Hong Kong

Bulimia is rare in Hong Kong

Obesity is rare in Hong Kong

Chinese diet is low in fat whereas in the west fatty foods are desirable

There is less role conflict because success is related to family values

Less exposure to role models, women are not aware of self-induced vomiting

Condition is rare dues to the absence of socio-culture factors

Culture differences are due to genetic differences

Cognitive Model

Disinhibition hypothesis - when a dieter has a rigid cognitive style they respond to situations of overeating by going over the top, once they have overeaten they purge to rectify their mistake

Distorted body image - bulimics usually show a substantial discrepancy between their estimation of their true body size and the size they would like to be and this encourages weight loss

Coping style - bulimics perceive events as more stressful than most people do and use binge/purge as a means of coping with stress and gaining control

Stress

Responses to Stress

Physiological responses to stress

The autonomic nervous system is responsible for survival both under threat and basic body functions

It is split into two: sympathetic nervous system, releases large amounts of energy, which controls behaviour with split-second timing

Parasympathetic nervous system restores equilibrium once threat has passed for everyday functions

Selye made up GAS, general adaptation syndrome by using rats, it has three stages

) Alarm

When an organism encounters a threat, adrenal glands become enlarged, it increases adrenalin secretion, respiration rate, heart rate, blood pressure and muscle tension, moves blood away from the skin, inhibits digestion, dilates pupils, releases sugar from the liver to provide energy for muscles and increases blood coagulability.

If stress is prolonged the next stage happens

2) Resistance

Physiological changes are stabilised, adrenal glands return to normal size and renew stores of steroids and energy and repair damage. Arousal levels are higher than normal but eventually level off

In returning to normal the person is vulnerable and its ability to cope is taxed. They become depressed, inactive and withdrawn. If attempts to restore equilibrium fail the third stage happens.

3) Exhaustion

If stress cannot be overcome the adrenal glands become enlarged again and body resources are depleted. People suffer both physically and psychologically. They become depressed, irritable and unable to concentrate. Continuation of stress leads to disease of adaptation

Evaluation

Research on rate has proved useful to predict responses to stress however experiments on people is needed

The endocrine system is a network of glands that manufacture and secrete hormones, which act specifically

Then under threat the hypothalamus acts in two ways:

) Its excites the sympathetic nervous system which stimulates the adrenal medulla to release adrenalin and noradrenalin

2) Stimulates pituitary gland to secrete adrenocorticotropic hormone ACTH which stimulates the adrenal cortex to release corticosteroids that cause the liver to release stored glucose, inhibit tissue inflammation and stimulates the immune system to invade antigens

Perception of Stressor

Hypothalamus

Stimulation of adrenal medulla Pituitary gland secretes ACTH

Release of adrenalin and noradrenalin Stimulation of adrenal cortex

Physiological reactions of fight or flight response Release of corticosteroides

E.g. increased heart rate, respiration rate and muscles tension liver releases stored glucose ect

Emotional Responses to Stress

Different stressors produce different emotions, the most important are anxiety, anger and depression

Anxiety: an uncomfortable feeling associated with the threat of a stressor

There is two types state anxiety and trait anxiety: state is worries associated with a stressor

Trait is a personality characteristic for people who have persistent feelings of dread

Anxiety is the most damaging with the onset of mental and physical disorders

Anger: the emotion associated with stressors like frustration or provocation

It's the emotion coming from the feeling of being unfairly treated

It is not an unusual emotional response to a life-threatening illness

Depression: due to loosing someone, failure, a prolonged stressor and lacking stimulation

It is associated with feelings of worthlessness and helplessness and a characteristic associated with learned helplessness

Psychological Responses to Stress

According to Yerkes-Dodson Law there is a relationship between our levels of arousal and out ability to function effectively: "both high and low levels of arousal are associated with a very poor performance, the best performance is obtained when we are moderately aroused".
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However, to perform simple tasks well we need high arousal and for complex tasks we need low arousal

Stress and Physical Illness

There are three main pathways by which stress can have this effect:

The direct effect: Cohen et al, 394 healthy participants were asked to complete a questionnaire assessing their stress levels and then exposing 1 in 5 to a respiratory virus. Those experiencing most stress were most likely to catch a cold

Vulnerability: can be physical or psychological, physically those who already have high blood pressure will be made worse by ...

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