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Email: amrashtian@hotmail.com
Chapter 1: Abnormal Behavior in Historical Context
People have at one point in their life have suffered (a continuum)
People that are suffering don’t want you to agree with them; more or
less they want us to understand, acknowledge, and accept their problem
(in this situation -> disorders and mental illness)
Two main goals in therapy: decrease a patient’s symptoms and improve
their quality of life
Need to understand that people are not a disorder
o We have to change the way we talk about them (people are not
their disorder)
Abnormal behavior defined – a psychological dysfunction associated
with distress or impairment in functioning that is not typical or culturally
expected
MDs mainly the ones that prescribe medications, whereas in some states
PsyDs and PhDs have prescription privileges similar to MDs
Clinical Depression of Abnormal Behavior
o Prevalence - # of people who have the disorder
o Incidence - # of new cases (during a year)
o Onset of Disorders
Acute (quickly) v. Insidious (slow, building)
o Prognosis – Treatment
Good v. Guarded
Causation, Treatment, and Outcome
o Etiology
What contributes to the development of
psychopathology?
Gives insight to clients (based on behavior, genetics,
environment, etc.)
o Treatment outcome research
How do we know that we have helped?
Research assessments (surveys, questionnaires, etc.)
Ask the patient themselves
Limited in specifying actual causes of disorders
The criteria of the researcher is limited to the
specific disorder that is being examined
Historical Conceptions of Abnormal Behavior
o 3 dominant traditions
Supernatural
Biological
Psychological
o Supernatural
Deviant behavior (Good v. Evil)
Demons, Witch, Religious Omens
Treatments -> usually torturing or death
The moon and the stars
Paracelsus
Lunatic -> still used today to describe someone crazy
o Biological
Hippocrates: Abnormal Behavior as a Physical Disease
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Hysteria “The Wandering Uterus”
Galen extends Hippocrates work
Humoral theory of mental illness
o Blood, black bile, yellow bile, phlegm
General Paresis (Syphilis) and the biological link with
madness
Several unusual psychological and behavioral
symptoms
o Pasteur -> discovered the cause (a bacteria)
Led to penicillin as a successful treatment
Bolstered the view that mental illness = physical
illness
John Grey and the Reformers
Deinstitutionalization
o Consequences of the Biological Tradition
Development of biological treatments
Consequences of the biological treatments
Emil Kraeplin
Diagnosis and Classification
Developed a diagnostic classification symptom to
help determine disorder or disease
o The psychological tradition
Psychosocial approaches
The rise of moral therapy -> need to treat people with
dignity and respect
Philippe Pinel – pushed for treating people with
mental illnesses with respect
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Psychoanalytic Theory
o Freudian Theory of the structure and the function of the mind
Mesmer (father of hypnosis)
o Structure of the mind
Id (pleasure principle -> instant gratification)
Ego (reality principle -> logical and rational)
Superego (morality -> Keeps Id and Ego in balance; “the
good angel on your shoulder”)
o Defense Mechanisms: Ego loses the battle with the Id and
superego)
Usually when we have anxiety
Trying to push back the anxiety
o Psychosexual Stages of Development
Later Developments in Psychoanalytic Thought
o Anna Freud and Self-psychology
Emphasized influence of the ego in defining behavior
o Klein, Kernberg, and Object Relations Theory
Emphasized how children incorporate (introject) objects
Objects – images, memories, and values of S.O.
o Neo-Freudians: Departures from Freudian thought
De-emphasized the sexual core of Freud’s theory
The talking cure
o Examine transference and counter transference issues
Client transfers problems to someone else (transference)
Therapist transfers problems onto their client (counter-
transference)
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Supervision of therapist’s actions from a superior in
order to avoid expressing therapist’s problems to
client
Humanistic Theory
o Major Themes
People are basically good
Self-actualization
Unconditional positive regard
o Humanistic theory uses a lot of reflection (no strong evidence
that humanistic therapies work)
The behavioral model
o Classical Conditioning (Pavlov’s Dog)
Unconditioned response, Unconditioned stimulus
Add neutral stimulus
Conditioned response, Neutral (now Conditioned) stimulus
o Systematic desensitization
o Operant Conditioning (Thorndike, BF Skinner)
Positive/Negative punishment/reinforcement
o Learning traditions influenced the development of behavior
therapy
Has most validity in current psychology
Present: An integrative approach
o Must consider reciprocal relations between everything going on
with you