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28 Cards in this Set

  • Front
  • Back

Cultural Relativism and its strengths/weaknesses

Abnormal is not absolute, it's determined by a deviation from cultural norms



Pros: Culture has a clear role in determining abnormality; Some disorders seem specific to specific cultures




Cons: Doesn't explain why some disorders exists in all cultures; Ignores relevant scientific info; Doesn't permit cross-cultural comparisons

Harmful Dysfunction and its strengths/weaknesses

Abnormal behavior represents a failure/disease of a designed function - disrupted biological/psychological mechanisms (dysfunction); also regarded as harmful (culture)




Pros: Can compare across cultures; Richly informed by science; Still acknowledges culture




Cons: Not always an identifiable mechanism

Supernaturalism vs. Naturalism

Supernaturalism describes events as being caused by an agent




Naturalism describes events as having no conscious agent




Mind-body dualism is the default assumption

Thales

First to break from mythological explanation of phenomena and instead engaging in naturalistic and scientific explanations

Hippocrates (Four humors...)

Four humors are: Blood, phlegm, yellow bile, black bile - concept of homeostasis




Classification of disorders based on scientific observation




Emphasized nutrition and stress




Promoted humane treatment of mentally ill

Important developments during the Middle Ages

Saw a return to supernatural (i.e. demons) explanation for abnormal behavior

Malleus Magnificarum

"The Witch's Hammer"




How to discern if someone is a possessed and how to rid the demons from the individual

Important Developments during the European Renaissance

Rediscovery of classical Greek texts in Islamic Middle East (progressive at this time) saw a return to naturalism




Avicenna - germ theory, pharmacology (doses)




Abnormal people are ill, but not fully human

Phillipe Pinel

Begins telling people there is a different, more humanitarian way of treating the mentally ill (moral therapy)

William Tuke

Quaker from England who radically pioneered moral treatment for the mentally ill

Benjamin Rush

Founder of American psychiatry




Believed patients were to be treated with compassion (moral treatment)



Thomas Kirkbride

Started the Pennsylvania Hospital for the Insane

Dorothea Dix

Pioneer of the mental hygiene movement

General paresis (cerebral syphilis)

Mental illness can be cured with biological means (infected afflicted patients with malaria)

Kraepelin

Pioneer of the biological/medical model of systematic classification mental disorders




First to classify schizophrenia and bipolar disorders

Brain-damaging therapeutics

ECT, insulin comas, lobotomies, metrazol

Behavioral model

B.F. Skinner




Cognitive behavioral therapy (CBT)

Psychoanalytic model

Freud




Cognitive unconscious




Defense mechanism - suppression, projection, importance of childhood are important tenants still used




Psychodynamic model least influential on current day model

Dualism

We have an innate sense that our mind and body are separate but its incorrect - the mind is what the brain does

Difference between psychiatrist and clinical psychologist

Psychiatrist is an MD that can prescribe meds




Clinical/counseling psychologist has a research degree (PhD) and focuses more on psychotherapy

History of DSM

Began as an unreliable, heavily reliant on Freud piece of text that was small and not well written




Began becoming more reliable up until DSM-IV




DSM5 has criticisms of being drafted by those heavily influenced by big pharma, poor inter-rater reliability




Classifies syndromes, not diseases as we do not have an a full understanding of the underlying mechanisms

DSM5 diagnostic criteria of a specific phobia

1) Marked andpersistent fear (excessive) cued by presence or anticipation of specific objector situation




2) Exposureconsistently produces anxiety (possibly panic)




3) Person recognizesfear excessive (otherwise psychosis)




4) The fearedsituation is avoided




5) The anxietyand/or avoidance causes impairment in function

Prevalence of specific phobias

12.5% lifetime prevalence

Hypothesized causes of specific phobias

Preparedness hypothesis, genetic influence




Symbol of inner conflict




Classical conditioning




Observational learning

Treatment of specific phobias

Exposure has a 90% cure rate




No drug comes close to this

Moral treatment

Humane approach to treating mental health disorders (asylum movement)

Major lines of evidence that mind-body dualism is false

1) Brain-damaged individuals have loss of mental functions dependent on focal damage




2) Brain alteration has a predictable change in mental events




3) Specific mental events are reflected in specific patterns of brain events (through scans)




4) Physical design of neurons and brains




5) AI: mental events encoded as information processing in silicon circuits

Why does Paul Bloom think we are natural-born dualists?

He believes it may be learned - dualistic stories are told, religion




Universal experiences such as leaving one's body in a dream, bodies disobeying our will




When children begin learning about the brain, misunderstanding develops - they know it's involved in thinking (solving math problems, perception) but don't believe it does things like loving others or dreaming; they viewed thinking in a very narrow sense




The other explanation is the view of the afterlife - certain mental events are viewed as persisting beyond death (loving, liking things etc); children tacitly believe that though a creature is dead, its mental life still persists