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Chapter 17. Norms. “rules” for behavior that are appropriate and acceptable in everyday life i.e. Covering your mouth when you sneeze. Why is it so difficult to define abnormal behavior?. What’s normal in one society/culture or even in one situation is not necessarily abnormal in another.
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Norms • “rules” for behavior that are appropriate and acceptable in everyday life • i.e. Covering your mouth when you sneeze
Why is it so difficult to define abnormal behavior? • What’s normal in one society/culture or even in one situation is not necessarily abnormal in another
What is mental illness? • A disorder of the brain • Just as cancer is a disease of the body, mental illness is a disease of the brain
How mental illness is “like cancer” • It is no more the fault of someone who develops it than someone who develops cancer • It is NOT a sign of personal weakness • It is a disease of the mind, just like cancer is a disease of the body
When does abnormal behavior become mental illness? • 5 criteria - MUUDI • M – Maladaptive • U – Unpredictable • U – Unconventional • D – Distressing • I – Irrational
Maladaptive • Person fails to adapt to the demands of everyday life, either by acting counter to his/her well-being or against the goals and needs of society
Unpredictable • Person loses control or acts erratically • Don’t know how they might act from one minute to the next
Unconventional • Rare, undesirable, behavior that violates social standards
Distressing • Person suffers from severe personal distress or intensely negative emotions (like anger or anxiety)
Irrational • Behavior is incomprehensible to others • Doesn’t make any sense to most
Nature vs. Nurture • Biological vs. Psychological explanation for mental illness
Biological explanation • Says mental illness is caused by genetics, the brain, brain chemicals, hormones or something in the body • Internal causes
Neurons • Nerve cells in the brain • Misfire or send mixed up signals in the brains of those with mental illness
Neurotransmitters • Chemicals in the brain that carry messages between nerve cells • Examples – dopamine, serotonin
Neurotransmitters • Are out of balance in those with M.I. • Psychiatric drugs like prozac attempt to bring these chemicals back into balance
Psychological explanation • Mental illness is caused by our experiences and our environment • Our upbringing, social experiences, and traumatic events • External causes
Warning signs of mental illness • Changes in daily routine • Confused thinking • Delusions • Denial • Abuse of drugs/alcohol • Lasting depression • Hallucinations • Inability to cope • Mood swings • Excessive fears • Strong negative feelings (anger, etc.) • Suicidal thoughts or threats • withdrawal
Who is at risk? • M.I. doesn’t discriminate – anyone, regardless of wealth, gender, or race is vulnerable
Men vs. Women • Women are more likely to be diagnosed with mood and anxiety disorders than men • Men are more likely to have substance abuse related and antisocial pers. disorder
Can mental illness be treated? • Yes, it can be treated • There is no cure • However, people can live very normal, productive lives with treatment
Historical Treatment • Historically the mentally ill have been treated very poorly • Beaten, locked away from the rest of society
Today’s Treatment • Medication – antidepressants, anti-anxiety, and antipsychotic medications
Combination of the Two • Therapy – talking to a therapist to work on your issues • Medication will treat the symptoms, but only with therapy can you address the bigger issues
Types of therapy • CBT – cognitive behavioral therapy • Helps change negative thinking and behavior patterns Interpersonal therapy – works by changing relationships that contribute to depression or other mental illnesses
Inpatient vs. outpatient • Inpatient – hospitalization – very small % of people – usually just for 72 hours to be evaluated • Outpatient – not in a hospital – go somewhere for therapy or medication
APA • American Psychological Association • Large professional organization of psychologists that helps ensure high ethical standards within the profession
What is a psychological diagnosis? • A label used to identify and describe a mental disorder
DSM -IV • Diagnostic and Statistical Manual – 4th edt. • The mental health catalog that lists more than 300 mental disorders • The “encyclopedia” of disorders
What 2 conditions must be met in order to receive a psychological diagnosis? • Has to be bad enough to disrupt daily activities • Must have for a long period of time • (as little as 2 weeks for clinical depression or 2 years for a personality disorder)
psychopathology • The clinical term for an abnormality or disorder in thought, emotion, or behavior
Neurotic vs. Psychotic • Neurosis – a relatively common pattern of distress or self-defeating behavior • Psychosis – person has lost touch with reality
What does it mean to be insane? • Insanity is a legal decision, not a medical term like mentally ill • To be deemed insane means: • You were unable to tell right from wrong and were unable to control your behavior • As a result of this, you are not legally responsible for your behavior
Why labeling is dangerous • Being able to put a label on one’s disorder can be beneficial because now you can understand and hopefully treat your condition
Why Labeling can be Bad • However, it can also be dangerous because: • 1.) sometimes the label is all that people see - it shouldn’t define you • 2.) you might start to believe that all you are is the label
Stereotypes of the mentally ill • Violent toward others • Frequently portrayed this way in the media and in movie • If a danger to anyone, more likely to be a threat to themselves
Ways to fight the stereotypes • Educate yourself • Avoid using slang like “crazy”
How to Help • Take charge of your own mental health • Don’t be afraid to talk to someone if you are concerned about their mental health