Zusammenfassung der Ressource
Abnormality
- Definitions of
Abnormality
- Deviation from social
norms
- Failure to function
adequately
- Deviation from ideal
mental health
- Rosenhan and Seligman
- Biological Model of
Abnormality
- Abnormal
behaviours result
from physical
problems and
should be treated
medically
- Infection
- Mental illness has
been linked to germs
and bacteria
- Genetic factors
- People may inherit
predispositions to
certain illnesses
through genes which
pass from generation
to generation
- Biochemistry
- Chemical
interaction in the
body
- Neuroanatomy
- Physical
differences in the
nervous system
- Evaluation
- Positives
Anmerkungen:
- -Based on well established science
- Can help provide treatments
- Removes blame from patient
- Negatives
Anmerkungen:
- - Is mental illness the same as physical illness?
- Ethical issues with drugs
- Cause or effect?
- Ignores people's experiences
- Puts pressure on family
- Behavioural
Model of
Abnormalty
- Abnormality is based on
the development or learning
of behaviour patterns
- Classical conditioning
- Operant conditioning
- Social learning theory
- Evaluation
- Positives
Anmerkungen:
- - Gives the patient the power to change
- Patient is not seen as the victim of illness
- Successful at treating some phobias
- Easy to test experimentally
- Negatives
Anmerkungen:
- -The focus is on symptoms instead of underlying cause
- Minimises the role of biological and cognitive factors
- Treatments are accused of being unethical
- Treatments are for the benefit of society rather than the individual
- Classical conditioning doesn't explain why people develop phobias when they cannot identify an event in their past that has caused it
- Psychodynamic
Model of
Abnormality
- Conflict between id,
ego and superego
- Psychosexual development
- Old Age Pensioners
Like Greens
- Freud
- Evaluation
- Positives
Anmerkungen:
- - It highlights psychology in mental illness
- Identifies childhood experiences as a factor
- Reduces blame from person, it can't be their fault if it is unconscious
- Negatives
Anmerkungen:
- -Over emphasis on past not present
- Model is non scientific since it cannot be falsified
-Ignores culture and social factors
- Assumes behaviour is defined by gender and sex
-False memory syndrome: recovering memories that are not true
- Cognitive Model of
Abnormality
- Irrational thinking
- Cognitive triad
- ABC Model
- Evaluation
- Positives
Anmerkungen:
- -Model focusses on people's experiences and feelings
- Gives the person the power to change
- Negatives
Anmerkungen:
- -Limited to certain mental disorders
- Ignores other possible causes
- Cause and effect
- Ethics, is it right to tell someone their belief system is faulty?
-Puts blame on the person
- Behavioural
Treatments
- Systematic Desensitisaiton
- The two responses of
fear and relaxation are
incompatible, therefore
you can't be relaxed
and still fearful.
- Evaluation
- Positives
Anmerkungen:
- -Quick and requires little effort from the patient
- May be the only option for certain groups of people (learning difficulties)
- Research has found that SD is successful in a range of anxiety disorders
- SD has been found to be highly effective
- McGrath et al: 75% of patients with phobias respond to SD
- Capafons et al reported that when used with aerophobics, those who had undergone SD reported lower levels of fear compared to a control group
- Negatives
Anmerkungen:
- - Some patients experience 'Symptom Substitution'
- SD may seem to resolve the problem, but suppressing symptoms may result in other symptoms presenting themselves
-SD has been found to have reduced effectiveness for certain phobias
- Ohman et al: SD may not be effective in treating some phobias related to evoluntary survival components (heights, dark, dangerous animals)
- Ethical issues
-May be psychologically distressing
- Biological
Treatments
- Chemotherapy
- Electro convulsive
therapy (ECT)
- Evaluation
- Postives
Anmerkungen:
- - Supporters of ECT claim it can change lives and eradicate problems that other treatments have not
- Comer: 60-70% of ECT patients imporved after their treatment
- Negatives
Anmerkungen:
- -Sham ECT appears to be effective at treating the conditions too
-There are some serious side effects to ECT (phsycial: impaired memory, cardiovascular changes and headaches- Datto) (Psychological: The DOH report found that among those receiving ECT within the last 2 years, 30% reported that it had resulted in permanent fear and anxiety)
- Counter evidence of Comer found that 84% relapsed within 6 months of ECT
- Psychodynamic
Treatments
- Psychoanalysis
- Evaluation
- Positives
Anmerkungen:
- - Bergin: He analysed the sata from 10,000 patient histories and estimated 80% benefited from psychoanalysis compared to ecletic therapies
- Tschuchke et al: More than 450 patiens were included in the study, he found that the longer the treatment, the better the outcomes. Supporting the prolonged time period for ppsychoanalysis
- Negatives
Anmerkungen:
- - The whole theory is based Freud's theory, what if it is wrong?
- Eysenck argues that Freud's theory is countered by spontaneous remission and placebo treatment, that it is not useful to base therapies on it (some people suddenly recover without years of therapy. Others who spend the same amount of time talking to someone without any analysis going on recover seem to recover to the same levels)
- It may lead to false memories
- There are ethical issues, the therapy may bring up potentially distressing material which can affect the individual and the whole family
- Cognitive
Treatments
- REBT
- ABCDEF
- Evaluation
- Positives
Anmerkungen:
- - Engles conducted a meta analysis in 1993 and concluded that REBT is an effective treatment for a number of disorders including OCD and social phobia
- It is useful in a variety of settings so anybody can benefit
- There is evidence to suggest that the long term effects of REBT are more successful than drugs because they fix the cause
- More cost effective and less time consuming than psychoanalysis
- There are no side effects unlike drugs treament
- Can be used in conjunction with other treatments like drug treatment and has been found to decrease the chances of relapse
- Negatives
Anmerkungen:
- - Even though the person has been helped to approach problems rationally, once they leave treatment they re-enter the original environments that caused the problem
- Only works if the patient is willing
- It is unethical to tell someone that their belief systems are faulty. Especially when these principles are linked to a fundamental religious faith
- Evaluation is difficult as there is no object measure of improvement