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Summary of psychopathology textbook

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Comprehensive notes for PSPA Exam

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  • November 4, 2024
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  • 2024/2025
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Chapter 1
Origins and Causes of Psychopathology
Outcomes Description
LO1: Discuss 1. Biomedical Perspective
the various  Claims that all mental illness has a biological cause
perspectives  Does not account for additional factors such as environment,
of social pressures, parenting types
psychopatholo  Biological abnormalities occur in four areas:
gy A. Genetic Predisposition
 these are inherited from our parents
 most of us have 46 chromosomes
 abnormalities in genetic make-up can predispose some
individuals to specific mental illnesses
 plays a role in the development of mental illness such as
schizophrenia, mood disorders and alcoholism
B. Abnormal Functioning of Neurotransmitters
 neurotransmitters are chemical substances in the brain that are
responsible for the communication of nerve impulses among
the brain cells
 two types of neurotransmitters that are implicated in most
psychiatric disorders:
 Monoamine neurotransmitters (adrenaline, noradrenaline,
dopamine and serotonin)
 Amino acid neurotransmitters
 Psychiatrists still use “chemical imbalance” to explain mental
illness to patients
e.g. dopamine is overactive in schizophrenic brains
C. Endocrine Dysregulation
 Pathological alterations in the functioning of the neuro-
endocrine system
 Disorders like mood disorders and schizophrenia
D. Structural Abnormalities
 Structural abnormalities have traditionally been associated with
various disorders
 Structural abnormalities in the brain can impair a person’s
emotional control

2. Psychological Perspective
A. Psychodynamic Approaches
 Sigmund Freud
 Mental structure are influenced by childhood experiences
 Human actions and experiences are strongly influenced by
unconscious processes
 Freud believed that although these feelings are supressed, they
could still exert control over an individual through symptoms
 Personality is divided into three parts:
 ID: our instincts and desires
 EGO: tries to control expression of the ID
 SUPEREGO: conscious ability to differentiate between
what is right and wrong
 Psychopathology can occur for two reasons:
1. Psychological disorders emerge when conflict between the
© 2024 Danielle van Rooijen

, ID, EGO and SUPEREGO cause distressing symptoms
2. Mental disorders emerge when deficiencies in the EGO
hinder an individuals ability to repress instincts and drives


Contemporary Psychodynamic thinking

Internal Objects: (Melanie Klein)

-mental representations that are formed when significant others are internalised by the
individual, which adds to the nature of the personality

-these theories believe that early relationships with caregivers can shape personality and
lays a foundation for future relationships

Theory of Attachment (John Bowlby)

- bonding between the child and caregiver has long term effects on relationships

-early trauma or deprivation is used to understand the development of psychopathology
B. Behavioural/Learning Perspectives
 Psychologists: Pavlov/Skinner/Watson
 Behaviour is learned through various processes:
1. Habituation:
 The process by which a person ceases to respond to a
stimulus after repeated presentations
 The person adapts (becomes numb) to the stimuli
 E.g. Maladaptive stimuli: drugs
2. Sensitisation:
 An extreme response to a stimulus that holds
significant consequences
 Become sensitive to pain, sound, smell etc
3. Conditioning:
 A. Classical Conditioning: (Pavlov’s dogs)
pairing a neutral stimulus (bell) with an unconditioned
stimulus (food), eventually the neutral stimulus alone
will trigger the same response as the unconditioned
stimulus
 B. Operant Conditioning:
an individual learns to achieve a specific goal
through reward (repeat behaviour) or punishment
(avoid behaviour)
4. Modelling:
 learning takes place through observation or imitation alone
 Process:
1. Attention: noticing something
2. Retention: remembering what was noticed
3. Reproduction: producing an action that is a
copy of what
was noticed
 Dysfunctional behaviour results from learning ineffective
or dysfunctional responses or failing to learn adaptive
behaviour

C. Cognitive-Behavioural Perspective
 Central to this perspective is the idea that mental disorders are
© 2024 Danielle van Rooijen

, caused by aspects of the content of thoughts and information-
processing factors
 Believes that irrational beliefs and automatic thoughts are
primarily responsible for the development of psychopathology
 What we think and do impacts the way that we feel

D. Humanistic and Existential Perspectives
 Known as the “third force” of psychology
 Carl Rogers and Abraham Maslow
 Humanistic Perspective (Rogers):
 A person has free will and is able to choose how they
act in various contexts
 Phenomenal field: each induvial lives in a world of
their own making
 It is the perception of reality and not reality itself that
shapes life
 Most important element: the sense of self which is
constantly forming and reforming
 A fully functioning person has reached self-
actualisation, whereas psychopathology develops
when a person is blocked from achieving their full
potential
 Existential Perspective:
 Puts emphasis on the uniqueness of each individual,
the quest for values and meaning and the existences
of freedom for self-direction and fulfilment
 It is less optimistic than the humanistic approach – it
puts emphasis on the alienating and dehumanising
nature of sociopolitical contexts

3. Social Perspectives
A. Community Psychology Perspective
 Understanding people within their social worlds
 It is a psychology that is “for the people”
 FOCUS: is on preventing rather than treating dysfunction
 Emphasis is placed on creating sensitivity to under-represented
groups
 Factors included are socio-economic status, access to resources,
and the nature of the social interaction with the community
 Looks at social, political and cultural contexts
 E.g. a person presenting with schizophrenic symptoms may be
thought to be having an ancestral calling in some cultures
We can not truly explain a persons behaviour if we do not understand
their cultural background

B. Political Perspective
 Frantz Fanon
 Throughout history the field of psychology has been seen as
maintaining an oppressive system
 Mental healing starts at liberation, but postcolonial dilemmas
complicate the process
 Critical psychology has become very popular in SA as a way of
challenging dominant perspectives in psychology

© 2024 Danielle van Rooijen

, C. Cultural and Cross-Cultural Perspective
 Culture refers to the way that a lot of our behaviour is shared and
how behaviour is transmitted from one generation the next
 Culture provides the context that all other variables operate within
 Certain socio-cultural conditions may render some groups of
people more susceptible to psychopathology
 The effects of culture can be seen to:
 Pathogenic – directly cause mental disorders
 Pathofacilitative – promote the incidence of certain
mental disorders
 Pathoselective – influencing the reaction patterns
that result in mental disorders
 Pathoplastic – shaping the symptoms of mental
disorders
 Patho-elaborating – exaggerating behaviour
associated with mental disorders
 Pathoreactive – influencing societies reaction to
mental disorders
 Mental disorders that are largely caused by biological factors are
less likely to be influenced by cultural factors
- E.g. Schizophrenia does not have pathogenic effects of
culture, but it has pathofacilitative, pathoplastic and
pathoreactive
- In contrast personality disorders are an example where
culture exerts all six levels of influence (cultures often
define abnormalities in personality)
 Cultural differences can become handicaps when the induvial
moves out of their culture and has to function within another
culture
 The contribution of culture is being increasingly integrated into all
the fields of psychology
 Due to mobility and social forces there are very few societies that
have not become culturally diverse
 Skills and knowledge for multicultural assessment include:
 Recognising cultural diversity
 Understanding the role of culture, ethnicity and race in the
sociopolitical and economic development of diverse
populations
 Understanding the impact of socio-economic and political
factors on the social, political and economic development of
groups
 Helping clients to understand, maintain and resolve their
sociocultural identification
 Understanding the impact of the interaction of culture,
gender and sexual orientation on behaviour and needs
 In SA there is concern over the needs of culturally diverse societies
not being reached and that mental health services are still
Eurocentric
 Cultural insensitivity can often lead to misdiagnoses
 Ethnocentrism: judging other people from within ones own
cultural perspective (the problem arises when individuals view
their own culture as superior)
 An example of ethnocentrism is the tendency in western medicine
to discredit traditional African healing (traditional healers are
© 2024 Danielle van Rooijen

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