Intro and Case Studies
Intro and Case Studies PSYC 3005 31
Popular in Abnormal Psychology
Popular in Psychology
This 6 page Class Notes was uploaded by Gina on Friday September 9, 2016. The Class Notes belongs to PSYC 3005 31 at Fairleigh Dickinson University taught by Donalee Brown in Fall 2016. Since its upload, it has received 25 views. For similar materials see Abnormal Psychology in Psychology at Fairleigh Dickinson University.
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Date Created: 09/09/16
INTRODUCTION There are a lot of controversial topics in the field of abnormal psychology This happens because something being abnormal is subjective Abnormal is influenced by: Culture: Wearing shoes in the house, child brides in India countries History: Smoking inside, owning slaves (in the traditional sense) Geographical: There are different customs in different regions (polygamy is accepted in some places like Utah and Arizona) Societal Interpersonal Intrapersonal Abnormal Consider your own behavior, are there times when you’ve done things that can be considered abnormal Everything is contextual The concept of normal is different for everyone Discrimination against Mental Health Members of society who view people as abnormal can have a big impact on people who have emotional problems and mental disorders There are many people in society who reject the mentally ill or disturbed Stigma: Label that causes certain people to be regarded as different, defective, and set apart from mainstream members of society Myths about mental disorders All people who have bipolar disorder rapidly cycle through emotions, where that’s only a subset of people affected by BPD All mentally ill people are helpless and cant take are of themselves People choose to be mentally ill, that they choose to be depressed and seclude themselves People who are mentally ill are just seeking attention Mental illness is due to emotional weakness Bad parenting is a major cause Sinful behavior is responsible Mentally ill could recover if they really wanted to More violent than “normal” people Generally incurable Defining Abnormal Behavior Ask o Where does society draw the line regarding behavior? o Evidence of disorder, or undesirable? Norms and Rules Statistically rare, personal discomfort, and maladaptive behavior o Think of a bell curve o Performance against average (outside average = abnormal) o Not on desirable/undesirable Personal Discomfort o People content with their lives, no concern for mental health o Distress over thoughts of behavior = require treatment Maladaptive Behavior o Able to meet demands of their life Job, deal with family and friends, pay bills 4 Categories of Behavior 1. Harmful to self or harmful to others 2. Poor contact with reality 3. Inappropriate emotional reactions 4. Erratic behavior Explaining abnormal behavior Medical Model Psychological approaches Psychodynamic perspective Behavioral perspective Cognitive perspective Family systems perspective Sociocultural perspectives CASE STUDIES Debbie: 29 Very attractive young lady Good education Married to a successful man, international lawyers 3 homes, upstate new york, apartment in Manhattan, house in Switzerland Privileged young couple Came to therapy because of a fight with the couple Husband was packing for the trip She asked him questions, he didn’t respond how she wanted She threw a very expensive vase and broke it against the wall Threatened to kill herself if he went on the trip Very upset because he didn’t listen to what he said Contacted her friend, the friend was very concerned and said Debbie should go to her therapist She called the therapist and told him that she was going to kill herself o The first thing you want to do is be very practical (ie. Ask Debbie how she would do that, if she had a plan) She got annoyed when the therapist asked her these questions, she didn’t want to think of the practicality of it (this determined that she was safe and wasn’t going to kill herself) She went to the therapist the next day, the first thing he did was asses how much of a danger she was to herself and others She wasn’t upset, but she was extremely flirtatious with the therapist He asked her the details about her life… o She had two older brothers (much older) o Her parents were wealthy but worked their way there Father owned a factory His company went public and became very successful o Her parents relationship changed a lot, but it wasn’t a bad one. o Her parents weren’t around for Debbie as much as they were around for her brothers She was raised by a nanny rather than her parents o Debbie didn’t have to work, and was home alone by herself o An example of her mood swings is when she was talking about her husband, and she was saying how happy she was to be married to him They went to a dinner recently and in an elevator on the way up She was thinking about how happy she was to be with him, but by the time they got to the floor, they were fighting vehemently How is Debbie normal? Her lashing out was normal because she may have been seeking a way to make her husband stay, since she may have felt abandoned by her parents since they were never around for her childhood. How is Debbie abnormal? Her moods seen to switch very rapidly, like how she seemed flirty and happy when she showed up to the therapist, when the day before she was suicidal It isn’t normal to be threatening suicide Her episodes of rage aren’t normal either Mary: 68 Married for 48 years 4 children, 10 grandchildren Her childhood was unremarkable, 2 of 5 kids Very religious, both from Polish backgrounds Attends church on a weekly basis Very into cleaning, a very neat and tidy person Brushes her teeth 34 times a day, washes her hands 56 times a day During communion, she receives the host directly into her mouth as to not contaminate it There was a new priest who would no longer place the host into her mouth She started to become upset and worried that everything she touched would be contaminated with the host She started frequently washing her hands, to the point that her hands were raw and bruised She no longer wanted to associate with her family since everything they touched would be contaminated as well She lost contact with children as she didn’t want to touch them She began to contemplate suicide, which is the most sinful thing in the catholic church The Priest had to come to their home to see if she was alright She later realized that her reaction was illogical She would lock herself in her room for days on end, not eating or speaking to anyone How is Mary Normal? She can maintain a relationship successfully She had a normal routine of going to church every week She had children and grandchildren that she took care of How is Mary Abnormal? Since she had an ‘unremarkable childhood’ she most likely chose to focus on the small things, which was church for her She seemed to have a slight obsession with cleanliness, not to the point where it was an issue (before the church switch) She became almost obsessed with the idea that the holiness from the host was contaminating everything She obsessively cleaned after the event at the church There was a feeling of depression that came along with the suicidal thoughts and tendencies She has a very closeknit family, but she’s isolating herself from them which isn’t normal for her