What is Abnormal?PLEASE WRITE THIS DOWN!!! CLASSROOM changeClass ObjectivesThe Human PerspectiveSensitivity Please!How are people with psychological disorders portrayed in our culture?Slide 7Slide 8What do we call people labeled as abnormal?Labels, Labels, Labels…Defining AbnormalityWho decides what’s “NORMAL”?Who’s Normal?Slide 14Slide 15Are the standards for abnormal behavior universal?How do we define a psychological disorder?Defining psychological disordersCan any of these criteria be used solely to define a psychological disorder?Slide 20PsychopathologyAssessmentClinical DescriptionEvaluation BehaviorPresenting Problem?Slide 26Clinicians are interested in:“In Order to Understand the Future We Must Understand the Past”Where did it all begin?Early TreatmentsReformSlide 32Next Class1What is Abnormal?Chapter One:Abnormal Behavior in Historical Context2PLEASE WRITE THIS DOWN!!!CLASSROOM changeTuesday class- AD 130Thursday class- AD 1213Class ObjectivesWhat is ABNORMAL?When does an abnormal behavior become a psychological disorder?NEXT CLASS- Historical perspectives4The Human PerspectiveHave you ever known someone diagnosed with a psychiatric disorder or on psychiatric medication?Have you ever felt lonely, nervous, sad, confused, angry, embarrassed or humiliated? Have you experienced suffering? One of the most important objectives for this class is for students to recognize how psychological suffering is everywhere.5Sensitivity Please!The language we use when discussing psychological disorders is very important-people are not just their disorders!Humor has its place, but respect and compassion for crucial.6How are people with psychological disorders portrayed in our culture?78Abnormal behavior is characterized as:‐Non- typical‐Socially unacceptable‐Distressing to the person who exhibits it or to the people around them9What do we call people labeled as abnormal?10Labels, Labels, Labels…These words are used to dismiss and dehumanize people who we consider different.11Defining Abnormality A study performed in 1962 (The Midtown Manhattan Study) reported that 55% of the general population have some form of mental illnessSo, how ABNORMAL are these disorders?12Who decides what’s “NORMAL”?WE do!13Who’s Normal?Is this behavior “normal”? Why or Why not?14Your neighbor has physical complaints and sees several doctors weekly.A 23 year-old college student smokes 4-5 marijuana joints per day, is a straight A student, has a successful job and a solid long term relationship.Your neighbor sweeps, washes, and scrubs his driveway daily.15A 10 year-old wants to have his entire body tattooed.Your cousin is pregnant, and she is dieting (800 calories per day) so that she will not get "too fat" with the pregnancy. She has displayed this behavior since she was 13 years old. A 35 year-old very happily married man enjoys wearing women’s clothes and underwear on the weekends when he and his wife go out on the town.16Are the standards for abnormal behavior universal?__________________________________________________________________________________________________17How do we define a psychological disorder?________________________________________________ associated with distress or impairment that is not typical or culturally appropriateSomeone is fearful to travel…dysfunctional?Was it dysfunctional after 911?18Defining psychological disorders__________________________________________ also contributes to defining psychological disorders.‐being “extremely upset”The concept of impairment is also useful in defining this.One last factor is the question, “Does the behavior meet cultural standards?”19Can any of these criteria be used solely to define a psychological disorder?20__________. Using any of these in isolation is not adequate for a valid definition. As well as looking at the “_____________________”The conclusion…it is difficult to define “abnormal” and “normal”21PsychopathologyPsychopathology is the scientific study of psychological disorders.________________________________________________________________________________________________________________________________________________Involved in the assessment, diagnosis and treatment of these disorders22AssessmentHow are psychological disorders evaluated?23Clinical DescriptionMental Health professionals who take a scientific approach to their clinical work are referred to as a scientist-practitioner._______________________________________________________________________________________________________________________________________________________________________________________________________________________24Evaluation BehaviorA ____________________________________ is written to document behaviors, usually similar to symptoms of the disorder.‐Combination of thoughts, behaviors, and feelings25Presenting Problem?Patricia was referred to the crisis center for suicidal thoughts and suicide attempt which followed an argument with her boyfriend. Patricia ingested a bottle of prescription pain medication and drank small amounts of a household cleaning product. Patricia was once hospitalized for major depression and suicidal statements.26Clinical Description A presenting problem typically refers to the _________________________________________________________________________________________________________________________________“Why are you here today?”“The client presented with suicidal thoughts and attempt.”27Clinicians are interested in:Course- ______________________________Prognosis - _________________________________Etiology -____________________________________Prevalence- __________________________________________________________________________________________________28“In Order to Understand the Future We Must Understand the Past”Psychopathology in a historical Context29Where did it all begin?Abnormal behavior and mental illness has been documented for thousands of years.Although many early “treatments” are recognized now as cruel and ineffective, they were considered state-of-the-art for their times.Developed and promoted in a sincere effort to help people struggling with serious mental illness.30Early Treatments31ReformReformers like Dorothea Dix and Dr. John Grey advocated for humane treatments for the mentally ill in the 19th century.Dorothea Dix began the ____________________________________________ which ensured treatment for all.‐Including the poor and