Comer, Abnormal Psychology, 6e – Chapter 3 Slides & Handouts by Karen Clay Rhines, Ph.D. Seton Hall University Chapter 3 Models of Abnormality Comer, Abnormal Psychology, 6e – Chapter 3

Comer, Abnormal Psychology, 6e – Chapter 3 Models of Abnormality In science, the perspectives used to explain phenomena are known as models or paradigms Each provides a set of assumptions and concepts that help us explain and interpret observations A school of thought Helpful because they spell out basic assumptions and set guidelines for investigation They influence what investigators observe, the questions they ask, the information they seek, and their interpretation of that information Comer, Abnormal Psychology, 6e – Chapter 3

Comer, Abnormal Psychology, 6e – Chapter 3 Models of Abnormality Historically, clinical scientists of a given time and place agreed on a single model of abnormality – a model greatly influenced by cultural beliefs Currently, there are several competing models of abnormality Why? Each model focuses on one aspect of human functioning and no single model can explain all aspects of abnormality Comer, Abnormal Psychology, 6e – Chapter 3

Comer, Abnormal Psychology, 6e – Chapter 3 The Biological Model Takes a medical perspective Main focus is that psychological abnormality is an illness brought about by malfunctioning parts of the organism Typically focused on the brain Comer, Abnormal Psychology, 6e – Chapter 3

How Do Biological Theorists Explain Abnormal Behavior? Brain anatomy The brain is composed of ~100 billion nerve cells (called neurons) and thousands of billions of support cells (called glia) Within the brain, large groups of neurons form distinct areas called brain regions Comer, Abnormal Psychology, 6e – Chapter 3

How Do Biological Theorists Explain Abnormal Behavior? Brain anatomy and abnormal behavior Clinical researchers have found connections between certain psychological disorders and problems in specific brain areas Example: Huntington’s disease & basal ganglia (forebrain) Comer, Abnormal Psychology, 6e – Chapter 3

How Do Biological Theorists Explain Abnormal Behavior? Brain chemistry Information spreads throughout the brain in the form of electrical impulses that travel from one neuron to one (or more) other neurons An impulse is first received at a neuron’s dendrites, travels down the axon, and is transmitted to other neurons through the nerve endings Comer, Abnormal Psychology, 6e – Chapter 3

8

How Do Biological Theorists Explain Abnormal Behavior? Brain chemistry Neurons don’t touch; they are separated by a space (the synapse), across which a message moves When an electrical impulse reaches a nerve ending, the nerve ending is stimulated to release a chemical called a neurotransmitter (NT) Some NTs tell receiving neurons to “fire;” other NTs tell receiving neurons to stop firing Comer, Abnormal Psychology, 6e – Chapter 3

How Do Biological Theorists Explain Abnormal Behavior? Brain chemistry Researchers have identified dozens of NTs Examples: serotonin, dopamine, and GABA Studies indicate that abnormal activity in certain NTs can lead to specific mental disorders Examples: depression (serotonin and norepinephrine) and anxiety (GABA) Comer, Abnormal Psychology, 6e – Chapter 3

How Do Biological Theorists Explain Abnormal Behavior? Brain chemistry Additionally, researchers have learned that mental disorders are sometimes related to abnormal chemical activity in the endocrine system Hormone release, triggered by a variety of factors, propels body organs into action. Abnormal secretions have been linked to psychological disorders Example: cortisol release is related to anxiety and mood disorders Comer, Abnormal Psychology, 6e – Chapter 3

How Do Biological Theorists Explain Abnormal Behavior? Sources of biological abnormalities – Genetics Humans have 23 pairs of chromosomes, each with numerous genes that control the characteristics and traits a person inherits Studies suggest that inheritance plays a part in mood disorders, schizophrenia, mental retardation, Alzheimer’s disease, and other mental disorders Aren’t able (yet) to identify specific genes Don’t know the extent to which genetic factors contribute to disorders Seems no SINGLE gene is responsible for a particular behavior or disorder Comer, Abnormal Psychology, 6e – Chapter 3

How Do Biological Theorists Explain Abnormal Behavior? Sources of biological abnormalities – Evolution Genes that contribute to mental disorders are viewed as unfortunate occurrences: May be mutations May be inherited after a mutation in the family line Evolutionary theorists argue that we can best understand abnormality by examining the millions of years of human evolution Looking at a combination of adaptive behaviors of the past, genes, and the interaction between genes and current environmental events This model has been criticized and remains controversial Comer, Abnormal Psychology, 6e – Chapter 3

How Do Biological Theorists Explain Abnormal Behavior? Sources of biological abnormalities – Viral infections Infection provides another possible source of abnormal brain structure or biochemical dysfunction Example: schizophrenia and prenatal viral exposure Interest in viral explanations of psychological disorders has been growing in the past decade Example: anxiety and mood disorders Comer, Abnormal Psychology, 6e – Chapter 3

Biological Treatments Biological practitioners attempt to pinpoint the physical source of dysfunction to determine the course of treatment Three types of biological treatment: Drug therapy Electroconvulsive therapy (ECT) Psychosurgery Comer, Abnormal Psychology, 6e – Chapter 3

Biological Treatments Drug therapy: 1950s = advent of psychotropic medications Changed outlook for a number of mental disorders Four groups of drugs: Antianxiety drugs (anxiolytics; tranquilizers) Antidepressant drugs Antibipolar drugs (mood stabilizers) Antipsychotic drugs Comer, Abnormal Psychology, 6e – Chapter 3

Biological Treatments Electroconvulsive therapy (ECT): Currently experiencing a revival Used for depression when drugs and other therapies have failed In 60% of cases, ECT can lift symptoms within a few weeks Comer, Abnormal Psychology, 6e – Chapter 3

Biological Treatments Psychosurgery (or neurosurgery): Historical roots in trephination 1930s = first lobotomy Much more precise than in the past Considered experimental and used only in extreme cases Comer, Abnormal Psychology, 6e – Chapter 3

Assessing the Biological Model Strengths: Enjoys considerable respect in the field Fruitful Creates new therapies Suggests new avenues of research Weaknesses: Can limit rather than enhance our understanding Too simplistic Evidence is incomplete or inconclusive Treatments produce significant undesirable (negative) effects Comer, Abnormal Psychology, 6e – Chapter 3

The Psychodynamic Model Oldest and most famous psychological model Based on belief that a person’s behavior (whether normal or abnormal) is determined largely by underlying dynamic psychological forces of which she or he is not aware Abnormal symptoms are the result of conflict among these forces Father of psychodynamic theory and psychoanalytic therapy: Sigmund Freud (1856 – 1939) Comer, Abnormal Psychology, 6e – Chapter 3

How Did Freud Explain Normal and Abnormal Functioning? Caused by three UNCONSCIOUS forces: Id – guided by the Pleasure Principle Instinctual needs, drives, & impulses Sexual; fueled by libido (sexual energy) Ego – guided by the Reality Principle Seeks gratification but guides us to know when we can & can’t express our wishes Ego defense mechanisms protect us from anxiety Comer, Abnormal Psychology, 6e – Chapter 3

How Did Freud Explain Normal and Abnormal Functioning? Caused by three UNCONSCIOUS forces: Superego – guided by the Morality Principle Conscience; unconsciously adopted from our parents These three parts of the personality are often in conflict A healthy personality is one in which compromise exists among the three forces If the id, ego, and superego are in excessive conflict, the person’s behavior may show signs of dysfunction Comer, Abnormal Psychology, 6e – Chapter 3

How Did Freud Explain Normal and Abnormal Functioning? Developmental stages Freud proposed that at each stage of development, new events and pressures require adjustment in the id, ego, and superego If successful → personal growth If unsuccessful → fixation at an early developmental stage, leading to psychological abnormality Because parents are the key figures in early life, they are often seen as the cause of improper development Comer, Abnormal Psychology, 6e – Chapter 3

How Did Freud Explain Normal and Abnormal Functioning? Developmental stages Oral (0 to 18 months of age) Anal (18 months to 3 years of age) Phallic (3 to 5 years of age) Latency (5 to 12 years of age) Genital (12 years of age to adulthood) Comer, Abnormal Psychology, 6e – Chapter 3

How Do Other Psychodynamic Explanations Differ from Freud’s? Although current models deviate from Freud’s in important ways, each retains the belief that human functioning is shaped by dynamic (interacting) forces: Ego theorists Emphasize the role of the ego; consider it independent Self theorists Emphasize the unified personality over any one component Object-relations theorists Emphasize the human need for interpersonal relationships Comer, Abnormal Psychology, 6e – Chapter 3

Psychodynamic Therapies Range from Freudian psychoanalysis to more modern therapies All seek to uncover past trauma and inner conflicts Understanding early life experience critically important Therapist acts as “subtle guide” Comer, Abnormal Psychology, 6e – Chapter 3

Psychodynamic Therapies Utilize various techniques: Free association Therapist interpretation Resistance Transference Dream interpretation Catharsis Working through Comer, Abnormal Psychology, 6e – Chapter 3

Psychodynamic Therapies Contemporary trends: Short-term psychodynamic therapies Relational psychoanalytic therapy Comer, Abnormal Psychology, 6e – Chapter 3

Assessing the Psychodynamic Model Strengths: First to recognize importance of psychological theories & treatment Saw internal conflict as important source of psychological health and abnormality First to apply theory and techniques systematically to treatment – monumental impact on the field Weaknesses: Unsupported ideas; difficult to research Non-observable Inaccessible to human subject (unconscious) Comer, Abnormal Psychology, 6e – Chapter 3

Comer, Abnormal Psychology, 6e – Chapter 3 The Behavioral Model Like the psychodynamic perspective, behaviorism is deterministic, and is based on the idea that our actions are determined largely by our life experiences Emphasizes observable behavior and environmental factors Focuses on how behavior is acquired (learned) and maintained over time Comer, Abnormal Psychology, 6e – Chapter 3

Comer, Abnormal Psychology, 6e – Chapter 3 The Behavioral Model Historical beginnings in laboratories where conditioning studies were conducted Several forms of conditioning: Operant conditioning Modeling Classical conditioning May produce normal or abnormal behavior Comer, Abnormal Psychology, 6e – Chapter 3

How Do Behaviorists Explain Abnormal Functioning? Operant conditioning Organism “operates” on environment and produces an effect Humans and animals learn to behave in certain ways as a result of receiving rewards whenever they do so Comer, Abnormal Psychology, 6e – Chapter 3

How Do Behaviorists Explain Abnormal Functioning? Modeling Individuals learn behavioral responses by observing and repeating behavior No direct reinforcement Comer, Abnormal Psychology, 6e – Chapter 3

How Do Behaviorists Explain Abnormal Functioning? Classical conditioning Learning by temporal association When two events repeatedly occur close together in time, they become fused in a person’s mind; before long, the person responds in the same way to both events Father of classical conditioning: Ivan Pavlov (1849 – 1936) Classic study using dogs & meat powder Comer, Abnormal Psychology, 6e – Chapter 3

Classical Conditioning US Meat UR Salivate US Meat Tone UR Salivate + CS Tone CR Salivate Comer, Abnormal Psychology, 6e – Chapter 3

How Do Behaviorists Explain Abnormal Functioning? Classical conditioning If, after conditioning, the CS is repeatedly presented alone, it will eventually stop eliciting the CR This process is called extinction Explains many familiar behaviors (both normal and abnormal) Comer, Abnormal Psychology, 6e – Chapter 3

Comer, Abnormal Psychology, 6e – Chapter 3 Behavioral Therapies Aim is to identify the behaviors that are causing problems and replace them with more appropriate ones May use classical conditioning, operant conditioning, or modeling Therapist is “teacher” rather than healer Early life experiences important only in providing clues to current learning Comer, Abnormal Psychology, 6e – Chapter 3

Comer, Abnormal Psychology, 6e – Chapter 3 Behavioral Therapies Classical conditioning treatments may be used to change abnormal reactions to particular stimuli Example: systematic desensitization for phobia Step-by-step procedure Learn relaxation skills Develop a fear hierarchy Confront feared situations (covertly or in vivo) Comer, Abnormal Psychology, 6e – Chapter 3

Assessing the Behavioral Model Strengths: Powerful force in the field Rooted in empiricism Phenomena can be observed and measured Significant research support for behavioral therapies Weaknesses: Too simplistic Unrealistic Downplays role of cognition New focus on self-efficacy, social cognition, and cognitive-behavioral theories Comer, Abnormal Psychology, 6e – Chapter 3

Comer, Abnormal Psychology, 6e – Chapter 3 The Cognitive Model Seeks to account for behavior by studying the ways in which the person attends to, interprets, and uses available information Argues that clinicians must ask questions about assumptions, attitudes, and thoughts of a client Concerned with internal processes Present-focused Comer, Abnormal Psychology, 6e – Chapter 3

How Do Cognitive Theorists Explain Abnormal Functioning? Maladaptive thinking is the cause of maladaptive behavior Several kinds of faulty thinking: Faulty assumptions and attitudes Illogical thinking processes Example: overgeneralization Comer, Abnormal Psychology, 6e – Chapter 3

Comer, Abnormal Psychology, 6e – Chapter 3 Cognitive Therapies People must be taught a new way of thinking to prevent maladaptive behavior Main model: Beck’s Cognitive Therapy The goal of therapy is to help clients recognize and restructure their thinking Therapists also guide clients to challenge dysfunctional thoughts, try out new interpretations, and apply new ways of thinking in their daily lives Widely used in treating depression Comer, Abnormal Psychology, 6e – Chapter 3

Assessing the Cognitive Model Strengths: Very broad appeal Clinically useful & effective Focuses on a uniquely human process Correlation between symptoms and maladaptive cognition Therapies effective in treating several disorders Adapt well to technology Research-based Weaknesses: Singular, narrow focus Overemphasis on the present Limited effectiveness Verification of cognition is difficult Precise role is hard to determine Comer, Abnormal Psychology, 6e – Chapter 3

The Humanistic-Existential Model Combination model The humanist view Emphasis on people as friendly, cooperative, and constructive; focus on drive to self-actualization The existentialist view Emphasis on self-determination, choice, and individual responsibility; focus on authenticity Comer, Abnormal Psychology, 6e – Chapter 3

Rogers’ Humanistic Theory and Therapy Basic human need for unconditional positive regard If received, leads to unconditional self-regard If not, leads to “conditions of worth” Incapable of self-actualization because of distortion – don’t know what they really need, etc. Rogers’ “client-centered” therapy Therapist provides unconditional positive regard Both accurate & genuine in reflection (reflective listening) Focus on the “experiencing person” Little research support Comer, Abnormal Psychology, 6e – Chapter 3

Gestalt Theory and Therapy Humanistic approach Developed by Fritz Perls Goal is to help clients achieve self-recognition through challenge and frustration Techniques: Skillful frustration Role playing Rules, including “Here and Now” and “I” language Comer, Abnormal Psychology, 6e – Chapter 3

Existential Theories and Therapy Psychological dysfunction is caused by self-deception: people hide from life’s responsibilities and fail to recognize that it is up to them to give meaning to their lives Therapy is focused on patient acceptance of personal responsibility and recognition of freedom of action Goals more important than technique Great emphasis placed on client-therapist relationship Comer, Abnormal Psychology, 6e – Chapter 3

Assessing the Humanistic-Existential Model Strengths: Emphasizes the individual Taps into domains missing from other theories Non-deterministic Optimistic Emphasizes health Weaknesses: Focuses on abstract issues Difficult to research Not much influence Weakened by disapproval of scientific approach Changing somewhat Comer, Abnormal Psychology, 6e – Chapter 3

The Sociocultural Model Argues that abnormal behavior is best understood in light of the social and cultural forces that influence an individual Addresses norms and roles in society Influenced by sociology and anthropology Argues that we must examine a person’s social surroundings to understand their (abnormal) behavior Comer, Abnormal Psychology, 6e – Chapter 3

How Do Sociocultural Theorists Explain Abnormal Functioning? Focus on: Societal labels & roles Diagnostic labels (example: Rosenhan study) Sick role Social networks and support Comer, Abnormal Psychology, 6e – Chapter 3

How Do Sociocultural Theorists Explain Abnormal Functioning? Focus on: Family structure and communication Family systems theory = abnormal functioning within family leads to abnormal behavior (insane behavior becomes sane in an insane environment) Examples: enmeshed, disengaged structures Comer, Abnormal Psychology, 6e – Chapter 3

How Do Sociocultural Theorists Explain Abnormal Functioning? Focus on: Culture Set of values, attitudes, beliefs, history, and behaviors shared by a group of people and communicated from one generation to the next “Multicultural” psychology is a growing field of study Comer, Abnormal Psychology, 6e – Chapter 3

How Do Sociocultural Theorists Explain Abnormal Functioning? Focus on: Religion and spirituality For most of the twentieth century, clinical scientists viewed religion as a negative factor in mental health but this alienation now seems to be ending: Researchers have begun to systematically study the influence of religion and spirituality on mental health Many therapists now address spiritual issues when treating religious clients Comer, Abnormal Psychology, 6e – Chapter 3

Sociocultural Treatments May include traditional individual therapy Broadened therapy to include: Culturally sensitive therapy Group therapy Family therapy Couple therapy Community treatment Includes prevention work Comer, Abnormal Psychology, 6e – Chapter 3

Assessing the Sociocultural Model Strengths: Added greatly to the clinical understanding of abnormality Increased awareness of labeling Clinically successful when other treatments have failed Weaknesses: Research is difficult to interpret Correlation  causation Model unable to predict abnormality in specific individuals Comer, Abnormal Psychology, 6e – Chapter 3

Integration of the Models Each perspective is valuable to understanding abnormal behavior Different perspectives are more appropriate under differing conditions An integrative approach provides a general framework for thinking about abnormal behavior, and also allows for specification of the factors that are especially pertinent to particular disorders Comer, Abnormal Psychology, 6e – Chapter 3

Integration of the Models Many theorists, clinicians, and practitioners adhere to a biopsychosocial model Abnormality results from the interaction of genetic, biological, developmental, emotional, behavioral, cognitive, social, and societal influences Also popular: Diathesis-stress approach Diathesis = predisposition (bio, psycho, or social) Reciprocal effects explanation Comer, Abnormal Psychology, 6e – Chapter 3

Integration of the Models Integrative therapists are often called “eclectic” – taking the strengths from each model and using them in combination Comer, Abnormal Psychology, 6e – Chapter 3