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PSYCHOPATHOLOGY OF CHILDREN AND FAMILY. CHAPTER 1 INTRODUCTION. Overview. Definition - Psychopathology - Abnormal Psychology - Psychological Disorders Notions of Health and Illness - Normality - Abnormality Historical Perspective of Abnormal Behavior. Definition. Psychopathology
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PSYCHOPATHOLOGY OF CHILDREN AND FAMILY CHAPTER 1 INTRODUCTION
Overview Definition - Psychopathology - Abnormal Psychology - Psychological Disorders Notions of Health and Illness - Normality - Abnormality Historical Perspective of Abnormal Behavior
Definition Psychopathology • A branch of Medicine dealing with the causes and processes of mental disorders • Refers to patterns of maladaptive behavior and states of distress which interfere with some aspects of adaptation
Abnormal Psychology • A branch of psychology that studies abnormal behavior and method to help people who are affected by psychological disorders Psychological Disorders • Patterns of abnormal behavior that is associated with states of emotional distress (anxiety/depression) or with impaired behavior
What is abnormal behavior? Think of the following situations: • Feeling down due to the death of a loved one • Feeling down when you receive a call offering a job that you really want • Feeling anxious before an interview • Feeling anxious before an interview to the extent that your shirt is soaked with perspiration
Notions of Health and Illness Normality • As the absence of disease • As an ideal state of mind • As the average level of functioning of an individual within the context of a total group • As a capacity to function competently • As a subjective sense of contentment and satisfaction • As an ability to adjust to one’s social environment effectively
Abnormality • Behavior is unusual • Behavior is socially unacceptable or violates social norm • Perception or interpretation of reality is faulty • The person is in significant personal distress • Behavior is maladaptive and self defeating • Behavior is dangerous
Thomas hears voices….. • Thomas was sleeping on the floor, afraid to sleep in his own bed. He was hearing voices that, had turned from being sometimes helpful to terrorizing. Depression had been responsible for his being irritable and full of dread, especially in the morning, becoming angry over frustrations at work and seemingly internalizing other people's problem….. • The voices, human sounding were slowly turning bad. He could hear them jeering at him, plotting against him, singing songs sometimes that would only make sense later in the day when he do something wrong at the workplace. He was sleeping on the floor of his living room because he was afraid a presence in the room was torturing good forces around him. A voice even allowed him to only have a piece of bread during meals.
Thomas have been diagnosed with schizophrenia and depression
The case of Thomas • Faulty perceptions or interpretations of reality – delusions and hallucinations; hearing voices telling him to do certain things. • Maladaptive behavior – difficulty meeting responsibilities at work • Significant personal distress – feeling dread, depressed almost everyday
Cultural bases of Abnormal Behavior • What is normal in one culture may be abnormal in another
HISTORICAL PERSPECTIVE ON ABNORMAL BEHAVIOR The Demonological Model • Trephination – creating a pathway through the skull to provide an outlet for those irascible spirit (a primitive form of surgery to remove shattered pieces of bone or blood clots that resulted from head injuries). • Abnormal behavior caused by supernatural forces that take control of the mine • Approach to treatment – persuading the demons to leave through the use of prayers, potions or physical punishment
Origins of the Medical Model • Ill Humor (Physiological Explanation) • Hippocrates (460-377 B.C) explain abnormal behavior in term natural rather than supernatural • Behavior was governed by the level of 4 humors in the body. Phlegm – high level lead to sluggish Black bile – excess lead to depression Yellow bile – excess lead to tension, anxiety Blood – excess lead to rapid mood swing • Galen expanded the teaching of Hippocrates – discovered that arteries carried blood not air
Medieval Time • Return to demonology • Exorcism – the treatment of choice • abnormal behaviors were a sign of possession by evil spirit or the devil
Witchcraft • Malleus Maleficarum Asylums • bedlam
The reform movement and Moral therapy • A Step Backward • The development of the medical model and psychological model