Module 1: What is Abnormal Psychology?

3rd edition as of July 2023

Module Overview

Cassie is an 18-year-old female from suburban Seattle, WA. She was a successful student in high school, graduating valedictorian and obtaining a National Merit Scholarship for her performance on the PSAT during her junior year. She was accepted to a university on the opposite side of the state, where she received additional scholarships giving her a free ride for her entire undergraduate education. Excited to start this new chapter in her life, Cassie’s parents begin the 5-hour commute to Pullman, where they will leave their only daughter for the first time in her life.

The semester begins as it always does in mid to late August. Cassie meets the challenge with enthusiasm and does well in her classes for the first few weeks of the semester, as expected. Sometime around Week 6, her friends notice she is despondent, detached, and falling behind in her work. After being asked about her condition, she replies that she is “just a bit homesick,” and her friends accept this answer as it is a typical response to leaving home and starting college for many students. A month later, her condition has not improved but worsened. She now regularly shirks her responsibilities around her apartment, in her classes, and on her job. Cassie does not hang out with friends like she did when she first arrived for college and stays in bed most of the day. Concerned, Cassie’s friends contact Health and Wellness for help.

Cassie’s story, though hypothetical, is true of many Freshmen leaving home for the first time to earn a higher education, whether in rural Washington state or urban areas such as Chicago and Dallas. Most students recover from this depression and go on to be functional members of their collegiate environment and accomplished scholars. Some students learn to cope on their own while others seek assistance from their university’s health and wellness center or from friends who have already been through the same ordeal. These are normal reactions. However, in cases like Cassie’s, the path to recovery is not as clear. Instead of learning how to cope, their depression increases until it reaches clinical levels and becomes an impediment to success in multiple domains of life such as home, work, school, and social circles.

In Module 1, we will explore what it means to display abnormal behavior, what mental disorders are, and the way society views mental illness today and how it has been regarded throughout history. Then we will review research methods used by psychologists in general and how they are adapted to study abnormal behavior/mental disorders. We will conclude with an overview of what mental health professionals do.

Module Outline

1.1. Understanding Abnormal Behavior

1.2. classifying mental disorders, 1.3. the stigma of mental illness, 1.4. the history of mental illness, 1.5. research methods in psychopathology, 1.6. mental health professionals, societies, and journals.

Module Learning Outcomes

  • Explain what it means to display abnormal behavior.
  • Clarify how mental health professionals classify mental disorders.
  • Describe the effect of stigma on those who have a mental illness.
  • Outline the history of mental illness.
  • Describe the research methods used to study abnormal behavior and mental illness.
  • Identify types of mental health professionals, societies they may join, and journals they can publish their work in.

Section Learning Objectives

  • Describe the disease model and its impact on the field of psychology throughout history.
  • Describe positive psychology.
  • Define abnormal behavior.
  • Explain the concept of dysfunction as it relates to mental illness.
  • Explain the concept of distress as it relates to mental illness.
  • Explain the concept of deviance as it relates to mental illness.
  • Explain the concept of dangerousness as it relates to mental illness.
  • Define culture and social norms.
  • Clarify the cost of mental illness on society.
  • Define abnormal psychology, psychopathology, and mental disorders.

1.1.1. Understanding Abnormal Behavior

To understand what abnormal behavior is, we first have to understand what normal behavior is. Normal really is in the eye of the beholder, and most psychologists have found it easier to explain what is wrong with people then what is right. How so?

Psychology worked with the disease model for over 60 years, from about the late 1800s into the middle part of the 20th century. The focus was simple – curing mental disorders – and included such pioneers as Freud, Adler, Klein, Jung, and Erickson. These names are synonymous with the psychoanalytical school of thought. In the 1930s, behaviorism, under B.F. Skinner, presented a new view of human behavior. Simply, human behavior could be modified if the correct combination of reinforcements and punishments were used. This viewpoint espoused the dominant worldview of the time – mechanism – which presented the world as a great machine explained through the principles of physics and chemistry. In it, human beings serve as smaller machines in the larger machine of the universe.

Moving into the mid to late 1900s, we developed a more scientific investigation of mental illness, which allowed us to examine the roles of both nature and nurture and to develop drug and psychological treatments to “make miserable people less miserable.” Though this was an improvement, there were three consequences as pointed out by Martin Seligman in his 2008 TED Talk entitled, “The new era of positive psychology.” These are:

  • “The first was moral; that psychologists and psychiatrists became victimologists, pathologizers; that our view of human nature was that if you were in trouble, bricks fell on you. And we forgot that people made choices and decisions. We forgot responsibility. That was the first cost.”
  • “The second cost was that we forgot about you people. We forgot about improving normal lives. We forgot about a mission to make relatively untroubled people happier, more fulfilled, more productive. And “genius,” “high-talent,” became a dirty word. No one works on that.”
  • “And the third problem about the disease model is, in our rush to do something about people in trouble, in our rush to do something about repairing damage, it never occurred to us to develop interventions to make people happier — positive interventions.”

Starting in the 1960s, figures such as Abraham Maslow and Carl Rogers sought to overcome the limitations of psychoanalysis and behaviorism by establishing a “third force” psychology, also known as humanistic psychology. As Maslow said,

“The science of psychology has been far more successful on the negative than on the positive side; it has revealed to us much about man’s shortcomings, his illnesses, his sins, but little about his potentialities, his virtues, his achievable aspirations, or his full psychological height. It is as if psychology had voluntarily restricted itself to only half its rightful jurisdiction, and that the darker, meaner half.” (Maslow, 1954, p. 354).

Humanistic psychology instead addressed the full range of human functioning and focused on personal fulfillment, valuing feelings over intellect, hedonism, a belief in human perfectibility, emphasis on the present, self-disclosure, self-actualization, positive regard, client centered therapy, and the hierarchy of needs. Again, these topics were in stark contrast to much of the work being done in the field of psychology up to and at this time.

In 1996, Martin Seligman became the president of the American Psychological Association (APA) and called for a positive psychology or one that had a more positive conception of human potential and nature. Building on Maslow and Roger’s work, he ushered in the scientific study of such topics as happiness, love, hope, optimism, life satisfaction, goal setting, leisure, and subjective well-being. Though positive and humanistic psychology have similarities, their methodology was much different. While humanistic psychology generally relied on qualitative methods, positive psychology utilizes a quantitative approach and aims to help people make the most out of life’s setbacks, relate well to others, find fulfillment in creativity, and find lasting meaning and satisfaction ( https://www.positivepsychologyinstitute.com.au/what-is-positive-psychology ).

So, to understand what normal behavior is, do we look to positive psychology for an indication, or do we first define abnormal behavior and then reverse engineer a definition of what normal is? Our preceding discussion gave suggestions about what normal behavior is, but could the darker elements of our personality also make up what is normal to some extent? Possibly. The one truth is that no matter what behavior we display, if taken to the extreme, it can become disordered – whether trying to control others through social influence or helping people in an altruistic fashion. As such, we can consider abnormal behavior to be a combination of personal distress, psychological dysfunction, deviance from social norms, dangerousness to self and others, and costliness to society.

1.1.2. How Do We Determine What Abnormal Behavior Is?

In the previous section we showed that what we might consider normal behavior is difficult to define. Equally challenging is understanding what abnormal behavior is, which may be surprising to you. A publication which you will become intimately familiar with throughout this book, the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders 5th edition, Text Revision (DSM-5-TR; 2022), states that, “Although no definition can capture all aspects of the range of disorders contained in DSM-5″ (pg. 13) certain aspects are required. These include:

  • Dysfunction – Includes “clinically significant disturbance in an individual’s cognition, emotion regulation, or behavior that reflects a dysfunction in the psychological, biological, or developmental processes underlying mental functioning” (pg. 14). Abnormal behavior, therefore, has the capacity to make well-being difficult to obtain and can be assessed by looking at an individual’s current performance and comparing it to what is expected in general or how the person has performed in the past. As such, a good employee who suddenly demonstrates poor performance may be experiencing an environmental demand leading to stress and ineffective coping mechanisms. Once the demand resolves itself, the person’s performance should return to normal according to this principle.
  • Distress – When the person experiences a disabling condition “in social, occupational, or other important activities” (pg. 14). Distress can take the form of psychological or physical pain, or both concurrently. Alone though, distress is not sufficient enough to describe behavior as abnormal. Why is that? The loss of a loved one would cause even the most “normally” functioning individual pain. An athlete who experiences a career-ending injury would display distress as well. Suffering is part of life and cannot be avoided. And some people who exhibit abnormal behavior are generally positive while doing so.
  • Deviance – Closer examination of the word abnormal indicates a move away from what is normal, or the mean (i.e., what would be considered average and in this case in relation to behavior), and so is behavior that infrequently occurs (sort of an outlier in our data). Our culture , or the totality of socially transmitted behaviors, customs, values, technology, attitudes, beliefs, art, and other products that are particular to a group, determines what is normal. Thus, a person is said to be deviant when he or she fails to follow the stated and unstated rules of society, called social norms . Social norms change over time due to shifts in accepted values and expectations. For instance, homosexuality was taboo in the U.S. just a few decades ago, but today, it is generally accepted. Likewise, PDAs, or public displays of affection, do not cause a second look by most people unlike the past when these outward expressions of love were restricted to the privacy of one’s own house or bedroom. In the U.S., crying is generally seen as a weakness for males. However, if the behavior occurs in the context of a tragedy such as the Vegas mass shooting on October 1, 2017, in which 58 people were killed and about 500 were wounded while attending the Route 91 Harvest Festival, then it is appropriate and understandable. Finally, consider that statistically deviant behavior is not necessarily negative. Genius is an example of behavior that is not the norm.

Though not part of the DSM conceptualization of what abnormal behavior is, many clinicians add dangerousness to this list when behavior represents a threat to the safety of the person or others. It is important to note that having a mental disorder does not imply a person is automatically dangerous. The depressed or anxious individual is often no more a threat than someone who is not depressed, and as Hiday and Burns (2010) showed, dangerousness is more the exception than the rule.  Still, mental health professionals have a duty to report to law enforcement when a mentally disordered individual expresses intent to harm another person or themselves. It is important to point out that people seen as dangerous are also not automatically mentally ill.

1.1.3. The Costs of Mental Illness

This leads us to wonder what the cost of mental illness is to society. The National Alliance on Mental Illness (NAMI) states that mental illness affects a person’s life which then ripples out to the family, community, and world. For instance, people with serious mental illness are at increased risk for diabetes, cancer, and cardiometabolic disease while 18% of those with a mental illness also have a substance use disorder. Within the family, an estimated 8.4 million Americans provide care to an adult with an emotional or mental illness with caregivers spending about 32 hours a week providing unpaid care. At the community level 21% of the homeless also have a serious mental illness while 70% of youth in the juvenile justice system have at least one mental health condition. And finally, depression is a leading cause of disability worldwide and depression and anxiety disorders cost the global economy $1 trillion each year in lost productivity (Source: NAMI, The Ripple Effect of Mental Illness infographic; https://www.nami.org/Learn-More/Mental-Health-By-the-Numbers ).

In terms of worldwide impact, data from 2010 estimates $2.5 trillion in global costs, with $1.7 trillion being indirect costs (i.e., invisible costs “associated with income losses due to mortality, disability, and care seeking, including lost production due to work absence or early retirement”) and the remainder being direct (i.e., visible costs to include “medication, physician visits, psychotherapy sessions, hospitalization,” etc.). It is now projected that mental illness costs will be around $16 trillion by 2030. The authors add, “It should be noted that these calculations did not include costs associated with mental disorders from outside the healthcare system, such as legal costs caused by illicit drug abuse” (Trautmann, Rehm, & Wittchen, 2016). The costs for mental illness have also been found to be greater than the combined costs of somatic diseases such as cancer, diabetes, and respiratory disorders (Whiteford et al., 2013).

Christensen et al. (2020) did a review of 143 cost-of-illness studies that covered 48 countries and several types of mental illness. Their results showed that mental disorders are a substantial economic burden for societies and that certain groups of mental disorders are more costly than others. At the higher cost end were developmental disorders to include autism spectrum disorders followed by schizophrenia and intellectual disabilities. They write, “However, it is important to note that while disorders such as mood, neurotic and substance use disorders were less costly according to societal cost per patient, these disorders are much more prevalent and thus would contribute substantially to the total national cost in a country.” And much like Trautmann, Rehm, & Wittchen (2016) other studies show that indirect costs are higher than direct costs (Jin & Mosweu, 2017; Chong et al., 2016).

1.1.4. Defining Key Terms

Our discussion so far has concerned what normal and abnormal behavior is. We saw that the study of normal behavior falls under the providence of positive psychology. Similarly, the scientific study of abnormal behavior, with the intent to be able to predict reliably, explain, diagnose, identify the causes of, and treat maladaptive behavior, is what we refer to as abnormal psychology . Abnormal behavior can become pathological and has led to the scientific study of psychological disorders, or psychopathology . From our previous discussion we can fashion the following definition of a psychological or mental disorder: mental disorders are characterized by psychological dysfunction, which causes physical and/or psychological distress or impaired functioning, and is not an expected behavior according to societal or cultural standards.

Key Takeaways

You should have learned the following in this section:

  • Abnormal behavior is a combination of personal distress, psychological dysfunction, deviance from social norms, dangerousness to self and others, and costliness to society.
  • Abnormal psychology is the scientific study of abnormal behavior, with the intent to be able to predict reliably, explain, diagnose, identify the causes of, and treat maladaptive behavior.
  • The study of psychological disorders is called psychopathology.
  • Mental disorders are characterized by psychological dysfunction, which causes physical and/or psychological distress or impaired functioning, and is not an expected behavior according to societal or cultural standards

Section 1.1 Review Questions

  • What is the disease model and what problems existed with it? What was to overcome its limitations?
  • Can we adequately define normal behavior? What about abnormal behavior?
  • What aspects are part of the American Psychiatric Association’s definition of abnormal behavior?
  • How costly is mental illness?
  • What is abnormal psychology?
  • What is psychopathology?
  • How do we define mental disorders?
  • Define and exemplify classification.
  • Define nomenclature.
  • Define epidemiology.
  • Define the presenting problem and clinical description.
  • Differentiate prevalence, incidence, and any subtypes.
  • Define comorbidity.
  • Define etiology.
  • Define course.
  • Define prognosis.
  • Define treatment.

1.2.1. Classification

Classification is not a foreign concept and as a student you have likely taken at least one biology class that discussed the taxonomic classification system of Kingdom, Phylum, Class, Order, Family, Genus, and Species revolutionized by Swedish botanist, Carl Linnaeus.  You probably even learned a witty mnemonic such as ‘King Phillip, Come Out For Goodness Sake’ to keep the order straight. The Library of Congress uses classification to organize and arrange their book collections and includes such categories as B – Philosophy, Psychology, and Religion; H – Social Sciences; N – Fine Arts; Q – Science; R – Medicine; and T – Technology.

Simply, classification is how we organize or categorize things. The second author’s wife has been known to color-code her Blu Ray collection by genre, movie title, and release date. It is useful for us to do the same with abnormal behavior, and classification provides us with a nomenclature , or naming system, to structure our understanding of mental disorders in a meaningful way. Of course, we want to learn as much as we can about a given disorder so we can understand its cause, predict its future occurrence, and develop ways to treat it.

1.2.2. Determining Occurrence of a Disorder

Epidemiology is the scientific study of the frequency and causes of diseases and other health-related states in specific populations such as a school, neighborhood, a city, country, and the world. Psychiatric or mental health epidemiology refers to the occurrence of mental disorders in a population. In mental health facilities, we say that a patient presents with a specific problem, or the presenting problem , and we give a clinical description of it, which includes information about the thoughts, feelings, and behaviors that constitute that mental disorder. We also seek to gain information about the occurrence of the disorder, its cause, course, and treatment possibilities.

Occurrence can be investigated in several ways. First, prevalence is the percentage of people in a population that has a mental disorder or can be viewed as the number of cases divided by the total number of people in the sample. For instance, if 20 people out of 100 have bipolar disorder, then the prevalence rate is 20%. Prevalence can be measured in several ways:

  • Point prevalence indicates the proportion of a population that has the characteristic at a specific point in time. In other words, it is the number of active cases.
  • Period prevalence indicates the proportion of a population that has the characteristic at any point during a given period of time, typically the past year.
  • Lifetime prevalence indicates the proportion of a population that has had the characteristic at any time during their lives.

According to a 2020 infographic by the National Alliance on Mental Illness (NAMI), for U.S. adults, 1 in 5 experienced a mental illness, 1 in 20 had a serious mental illness, 1 in 15 experienced both a substance use disorder and mental disorder, and over 12 million had serious thoughts of suicide (2020 Mental Health By the Numbers: US Adults infographic). In terms of adolescents aged 12-17, in 2020 1 in 6 experienced a major depressive episode, 3 million had serious thoughts of suicide, and there was a 31% increase in mental health-related emergency department visits. Among U.S. young adults aged 18-25, 1 in 3 experienced a mental illness, 1 in 10 had a serious mental illness, and 3.8 had serious thoughts of suicide (2020 Mental Health By the Numbers: Youth and Young Adults infographic). These numbers would represent period prevalence rates during the pandemic, and for the year 2020. In the, You are Not Alone infographic, NAMI reported the following 12-month prevalence rates for U.S. Adults: 19% having an anxiety disorder, 8% having depression, 4% having PTSD, 3% having bipolar disorder, and 1% having schizophrenia.

Source: https://www.nami.org/mhstats

Incidence indicates the number of new cases in a population over a specific period. This measure is usually lower since it does not include existing cases as prevalence does. If you wish to know the number of new cases of social phobia during the past year (going from say Aug 21, 2015 to Aug 20, 2016), you would only count cases that began during this time and ignore cases before the start date, even if people are currently afflicted with the mental disorder. Incidence is often studied by medical and public health officials so that causes can be identified, and future cases prevented.

Finally, comorbidity describes when two or more mental disorders are occurring at the same time and in the same person. The National Comorbidity Survey Replication (NCS-R) study conducted by the National Institute of Mental Health (NIMH) and published in the June 6, 2005 issue of the Archives of General Psychiatry, sought to discover trends in prevalence, impairment, and service use during the 1990s. The first study, conducted from 1980 to 1985, surveyed 20,000 people from five different geographical regions in the U.S. A second study followed from 1990-1992 and was called the National Comorbidity Survey (NCS). The third study, the NCS-R, used a new nationally representative sample of the U.S. population, and found that 45% of those with one mental disorder met the diagnostic criteria for two or more disorders. The authors also found that the severity of mental illness, in terms of disability, is strongly related to comorbidity, and that substance use disorders often result from disorders such as anxiety and bipolar disorders. The implications of this are significant as services to treat substance abuse and mental disorders are often separate, despite the disorders appearing together.

1.2.3. Other Key Factors Related to Mental Disorders

The etiology is the cause of the disorder. There may be social, biological, or psychological explanations for the disorder which need to be understood to identify the appropriate treatment. Likewise, the effectiveness of a treatment may give some hint at the cause of the mental disorder. More on this in Module 2.

The course of the disorder is its particular pattern. A disorder may be acute , meaning that it lasts a short time, or chronic, meaning it persists for a long time. It can also be classified as time-limited , meaning that recovery will occur after some time regardless of whether any treatment occurs.

Prognosis is the anticipated course the mental disorder will take. A key factor in determining the course is age, with some disorders presenting differently in childhood than adulthood.

Finally, we will discuss several treatment strategies in this book in relation to specific disorders, and in a general fashion in Module 3. Treatment is any procedure intended to modify abnormal behavior into normal behavior. The person suffering from the mental disorder seeks the assistance of a trained professional to provide some degree of relief over a series of therapy sessions. The trained mental health professional may prescribe medication or utilize psychotherapy to bring about this change. Treatment may be sought from the primary care provider, in an outpatient facility, or through inpatient care or hospitalization at a mental hospital or psychiatric unit of a general hospital. According to NAMI, the average delay between symptom onset and treatment is 11 years with 45% of adults with mental illness, 66% of adults with serious mental illness, and 51% of youth with a mental health condition seeking treatment in a given year. They also report that 50% of white, 49% of lesbian/gay and bisexual, 43% of mixed/multiracial, 34% of Hispanic or Latinx, 33% of black, and 23% of Asian adults with a mental health diagnosis received treatment or counseling in the past year (Source: Mental Health Care Matters infographic, https://www.nami.org/mhstats ).

  • Classification, or how we organize or categorize things, provides us with a nomenclature, or naming system, to structure our understanding of mental disorders in a meaningful way.
  • Epidemiology is the scientific study of the frequency and causes of diseases and other health-related states in specific populations.
  • Prevalence is the percentage of people in a population that has a mental disorder or can be viewed as the number of cases divided by the total number of people in the sample.
  • Incidence indicates the number of new cases in a population over a specific period.
  • Comorbidity describes when two or more mental disorders are occurring at the same time and in the same person.
  • The etiology is the cause of a disorder while the course is its particular pattern and can be acute, chronic, or time-limited.
  • Prognosis is the anticipated course the mental disorder will take.

Section 1.2 Review Questions

  • What is the importance of classification for the study of mental disorders?
  • What information does a clinical description include?
  • In what ways is occurrence investigated?
  • What is the etiology of a mental illness?
  • What is the relationship of course and prognosis to one another?
  • What is treatment and who seeks it?
  • Clarify the importance of social cognition theory in understanding why people do not seek care.
  • Define categories and schemas.
  • Define stereotypes and heuristics.
  • Describe social identity theory and its consequences.
  • Differentiate between prejudice and discrimination.
  • Contrast implicit and explicit attitudes.
  • Explain the concept of stigma and its three forms.
  • Define courtesy stigma.
  • Describe what the literature shows about stigma.

In the previous section, we discussed the fact that care can be sought out in a variety of ways. The problem is that many people who need care never seek it out. Why is that?  We already know that society dictates what is considered abnormal behavior through culture and social norms, and you can likely think of a few implications of that. But to fully understand society’s role in why people do not seek care, we need to determine the psychological processes underlying this phenomenon in the individual.

Social cognition is the process through which we collect information from the world around us and then interpret it. The collection process occurs through what we know as sensation – or detecting physical energy emitted or reflected by physical objects. Detection occurs courtesy of our eyes, ears, nose, skin and mouth; or via vision, hearing, smell, touch, and taste, respectfully. Once collected, the information is relayed to the brain through the neural impulse where it is processed and interpreted, or meaning is added to this raw sensory data which we call perception .

One way meaning is added is by taking the information we just detected and using it to assign people to categories , or groups. For each category, we have a schema , or a set of beliefs and expectations about a group of people, believed to apply to all members of the group, and based on experience. You might think of them as organized ways of making sense of experience. So, it is during our initial interaction with someone that we collect information about them, assign the person to a category for which we have a schema, and then use that to affect how we interact with them. First impressions, called the primacy effect , are important because even if we obtain new information that should override an incorrect initial assessment, the initial impression is unlikely to change. We call this the perseverance effect , or belief perseverance .

Stereotypes are special types of schemas that are very simplistic, very strongly held, and not based on firsthand experience. They are heuristics , or mental shortcuts, that allow us to assess this collected information very quickly. One piece of information, such as skin color, can be used to assign the person to a schema for which we have a stereotype. This can affect how we think or feel about the person and behave toward them. Again, human beings tend to imply things about an individual solely due to a distinguishing feature and disregard anything inconsistent with the stereotype.

Social identity theory (Tajfel, 1982; Turner, 1987) states that people categorize their social world into meaningfully simplistic representations of groups of people. These representations are then organized as prototypes , or “fuzzy sets of a relatively limited number of category-defining features that not only define one category but serve to distinguish it from other categories” (Foddy and Hogg, as cited in Foddy et al., 1999). We construct in-groups and out-groups and categorize the self as an in-group member. The self is assimilated into the salient in-group prototype, which indicates what cognitions, affect, and behavior we may exhibit. Stereotyping, out-group homogeneity, in-group/out-group bias, normative behavior, and conformity are all based on self-categorization.

How so? Out-group homogeneity occurs when we see all members of an outside group as the same. This leads to a tendency to show favoritism to, and exclude or hold a negative view of, members outside of, one’s immediate group, called the in-group/out-group bias . The negative view or set of beliefs about a group of people is what we call prejudice , and this can result in acting in a way that is negative against a group of people, called discrimination . It should be noted that a person can be prejudicial without being discriminatory since most people do not act on their attitudes toward others due to social norms against such behavior. Likewise, a person or institution can be discriminatory without being prejudicial. For example, when a company requires that an applicant have a certain education level or be able to lift 80 pounds as part of typical job responsibilities. Individuals without a degree or ability to lift will be removed from consideration for the job, but this discriminatory act does not mean that the company has negative views of people without degrees or the inability to lift heavy weight. You might even hold a negative view of a specific group of people and not be aware of it. An attitude we are unaware of is called an implicit attitude , which stands in contrast to explicit attitudes, which are the views within our conscious awareness.

We have spent quite a lot of space and time understanding how people gather information about the world and people around them, process this information, use it to make snap judgements about others, form groups for which stereotypes may exist, and then potentially hold negative views of this group and behave negatively toward them as a result. Just one piece of information can be used to set this series of mental events into motion. Outside of skin color, the label associated with having a mental disorder can be used. Stereotypes about people with a mental disorder can quickly and easily transform into prejudice when people in a society determine the schema to be correct and form negative emotions and evaluations of this group (Eagly & Chaiken, 1993). This, in turn, can lead to discriminatory practices such as an employer refusing to hire, a landlord refusing to rent an apartment, or avoiding a romantic relationship, all due to the person having a mental illness.

Overlapping with prejudice and discrimination in terms of how people with mental disorders are treated is stigma , or when negative stereotyping, labeling, rejection, and loss of status occur. Stigma takes on three forms as described below:

  • Public stigma – When members of a society endorse negative stereotypes of people with a mental disorder and discriminate against them. They might avoid them altogether, resulting in social isolation. An example is when an employer intentionally does not hire a person because their mental illness is discovered.
  • Label avoidance –To avoid being labeled as “crazy” or “nuts” people needing care may avoid seeking it altogether or stop care once started. Due to these labels, funding for mental health services could be restricted and instead, physical health services funded.
  • Self-stigma – When people with mental illnesses internalize the negative stereotypes and prejudice, and in turn, discriminate against themselves. They may experience shame, reduced self-esteem, hopelessness, low self-efficacy, and a reduction in coping mechanisms. An obvious consequence of these potential outcomes is the why try effect, or the person saying ‘Why should I try and get that job? I am not worthy of it’ (Corrigan, Larson, & Rusch, 2009; Corrigan, et al., 2016).

Another form of stigma that is worth noting is that of courtesy stigma or when stigma affects people associated with a person who has a mental disorder. Karnieli-Miller et al. (2013) found that families of the afflicted were often blamed, rejected, or devalued when others learned that a family member had a serious mental illness (SMI). Due to this, they felt hurt and betrayed, and an important source of social support during a difficult time had disappeared, resulting in greater levels of stress. To cope, some families concealed their relative’s illness, and some parents struggled to decide whether it was their place to disclose their child’s condition. Others fought with the issue of confronting the stigma through attempts at education versus just ignoring it due to not having enough energy or desiring to maintain personal boundaries. There was also a need to understand the responses of others and to attribute it to a lack of knowledge, experience, and/or media coverage. In some cases, the reappraisal allowed family members to feel compassion for others rather than feeling put down or blamed. The authors concluded that each family “develops its own coping strategies which vary according to its personal experiences, values, and extent of other commitments” and that “coping strategies families employ change over-time.”

Other effects of stigma include experiencing work-related discrimination resulting in higher levels of self-stigma and stress (Rusch et al., 2014), higher rates of suicide especially when treatment is not available (Rusch, Zlati, Black, and Thornicroft, 2014; Rihmer & Kiss, 2002), and a decreased likelihood of future help-seeking intention (Lally et al., 2013). The results of the latter study also showed that personal contact with someone with a history of mental illness led to a decreased likelihood of seeking help. This is important because 48% of the university sample stated that they needed help for an emotional or mental health issue during the past year but did not seek help. Similar results have been reported in other studies (Eisenberg, Downs, Golberstein, & Zivin, 2009). It is also important to point out that social distance, a result of stigma, has also been shown to increase throughout the life span, suggesting that anti-stigma campaigns should focus on older people primarily (Schomerus, et al., 2015).

One potentially disturbing trend is that mental health professionals have been shown to hold negative attitudes toward the people they serve. Hansson et al. (2011) found that staff members at an outpatient clinic in the southern part of Sweden held the most negative attitudes about whether an employer would accept an applicant for work, willingness to date a person who had been hospitalized, and hiring a patient to care for children. Attitudes were stronger when staff treated patients with a psychosis or in inpatient settings. In a similar study,

Martensson, Jacobsson, and Engstrom (2014) found that staff had more positive attitudes towards persons with mental illness if their knowledge of such disorders was less stigmatized; their workplaces were in the county council where they were more likely to encounter patients who recover and return to normal life in society, rather than in municipalities where patients have long-term and recurrent mental illness; and they have or had one close friend with mental health issues.

To help deal with stigma in the mental health community, Papish et al. (2013) investigated the effect of a one-time contact-based educational intervention compared to a four-week mandatory psychiatry course on the stigma of mental illness among medical students at the University of Calgary. The curriculum included two methods requiring contact with people diagnosed with a mental disorder: patient presentations, or two one-hour oral presentations in which patients shared their story of having a mental illness, and “clinical correlations” in which a psychiatrist mentored students while they interacted with patients in either inpatient or outpatient settings. Results showed that medical students held a stigma towards mental illness and that comprehensive medical education reduced this stigma. As the authors stated, “These results suggest that it is possible to create an environment in which medical student attitudes towards mental illness can be shifted in a positive direction.” That said, the level of stigma was still higher for mental illness than it was for the stigmatized physical illness, type 2 diabetes mellitus.

What might happen if mental illness is presented as a treatable condition? McGinty, Goldman, Pescosolido, and Barry (2015) found that portraying schizophrenia, depression, and heroin addiction as untreated and symptomatic increased negative public attitudes towards people with these conditions. Conversely, when the same people were portrayed as successfully treated, the desire for social distance was reduced, there was less willingness to discriminate against them, and belief in treatment effectiveness increased among the public.

Self-stigma has also been shown to affect self-esteem, which then affects hope, which then affects the quality of life among people with severe mental illness. As such, hope should play a central role in recovery (Mashiach-Eizenberg et al., 2013). Narrative Enhancement and Cognitive Therapy (NECT) is an intervention designed to reduce internalized stigma and targets both hope and self-esteem (Yanos et al., 2011). The intervention replaces stigmatizing myths with facts about illness and recovery, which leads to hopefulness and higher levels of self-esteem in clients. This may then reduce susceptibility to internalized stigma.

Stigma leads to health inequities (Hatzenbuehler, Phelan, & Link, 2013), prompting calls for stigma change. Targeting stigma involves two different agendas: The services agenda attempts to remove stigma so people can seek mental health services, and the rights agenda tries to replace discrimination that “robs people of rightful opportunities with affirming attitudes and behavior” (Corrigan, 2016). The former is successful when there is evidence that people with mental illness are seeking services more or becoming better engaged. The latter is successful when there is an increase in the number of people with mental illnesses in the workforce who are receiving reasonable accommodations. The federal government has tackled this issue with landmark legislation such as the Patient Protection and Affordable Care Act of 2010, Mental Health Parity and Addiction Equity Act of 2008, and the Americans with Disabilities Act of 1990. However, protections are not uniform across all subgroups due to “1) explicit language about inclusion and exclusion criteria in the statute or implementation rule, 2) vague statutory language that yields variation in the interpretation about which groups qualify for protection, and 3) incentives created by the legislation that affect specific groups differently” (Cummings, Lucas, and Druss, 2013). More on this in Module 15.

  • Stigma is when negative stereotyping, labeling, rejection, and loss of status occur and take the form of public or self-stigma, and label avoidance.

Section 1.3 Review Questions

  • How does social cognition help us to understand why stigmatization occurs?
  • Define stigma and describe its three forms. What is courtesy stigma?
  • What are the effects of stigma on the afflicted?
  • Is stigmatization prevalent in the mental health community? If so, what can be done about it?
  • How can we reduce stigmatization?
  • Describe prehistoric and ancient beliefs about mental illness.
  • Describe Greco-Roman thought on mental illness.
  • Describe thoughts on mental illness during the Middle Ages.
  • Describe thoughts on mental illness during the Renaissance.
  • Describe thoughts on mental illness during the 18th and 19th centuries.
  • Describe thoughts on mental illness during the 20th and 21st centuries.
  • Describe the status of mental illness today.
  • Outline the use of psychoactive drugs throughout time and their impact.
  • Clarify the importance of managed health care for the treatment of mental illness.
  • Define and clarify the importance of multicultural psychology.
  • State the issue surrounding prescription rights for psychologists.
  • Explain the importance of prevention science.

As we have seen so far, what is considered abnormal behavior is often dictated by the culture/society a person lives in, and unfortunately, the past has not treated the afflicted very well. In this section, we will examine how past societies viewed and dealt with mental illness.

1.4.1. Prehistoric and Ancient Beliefs

Prehistoric cultures often held a supernatural view of abnormal behavior and saw it as the work of evil spirits, demons, gods, or witches who took control of the person. This form of demonic possession often occurred when the person engaged in behavior contrary to the religious teachings of the time. Treatment by cave dwellers included a technique called trephination , in which a stone instrument known as a trephine was used to remove part of the skull, creating an opening. Through it, the evil spirits could escape, thereby ending the person’s mental affliction and returning them to normal behavior. Early Greek, Hebrew, Egyptian, and Chinese cultures used a treatment method called exorcism in which evil spirts were cast out through prayer, magic, flogging, starvation, having the person ingest horrible tasting drinks, or noisemaking.

1.4.2. Greco-Roman Thought

Rejecting the idea of demonic possession, Greek physician Hippocrates (460-377 B.C.) said that mental disorders were akin to physical ailments and had natural causes. Specifically, they arose from brain pathology , or head trauma/brain dysfunction or disease, and were also affected by heredity. Hippocrates classified mental disorders into three main categories – melancholia, mania, and phrenitis (brain fever) – and gave detailed clinical descriptions of each. He also described four main fluids or humors that directed normal brain functioning and personality – blood which arose in the heart, black bile arising in the spleen, yellow bile or choler from the liver, and phlegm from the brain. Mental disorders occurred when the humors were in a state of imbalance such as an excess of yellow bile causing frenzy and too much black bile causing melancholia or depression. Hippocrates believed mental illnesses could be treated as any other disorder and focused on the underlying pathology.

Also noteworthy was the Greek philosopher Plato (429-347 B.C.), who said that the mentally ill were not responsible for their actions and should not be punished. It was the responsibility of the community and their families to care for them. The Greek physician Galen (A.D. 129-199) said mental disorders had either physical or psychological causes, including fear, shock, alcoholism, head injuries, adolescence, and changes in menstruation.

In Rome, physician Asclepiades (124-40 BC) and philosopher Cicero (106-43 BC) rejected Hippocrates’ idea of the four humors and instead stated that melancholy arises from grief, fear, and rage; not excess black bile. Roman physicians treated mental disorders with massage or warm baths, the hope being that their patients would be as comfortable as they could be. They practiced the concept of contrariis contrarius , meaning opposite by opposite, and introduced contrasting stimuli to bring about balance in the physical and mental domains. An example would be consuming a cold drink while in a warm bath.

1.4.3. The Middle Ages – 500 AD to 1500 AD

The progress made during the time of the Greeks and Romans was quickly reversed during the Middle Ages with the increase in power of the Church and the fall of the Roman Empire. Mental illness was yet again explained as possession by the Devil and methods such as exorcism, flogging, prayer, the touching of relics, chanting, visiting holy sites, and holy water were used to rid the person of demonic influence. In extreme cases, the afflicted were exposed to confinement, beatings, and even execution. Scientific and medical explanations, such as those proposed by Hippocrates, were discarded.

Group hysteria, or mass madness , was also seen when large numbers of people displayed similar symptoms and false beliefs. This included the belief that one was possessed by wolves or other animals and imitated their behavior, called lycanthropy , and a mania in which large numbers of people had an uncontrollable desire to dance and jump, called tarantism . The latter was believed to have been caused by the bite of the wolf spider, now called the tarantula, and spread quickly from Italy to Germany and other parts of Europe where it was called Saint Vitus’s dance .

Perhaps the return to supernatural explanations during the Middle Ages makes sense given events of the time. The black death (bubonic plague) killed up to a third, or according to other estimates almost half, of the population. Famine, war, social oppression, and pestilence were also factors. The constant presence of death led to an epidemic of depression and fear. Near the end of the Middle Ages, mystical explanations for mental illness began to lose favor, and government officials regained some of their lost power over nonreligious activities. Science and medicine were again called upon to explain psychopathology.

1.4.4. The Renaissance – 14th to 16th centuries

The most noteworthy development in the realm of philosophy during the Renaissance was the rise of humanism , or the worldview that emphasizes human welfare and the uniqueness of the individual. This perspective helped continue the decline of supernatural views of mental illness. In the mid to late 1500s, German physician Johann Weyer (1515-1588) published his book, On the Deceits of the Demons, that rebutted the Church’s witch-hunting handbook, the Malleus Maleficarum , and argued that many accused of being witches and subsequently imprisoned, tortured, and/or burned at the stake, were mentally disturbed and not possessed by demons or the Devil himself. He believed that like the body, the mind was susceptible to illness. Not surprisingly, the book was vehemently protested and banned by the Church. It should be noted that these types of acts occurred not only in Europe, but also in the United States. The most famous example, the Salem Witch Trials of 1692, resulted in more than 200 people accused of practicing witchcraft and 20 deaths.

The number of asylums , or places of refuge for the mentally ill where they could receive care, began to rise during the 16th century as the government realized there were far too many people afflicted with mental illness to be left in private homes. Hospitals and monasteries were converted into asylums. Though the intent was benign in the beginning, as the facilities overcrowded, the patients came to be treated more like animals than people. In 1547, the Bethlem Hospital opened in London with the sole purpose of confining those with mental disorders. Patients were chained up, placed on public display, and often heard crying out in pain. The asylum became a tourist attraction, with sightseers paying a penny to view the more violent patients, and soon was called “Bedlam” by local people; a term that today means “a state of uproar and confusion” (https://www.merriam-webster.com/dictionary/bedlam).

1.4.5. Reform Movement – 18th to 19th centuries

The rise of the moral treatment movement occurred in Europe in the late 18th century and then in the United States in the early 19th century. The earliest proponent was Francis Pinel (1745-1826), the superintendent of la Bicetre, a hospital for mentally ill men in Paris. Pinel stressed respectful treatment and moral guidance for the mentally ill while considering their individual, social, and occupational needs. Arguing that the mentally ill were sick people, Pinel ordered that chains be removed, outside exercise be allowed, sunny and well-ventilated rooms replace dungeons, and patients be extended kindness and support. This approach led to considerable improvement for many of the patients, so much so, that several were released.

Following Pinel’s lead, William Tuke (1732-1822), a Quaker tea merchant, established a pleasant rural estate called the York Retreat. The Quakers believed that all people should be accepted for who they are and treated kindly. At the retreat, patients could work, rest, talk out their problems, and pray (Raad & Makari, 2010). The work of Tuke and others led to the passage of the Country Asylums Act of 1845, which required that every county provide asylum to the mentally ill. This sentiment extended to English colonies such as Canada, India, Australia, and the West Indies as word of the maltreatment of patients at a facility in Kingston, Jamaica spread, leading to an audit of colonial facilities and their policies.

Reform in the United States started with the figure largely considered to be the father of American psychiatry, Benjamin Rush (1745-1813). Rush advocated for the humane treatment of the mentally ill, showing them respect, and even giving them small gifts from time to time.  Despite this, his practice included treatments such as bloodletting and purgatives, the invention of the “tranquilizing chair,” and reliance on astrology, showing that even he could not escape from the beliefs of the time.

Due to the rise of the moral treatment movement in both Europe and the United States, asylums became habitable places where those afflicted with mental illness could recover. Regrettably, its success was responsible for its decline. The number of mental hospitals greatly increased, leading to staffing shortages and a lack of funds to support them. Though treating patients humanely was a noble endeavor, it did not work for some patients and other treatments were needed, though they had not been developed yet. Staff recognized that the approach worked best when the facility had 200 or fewer patients, but waves of immigrants arriving in the U.S. after the Civil War overwhelmed the facilities, and patient counts soared to 1,000 or more. Prejudice against the new arrivals led to discriminatory practices in which immigrants were not afforded the same moral treatments as native citizens, even when the resources were available to treat them.

The moral treatment movement also fell due to the rise of the mental hygiene movement , which focused on the physical well-being of patients. Its leading proponent in the United States was Dorothea Dix (1802-1887), a New Englander who observed the deplorable conditions suffered by the mentally ill while teaching Sunday school to female prisoners. Over the next 40 years, from 1841 to 1881, she motivated people and state legislators to do something about this injustice and raised millions of dollars to build over 30 more appropriate mental hospitals and improve others. Her efforts even extended beyond the U.S. to Canada and Scotland.

Finally, in 1908 Clifford Beers (1876-1943) published his book, A Mind that Found Itself , in which he described his struggle with bipolar disorder and the “cruel and inhumane treatment people with mental illnesses received. He witnessed and experienced horrific abuse at the hands of his caretakers. At one point during his institutionalization, he was placed in a straitjacket for 21 consecutive nights” ( https://www.mhanational.org/our-history ). His story aroused sympathy from the public and led him to found the National Committee for Mental Hygiene, known today as Mental Health America, which provides education about mental illness and the need to treat these people with dignity. Today, MHA has over 200 affiliates in 41 states and employs 6,500 affiliate staff and over 10,000 volunteers.

“In the early 1950s, Mental Health America issued a call to asylums across the country for their discarded chains and shackles. On April 13, 1953, at the McShane Bell Foundry in Baltimore, Md., Mental Health America melted down these inhumane bindings and recast them into a sign of hope: the Mental Health Bell.

Now the symbol of Mental Health America, the 300-pound Bell serves as a powerful reminder that the invisible chains of misunderstanding and discrimination continue to bind people with mental illnesses. Today, the Mental Health Bell rings out hope for improving mental health and achieving victory over mental illnesses.”

For more information on MHA, please visit: https://www.mhanational.org/

1.4.6. 20th – 21st Centuries

The decline of the moral treatment approach in the late 19th century led to the rise of two competing perspectives – the biological or somatogenic perspective and the psychological or psychogenic perspective.

     1.4.6.1. Biological or Somatogenic Perspective. Recall that Greek physicians Hippocrates and Galen said that mental disorders were akin to physical disorders and had natural causes. Though the idea fell into oblivion for several centuries, it re-emerged in the late 19th century for two reasons.  First, German psychiatrist Emil Kraepelin (1856-1926) discovered that symptoms occurred regularly in clusters, which he called syndromes . These syndromes represented a unique mental disorder with a distinct cause, course, and prognosis. In 1883 he published his textbook, Compendium der Psychiatrie (Textbook of Psychiatry), and described a system for classifying mental disorders that became the basis of the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (DSM) that is currently in its 5th edition Text Revision (published in 2022).

Secondly, in 1825, the behavioral and cognitive symptoms of advanced syphilis were identified to include a belief that everyone is plotting against you or that you are God (a delusion of grandeur), and were termed general paresis by French physician A.L.J. Bayle. In 1897, Viennese psychiatrist Richard von Krafft-Ebbing injected patients suffering from general paresis with matter from syphilis spores and noted that none of the patients developed symptoms of syphilis, indicating they must have been previously exposed and were now immune. This led to the conclusion that syphilis was the cause of the general paresis. In 1906, August von Wassermann developed a blood test for syphilis, and in 1917 a cure was found. Julius von Wagner-Jauregg noticed that patients with general paresis who contracted malaria recovered from their symptoms. To test this hypothesis, he injected nine patients with blood from a soldier afflicted with malaria. Three of the patients fully recovered while three others showed great improvement in their paretic symptoms. The high fever caused by malaria burned out the syphilis bacteria. Hospitals in the United States began incorporating this new cure for paresis into their treatment approach by 1925.

Also noteworthy was the work of American psychiatrist John P. Grey. Appointed as superintendent of the Utica State Hospital in New York, Grey asserted that insanity always had a physical cause. As such, the mentally ill should be seen as physically ill and treated with rest, proper room temperature and ventilation, and a nutritive diet.

The 1930s also saw the use of electric shock as a treatment method, which was stumbled upon accidentally by Benjamin Franklin while experimenting with electricity in the early 18th century. He noticed that after suffering a severe shock his memories had changed, and in published work, he suggested physicians study electric shock as a treatment for melancholia.

            1.4.6.2. Psychological or Psychogenic Perspective. The psychological or psychogenic perspective states that emotional or psychological factors are the cause of mental disorders and represented a challenge to the biological perspective. This perspective had a long history but did not gain favor until the work of Viennese physician Franz Anton Mesmer (1734-1815). Influenced heavily by Newton’s theory of gravity, he believed that the planets also affected the human body through the force of animal magnetism and that all people had a universal magnetic fluid that determined how healthy they were. He demonstrated the usefulness of his approach when he cured Franzl Oesterline, a 27-year-old woman suffering from what he described as a convulsive malady. Mesmer used a magnet to disrupt the gravitational tides that were affecting his patient and produced a sensation of the magnetic fluid draining from her body. This procedure removed the illness from her body and provided a near-instantaneous recovery. In reality, the patient was placed in a trancelike state which made her highly suggestible. With other patients, Mesmer would have them sit in a darkened room filled with soothing music, into which he would enter dressed in a colorful robe and pass from person to person touching the afflicted area of their body with his hand or a rod/wand. He successfully cured deafness, paralysis, loss of bodily feeling, convulsions, menstrual difficulties, and blindness.

His approach gained him celebrity status as he demonstrated it at the courts of English nobility. However, the medical community was hardly impressed. A royal commission was formed to investigate his technique but could not find any proof for his theory of animal magnetism. Though he was able to cure patients when they touched his “magnetized” tree, the result was the same when “non-magnetized” trees were touched. As such, Mesmer was deemed a charlatan and forced to leave Paris. His technique was called mesmerism , better known today as hypnosis.

The psychological perspective gained popularity after two physicians practicing in the city of Nancy in France discovered that they could induce the symptoms of hysteria in perfectly healthy patients through hypnosis and then remove the symptoms in the same way. The work of Hippolyte-Marie Bernheim (1840-1919) and Ambroise-Auguste Liebault (1823-1904) came to be part of what was called the Nancy School and showed that hysteria was nothing more than a form of self-hypnosis. In Paris, this view was challenged by Jean Charcot (1825-1893), who stated that hysteria was caused by degenerative brain changes, reflecting the biological perspective. He was proven wrong and eventually turned to their way of thinking.

The use of hypnosis to treat hysteria was also carried out by fellow Frenchman Pierre Janet (1859-1947), and student of Charcot, who believed that hysteria had psychological, not biological causes. Namely, these included unconscious forces, fixed ideas, and memory impairments. In Vienna, Josef Breuer (1842-1925) induced hypnosis and had patients speak freely about past events that upset them. Upon waking, he discovered that patients sometimes were free of their symptoms of hysteria. Success was even greater when patients not only recalled forgotten memories but also relived them emotionally. He called this the cathartic method , and our use of the word catharsis today indicates a purging or release, in this case, of pent-up emotion.

By the end of the 19th century, it had become evident that mental disorders were caused by a combination of biological and psychological factors, and the investigation of how they develop began. Sigmund Freud’s development of psychoanalysis followed on the heels of the work of Bruner, and others who came before him.

1.4.7. Current Views/Trends

            1.4.7.1. Mental illness today. An article published by the Harvard Medical School in March 2014 called “The Prevalence and Treatment of Mental Illness Today” presented the results of the National Comorbidity Study Replication of 2001-2003, which included a sample of more than 9,000 adults. The results showed that nearly 46% of the participants had a psychiatric disorder at some time in their lives. The most commonly reported disorders were:

  • Major depression – 17%
  • Alcohol abuse – 13%
  • Social anxiety disorder – 12%
  • Conduct disorder – 9.5%

Also of interest was that women were more likely to have had anxiety and mood disorders while men showed higher rates of impulse control disorders. Comorbid anxiety and mood disorders were common, and 28% reported having more than one co-occurring disorder (Kessler, Berglund, et al., 2005; Kessler, Chiu, et al., 2005; Kessler, Demler, et al., 2005).

About 80% of the sample reported seeking treatment for their disorder, but with as much as a 10-year gap after symptoms first appeared. Women were more likely than men to seek help while whites were more likely than African and Hispanic Americans (Wang, Berglund, et al., 2005; Wang, Lane, et al., 2005). Care was sought primarily from family doctors, nurses, and other general practitioners (23%), followed by social workers and psychologists (16%), psychiatrists (12%), counselors or spiritual advisers (8%), and complementary and alternative medicine providers (CAMs; 7%).

In terms of the quality of the care, the article states:

Most of this treatment was inadequate, at least by the standards applied in the survey. The researchers defined minimum adequacy as a suitable medication at a suitable dose for two months, along with at least four visits to a physician; or else eight visits to any licensed mental health professional. By that definition, only 33% of people with a psychiatric disorder were treated adequately, and only 13% of those who saw general medical practitioners.

In comparison to the original study conducted from 1991-1992, the use of mental health services has increased over 50% during this decade. This may be attributed to treatment becoming more widespread and increased attempts to educate the public about mental illness. Stigma, discussed in Section 1.3, has reduced over time, diagnosis is more effective, community outreach programs have increased, and most importantly, general practitioners have been more willing to prescribe psychoactive medications which themselves are more readily available now. The article concludes, “Survey researchers also suggest that we need more outreach and voluntary screening, more education about mental illness for the public and physicians, and more effort to treat substance abuse and impulse control disorders.” We will explore several of these issues in the remainder of this section, including the use of psychiatric drugs and deinstitutionalization, managed health care, private psychotherapy, positive psychology and prevention science, multicultural psychology, and prescription rights for psychologists.

            1.4.7.2. Use of psychiatric drugs and deinstitutionalization . Beginning in the 1950s, psychiatric or psychotropic drugs were used for the treatment of mental illness and made an immediate impact. Though drugs alone cannot cure mental illness, they can improve symptoms and increase the effectiveness of treatments such as psychotherapy. Classes of psychiatric drugs include anti-depressants used to treat depression and anxiety, mood-stabilizing medications to treat bipolar disorder, anti-psychotic drugs to treat schizophrenia, and anti-anxiety drugs to treat generalized anxiety disorder or panic disorder

Frank (2006) found that by 1996, psychotropic drugs were used in 77% of mental health cases and spending on these drugs grew from $2.8 billion in 1987 to about $18 billion in 2001 (Coffey et al., 2000; Mark et al., 2005), representing over a sixfold increase. The largest classes of psychotropic drugs are anti-psychotics and anti-depressants, followed closely by anti-anxiety medications. Frank, Conti, and Goldman (2005) point out, “The expansion of insurance coverage for prescription drugs, the introduction and diffusion of managed behavioral health care techniques, and the conduct of the pharmaceutical industry in promoting their products all have influenced how psychotropic drugs are used and how much is spent on them.” Is it possible then that we are overprescribing these mediations? Davey (2014) provides ten reasons why this may be so, including leading suffers from believing that recovery is in their hands but instead in the hands of their doctors; increased risk of relapse; drug companies causing the “medicalization of perfectly normal emotional processes, such as bereavement” to ensure their survival; side effects; and a failure to change the way the person thinks or the socioeconomic environments that may be the cause of the disorder. For more on this article, please see: https://www.psychologytoday.com/blog/why-we-worry/201401/overprescribing-drugs-treat-mental-health-problems . Smith (2012) echoed similar sentiments in an article on inappropriate prescribing. He cites the approval of Prozac by the Food and Drug Administration (FDA) in 1987 as when the issue began and the overmedication/overdiagnosis of children with ADHD as a more recent example.

A result of the use of psychiatric drugs was deinstitutionalization , or the release of patients from mental health facilities. This shifted resources from inpatient to outpatient care and placed the spotlight back on the biological or somatogenic perspective.  When people with severe mental illness do need inpatient care, it is typically in the form of short-term hospitalization.

            1.4.7.3. Managed health care. Managed health care is a term used to describe a type of health insurance in which the insurance company determines the cost of services, possible providers, and the number of visits a subscriber can have within a year. This is regulated through contracts with providers and medical facilities. The plans pay the providers directly, so subscribers do not have to pay out-of-pocket or complete claim forms, though most require co-pays paid directly to the provider at the time of service. Exactly how much the plan costs depends on how flexible the subscriber wants it to be; the more flexibility, the higher the cost. Managed health care takes three forms:

  • Health Maintenance Organizations (HMO) – Typically only pay for care within the network. The subscriber chooses a primary care physician (PCP) who coordinates most of their care. The PCP refers the subscriber to specialists or other health care providers as is necessary. This is the most restrictive option.
  • Preferred Provider Organizations (PPO) – Usually pay more if the subscriber obtains care within the network, but if care outside the network is sought, they cover part of the cost.
  • Point of Service (POS) – These plans provide the most flexibility and allow the subscriber to choose between an HMO or a PPO each time care is needed.

Regarding the treatment needed for mental illness, managed care programs regulate the pre-approval of treatment via referrals from the PCP, determine which mental health providers can be seen, and oversee which conditions can be treated and what type of treatment can be delivered. This system was developed in the 1980s to combat the rising cost of mental health care and took responsibility away from single practitioners or small groups who could charge what they felt was appropriate. The actual impact of managed care on mental health services is still questionable at best.

            1.4.7.4. Multicultural psychology. As our society becomes increasingly diverse, medical practitioners and psychologists alike must take into account the patient’s gender, age, race, ethnicity, socioeconomic (SES) status, and culture and how these factors shape the individual’s thoughts, feelings, and behaviors. Additionally, we need to understand how the various groups, whether defined by race, culture, or gender, differ from one another. This approach is called multicultural psychology .

In August 2002, the American Psychological Association’s (APA) Council of Representatives put forth six guidelines based on the understanding that “race and ethnicity can impact psychological practice and interventions at all levels” and the need for respect and inclusiveness. They further state, “psychologists are in a position to provide leadership as agents of prosocial change, advocacy, and social justice, thereby promoting societal understanding, affirmation, and appreciation of multiculturalism against the damaging effects of individual, institutional, and societal racism, prejudice, and all forms of oppression based on stereotyping and discrimination.” The guidelines from the 2002 document are as follows:

  • “Guideline #1: Psychologists are encouraged to recognize that, as cultural beings, they may hold attitudes and beliefs that can detrimentally influence their perceptions of and interactions with individuals who are ethnically and racially different from themselves.
  • Guideline #2: Psychologists are encouraged to recognize the importance of multicultural sensitivity/responsiveness, knowledge, and understanding about ethnically and racially different individuals.
  • Guideline #3: As educators, psychologists are encouraged to employ the constructs of multiculturalism and diversity in psychological education.
  • Guideline #4: Culturally sensitive psychological researchers are encouraged to recognize the importance of conducting culture–centered and ethical psychological research among persons from ethnic, linguistic, and racial minority backgrounds.
  • Guideline #5: Psychologists strive to apply culturally-appropriate skills in clinical and other applied psychological practices.
  • Guideline #6: Psychologists are encouraged to use organizational change processes to support culturally informed organizational (policy) development and practices.”

Source: https://apa.org/pi/oema/resources/policy/multicultural-guidelines.aspx

This type of sensitivity training is vital because bias based on ethnicity, race, and culture has been found in the diagnosis and treatment of autism (Harrison et al., 2017; Burkett, 2015), borderline personality disorder (Jani et al., 2016), and schizophrenia (Neighbors et al., 2003; Minsky et al., 2003). Despite these findings, Schwartz and Blankenship (2014) state, “It should also be noted that although clear evidence supports a longstanding trend in differential diagnoses according to consumer race, this trend does not imply that one race ( e.g ., African Americans) actually demonstrate more severe symptoms or higher prevalence rates of psychosis compared with other races ( e.g ., Euro-Americans). Because clinicians are the diagnosticians and misinterpretation, bias or other factors may play a role in this trend caution should be used when making inferences about actual rates of psychosis among ethnic minority persons.” Additionally, white middle-class help seekers were offered appointments with psychotherapists almost three times as often as their black working-class counterparts. Women were offered an appointment time in their preferred time range more than men were, though average appointment offer rates were similar between genders (Kugelmass, 2016). These findings collectively show that though we are becoming more culturally sensitive, we have a lot more work to do.

            1.4.7.5. Prescription rights for psychologists . To reduce inappropriate prescribing as described in 1.4.7.2, it has been proposed to allow appropriately trained psychologists the right to prescribe. Psychologists are more likely to utilize both therapy and medication, and so can make the best choice for their patient. The right has already been granted in New Mexico, Louisiana, Guam, the military, the Indian Health Services, and the U.S. Public Health Services. Measures in other states “have been opposed by the American Medical Association and American Psychiatric Association over concerns that inadequate training of psychologists could jeopardize patient safety. Supporters of prescriptive authority for psychologists are quick to point out that there is no evidence to support these concerns” (Smith, 2012).

            1.4.7.6. Prevention science. As a society, we used to wait for a mental or physical health issue to emerge, then scramble to treat it. More recently, medicine and science has taken a prevention stance, identifying the factors that cause specific mental health issues and implementing interventions to stop them from happening, or at least minimize their deleterious effects. Our focus has shifted from individuals to the population. Mental health promotion programs have been instituted with success in schools (Shoshani & Steinmetz, 2014; Weare & Nind, 2011; Berkowitz & Beer, 2007), in the workplace (Czabała, Charzyńska,  & Mroziak, B., 2011), with undergraduate and graduate students (Conley et al., 2017; Bettis et al., 2016), in relation to bullying (Bradshaw, 2015), and with the elderly (Forsman et al., 2011). Many researchers believe it is the ideal time to move from knowledge to action and to expand public mental health initiatives (Wahlbeck, 2015). The growth of positive psychology in the late 1990s has further propelled this movement forward. For more on positive psychology, please see Section 1.1.1.

  • Some of the earliest views of mental illness saw it as the work of evil spirts, demons, gods, or witches who took control of the person, and in the Middle Ages it was seen as possession by the Devil and methods such as exorcism, flogging, prayer, the touching of relics, chanting, visiting holy sites, and holy water were used to rid the person of demonic influence.
  • During the Renaissance, humanism was on the rise which emphasized human welfare and the uniqueness of the individual and led to an increase in the number of asylums as places of refuge for the mentally ill.
  • The 18th to 19th centuries saw the rise of the moral treatment movement followed by the mental hygiene movement.
  • The psychological or psychogenic perspective states that emotional or psychological factors are the cause of mental disorders and represented a challenge to the biological perspective which said that mental disorders were akin to physical disorders and had natural causes.
  • Psychiatric or psychotropic drugs used to treat mental illness became popular beginning in the 1950s and led to deinstitutionalization or a shift from inpatient to outpatient care.

Section 1.4 Review Questions

  • How has mental illness been viewed across time?
  • Contrast the moral treatment and mental hygiene movements.
  • Contrast the biological or somatogenic perspective with that of the psychological or psychogenic perspective.
  • Discuss contemporary trends in relation to the use of drugs to treat mental illness, deinstitutionalization, managed health care, multicultural psychology, prescription rights for psychologists, and prevention science.
  • Define the scientific method.
  • Outline and describe the steps of the scientific method, defining all key terms.
  • Identify and clarify the importance of the three cardinal features of science.
  • List the five main research methods used in psychology.
  • Describe observational research, listing its advantages and disadvantages.
  • Describe case study research, listing its advantages and disadvantages.
  • Describe survey research, listing its advantages and disadvantages.
  • Describe correlational research, listing its advantages and disadvantages.
  • Describe experimental research, listing its advantages and disadvantages.
  • State the utility and need for multimethod research.

1.5.1. The Scientific Method

Psychology is the “scientific study of behavior and mental processes.” We will spend quite a lot of time on the behavior and mental processes part throughout this book and in relation to mental disorders. Still, before we proceed, it is prudent to further elaborate on what makes psychology scientific. It is safe to say that most people outside of our discipline or a sister science would be surprised to learn that psychology utilizes the scientific method at all. That may be even truer of clinical psychology, especially in light of the plethora of self-help books found at any bookstore. But yes, the treatment methods used by mental health professionals are based on empirical research and the scientific method.

As a starting point, we should expand on what the scientific method is.

The keyword here is systematic , meaning there is a set way to use it. What is that way? Well, depending on what source you look at, it can include a varying number of steps. I like to use the following:

Table 1.1: The Steps of the Scientific Method

0 Ask questions and be willing to wonder. To study the world around us, you have to wonder about it. This inquisitive nature is the hallmark of our ability to assess claims made by others and make objective judgments that are independent of emotion and anecdote and based on hard evidence —and a requirement to be a scientist.
1 Generate a research question or identify a problem to investigate. Through our wonderment about the world around us and why events occur as they do, we begin to ask questions that require further investigation to arrive at an answer. This investigation usually starts with a , or when we conduct a literature search through our university library or a search engine such as Google Scholar to see what questions have been investigated already and what answers have been found, so that we can identify or holes in this body of work.
2 Attempt to explain the phenomena we wish to study. We now attempt to formulate an explanation of why the event occurs as it does. This systematic explanation of a phenomenon is a and our specific, testable prediction is the We will know if our theory is correct because we have formulated a hypothesis that we can now test.

 

3 Test the hypothesis. It goes without saying that if we cannot test our hypothesis, then we cannot show whether our prediction is correct or not. Our plan of action of how we will go about testing the hypothesis is called our . In the planning stage, we will select the appropriate research method to answer our question/test our hypothesis.
4 Interpret the results. With our research study done, we now examine the data to see if the pattern we predicted exists. We need to see if a cause and effect statement can be made, assuming our method allows for this inference. More on this in Section 2.3. For now, it is essential to know that statistics have two forms. First, there are which provide a means of summarizing or describing data and presenting the data in a usable form. You likely have heard of mean or average, median, and mode. Along with standard deviation and variance, these are ways to describe our data. Second, there are that allow for the analysis of two or more sets of numerical data to determine the of the results. Significance is an indication of how confident we are that our results are due to our manipulation or design and not chance.
5 Draw conclusions carefully. We need to interpret our results accurately and not overstate our findings. To do this, we need to be aware of our biases and avoid emotional reasoning so that they do not cloud our judgment. How so? In our effort to stop a child from engaging in self-injurious behavior that could cause substantial harm or even death, we might overstate the success of our treatment method.
6 Communicate our findings to the broader scientific community. Once we have decided on whether our hypothesis was correct or not, we need to share this information with others so that they might comment critically on our methodology, statistical analyses, and conclusions. Sharing also allows for or repeating the study to confirm its results. Communication occurs via scientific journals, conferences, or newsletters released by many of the organizations mentioned in Module 1.6.

 

Science has at its root three cardinal features that we will see play out time and time again throughout this book. They are:

  • Observation – To know about the world around us, we have to be able to see it firsthand. When a mental disorder afflicts an individual, we can see it through their overt behavior. An individual with depression may withdraw from activities he/she enjoys, those with social anxiety disorder will avoid social situations, people with schizophrenia may express concern over being watched by the government, and individuals with dependent personality disorder may leave major decisions to trusted companions. In these examples and numerous others, the behaviors that lead us to a diagnosis of a specific disorder can easily be observed by the clinician, the patient, and/or family and friends.
  • Experimentation – To be able to make causal or cause and effect statements, we must isolate variables. We must manipulate one variable and see the effect of doing so on another variable. Let’s say we want to know if a new treatment for bipolar disorder is as effective as existing treatments, or more importantly, better. We could design a study with three groups of bipolar patients. One group would receive no treatment and serve as a control group. A second group would receive an existing and proven treatment and would also be considered a control group. Finally, the third group would receive the new treatment and be the experimental group. What we are manipulating is what treatment the groups get – no treatment, the older treatment, and the newer treatment. The first two groups serve as controls since we already know what to expect from their results. There should be no change in bipolar disorder symptoms in the no-treatment group, a general reduction in symptoms for the older treatment group, and the same or better performance for the newer treatment group. As long as patients in the newer treatment group do not perform worse than their older treatment counterparts, we can say the new drug is a success. You might wonder why we would get excited about the performance of the new drug being the same as the old drug. Does it really offer any added benefit? In terms of a reduction of symptoms, maybe not, but it could cost less money than the older drug and that would be of value to patients.
  • Measurement – How do we know that the new drug has worked? Simply, we can measure the person’s bipolar disorder symptoms before any treatment was implemented, and then again once the treatment has run its course.  This pre-post test design is typical in drug studies.

1.5.2. Research Methods

Step 3 called on the scientist to test his or her hypothesis. Psychology as a discipline uses five main research designs. They are:

            1.5.2.1. Naturalistic and laboratory observation . In terms of naturalistic observation , the scientist studies human or animal behavior in its natural environment, which could include the home, school, or a forest. The researcher counts, measures, and rates behavior in a systematic way and, at times, uses multiple judges to ensure accuracy in how the behavior is being measured. The advantage of this method is that you see behavior as it happens, and the experimenter does not taint the data. The disadvantage is that it could take a long time for the behavior to occur, and if the researcher is detected, then this may influence the behavior of those being observed.

Laboratory observation involves observing people or animals in a laboratory setting. The researcher might want to know more about parent-child interactions, and so, brings a mother and her child into the lab to engage in preplanned tasks such as playing with toys, eating a meal, or the mother leaving the room for a short time. The advantage of this method over the naturalistic method is that the experimenter can use sophisticated equipment to record the session and examine it later. The problem is that since the subjects know the experimenter is watching them, their behavior could become artificial. Clinical observation is a commonly employed research method to study psychopathology; we will talk about it more throughout this book.

            1.5.2.2. Case studies. Psychology can also utilize a detailed description of one person or a small group based on careful observation. This was the approach the founder of psychoanalysis, Sigmund Freud, took to develop his theories. The advantage of this method is that you arrive at a detailed description of the investigated behavior, but the disadvantage is that the findings may be unrepresentative of the larger population, and thus, lacking generalizability . Again, bear in mind that you are studying one person or a tiny group. Can you possibly make conclusions about all people from just one person, or even five or ten? The other issue is that the case study is subject to researcher bias in terms of what is included in the final narrative and what is left out. Despite these limitations, case studies can lead us to novel ideas about the cause of abnormal behavior and help us to study unusual conditions that occur too infrequently to analyze with large sample sizes and in a systematic way.

            1.5.2.3. Surveys/Self-Report data. This is a questionnaire consisting of at least one scale with some questions used to assess a psychological construct of interest such as parenting style, depression, locus of control, or sensation-seeking behavior. It may be administered by paper and pencil or computer. Surveys allow for the collection of large amounts of data quickly, but the actual survey could be tedious for the participant and social desirability , when a participant answers questions dishonestly so that they are seen in a more favorable light, could be an issue. For instance, if you are asking high school students about their sexual activity, they may not give genuine answers for fear that their parents will find out. You could alternatively gather this information via an interview in a structured or unstructured fashion.

            1.5.2.4. Correlational research. This research method examines the relationship between two variables or two groups of variables. A numerical measure of the strength of this relationship is derived, called the correlation coefficient . It can range from -1.00, a perfect inverse relationship in which one variable goes up as the other goes down, to 0 indicating no relationship at all, to +1.00 or a perfect relationship in which as one variable goes up or down so does the other. In terms of a negative correlation, we might say that as a parent becomes more rigid, controlling, and cold, the attachment of the child to parent goes down. In contrast, as a parent becomes warmer, more loving, and provides structure, the child becomes more attached. The advantage of correlational research is that you can correlate anything. The disadvantage is that you can correlate anything, including variables that do not have any relationship with one another. Yes, this is both an advantage and a disadvantage. For instance, we might correlate instances of making peanut butter and jelly sandwiches with someone we are attracted to sitting near us at lunch. Are the two related? Not likely, unless you make a really good PB&J, but then the person is probably only interested in you for food and not companionship. The main issue here is that correlation does not allow you to make a causal statement.

A special form of correlational research is the epidemiological study in which the prevalence and incidence of a disorder in a specific population are measured (See Section 1.2 for definitions).

            1.5.2.5. Experiments. This is a controlled test of a hypothesis in which a researcher manipulates one variable and measures its effect on another variable. The manipulated variable is called the independent variable (IV) , and the one that is measured is called the dependent variable (DV) . In the example under Experimentation in Section 1.5.1, the treatment for bipolar disorder was the IV, while the actual intensity or number of symptoms serve as the DV.  A common feature of experiments is a control group that does not receive the treatment or is not manipulated and an experimental group that does receive the treatment or manipulation. If the experiment includes random assignment , participants have an equal chance of being placed in the control or experimental group. The control group allows the researcher (or teacher) to make a comparison to the experimental group and make a causal statement possible, and stronger. In our experiment, the new treatment should show a marked reduction in the intensity of bipolar symptoms compared to the group receiving no treatment, and perform either at the same level as, or better than, the older treatment. This would be the initial hypothesis made before starting the experiment.

In a drug study, to ensure the participants’ expectations do not affect the final results by giving the researcher what he/she is looking for (in our example, symptoms improve whether the participant is receiving treatment or not), we might use what is called a placebo , or a sugar pill made to look exactly like the pill given to the experimental group. This way, participants all are given something, but cannot figure out what exactly it is. You might say this keeps them honest and allows the results to speak for themselves.

Finally, the study of mental illness does not always afford us a large sample of participants to study, so we have to focus on one individual using a single-subject experimental design . This differs from a case study in the sheer number of strategies available to reduce potential confounding variables , or variables not originally part of the research design but contribute to the results in a meaningful way. One type of single-subject experimental design is the reversal or ABAB design . Kuttler, Myles, and Carson (1998) used social stories to reduce tantrum behavior in two social environments in a 12-year old student diagnosed with autism, Fragile-X syndrome, and intermittent explosive disorder. Using an ABAB design, they found that precursors to tantrum behavior decreased when the social stories were available (B) and increased when the intervention was withdrawn (A). A more recent study (Balakrishnan & Alias, 2017) also established the utility of social stories as a social learning tool for children with autism spectrum disorder (ASD) using an ABAB design. During the baseline phase (A), the four student participants were observed, and data recorded on an observation form. During the treatment phase (B), they listened to the social story and data was recorded in the same manner. Upon completion of the first B, the students returned to A, which was followed one more time by B and the reading of the social story. Once the second treatment phase ended, the participation was monitored again to obtain the outcome. All students showed improvement during the treatment phases in terms of the number of positive peer interactions, but the number of interactions reduced in the absence of social stories. From this, the researchers concluded that the social story led to the increase in positive peer interactions of children with ASD.

            1.5.2.6. Multi-method research. As you have seen above, no single method alone is perfect. All have strengths and limitations. As such, for the psychologist to provide the most precise picture of what is affecting behavior or mental processes, several of these approaches are typically employed at different stages of the research study. This is called multi-method research.

  • The scientific method is a systematic method for gathering knowledge about the world around us.
  • A systematic explanation of a phenomenon is a theory and our specific, testable prediction is the hypothesis .
  • Replication is when we repeat the study to confirm its results.
  • Psychology’s five main research designs are observation, case studies, surveys, correlation, and experimentation.
  • No single research method alone is perfect – all have strengths and limitations.

Section 1.5 Review Questions

  • What is the scientific method and what steps make it up?
  • Differentiate theory and hypothesis.
  • What are the three cardinal features of science and how do they relate to the study of mental disorders?
  • What are the five main research designs used by psychologists? Define each and then state its strengths and limitations.
  • What is the advantage of multi-method research?
  • Identify and describe the various types of mental health professionals.
  • Clarify what it means to communicate findings.
  • Identify professional societies in clinical psychology.
  • Identify publications in clinical psychology.

1.6.1. Types of Professionals

There are many types of mental health professionals that people may seek out for assistance. They include:

Table 1.2: Types of Mental Health Professionals

Clinical Psychologist Ph.D./PsyD Trained to make diagnoses and can provide individual and group therapy Yes – In 6 states
School Psychologist Masters or Ph.D. Trained to make diagnoses and can provide individual and group therapy but also works with school staff No
Counseling Psychologist Ph.D. Trained to make diagnoses and can provide individual and group therapy Yes – In 6 states
Clinical Social Worker M.S.W. or Ph.D. Trained to make diagnoses and can provide individual and group therapy and is involved in advocacy and case management. Usually in hospital settings. No
Psychiatrist M.D. Has specialized training in the diagnosis and treatment of mental disorders Yes
Psychiatric Nurse Practitioner M.S.N. Has specialized treatment in the care and treatment of psychiatric patients Yes
Occupational Therapist B.S. Trained to assist individuals suffering from physical or psychological handicaps and help them acquire needed resources No
Pastoral Counselor Clergy Trained in pastoral education and can make diagnoses and can provide individual and group therapy No
Drug Abuse and/or Alcohol Counselor B.S. or higher Trained in alcohol and drug abuse and can make diagnoses and can provide individual and group therapy No
Child/Adolescent Psychiatrist M.D. or Ph.D. Specialized training in the diagnosis and treatment of mental illness in children Yes
Marital and Family Therapist Masters Specialized training in marital and family therapy; Can make diagnoses and can provide individual and group therapy No

For more information on types of mental health professionals, please visit:

https://www.mhanational.org/types-mental-health-professionals

1.6.2. Professional Societies and Journals

One of the functions of science is to communicate findings. Testing hypotheses, developing sound methodology, accurately analyzing data, and drawing sound conclusions are important, but you must tell others what you have done too. This is accomplished by joining professional societies and submitting articles to peer-reviewed journals. Below are some of the organizations and journals relevant to applied behavior analysis.

1.6.2.1. Professional Societies

  • Website – https://div12.org/
  • Mission Statement – “The mission of the Society of Clinical Psychology is to represent the field of Clinical Psychology through encouragement and support of the integration of clinical psychological science and practice in education, research, application, advocacy and public policy, attending to the importance of diversity.”
  • Publications – Clinical Psychology: Science and Practice and the newsletter Clinical Psychology: Science and Practice(quarterly)
  • Other Information – Members and student affiliates may join one of eight sections such as clinical emergencies and crises, clinical psychology of women, assessment psychology, and clinical geropsychology
  • Website – https://www.clinicalchildpsychology.org/
  • Mission Statement – “Our mission is to serve children, adolescents and families with the best possible clinical care based on psychological science. SCCAP strives to integrate scientific and professional aspects of clinical child and adolescent psychology, in that it promotes scientific inquiry, training, and clinical practice related to serving children and their families.”
  • Publication – Journal of Clinical Child and Adolescent Psychology
  • Website – https://www.aacpsy.org/
  • Mission Statement – The American Academy of Clinical Psychology seeks to “recognize and promote advanced competence within Professional Psychology,” “provide a professional community that encourages communication between and among Members and Fellows of the Academy,” “provide opportunities for advanced education in Professional Psychology,” and “expand awareness and availability of AACP Members and Fellows to the public through promotion and education.”
  • Publication – Bulletin of the American Academy of Clinical Psychology (newsletter)
  • Website – http://www.sscpweb.org/
  • Mission Statement – “ The Society for a Science of Clinical Psychology (SSCP) was established in 1966. Its purpose is to affirm and continue to promote the integration of the scientist and the practitioner in training, research, and applied endeavors. Its members represent a diversity of interests and theoretical orientations across clinical psychology. The common bond of the membership is a commitment to empirical research and the ideal that scientific principles should play a role in training, practice, and establishing public policy for health and mental health concerns. SSCP has organizational affiliations with both the American Psychological Association (Section III of Division 12) and the Association for Psychological Science.”
  • Other Information – Offers ten awards ranging from early career award, outstanding mentor award, outstanding student teacher award, and outstanding student clinician award.
  • Website – http://www.asch.net/
  • Mission Statement – “To provide and encourage education programs to further, in every ethical way, the knowledge, understanding, and application of hypnosis in health care; to encourage research and scientific publication in the field of hypnosis; to promote the further recognition and acceptance of hypnosis as an important tool in clinical health care and focus for scientific research; to cooperate with other professional societies that share mutual goals, ethics and interests; and to provide a professional community for those clinicians and researchers who use hypnosis in their work.”
  • Publication – American Journal of Clinical Hypnosis
  • Other Information – Offers certification in clinical hypnosis

1.6.2.2. Professional Journals

  • Website – http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1468-2850
  • Published by – American Psychological Association, Division 12
  • Description – “ Clinical Psychology: Science and Practice presents cutting-edge developments in the science and practice of clinical psychology and related mental health fields by publishing scholarly articles, primarily involving narrative and systematic reviews as well as meta-analyses related to assessment, intervention, and service delivery.”
  • Website – https://www.clinicalchildpsychology.org/JCCAP
  • Published by – American Psychological Association, Division 53
  • Description – “It publishes original contributions on the following topics: (a) the development and evaluation of assessment and intervention techniques for use with clinical child and adolescent populations; (b) the development and maintenance of clinical child and adolescent problems; (c) cross-cultural and socio-demographic issues that have a clear bearing on clinical child and adolescent psychology in terms of theory, research, or practice; and (d) training and professional practice in clinical child and adolescent psychology, as well as child advocacy.”
  • Website – http://www.asch.net/Public/AmericanJournalofClinicalHypnosis.aspx
  • Published by – American Society of Clinical Hypnosis
  • Description – “The Journal publishes original scientific articles and clinical case reports on hypnosis, as well as reviews of related books and abstracts of the current hypnosis literature.”
  • Mental health professionals take on many different forms with different degree requirements, training, and the ability to prescribe mediations.
  • Telling others what we have done is achieved by joining professional societies and submitting articles to peer-reviewed journals.

Section 1.6 Review Questions

  • Provide a general overview of the types of mental professionals and the degree, training, and ability to prescribe medications that they have.
  • Briefly outline professional societies and journals related to clinical psychology and related disciplines.

Module Recap

In Module 1, we undertook a relatively lengthy discussion of what abnormal behavior is by first looking at what normal behavior is. What emerged was a general set of guidelines focused on mental illness as causing dysfunction, distress, deviance, and at times, being dangerous for the afflicted and others around him/her. Then we classified mental disorders in terms of their occurrence, cause, course, prognosis, and treatment. We acknowledged that mental illness is stigmatized in our society and provided a basis for why this occurs and what to do about it. This involved a discussion of the history of mental illness and current views and trends.

Psychology is the scientific study of behavior and mental processes. The word scientific is key as psychology adheres to the strictest aspects of the scientific method and uses five main research designs in its investigation of mental disorders – observation, case study, surveys, correlational research, and experiments. Various mental health professionals use these designs, and societies and journals provide additional means to communicate findings or to be good consumers of psychological inquiry.

It is with this foundation in mind that we move to examine models of abnormality in Module 2.

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How Psychologists Define and Study Abnormal Psychology

Saul McLeod, PhD

Editor-in-Chief for Simply Psychology

BSc (Hons) Psychology, MRes, PhD, University of Manchester

Saul McLeod, PhD., is a qualified psychology teacher with over 18 years of experience in further and higher education. He has been published in peer-reviewed journals, including the Journal of Clinical Psychology.

Learn about our Editorial Process

Olivia Guy-Evans, MSc

Associate Editor for Simply Psychology

BSc (Hons) Psychology, MSc Psychology of Education

Olivia Guy-Evans is a writer and associate editor for Simply Psychology. She has previously worked in healthcare and educational sectors.

Abnormal psychology is a branch of psychology that studies, diagnoses, and treats unusual patterns of behavior, emotions, and thoughts that could signify a mental disorder.

Abnormal psychology studies people who are “abnormal” or “atypical” compared to the members of a given society.

Remember, “abnormal” in this context does not necessarily imply “negative” or “bad.” It is a term used to describe behaviors and mental processes that significantly deviate from statistical or societal norms.

Abnormal psychology research is pivotal for understanding and managing mental health issues, developing treatments, and promoting mental health awareness.

Defining Abnormality

The definition of the word abnormal is simple enough, but applying this to psychology poses a complex problem:

What is normal? Whose norm? For what age? For what culture?

The concept of abnormality is imprecise and difficult to define. Examples of abnormality can take many different forms and involve different features, so that, what at first sight seem quite reasonable definitions, turns out to be quite problematic.

There are several different ways in which it is possible to define ‘abnormal’ as opposed to our ideas of what is ‘normal.’

Statistical Infrequency

Under this definition of abnormality, a person’s trait, thinking or behavior is classified as abnormal if it is rare or statistically unusual.

With this definition, it is necessary to be clear about how rare a trait or behavior needs to be before we class it as abnormal. For instance, one may say that an individual who has an IQ below or above the average level of IQ in society is abnormal.

Statistical Infrequency: IQ shown in a normal distribution graph

The statistical approach helps to address what is meant by normal in a statistical context. It helps us make cut–off points in terms of diagnosis.

Limitations

However, this definition fails to distinguish between desirable and undesirable behavior. For example, obesity is statistically normal but not associated with healthy or desirable. Conversely, a high IQ is statistically abnormal but may well be regarded as highly desirable.

Many rare behaviors or characteristics (e.g., left-handedness) have no bearing on normality or abnormality.  Some characteristics are regarded as abnormal even though they are quite frequent. 

Depression may affect 27% of elderly people (NIMH, 2001).  This would make it common, but that does not mean it isn’t a problem.

The decision of where to start the “abnormal” classification is arbitrary. Who decides what is statistically rare, and how do they decide? For example, if an IQ of 70 is the cut-off point, how can we justify saying someone with 69 is abnormal, and someone with 70 is normal?

This definition also implies that abnormal behavior in people should be rare or statistically unusual, which is not the case.

Instead, any specific abnormal behavior may be unusual, but it is not unusual for people to exhibit some form of prolonged abnormal behavior at some point in their lives, and mental disorders such as depression are very statistically common.

Violation of Social Norms

Violation of social norms is a definition of abnormality where a person’s thinking or behavior is classified as abnormal if it violates the (unwritten) rules about what is expected or acceptable behavior in a particular social group. Their behavior may be incomprehensible to others or make others feel threatened or uncomfortable.

Every culture has certain standards for acceptable behavior or socially acceptable norms .

Norms are expected ways of behaving in a society according to the majority, and those members of a society who do not think and behave like everyone else break these norms and are often defined as abnormal.

With this definition, it is necessary to consider the degree to which a norm is violated, the importance of that norm, and the value attached by the social group to different sorts of violations, e.g., is the violation rude, eccentric, abnormal, or criminal?

There are a number of influences on social norms that need to be taken into account when considering the definition of the social norm:

Different cultures and subcultures are going to have different social norms.

For example, it is common in Southern Europe to stand much closer to strangers than in the UK.  Voice pitch and volume, touching, the direction of gaze, and acceptable subjects for discussion have all been found to vary between cultures.

At any one time, a type of behavior might be considered normal, whereas, at another time, the same behavior could be abnormal, depending on both context and situation.

For example, wearing a chicken suit in the street for a charity event would seem normal, but wearing a chicken suit for everyday activities, such as shopping or going to church, would be socially abnormal.

Time must also be taken into account, as what is considered abnormal at one time in one culture may be normal at another time, even in the same culture.

For example, one hundred years ago, a pregnancy outside of marriage was considered a sign of mental illness, and some women were institutionalized, whereas now this is not the case

Different people can behave in the same way, and some will be normal and others abnormal, depending on age and gender (and sometimes other factors).

For example, a man wearing a dress and high heels may be considered socially abnormal as society would not expect it, whereas this is expected of women

With this definition, it is necessary to consider the following:

  • The degree to which a norm is violated,
  • The importance of that norm,
  • The value attached by the social group to different sorts of violations, e.g., is the violation rude, eccentric, abnormal, or criminal?

The most obvious problem with defining abnormality using social norms is that there is no universal agreement over social norms.

Social norms are culturally specific – they can differ significantly from one generation to the next and between different ethnic, regional, and socio-economic groups.

In some societies, such as the Zulu, for example, hallucinations and screaming in the street are regarded as normal behavior.

Social norms also exist within a time frame and therefore change over time.  Behavior that was once seen as abnormal may, given time, become acceptable and vice versa.

For example, drunk driving was once considered acceptable but is now seen as socially unacceptable, whereas homosexuality has gone the other way. 

Until 1980 homosexuality was considered a psychological disorder by the World Health Organization (WHO), but today is socially acceptable.

Social norms can also depend on the situation or context we find ourselves in. Is it normal to eat parts of a dead body?

In 1972 a rugby team who survived a plane crash in the snow-capped Andes of South America found themselves without food and in sub-freezing temperatures for 72 days. To survive, they ate the bodies of those who had died in the crash.

Failure to Function Adequately

Failure to function adequately is a definition of abnormality where a person is considered abnormal if they are unable to cope with the demands of everyday life, or experience personal distress.

They may be unable to perform the behaviors necessary for day-to-day living, e.g., self-care, holding down a job, interacting meaningfully with others, making themselves understood, etc.

Rosenhan & Seligman (1989) suggest the following characteristics that define failure to function adequately:

  • Maladaptiveness (danger to self)
  • Vividness & unconventionality (stands out)
  • Unpredictably & a loss of control
  • Irrationality/incomprehensibility
  • Causes observer discomfort
  • Violates moral/social standards

One limitation of this definition is that apparently abnormal behavior may actually be helpful, functional, and adaptive for the individual.

For example, a person who has the obsessive-compulsive disorder of hand-washing may find that the behavior makes him cheerful, happy, and better able to cope with his day.

Many people engage in behavior that is maladaptive/harmful or threatening to self, but we don’t class them as abnormal:

  • Adrenaline sports
  • Smoking, drinking alcohol
  • Skipping classes

Deviation from Ideal Mental Health

Abnormality can be defined as a deviation from ideal mental health.

This means that rather than defining what is abnormal, psychologists define what normal/ideal mental health is, and anything that deviates from this is regarded as abnormal.

This requires us to decide on the characteristics we consider necessary for mental health. Jahoda (1958) defined six criteria by which mental health could be measured:

  • A positive view of the self
  • Capability for growth and development
  • Autonomy and independence
  • Accurate perception of reality
  • Positive friendships and relationships
  • Environmental mastery – able to meet the varying demands of day-to-day situations

According to this approach, the more satisfied these criteria are, the healthier the individual is.

It is practically impossible for any individual to achieve all of the ideal characteristics all of the time.  For example, a person might not be the ‘master of his environment’ but be happy with his situation.

The absence of this criterion of ideal mental health hardly indicates he is suffering from a mental disorder.

Ethnocentric

Ethnocentrism , in the context of psychology, refers to the tendency to view one’s own culture or ethnic group as the standard or norm, and to judge other cultures, values, behaviors, and beliefs based on those norms. I

White, middle-class men devise most definitions of psychological abnormality. It has been suggested that this may lead to disproportionate numbers of people from certain groups being diagnosed as “abnormal.”

For example, in the UK, depression is more commonly identified in women, and black people are more likely than their white counterparts to be diagnosed with schizophrenia.

Similarly, working-class people are more likely to be diagnosed with a mental illness than those from non-manual backgrounds.

Models of Abnormality

models of abnormality

Behavioral Model of Abnormality

Behaviorists believe that our actions are determined largely by the experiences we have in life rather than by the underlying pathology of unconscious forces.

Abnormality is therefore seen as the development of behavior patterns that are considered maladaptive (i.e., harmful) for the individual.

Behaviorism states that all behavior (including abnormal) is learned from the environment (nurture) and that all behavior that has been learned can also be ‘unlearnt’ (which is how abnormal behavior is treated ).

The behavioral approach emphasizes the environment and how abnormal behavior is acquired through classical conditioning , operant conditioning , and social learning .

Classical conditioning has been said to account for the development of phobias. The feared object (e.g., spider or rat) is associated with fear or anxiety sometime in the past. The conditioned stimulus subsequently evokes a powerful fear response characterized by avoidance of the feared object and the emotion of fear whenever the object is encountered.

Learning environments can reinforce (re: operant conditioning) problematic behaviors. E.g., an individual may be rewarded for having panic attacks  by receiving attention from family and friends – this would lead to the behavior being reinforced and increasing in later life.

Our society can also provide deviant maladaptive models that children identify with and imitate (re: social learning theory).

Cognitive Perspective of Mental Health Behavior

The cognitive approach assumes that a person’s thoughts are responsible for their behavior. The model deals with how information is processed in the brain and the impact of this on behavior.

The basic assumptions are:

  • Maladaptive behavior is caused by faulty and irrational cognitions.
  • It is the way you think about a problem rather than the problem itself that causes mental disorders.
  • Individuals can overcome mental disorders by learning to use more appropriate cognitions.
The individual is an active processor of information .

How a person perceives, anticipates, and evaluates events rather than the events themselves, which will have an impact on behavior.

This is generally believed to be an automatic process; in other words, we do not think about it.

In people with psychological problems, these thought processes tend to be negative, and the cognitions (i.e., attributions, cognitive errors) made will be inaccurate:

These cognitions cause distortions in how we see things; Ellis suggested it is through irrational thinking, while Beck proposed the cognitive triad.

Medical / Biological Perspective of Mental Health Behavior

The medical model of psychopathology believes that disorders have an organic or physical cause. The focus of this approach is on genetics, neurotransmitters , neurophysiology, neuroanatomy, biochemistry, etc.

For example, in terms of biochemistry – the dopamine hypothesis argues that elevated levels of dopamine are related to symptoms of schizophrenia.

The approach argues that mental disorders are related to the physical structure and functioning of the brain.

For example, differences in brain structure (abnormalities in the frontal and pre-frontal cortex, enlarged ventricles) have been identified in people with schizophrenia.

The Diathesis-Stress Model

According to the diathesis-stress model , the emergence of a psychological disorder requires first the existence of a diathesis, or an innate predisposition to that disorder in an individual, and second, stress, or a set of challenging life circumstances which then trigger the development of the disorder.

In the diathesis-stress model, these challenging life events are thought to interact with individuals’ innate dispositions to bring psychological disorders to the surface.

For example, traumatic early life experiences, such as the loss of a parent, can act as longstanding predispositions to a psychological disorder. In addition, personality traits like high neuroticism are sometimes also referred to as diatheses.

Furthermore, individuals with greater innate predispositions to a disorder may require less stress for that disorder to be triggered, and vice versa.

In this way, the diathesis-stress model explains how psychological disorders might be related to both nature and nurture and how those two components might interact with one another (Broerman, 2017).

Psychodynamic Perspective of Mental Health Behavior

The main assumptions include Freud’s belief that abnormality came from psychological causes rather than physical causes, that unresolved conflicts between the id, ego, and superego can all contribute to abnormality, for example:

  • Weak ego : Well-adjusted people have a strong ego that can cope with the demands of both the id and the superego by allowing each to express itself at appropriate times. If the ego is weakened, then either the id or the superego, whichever is stronger, may dominate the personality.
  • Unchecked id impulses : If id impulses are unchecked, they may be expressed in self-destructive and immoral behavior. This may lead to disorders such as conduct disorders in childhood and psychopathic [dangerously abnormal] behavior in adulthood.
  • Too powerful superego : A superego that is too powerful, and therefore too harsh and inflexible in its moral values, will restrict the id to such an extent that the person will be deprived of even socially acceptable pleasures. According to Freud, this would create neurosis, which could be expressed in the symptoms of anxiety disorders , such as phobias and obsessions.

cause of anxiety

Freud also believed that early childhood experiences and unconscious motivation were responsible for disorders.

unconscious motives for abnormal behavior

An Alternative View: Mental Illness is a Social Construction

Since the 1960s, it has been argued by anti-psychiatrists that the entire notion of abnormality or mental disorder is merely a social construction used by society.

Notable anti-psychiatrists were Michel Foucault, R.D. Laing, Thomas Szasz, and Franco Basaglia. Some observations made are:

  • Mental illness is a social construct created by doctors. An illness must be an objectively demonstrable biological pathology, but psychiatric disorders are not.
  • The criteria for mental illness are vague, subjective, and open to misinterpretation criteria.
  • The medical profession uses various labels, e.g., depressed and schizophrenic, to exclude those whose behavior fails to conform to society’s norms.
  • Labels and treatment can be used as a form of social control and represent an abuse of power.
  • Diagnosis raises issues of medical and ethical integrity because of financial and professional links with pharmaceutical companies and insurance companies.

Why is abnormal psychology important?

Abnormal psychology is a crucial field that focuses on understanding, diagnosing, and treating atypical behaviors, emotions, and thought processes, which can lead to mental disorders.

Its importance lies in enhancing our comprehension of mental health disorders, developing effective treatment strategies, and promoting mental health awareness to reduce stigma.

Additionally, this field helps in implementing preventive measures, guiding mental health legislation and policies, improving the quality of life for those with mental health issues, and serving as an educational tool for professionals and the public.

Through these various contributions, abnormal psychology helps foster a better understanding and handling of mental health matters in society.

How did the study of abnormal psychology originate?

The study of abnormal psychology originated in ancient times, with early explanations attributing abnormal behaviors to supernatural forces. The Greeks later proposed naturalistic explanations, such as Hippocrates’ theory of bodily humors.

After regression during the Middle Ages, the field progressed in the 19th and 20th centuries, with figures like Philippe Pinel and Sigmund Freud advocating humane treatment and developing therapeutic approaches, respectively.

The 20th century also saw the creation of the Diagnostic and Statistical Manual of Mental Disorders (DSM). Currently, the field draws from various disciplines, including psychology, psychiatry, neuroscience , and genetics.

What are the 4 key objectives of the field of abnormal psychology?

The field of abnormal psychology has four primary objectives:

Description: This involves accurately describing, defining, and classifying different psychological disorders. This is important for practitioners and researchers to communicate effectively about each disorder.

Explanation: This involves determining the causes or etiology of different disorders. Researchers aim to understand the biological, psychological, and social factors that contribute to the development and maintenance of abnormal behaviors or mental health disorders.

Prediction: By understanding the course of different disorders, psychologists can predict how they might develop or change over time. This can help forecast the likely course of a disorder in an individual, given certain characteristics or conditions.

Change: Ultimately, the goal of abnormal psychology is to develop effective interventions and treatments that can alleviate the suffering caused by mental health disorders. This objective seeks to change maladaptive behaviors, thoughts, and emotions, promoting mental well-being and functional life skills.

What makes defining abnormality difficult?

Defining abnormality in psychology is challenging due to cultural variations, subjectivity, context-dependent norms, societal changes over time, and difficulty discerning when behaviors or emotions become clinically significant. Cultural norms heavily influence perceptions of normality and abnormality.

Additionally, what’s considered abnormal in one context may be normal in another. Definitions also evolve with societal and scientific progress. Furthermore, distinguishing when feelings like sadness or anxiety become severe or prolonged enough to be deemed abnormal is complex.

These factors highlight the need for a nuanced, culturally sensitive, and individualized approach to abnormal psychology.

Why are correlational research designs often used in abnormal psychology?

Correlational research designs are often used in abnormal psychology because they allow researchers to examine the relationship between different variables without manipulating them, which can provide valuable insights into mental health conditions. These designs are particularly useful in cases where variables cannot be manipulated for ethical or practical reasons.

For example, it would be unethical and impractical to manipulate a factor such as childhood trauma to observe its effects on mental health in adulthood. However, a correlational design would allow researchers to examine the relationship between these variables as they naturally occur.

Additionally, correlational designs can help identify risk factors for various mental health conditions. For instance, researchers might find that high-stress levels correlate with an increased risk of depression. Such findings can provide a foundation for preventive measures and guide future research.

However, a key limitation of correlational research is that it cannot establish causality. Just because two variables are correlated does not mean one causes the other. Therefore, correlational findings often need to be followed up by experimental or longitudinal studies to explore potential causal relationships.

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Abnormal Psychology

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abnormal psychology research

  • Yao Shuqiao 2  

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It is the branch of medical psychology that deals with abnormal psychology or abnormal behavior, and is also known as pathological psychology. Based on the principles and methods of psychology, it studies the manifestations, causes, mechanisms, and development laws of abnormal psychology or morbid behavior, and discusses the methods of discrimination and evaluation and the measures of correction and prevention.

Brief History

As early as the fifth to fourth century BC, Hippocrates, an ancient Greek doctor, began to describe and study people’s abnormal psychology, and tried to explain the abnormal phenomena of psychology with simple materialism. He was opposed to treating patients with praying or cursing, arguing that the cause of disease should be found in the body and brain of the patient. In about the first century BC, the ancient Greek doctor Asclepiades was the first to use the terms psychological disorder and mental disorder. Since then and after a long history of development,...

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Compas BE, Gotlib IH (2002) Introduction to Clinical Psychology: Science and Practice. McGraw-Hill, New York

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Yao S-Q, Yang Y-C (2013) Medical Psychology. People’s Medical Publishing House, Beijing

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Shuqiao, Y. (2024). Abnormal Psychology. In: The ECPH Encyclopedia of Psychology. Springer, Singapore. https://doi.org/10.1007/978-981-99-6000-2_399-1

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Handbook of Research Methods in Abnormal and Clinical Psychology

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Abnormal Psychology

Abnormal Psychology

There are several key questions for students to answer as they work toward mastering the content of abnormal psychology. How do psychologists define and diagnose something as being abnormal? Who are key historical figures, and how have views of mental health and illness changed over the years? How do psychologists use sci­ence to better assess and understand mental disorders? What are the primary theoretical perspectives and treat­ment options? We explore these questions in the follow­ing sections.

What is Abnormal Psychology? Definitions of Abnormal

Defining what is abnormal depends on how one first defines what is normal. This may sound simple and obvious, but it is not always so easy to remember that these are dynamic and relative terms. What people consider normal behavior depends on the time, place, and those involved. For exam­ple, most people believe that physical aggression against another person is generally unacceptable, but certain forms of aggression under certain circumstances (e.g., a great hit in a football game) may in fact be encouraged and celebrated. Psychologists therefore face a unique challenge when trying to define abnormality, because normality is a complex mov­ing target directly influenced by evolving social values.

Synonyms for the word abnormal include the fol­lowing: deviant, unusual, distressing, dysfunctional, and maladaptive (among others). These synonyms can help describe key features or dimensions that psychologists and other professionals may use to help identify abnormality. Each dimension represents a unique perspective and offers specific advantages when trying to describe and define normal vs. abnormal. However, each perspective also has specific limitations, and attempting to use any one of them in isolation as the sole determinant of what is abnormal leaves you with an incomplete and oversimplified view of abnormal behavior.

Perhaps the simplest definition of what is abnormal involves deviation from what a group considers correct or acceptable. Each group develops a set of rules and expectations, or norms, for behavior under a variety of cir­cumstances. A norm may be explicit (e.g., written laws) or implicit, but group membership and acceptance is largely determined by adherence to the norm. Deviation from the norm is often discouraged because it threatens group integrity and cohesion, and repeated norm violations may result in negative consequences for the deviant individual. Obviously, groups can vary in size and construction (e.g., your immediate family versus all people in the United States in your age group), and the degree of influence their norms have on your own behavior will depend in part on how much you value being a member of that group and how influential your own behavior is within the group (i.e., it is a feedback loop—your behavior is influenced by the norm while also helping to define the norm). The advantage of this approach is that it necessarily includes norms that are current and relevant to the group in ques­tion. The obvious limitation of this viewpoint is that any behavior that is new or different and runs counter to a group’s preexisting norms will be labeled and treated as deviant, a term that carries a strong negative connotation. The negative connotation and resulting stigmatization associated with being labeled deviant may in fact be one of the potential consequences designed to prevent a person from drifting too far away from the values and beliefs of the group. This may sound very stifling and overly rigid to some people. In Western cultures, such as the United States in particular, maintaining balance between group affiliation and individual identity is important because of the value Americans place on individualism and freedom of choice. Another important limitation is the consider­ation that even the most pervasive norms are not stable or static; what is generally acceptable today (e.g., hairstyles, fashions, tattoos, and body piercing) may be laughably deviant in the future.

If psychologists define what is normal by quantifying what is average or typical of a group, then abnormal is anything unusual, or that which lies outside an accepted range. Psychologists often use a cutoff of two standard deviations above or below the mean to define something as being highly unusual or rare (i.e., statistically significant), as this represents the extreme scores (upper and lower 2.5 percent approximately) of a normal frequency distribution. By comparing an individual’s score to the average score of an entire sample, psychologists can make probabilistic statements about the likelihood of obtaining a specific score randomly or by chance alone, versus obtaining that same score because the individual most likely is truly and statistically different from the sample. This approach has the advantage of being quantified and more objective than other perspectives, and thus applicable in the use of statistical procedures and scientific interpretations of data. However, this approach has the disadvantage of labeling anything that is statistically extreme as abnormal, even if it is a desirable trait (e.g., a very high IQ). Additionally, any cutoff used is an arbitrary one that may be influenced by sample size or the shape of the frequency distribution, and there is lots of gray area between what is easily defined as average and what is obviously atypical in the statistical sense. This issue is made even more apparent when one considers the relative lack of precision and measurement error that psychologists often have to take into account when trying to assess traits and behaviors that may be considered indicators of mental disorder.

If psychologists use measures of daily functioning (occupational success, academic performance, social/ interpersonal interaction, aspects of self-care, etc.) to define what is normal, then they would define as abnormal or dysfunctional anything that prevents maximal or ideal functioning. This approach has the advantage of using behaviors that are typically observable and measurable (e.g., salary, GPA, number of close friends, cholesterol levels, etc.), and is flexible enough to account for different developmental stages and individual differences. This flex­ibility, however, is also the primary disadvantage of this perspective because maximal functioning is a concept that depends on numerous other factors: age, cultural expec­tations, personal values, and so on. Getting an average grade on an important exam may be perfectly acceptable to a struggling student simply trying to pass a course, yet thoroughly unacceptable to another student on academic scholarship who wants to pursue a graduate degree. The issue then becomes one of deciding which expert deter­mines what ideal functioning looks like for any given per­son. This is not impossible to do, but it does require sound clinical judgment combined with a high level of skill and experience to gather and assess relevant data.

Because normality differs from person to person, it might be necessary to use a perspective that pays very close attention to individual levels of distress. Assessing personal distress or unhappiness as a means of defin­ing what is abnormal includes measuring the frequency, intensity, and duration of symptoms that are cognitive, emotional, physical, or some combination of the three. Whereas using dysfunction includes elements of inter­personal functioning as already mentioned, using distress could be thought of as a way of determining intrapersonal functioning. Individual levels of pain, anxiety, anguish, and so forth are important indicators of abnormality regardless of social norms, statistical rarity, or daily func­tioning. Self-reports of the severity, origin, and meaning of symptoms are an important source of information, and can be a powerful component of a therapeutic relationship. In fact, the goal of therapy may often include work on defin­ing what being happy means and helping a person find ways to move closer to that ideal state. Relying on personal distress as the defining feature of abnormality obviously assumes that personal distress exists in the first place, an assumption that may very well be fallacious, particularly in cases of acute psychosis or severe personality disorders. Additionally, people are often motivated toward productive goals by their anxieties and insecurities, thus one could question if an equal but opposite state of perfect happi­ness exists, and whether it is even possible or beneficial to eliminate all sources of personal distress. This may be an important philosophical or existential issue, but in reality it represents an artificial and oversimplified dichotomy. When levels of distress paralyze, debilitate, and otherwise prevent individuals from feeling like themselves on a daily basis, even modest relief can be a welcome change of pace and a more achievable goal, thus rendering the issue of achieving total happiness and eliminating all sources of stress a moot point.

Finally, if the synonym “maladaptive” is used as the primary reference point, then anything that causes harm or increases the risk of harm to self or others serves as an indicator of abnormality. Physical injuries, suicide attempts, substance abuse, indiscriminant sexual behavior, and extreme sensation seeking could all be easily seen as maladaptive behaviors, because they all represent a high level of severity and risk. The problem is that even though this elevated level of harm and risk is easy to spot when it occurs, it does not occur in every case of what profes­sionals consider abnormal, and in fact may be the least prevalent of all indicators of abnormality (Comer, 2001). This obviously limits the utility of this criterion to define what is and is not normal.

It should be apparent by now that, as stated previ­ously, no single element can be used in isolation to achieve a definition of abnormality that is sufficient. By combining several of these factors into a working defini­tion of abnormality, psychologists can take advantage of the strengths of each perspective while avoiding or minimizing the inherent individual disadvantages. The Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR; American Psychiatric Association, 2000), specifically incorporates several of these dimensions into each set of diagnostic cri­teria for various disorders and syndromes. However, even this approach is relative and dynamic, and will always depend on the culture and timing surrounding what is defined as normal.

Just as there are multiple dimensions used to define what is abnormal, there are multiple theoretical models in use today to help describe and predict abnormal behavior as well as dictate treatment methods and techniques. In order to fully understand these models and put them in proper perspective, a brief review of the history of abnor­mal psychology is in order.

Read more about Abnormal Psychology:

  • History of Abnormal Psychology
  • Assessment and Research
  • Diagnosis and Treatment

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The impact of environment on abnormal behavior and mental disease

Hannelore ehrenreich.

1 Clinical Neuroscience, Max Planck Institute of Experimental Medicine, Göttingen, Germany

The risk of mental diseases is determined by both genetic and environmental factors, the latter of which may have an even greater impact. To assess individual risk and design efficient preventive measures will require phenotyping environmental risk factors.

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“Doctor, as an expert on mental diseases, can you tell me what my chances are of being diagnosed with schizophrenia?” I am seeing a 23‐year‐old man, Albert, who came with his mother to my office. I learn that his monozygotic twin brother, Greg, who grew up with his father in Berlin, was recently diagnosed with schizophrenia. Albert has been living with his mother in a rural area near Hanover since his parents divorced, with each of them taking one of the twin babies along. There had obviously not been too much contact between them since.

Disease starts at a certain threshold, which is defined to some degree by societal and cultural standards.

What can I tell Albert? The concordance rate of schizophrenia in monozygotic twins is ~50%—indicating that, despite a 100% shared genome, there is a 50% chance that he will stay healthy, even though his twin brother is affected 1 . It also means that there must be other factors at work, which significantly add to any genetic predisposition for behavioral abnormalities up to mental diseases.

When is a disease a disease?

What are these non‐genetic, environmental risk factors for behavioral abnormalities and mental disease? On the way to offering a satisfying answer based on state‐of‐the‐art research, a central, even philosophical question arises: How do behavioral abnormalities contribute to what we call a disease? And equally important, when does a disease start to be a disease?

Most of us can be depressed, lose our normal drive and pleasure at times, or be somewhat autistic when we intensely concentrate on a particularly interesting puzzle, or even become paranoid in certain situations. In other words, human (and animal) behavior can be regarded as consisting of quantifiable traits. Disease starts at a certain threshold, which is defined to some degree by societal and cultural standards 2 . Reaching this threshold is the net result of the interaction between genetic and environmental risk and protective factors. Along these lines of thought, would it perhaps be better to talk about risk that lastingly shapes our behavior rather than only risk of mental illness?

Greg and Albert's story provides some insights to understand the importance of these questions. Greg is suffering from full‐blown paranoid schizophrenia: He feels hounded by aliens and hears voices that tell him how to protect himself from this extraterrestrial threat. Among others, these voices tell him to set fire in the house or to short‐circuit the power outlets in the kitchen. Albert is sometimes suspicious of some of his fellow physics students, whom he thinks spy on him to use his ideas or his experimental results, but he can easily ignore these thoughts when his classmates ask him, as a particularly talented colleague, for his help. Here we have two examples of paranoid behavior in individuals with an identical genetic background: one severe, non‐correctable, and even dangerous for self and others, the other in the frame of a still healthy personality. In Greg's case, it is likely that environmental factors pushed his genetic predisposition for paranoid behavior over the threshold to develop full‐blown schizophrenia. We should always keep in mind that the expression of a mental disease is never completely separable from the underlying inherent personality features of the affected subject. In mental disease, the original personality characteristics often emerge in an exaggerated (pathological) way.

We should always keep in mind that the expression of a mental disease is never completely separable from the underlying inherent personality features of the affected subject.

Another example from the story of the twins may further help to answer the central question of when a disease becomes a disease. Albert, the healthy twin, had gone through a phase which one could—in retrospect—interpret as an “abortive” disease prodrome. This so‐called prodrome is a period of 2–5 years before the onset of schizophrenia, which is variably characterized by dropping performance in school and learning problems, social withdrawal, depression, restlessness, and suicidal ideation or suicide attempts. A prodrome is often very hard to recognize as such, since puberty is an overall difficult time for almost anybody and symptoms may be non‐specific. During early puberty, Albert often thought about being worthless and about dying, and his performance in school clearly suffered. But his mother and her new partner, both teachers, unconditionally supported him during these difficult years. At the age of 17, he became the best student in his class. He is now finishing his examinations with excellence.

Greg, in turn, had a complete prodrome with all of the typical features. His father, a busy banker, found him unapproachable during these years. He hung out with problematic and partly criminal peers in Berlin, consumed cannabis and tried other drugs, frequently skipped school, and made his first suicide attempt at the age of 19. Three years later, he had not graduated when he had his first psychotic episode. This example tells us again that a genetic substrate can undergo different environmental shaping via risk and protective factors, which results in healthy coping versus mental disease.

Sorting out environmental risk factors

We therefore need to specify potential or proven environmental risk factors for altered behavior or mental illness. The sociology or sociopsychology literature that analyzes externalizing behavior in childhood groups environmental risk factors into “child, sociocultural, parenting, and peer‐related”. Such externalizing behavior includes aggression and hostility, impulsivity and hyperactivity, and non‐compliance with limit‐setting. These behaviors have been linked to conduct disorders, attention‐deficit disorders, as well as personality disorders , early delinquency, criminality, and other forms of antisocial psychopathology in adulthood 3 .

Not all environmental risk factors are founded on unequivocally or scientifically convincing data.

In the biomedical literature, environmental risk factors are much more heterogeneous and complex and go far beyond these sociopsychological risk factors. Not all of them are equally important and scientifically sound, and there appear to be what I like to call “shades of risk”. These shades are not simply black and white; their intensity depends on the position of the light source, the perspective of the observer, and they may even melt into each other. Several “shades of risk” can be distinguished.

Type 1 shades describe primary personal, intrinsic risks that are essentially unavoidable—what may also be called “ fate” . They include, for instance, perinatal maternal infections, placental pathology, obstetric complications, low birth weight, advanced paternal age, number of siblings, season of birth, childhood infections, head injury, and adverse life events such as losing a close relative or enduring physical or sexual abuse.

Type 2 shades mark primary risk through society and surroundings that are also largely inevitable for the individual, but subject to political needs and actions. They include urban birth and upbringing, crowded living conditions, exposure to noise, air pollution, heavy metals, toxic organic compounds, and radioactivity (including natural radioactivity), famine, bullying among peers, migration, minority group status, and the parents' social status and socioeconomic position.

An extremely topical subject is migration as a risk factor of abnormal behavior and mental disease.

Type 3 shades signify clearly preventable, secondary risk factors that can act as detrimental add‐ons to preexisting factors. These are substance abuse—mainly cannabis and alcohol—but also nutrition factors such as vitamin D deficiency, or an unhealthy microbiome of the gut or skin.

Exemplifying some risk factors

Attributing neuropsychiatric diseases to environmental risk factors dates back to ancient times. Hippocrates (c. 460 – c. 370 BC) already associated mental disease with the constellation of the planets but also with nutrition and even developed treatment regimens based hereon. Not all environmental risk factors are founded on unequivocally or scientifically convincing data. They are often built on small numbers of individuals, are retrospective, and/or leave the “chicken or egg” question—whether they are the causes or consequences—unanswered. By way of example, the role of cannabis consumption as an inducer of schizophrenia, as self‐medication during psychotic episodes or disease prodrome, or as a side effect of a problematic peer situation has been intensely discussed. It is quite safe to say that, despite there being some truth in all these views, cannabis can induce schizophrenia in predisposed individuals, lead to earlier disease onset in a dose‐dependent manner, and trigger psychotic relapses 4 . Depending on an individual's genetic make‐up and environmental risk profile, cannabis consumption can also result in amotivational behavior, social withdrawal, or cognitive deficits upon peripubertal use.

Traumatic brain injury has also been implicated as a risk factor for mental disease, but this possibility was only recently confirmed by a nationwide Danish study of 113,906 individuals who had suffered a neurotrauma. In fact, an injury to the head between 11 and 15 years of age is the strongest predictor for subsequent development of schizophrenia, depression, and bipolar disorder 5 . In contrast, season of birth is a weak risk factor per se , but if we consider that influenza infection has clear seasonal peaks and poses a high risk during pregnancy for the unborn child to develop mental disease, season of birth may ultimately prove valid as a risk factor.

The influence of urbanicity on disease risk seems certain. But what are the exact reasons why the risk of abnormal behavior and mental disease increases if individuals grow up in an urban versus rural environment? The possible answers range from air pollution and noise to crowded living, problematic peers, and generally enhanced stress 6 . In order to understand more about the discrete individual risk factors that belong to urban environments, we would need to separate these as much as possible, as not all cities are crowded, not all are heavily polluted, and not all are noisy in the center. This would require large international efforts with unrestricted data and information sharing to compare cities regarding living conditions, the number and status of minorities and migrants, smog, and mental disease prevalence. Quality of housing would have to be measured as much as rush hour traffic, commuting possibilities and public transportation, or the availability of leisure activities and ways to relax to name just a few contributing factors of “urbanicity”.

An extremely topical subject is migration as a risk factor of abnormal behavior and mental disease. But again, why is it? To understand its role, we must first ask what the driving forces are for people to migrate, and which problems they have to face in their new country. How much does the culture of their country of origin differ from their new homeland? Ultimately, we must analyze why second‐generation migrants are similarly or even more at risk. All these questions have high political and practical relevance; they are at present predominantly “answered” with some “logical assumptions”, but urgently need to be addressed in a systematic scientific approach parallel to efforts toward optimizing integration for migrants.

… phenotyping of environment and individual environmental risk accumulation will be crucial to identify the root cause of behavioral abnormality and mental disease.

In the case of Albert and Greg, Albert's rural upbringing may have had a protective effect, just as Greg's urban life may have been a critical risk factor. Parental care was obviously different for the twins, too. Greg started to consume cannabis around puberty, as did many of his classmates and peers in Berlin, whereas Albert has never tried it. In addition, Greg fell from his bike and hit his head while in elementary school. He was diagnosed with a concussion and had to stay in the hospital for 2 weeks. Thus, traumatic brain injury is also on his list of obvious risk factors.

Protective factors and risk accumulation

Again, genes obviously play only a limited role—if at all—and it is the balance of environmental risk and protective factors that ultimately determines the outbreak of a mental disease in a genetically predisposed individual (Fig ​ (Fig1). 1 ). This brings us to the next question, namely, which environmental factors can neutralize adverse effects or protect against mental disease? Another important point is the composition of risk factors. Which combinations are more or less deleterious? Back to the sociopsychological literature and to Albert's story, a warm home with caring and loving parents, a good education, school or professional rewards, trusting relationships, and a healthy lifestyle can likely absorb some of the negative impact of environmental risks. These considerations should more prominently inform preventive or therapeutic strategies for children at risk.

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On the other hand, accumulation of risk seems to have the most severe detrimental effects. Recently, we assessed, for the first time, in more than 750 schizophrenic men environmental risk factors experienced before the age of 18 years—well before the disease started. Strikingly, we found that patients who experienced more than four risk factors had an onset of schizophrenia ~10 years earlier 4 . We note that it does make a big difference in the life of a young man whether schizophrenia starts at the age of 21 or 30. In these critical in‐between years, people finish their education, get settled in a profession and in society, and often start a family—which is seriously hampered by the disease. Importantly, the same study showed no measurable influence of genetic risk factors as derived from the latest, large‐scale, genome‐wide association study on schizophrenia, including 37,000 cases and 113,000 healthy controls. There was no significant evidence of additional “genes X environment” interaction, which emphasizes the enormous impact of environmental risk per se 4 .

In an ongoing follow‐up study, we detected that accumulated environmental risk was significantly associated with violent aggression and a five times higher likelihood of being convicted of bodily injury, sexual assault, manslaughter or murder, or a history of forensic hospitalization. This unexpected finding was confirmed in six independent replication samples, including general population ( publication in process ). It shows the severe societal consequences of risk accumulation and should make the need for preventive measures more than obvious.

What do we know about mechanisms?

How can risk factors as different as perinatal maternal infection, migration, and urbanicity act together to shape personality and co‐determine the likelihood of mental disease? Importantly, they act long before adulthood and can impact the vulnerable, developing brain whether they occur once, as in cases of neurotrauma, or repeatedly, as in continuous sexual abuse. On top of this lies the transgenerational risk: Imprinting before conception has to be taken into account, even if it is not yet well understood. Taken together, how much do we really know about mechanisms? Numerous reactions to environmental exposure have been described, including changes in neuroendocrine and neurotransmitter systems or neuronal/synaptic plasticity, but also changes to the adaptive immune system, for instance pro‐inflammatory cytokine secretion 7 . Another interesting phenomenon of still unclear significance is the large number of circulating autoantibodies directed against brain antigens in healthy individuals that increases with age. Do these autoantibodies also represent adaptive changes in response to environmental risks 8 ? Importantly, risk‐mediated alterations in brain dimensions, for instance in white matter tracts—as well as early interference with developmental myelination—affect brain connectivity and network function and lay the foundation for behavioral abnormalities and neuropsychiatric disease 9 .

We need more considerate, large international efforts to systematically quantify environmental risk factors analogous to genome sequencing and GWAS projects.

Epigenetic alterations of the genome involving histone modifications, DNA methylation or DNA hydroxymethylation, or non‐coding RNAs may also underlie some of these changes. These alterations cause changes of gene expression and have become a highly topical field of research. Here, certain risk factors—alone or in combination—can be modeled and their consequences for brain function, morphology, and biochemistry can be studied. Potential epigenetic therapy approaches are also being discussed 10 . Unfortunately, translation to the extremely heterogeneous human population is less reliable. Instead of studying the brain as an adequate target tissue, only blood cells are accessible for epigenetic analysis for appreciable numbers of individuals. But even here replications are often missing, and reproducibility remains limited. In the future, human neurons or other brain cells derived from inducible pluripotent stem cells might be helpful to study at least some translational aspects.

The need to phenotype the environment

This all points to the need to systematically and quantitatively study the influence of environmental factors on behavioral alterations and the onset of mental illness. We need more considerate, large international efforts to systematically quantify environmental risk factors analogous to genome sequencing and GWAS projects. We also need more systems biology approaches to understand the mechanisms of how environmental factors drive disease. All of these endeavors will be extremely labor‐intense and expensive. Thus, and most importantly, we need to convince politicians and funding agencies to grant adequate funding for research that addresses these fundamental societal questions.

Given the enormous influence of the environment, which far outlasts any general genetic effects on mental disease, the impact that such studies will ultimately have on our understanding of psychiatric conditions, prophylaxis, and treatment options is huge. In addition, environmental risk is ubiquitous and “unspecific”; it inflicts its share of damage on any individual, and may cause anything from mild behavioral consequences, perhaps in the presence of strong protective factors, to personality changes or, given a genetic predisposition, severe mental disease.

So, how can we assess an individual's environmental risk of developing a mental disease? Are there dichotomous, or even better continuous, measures that quantify these risks? Depending on the specific risk factor, we would need to conduct patient interviews (urbanicity, migration), study charts (birth complications, neurotrauma), and directly measure environmental conditions (air pollution, exposure to toxins). Ultimately, it may be possible to estimate the accumulated personal risk, but controlled and independently replicated studies are needed to analyze the relative impact of individual factors and their combinations. These studies should be comparable to large, international GWAS efforts. Even then, we will never be able to measure and understand all possible risks. Nevertheless, owing to its gigantic impact, phenotyping of environment and individual environmental risk accumulation will be crucial to identify the root cause of behavioral abnormality and mental disease.

Societal task: avoiding risks

But what can we do once we know? Not all risk factors are avoidable, but some—such as cannabis—are. In the case of cannabis, clinicians and the general public need to become aware of its risks. Legalizing cannabis for instance may not send the right message to the public regarding its health risks. The impact of migration and urbanicity could be alleviated with political and social measures, such as better integration of migrants or humane city planning. Other factors, such as perinatal complications, traumatic brain injury, or traumatic life events, might not be easily avoidable. Yet even for these factors, introducing prophylactic measures such as better management of at‐risk pregnancies, wearing a helmet when cycling, early therapeutic intervention after trauma, and better awareness of signals that indicate physical or sexual abuse—along with reducing false shame and building trust—might be beneficial 4 . Again, only controlled studies will help to estimate the benefits and efficiency of these potential prophylactic measures and interventions.

Unfortunately, primary preventive measures are too late for Greg. He will need secondary prevention after remission. He will have to learn, in long‐term psychotherapeutic sessions, that he is suffering from schizophrenia, a fact that is often difficult for patients and their relatives to accept, and that cannabis use will lead to psychotic relapses and negatively affect his long‐term prognosis. Albert has a reasonable chance of remaining healthy. He should be made aware of protective factors and potential risks, as well as how to avoid the latter. At present, without any efficient possibilities of phenotyping his environment for risk estimation, any recommendations will remain rather vague.

Conflict of interest

The author declares that she has no conflict of interest.

Acknowledgements

This work was supported by the Max Planck Society, the Max Planck Förderstiftung, the DFG (CNMPB), EXTRABRAIN EU‐FP7, and the Niedersachsen‐Research Network on Neuroinfectiology (N‐RENNT).

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Fundamentals of Psychological Disorders - 3rd edition

(18 reviews)

abnormal psychology research

Alexis Bridley, Washington State University

Lee W. Daffin Jr., Washington State University

Copyright Year: 2022

Publisher: Washington State University

Language: English

Formats Available

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Reviewed by Ray Martin, Affiliate faculty, Metropolitan State University of Denver on 4/3/24

This book does a great job at covering the material in a way that undergraduate students can understand and dive deep into topics they are interested in without being overwhelmed. The appendix and references provided are great. However, there is a... read more

Comprehensiveness rating: 4 see less

This book does a great job at covering the material in a way that undergraduate students can understand and dive deep into topics they are interested in without being overwhelmed. The appendix and references provided are great. However, there is a lack of examples and case studies which would round out the book and its comprehensiveness.

Content Accuracy rating: 5

Book has great accuracy. Instructor resources are accurate and correct (except for some very minor editing-related issues on the powerpoints).

Relevance/Longevity rating: 5

The authors have been updating this text. They are doing a great job

Clarity rating: 4

My students have told me mixed reviews about this themselves. I think it is very well done and, when there is an increase in depth and content, the chapters are shorter and easier to digest. However, if students are not undergraduate juniors or seniors or english is not their first language, the reading rate must be slower.

Consistency rating: 5

Excellently done

Modularity rating: 5

Book has chapters and sections that are well organized. Each chapter features headers.

Organization/Structure/Flow rating: 5

Amazing organization. While this book lacks in some disorders, the other book in the series helps.

Interface rating: 4

The book is approachable and looks good. However, when printing (or printing to PDF) the book, the back matter can overwhelm students due to the depth of it. I have been navigating this by just giving students a warning that the chapter is not over 100 pages long.

Grammatical Errors rating: 5

Well done and easy to read.

Cultural Relevance rating: 5

I would like to see more examples, but it is overall well done. The inclusion of ICD-10 adds to the content. Additionally, because models of abnormality feature sociocultural perspectives, this book addresses cultural features and differences in prevalence.

Reviewed by Karen Magruder, Assistant Professor in Practice, University of Texas at Arlington on 3/8/24

This book covers all the major categories of mental disorders as codified in the DSM-5-TR. Each category includes a summary of clinical presentation, epidemiology, comorbidity, etiology, and treatment. Additionally, it sets the stage by defining... read more

Comprehensiveness rating: 5 see less

This book covers all the major categories of mental disorders as codified in the DSM-5-TR. Each category includes a summary of clinical presentation, epidemiology, comorbidity, etiology, and treatment. Additionally, it sets the stage by defining key terms and introducing the topic, including an exploration of what defines abnormal psychology, the impacts of mental illness, types of mental health professionals, and how mental disorders are classified.

Content Accuracy rating: 4

Overall, the information presented is consistent with evidence-based practice and current DSM-5-TR criteria. While I understand collapsing Depressive and Bipolar disorders into one Mood Disorders category, I would prefer to see headers stay consistent with DSM categories, to avoid confusing learners.

The DSM of course goes through updates periodically, and this volume effectively conveys the most relevant statistics, diagnostic criteria, and information. This book will need to be updated as data regarding prevalence and outcomes evolve, but it is set up well to do so.

Clarity rating: 5

Writing is clear and easy to follow. Terminology is consistently defined. Key takeaways are summarized in a clear and accessible manner, which helps reinforce important points.

There is a very consistent flow between chapters, with a predictable rhythm. Language is consistence between sections.

The authors do an excellent job of breaking complex topic into manageable chunks. Modules and subcomponents could easily be assigned for smaller readings. Effective use of headings and subheadings.

This book is very organized. The table of contents provides a helpful overview, with clear and consistent organization within chapters.

Interface rating: 3

Links make navigating through the PDF simple and straightforward. Some minor issues with images detract from professionalism and clarity, such as having Shutterstock watermarks on copyrighted images. Some charts are difficult to read due to contrast issues, granularity, and small fonts. Due to the PDF format (online and xml formats not working), there may be some issues with alt text or screen readers?

No grammatical errors were found.

Cultural Relevance rating: 4

This volume includes case studies to apply some of the mental health issues to real practice settings. It also sets the stage by discussing stigma surrounding mental illness. More examples of cultural factors in diagnosis and treatment would strengthen this.

What a great resource for clinicians and students in a variety of helping professions!

Reviewed by Matthew Hand, Associate Professor, Texas Wesleyan University on 2/29/24

I was very pleased with both the depth and breadth provided by this textbook. It did a good job of covering the major disorders along with their disorder categories. It also did a good job of talking about treatment and important factors related... read more

I was very pleased with both the depth and breadth provided by this textbook. It did a good job of covering the major disorders along with their disorder categories. It also did a good job of talking about treatment and important factors related to psychological disorders. I especially appreciated the authors including research findings when discussing various aspects of the disorders.

The most recent version of the textbook included disorders of childhood, which are not always included in books provided by publishers. This was a welcome addition.

Also, the book did a good job of starting the text with talking about the models of abnormality, the history of assessment/treatment, and assessment of psychological dysfunction. They were comprehensive in the way they approached these topics.

Overall, I was pretty happy with the comprehensiveness of the text.

The content in the book accurately conveyed what it's supposed to cover. Descriptions of psychological disorders and the disorder categories were accurate and the authors did a good job of citing relevant research that would provide more depth to the information given.

I did not find any information in the book that seemed inaccurate.

Relevance/Longevity rating: 4

The content of the book focuses on the concepts and theories that are typically taught in an abnormal psychology course. Furthermore, the authors have made the material more relevant by keeping the research presented in the book current and by following the most recent version of the DSM. While many of the OER resources still refer to the DSM-5, this text utilizes information from the DSM-5-TR. I really like seeing studies cited and explained that were in the last few years rather than just focusing on studies that are a decade older or more.

The description of conceptsa nd the discussion of research results seemed appropriately clear.

Since this is a course in abnormal psychology, it should be assumed that the reader has some pre-existing knowledge of psychology concepts and is able to understand the way that these concepts are communicated in a textbook such as this.

The textbook is consistent in both the writing style and the way that content is organized in various sections and subsections.

After reading a chapter or two, a reader can reasonably predict both the tone of the writing as well as how future chapters will be organized.

Modularity rating: 3

The content in the textbook is divided by modules, which are divided by sections and broken up into subsections. This lends itself to easy adaptability because it would be easy to take out pieces and incorporate it into a course.

The one element of the textbook that might make adaptability slightly more complicated is that the chapters of the book are labeled modules. I prefer labeling each content area as chapters instead of modules because the modules in my course might not follow the same order that the textbook prefers to follow. This means that simply adopting the textbook without changing it in such a way to adhere to the order of the course is challenging unless the instructor wants to follow the material exactly in the order that it is presented in the textbook.

However, it is not a significant hurdle as editing the textbook to change the label for content areas isn’t too difficult.

The book is organized really well, and follows the organizational structure one might find in a traditional textbook from a publisher.

There is a logical sequence as to how the book is organized.

Interface rating: 5

There aren't significant issues with the text that cause any reading problems.

The type of font that is used is consistent and the authors use boxes to highlight information such as review questions andsection summaries.

Grammatical Errors rating: 4

Throughout the textbook, grammar was pretty good.

I did not notice any glaring grammatical issues.

Cultural Relevance rating: 3

I think the authors do a good job of structuring the material in a way that it speaks to diversity and they include research findings that also go along with that message. However, there isn't an abundance of content that focuses on the ways that people in different cultures are similar and different in how they express the types of abnormality described in the book. This is pretty normal with abnormal psychology textbooks, so this text does not deviate from the norm all that significantly.

This OER is a good substitute for traditional textbook material provided by a publisher. Additionally, I thought it was better structured and more comprehensive than some of the other OERs that focus on abnormal psychology.

As I mentioned previously, I have not been able to find and review ancillary material, but the content in the textbook itself is comprehensive, current, relevant, and well-written.

This OER is a great candidate for someone wanting to use an OER in an Abnormal Psychology course.

abnormal psychology research

Reviewed by Kathy Harowski, Community faculty, advisor, Metropolitan State University on 2/25/24

While this reader found the text comprehensive, at times the level of detail included was overwhelming an questionable for an undergraduate audience. Both General Psychology and Abnormal Psychology are often GEN ED courses taken by the range of... read more

Comprehensiveness rating: 3 see less

While this reader found the text comprehensive, at times the level of detail included was overwhelming an questionable for an undergraduate audience. Both General Psychology and Abnormal Psychology are often GEN ED courses taken by the range of undergrads and of course, Abnormal Psychology would be of even more interest and foundational for psychology majors and is often more clinically focused. The level of detail found in sections on the history of treatment and neural transmission as well as other sections was overwhelming and perhaps not key to many students. For this reader, it was too much even with my length of experience in the field in terms of how one would engage students, keep them connected to the material much less useful assessment beyond old school memorization. My concern was intensified by the lack of effort on format, paragraphs full of descriptive statistics, etc. There was a lack of charts and images to help one grasp and retain the points made; in fact, infographics were mentioned at the end of such lengthy ,packed paragraphs and then a link to the original material was provided . DK if that was about costs or how the outside organizations permit use of their work, but rough.

Content Accuracy rating: 3

In the closely read sections, there was at least one quote without attribution. Wondered about personal beliefs - section 1.4.75- to address over use and not great prescribing of psychotropic medications, there one option offered, prescribing psychologists. This is a sentence made without attribution... Really? One might also mention the decreased number of psychiatrists, the fact that most psychotropic medication is prescribed by primary care practitioners, the massive growth of the range of nursing practitioners degrees as well as the ongoing controversy around training for prescribing psychologists- which by the way, I am an advocate for...

Overall the content seemed relevant and up to date. There was a question in my reading when I saw prevelance rates for mental illness from 2001-2003 being used as current.

A strength was the clarity of definitions provided.

Consistency rating: 4

consistent but see comments around the lack of images, graphs.... In the closely read sections, did not see consistency around use of case studies nor did one see a return to the case study at the end of the section/chapter to pull the information from the chapter together as part of the summary. A strength was the amount and clarity of definitions of terms provided.

see comments about format in general. Use of side bars, boxes, more images and graphics, more case studies, would help.

Organization/Structure/Flow rating: 4

well organized, organized around DMS V sections

See comments about the overall lack of images,tables, graphics to help ideas sink in. There were graphics in some sections.

clarity and grammar were solid.

Did not seem to be highlighted in the areas closely read. Was not even mentioned at all in the foundational sections nor was global statistics around mental illness and research.

Reviewed by Tim Boffeli, PhD, Associate Professor of Psychology, Dept. Chair, Clarke University on 1/9/23

Content wise, the phrase “bare bones” would be too harsh. The book is about half the number of pages of the textbook that I am currently using. Plainly sufficient comes to mind especially considering the diminished amount of time that current... read more

Content wise, the phrase “bare bones” would be too harsh. The book is about half the number of pages of the textbook that I am currently using. Plainly sufficient comes to mind especially considering the diminished amount of time that current students are engaging textbooks. Of the not covered topics, most of them are covered in our other courses in our curriculum (Psychology of Sex and Gender). Inclusion of neurodevelopmental disorders in future editions would be encouraged. Specific DSM 5 criteria are not included in the textbook. Inclusion of the criteria during the lecture would be critical for students to comprehend the diagnostic process. Descriptions of the various disorders is sufficient to enable students to understand what transpires life wise for the person who is experiencing the symptoms.

I have no concerns about accuracy.

Relevance was achieved.

The textbook was very readable and should engage a wide variety of students who have variable interests and attention spans.

The textbook was consistent.

The textbook was easy to follow and navigate.

The textbook was organized in a logical manner that did not necessarily dictate a proscribed sequence.

There were multiple empty pages which distracted from the flow. Initially, I wondered if content was missing.

No concerns about grammar.

No concerns about cultural insensitivity.

The textbook has been renamed with assurances that the content is unchanged. Removing the word “Abnormal” is a positive step. In my lectures, we spend quality time discussing what is normal vs abnormal. That continuum is ever culturally changing. Many students who constantly experience disgruntlement bristle in class when the label of “abnormal” is applied to their lives.

Conclusion: I am a licensed mental health counselor. I think this textbook would be fine for faculty who have extensive counseling experiences. Seasoned faculty would know where to enhance the content with clinically relevant supplemental information. I did not review the supplemental instructor resources so maybe additional information are located in those resources. For faculty with limited clinical psychology experiences, I would question/be concerned about enhancements to prepare students who have a career goal involving clinical psychology interventions. With that being said, for a student who desires a general understanding of psychological disorders then this textbook should be fine.

Reviewed by Emily Abel, Visiting Assistant Professor, Wabash College on 11/7/22

This text included all of the major psychological disorders, though was missing some that I plan to discuss (neurodevelopmental disorders, sleep-wake disorders). Some of these are included in their childhood disorders book, though I would like to... read more

This text included all of the major psychological disorders, though was missing some that I plan to discuss (neurodevelopmental disorders, sleep-wake disorders). Some of these are included in their childhood disorders book, though I would like to see at least a discussion of autism spectrum disorder in the newest edition of this book, since it is so relevant to daily life and functioning in adulthood. I also think a greater discussion of developmental psychopathology in the introductory chapters would be helpful in future editions.

I did not find any factual inaccuracies while reviewing this book. I found it to be an accurate reflection of the DSM-5 and relevent recent research studies.

This book is updated to reflect the most recent research and version of the DSM. Some prevalence estimates may need to be updated periodically (before the next update to the DSM) as they tend to change for some disorders over time.

This book is particularrly well written for an undergraduate audience. I found the modules to be clear and concise (a good length for each section that will hold student attention well).

I liked the parallel structure of the each module (to include the clinical presentation, epidemiology, comorbidity, etiology, and treatment of each disorder). This was consistent across all modules.

The book is broken down into modules that are based on the broader set of disorders (e.g., Obsessive-Compulsive and Related Disorders) in the DSM-5.

This book is well organized both in terms of using modules, and within modules (headings and consisent structure of modules across the book).

Interface is easy to use. The links and table of contents all work nicely to jump to individual modules/sections and outside sources.

I did not notice any major grammatical errors throughout the text.

The examples and descriptions I looked at while reviewing the book all appeared to be culturally appropriate. However, I will be sure to look at this element closely when incorporating the textbook this spring. I will also solicit feedback from my students about this aspect of the text.

I am considering using this textbook (or at least portions of the book) for my spring undergraduate course in Abnormal Psychology. Overall, I found it to be well-organized, well-written, and easy to navigate (in addition to a good length in terms of holding student attention). I particularly liked the consistent outline of each module to include the clinical presentation, epidemiology, comorbidity, etiology, and treatment of each disorder. I think this parallel structure would be helpful to students in understanding the key components of each diagnosis we discuss in class. I also liked the inclusion of ‘Learning Outcomes’ and ‘Key Takeaways’ that can help instructors tie the text to lecture content and activities. Within many modules, the authors also include resources where students can find additional information on that topic (e.g., the National Eating Disorders website). I found these resources to be particularly helpful because students can follow the link directly from the online textbook or PDF, and it’s not another thing I need to add to the slides for class. I typically like to give students these additional resources as we never have time to cover everything in as much depth as I would ideally like. I do think this text includes the most common psychological disorders, and the ones that students are often most excited to learn about (e.g., personality disorders). However, it is also missing others from the DSM-5 that I do plan to cover, including neurodevelopmental disorders and sleep-wake disorders. This is not necessarily a negative thing, as many courses do not include these sections. However, I will need to supplement with other materials if I choose to fully adopt this book as my primary text. Below are a few other thoughts I had while reviewing the book: 1) As with most Abnormal Psychology textbooks, this book is focused on understanding how disorders present in adulthood. As a developmental scientist, I do plan to focus a bit more of the progression of these disorders across the lifespan than is done in the book (e.g., how do features of depression change from childhood to adulthood). However, the same authors do have another excellent open text that is specifically focused on behavioral disorders of childhood that I can and will likely easily integrate in my course to address this issue. Their childhood book also does include information on some neurodevelopmental disorders, which I mentioned are missing from the current book. It’s important to note that these are critical to discuss in adulthood as they are not just childhood disorders.

2) I quite like the intro chapter and how it introduces students to important methods, types of professionals (e.g., clinical psychologist, psychiatrist), and professional societies and journals. These are all things I planned to incorporate in my course. My only comment with the two opening sections is that I would have liked to see a more explicit discussion of the developmental psychopathology theory (e.g., work by Dante Cicchetti) included in the models of abnormal psychology. I think discussing the transactional model could also be helpful, but the developmental psychopathology theory is critical to understanding abnormal psychology and is something I will incorporate in my course.

3) It is a great text for students who are interested in understanding how specific disorders are diagnosed and treated and would be great intro information for students who want to pursue clinical careers. I do think I will need to supplement to make the content a bit more applied and community focused for my purposes, though that is not a criticism of this text, but rather something I would be personally looking for in a text directly tailored to my course.

Overall, I think this textbook would be great for an introductory course in abnormal psychology and will also be useful as an open educational resource in my spring course. As I mentioned above, I will likely combine with their open textbook on childhood disorders to emphasize how disorders change across the life course. I appreciate the easy-to-use organization of the book, and I will plan to report back on what my students think after their experiences this spring.

Reviewed by Madison Smart-McCarthy, Adjunct Professor, Tidewater Community College on 8/1/22

The outline of the textbook seemed similar to other abnormal psychology textbooks. The authors did a good job explaining terminology and defining mental health conditions. I think more clinical case examples could be provided throughout the... read more

The outline of the textbook seemed similar to other abnormal psychology textbooks. The authors did a good job explaining terminology and defining mental health conditions. I think more clinical case examples could be provided throughout the textbook and perhaps inserting "food for thought" sort of sections that highlight recent studies and include questions that help students think critically about those studies. I have found sections in textbooks like that a good way to learn the material, help students apply concepts, and stimulate interesting discussion within the classroom.

I did not find any information to be inaccurate, contain errors, or be biased. Authors brought in DSM definitions and used research studies to support their claims. Authors gave credit to external sources throughout the book.

Authors state in the beginning of the text that they plan to update the sections to align with the newest edition of the DSM. Most of the information is still relevant but it may need to be tweaked in some areas to account for the DSM changes.

Authors select appropriate jargon and define parts that may not be known to an undergraduate student.

Textbook chapters are fairly consistent with how the modules are organized (DSM description, epidemiology, comorbidity, etc.). I found it very easy to review the sections because of the consistency. Students may also find this beneficial when trying to locate certain information within a chapter.

The authors divide the textbook into "Part," "Block," and "Modules," which give instructors a chance to break the chapters into smaller sections. The text for each section has appropriate font size and color.

I noticed that objectives/goals were presented at the beginning of the chapter and for each module. It may be helpful to stick to either objectives for the whole chapter or for each section.

The organization of the textbook seems similar to other abnormal textbooks from publishers, such as Pearson. Personally, I think the sections on epidemiology and comorbidity could be summarized within each section that describes the DSM definition of the disorder or summarized in a single paragraph.

Additionally, the way that the textbook is organized currently it includes "Part," "Block," and "Module." The labels "Part" and "Block" are not very descriptive. Students may benefit from more detailed labels.

The authors mention at the beginning of the textbook that they plan to update the text in August 2022. This may be a reason that images, charts, graphs, etc. were not used in the textbook. There were colored boxes at the end of each chapter that summarized the material and included review questions. No navigation problems were evident.

A discussion of cultural differences were found in various sections of the textbook (e.g. Module 1.4.7.4 and Module 5.5.4). However, I think students could benefit from more examples throughout the textbook that include individuals from a variety of races, ethnicities, and backgrounds as well as explaining how presentations may vary depending on one's identity and/or culture. The explanation about rates of PTSD within the Hispanic population was excellent. .

Images would be a wonderful addition to this textbook. I'm excited to see the edits that will be made soon.

Reviewed by Stephanie RiCharde, Visiting Assistant Professor, Randolph College on 4/10/22

The text covered the major expected content. The authors included an effective glossary and index. The index would be improved it were clickable like the table of contents. read more

The text covered the major expected content. The authors included an effective glossary and index. The index would be improved it were clickable like the table of contents.

The authors included many relevant, accurate ideas and concepts in modules 1 and 2 to set the stage for their discussion of specific mental illnesses. I was very concerned about their lack of primary source citations, which is something about which I speak with my students extensively. I would be uncomfortable assigning a text that cites websites and blogs.

The authors presented up-to-date content that could be updated in the future if necessary.

The text is written in a style that is accessible to undergraduate students. It is easy to read and follow. The authors do not always provide enough information to explain content to those who have no previous knowledge of the topic. For example, their discussion of the disease model is not clear enough nor does it prepare an undergraduate student with no background information to answer the review question about the model at the end of the section. The authors go to great care to highlight and define many key terms in the first chapter, but then describe a study about social distance without describing what social distance is, a term that warrants explanation.

I did not notice any inconsistencies in my review.

The modules are broken down into smaller sections in a way that would make it easy to assign.

Organization/Structure/Flow rating: 3

I did not always feel that the topics were presented in the most effective order to reduce confusion. For example, the prevalence rate for serious mental illnesses was presented before a description of what a serious mental illness is. Another example is presenting information about using psychotropic medications as treatment for specific disorders prior to discussing those disorders.

I used the pdf in my review, which had no major issues. Sometimes the pages broke at places that were not ideal, but I did not see that as a major problem.

The text was well-written for the audience. I notice one grammar error.

I did not observe culturally offensive language. The authors discussed multicultural issues, but more should be added to address the many cultural issues related to the diagnosis and treatment.

In module 1, I was excited to see there was a section on deinstitutionalization, then quickly disappointed that it was a mere three sentences that glossed over the phenomenon nearly entirely.

Reviewed by Kris Owens, Assistant Professor, Grand View University on 10/14/21

As an introductory Abnormal Psychology textbook, it covers most of the main psychological disorders. It is comprehensive and accessible. Future enhancements could include sexual and gender identity disorders, research methodology, and expand on... read more

As an introductory Abnormal Psychology textbook, it covers most of the main psychological disorders. It is comprehensive and accessible. Future enhancements could include sexual and gender identity disorders, research methodology, and expand on ethical issues. The figures and infographics are clear and easy to comprehend.

The concepts and supporting empirical evidence are accurate and not biased. Periodic updates will be needed to stay current. The second edition, August 2020 includes updated references.

The textbook is relevant and it incorporates current research. It should remain relevant until the DSM 5 is revised. The content and links can be easily updated, when necessary.

The design of the textbook and the navigation is accessible and clear. The terms throughout the modules in addition to the glossary and “key takeaways” are features that students should appreciate. The simplicity and clarity of the content is appropriate for an introductory textbook.

The psychological disorders (content related to the etiology, symptoms, and treatment) are presented consistently throughout each block or module. There is uniformity in each section.

The sections are modular. I really appreciated that variety of formats (Pressbook XML, PDF, and online e-book). The navigation is easy to use and it should be accessible for all learners.

The textbook provides a comprehensive overview of the main psychological disorders with a really good structural framework. The chapter organization and uniformity are excellent. The “back matter,” which includes the glossary, references, and index is positioned in a logical order with accessible links.

The interface and navigation are excellent. The infographics are clearly displayed and easy to read online.

It was well-written. No concerns or errors noted.

The book content is culturally appropriate when addressing the complexity and heterogenous nature of psychological disorders. The cultural relevance may vary based on a variety of factors and social environments. The addition of sexual and gender identity disorders would enhance the cultural relevance.

For an introductory textbook, it is very good. Incorporating content related to sexual and gender identity disorders, research methodology, and expand ethical issues would enhance student learning. Several of these topics could serve as discussion prompts to facilitate a more in-depth understanding of cultural differences.

Reviewed by Jason Li, Associate Professor, Wichita State University on 10/5/21

This textbook is quite comprehensive as an overall introduction to Abnormal Psychology. The content of each chapter unfolds each main objective and provides clear explanations with examples and figures. I recommend this book to students in... read more

This textbook is quite comprehensive as an overall introduction to Abnormal Psychology. The content of each chapter unfolds each main objective and provides clear explanations with examples and figures. I recommend this book to students in counseling, psychology, and social work or anyone who is in the mental health field. The information is clear and easy to understand.

The content is accurate and unbiased

The content is relevant and straightforward with supporting photographs and links that can be updated.

In my view, its easy to follow each section and build connection between chapters. The language was appropriate for the context.

The framework for each section is consistent. I believe that students will enjoy this easy to follow layout and framework.

The textbook is broken down into logical and manageable sections that could be divided for instructors and students. The subheadings are very helpful in navigating readers to the objective of each section.

The book chapters are presented in a logical, clear fashion. Well organized by chapters and headings.

The interface is issue free and easy to read on a screen. The photo and tables are clearly displayed.

Well-written, with not noticeable grammatical errors.

Its imperative that we teach and address mental disorders across dimensions of race and ethnicity, countries of origin, home languages, socioeconomic status, and religious beliefs. I think that bringing in cultural implications may add to the well-roundness of this textbook.

I would use this textbook in a couple of my classes. However, I did not find references to refer to in-text citations.

Reviewed by Erin Palmwood, Assistant Professor, University of Mary Washington on 6/25/21

This text covers all key groups of psychological disorders that one might want to discuss in an Abnormal Psychology course. It provides an appropriate overview of key components within each subject area and does not "cast too wide a net" - it... read more

This text covers all key groups of psychological disorders that one might want to discuss in an Abnormal Psychology course. It provides an appropriate overview of key components within each subject area and does not "cast too wide a net" - it focuses appropriately on the most up-to-date, empirically-supported information about the etiology, symptoms, and treatment of each disorder. Additionally, the text is appropriately concise, providing key information in a way that is both comprehensive and accessible. Regarding content areas, I would have liked to see a Research Methods chapter and perhaps a designated chapter on Ethical Issues (which is currently a small section of the Contemporary Issues chapter).

The text provides accurate, up-to-date, scientifically sound information regarding the etiology, symptoms, and treatment of each psychological disorder. However, it is missing a significant number of citations for the information provided - which is a problem in terms of (1) assessing the credibility of the claims made in the text and (2) teaching students the importance of citing their work.

The text is up-to-date with current research, and it is also organized in such a way that future updates to our understanding of the etiology and treatment of different psychological disorders should be relatively easy to add to the book.

The clarity of the text is one of its major strengths. It is written in a way that is accessible and concise, and key concepts are presented in a very digestible manner. While many textbooks might take two paragraphs to explain a concept, this textbook achieves an appropriate level of detail in a few sentences - which will likely enhance student engagement with the text.

The book achieves appropriate consistently in style and approach to content.

The text has several headers and sub-headers that are logical and consistent across chapters, as well as "key takeaways" at the end of each section. An instructor could easily break down a chapter into smaller assignments for students without causing high levels of confusion.

The chapters within this textbook are exceedingly well-organized. Across chapters, content is presented in a predictable way that is outlined at the start of the chapter, and key takeaways are presented between each section to facilitate learning consolidation. However, some of the "blocks" which organize the chapters within the textbook are structured in an unclear manner, which makes it difficult to anticipate where certain chapters might be located.

No interface concerns noted.

No grammatical concerns noted.

I did not observe any culturally insensitive language in my review of the text. However, the text's coverage of cultural factors in the etiology, presentation, and treatment of psychological disorders is exceedingly limited, and I would have liked to see increased attention to the role of culture and identity throughout the book.

The information provided in the PTSD section would benefit from increased focus on current empirically-supported treatments. Of the four psychotherapeutic treatments discussed, one is critical incident stress debriefing (CISD), which has been shown to have iatrogenic effects, and one is eye movement desensitization and reprocessing therapy (EMDR), which is controversial at best. While the text does discuss exposure therapy and CBT, it is missing explicit discussions of empirically-supported treatments like CPT and PE.

Reviewed by Janessa Carvalho, Associate Professor, Bridgewater State University on 6/23/21

Bridley's text covers most of the traditional components covered in Abnormal Psychology textbooks, though I was disappointed to see the absence of neurodevelopmental disorders and sexual/gender disorders covered. Historically, students really... read more

Bridley's text covers most of the traditional components covered in Abnormal Psychology textbooks, though I was disappointed to see the absence of neurodevelopmental disorders and sexual/gender disorders covered. Historically, students really enjoy learning about neurodevelopmental disorders and sexual/gender disorders chapter offers a nice opportunity to teach sociocultural factors in clinical psychology.

I thought the book overall made very accurate statements, with the exception that some information in the Current Trends section (Module 1) could stand to be updated.

The authors for the most part cover all relevant content in the field.

The book was written in a clear format with good readability for undergraduate level.

I found overall consistency among presentation of disorders and content within each learning module. Though there was some redundancy (classification covered in module 1 and 3).

I found the various sections and content to be relatively will encapsulated and students would be able to review content in small chunks, if thats of their choosing, without disrupting flow of learning. However, I prefer a bit more scaffolding where the content builds up to other information.

Organization and structure were quite aligned with other Abnormal Psychology textbooks I've reviewed and used.

The web format used for this textbook worked just fine for me and figures and tables were viewable without any issue.

No grammatical issues found on my end.

Would like to see more on cultural factors in various areas, including chapter 1 (societies), and the sociocultural model covered in module 2. Again, as I mentioned, the absence of a chapter on sexual/gender disorders takes away an opportunity to discuss more sociocultural factors. This seemed to be an area that the authors could focus on in a revision.

Overall an interesting book, very similar to other (costly) Abnormal psychology textbooks, and a good option for students. However, I was put off in module 2 where WebMD was cited as a source; this was disconcerting as I always encourage my students to use primary sources in their work. This was very offputting to me.

Reviewed by Angela Duncan, Lecturer, Washburn University Institute of Technology on 6/9/21

For many instructors' purposes, this abnormal psychology text will suffice or maybe exceed expectations given its depth regarding introductory material (i.e biopsychosocial model and models of abnormality). It offers an excellent introduction to... read more

For many instructors' purposes, this abnormal psychology text will suffice or maybe exceed expectations given its depth regarding introductory material (i.e biopsychosocial model and models of abnormality). It offers an excellent introduction to abnormal psychology without being cumbersome for the student. However, it is not an ideal option if you are wanting to cover childhood, sexual and gender identity disorders or health psychology-related topics such as sleep disorders as these topics are not included.

Overall, the information is consistent with other abnormal psychology textbooks and the scientific literature.

Relevance/Longevity rating: 3

On page 90, the authors discuss the upcoming release of ICD-11 in 2018. This statement should be updated. I would also like to see updated statistics on the prevalence of mental disorders in the “current views/trends” section (pages 31-32) as the most recent citation is dated 2014. In addition, the information about who seeks treatment could use an update as the newest citation is 2013 (page 91). I would also recommend updated empirical citations reflecting the latest research in the field. However, all texts fall prey to the challenge of staying relevant in some respects so this text is not an anomaly in that regard.

Descriptions of symptoms and diagnostic criteria are very clear and presented in simple language. Language overall is easy to understand.

The text's terminology and framework seems internally consistent.

The text is divided into six sections that can easily be reordered as desired, and the chapters make sense as arranged in each module. I appreciate the merging of somatic symptom disorders with anxiety and OCD.

At the end of each section, the authors include helpful “key takeaways” to summarize what was addressed, and “review questions” to assess comprehension. Additionally, they include a “module recap” summarizing key points from the entire module.

Images/charts are minimal, but those that are present are helpful and easy to see and interpret. The only image that may pose a clarity issue for some is figure 2.5 illustrating Pavlov’s classical experiment.

The text is well-written, without grammatical errors.

The authors provide an important section on stigma and its relevance to mental disorders as well as a section on multicultural psychology.

This is the only open access abnormal psychology text that I am aware of, and I commend the authors for a valuable first edition that is easy to read and offers an effective introduction to abnormal psychology. My criticism of this text is minor compared to the accolades. I would highly recommend this text for instructors looking for an abnormal psychology text without the excessive detail but instead concise information palatable to most students.

Reviewed by Ruth Anthony, Faculty, Portland Community College on 6/7/21

The content was appropriate and covered a wide range of disorders that are either interesting and/or common in the practicing field. I am also a clinician and found the particular disorders to be the most prevalent while working in community... read more

The content was appropriate and covered a wide range of disorders that are either interesting and/or common in the practicing field. I am also a clinician and found the particular disorders to be the most prevalent while working in community mental health.

Overall, it appeared to be accurate and error-free. Unbiased, is difficult to measure as this text still pertains to the medical model which is a dominant culture lens and perspective.

It is relevant to today's standards. It will need to undergo revision as the DSM-5 is updated. It does lack a bit in cultural relevance (see culture review below). As someone who practices as a clinician, it has some nice definitions/summaries in the disorders section. However, it lacks some in application for someone who is unfamiliar with these disorders and how they manifest. Incorporating examples of what this might look like in real life scenarios or as a presenting concern would be helpful for students. It doesn't have to be in this book, it could be something that the educator adds to further enrich students' understanding.

The text is straightforward, however, a bit dry as most textbooks are. I would recommended this textbook/abnormal phycology class to students who have already completed basic psych courses to have a bit of framework prior to increase their familiarity with the jargon. However, the terminology is well organized with definition for reference.

The entire text stayed consistent in flow, voice, and framework. The tone is similar to that of many textbooks in the field when provided information or definition. The example case studies are nice break and provide a nice reference to work with throughout.

Modularity rating: 4

The modules were outlined clearly in the table of contents and could easily be broken up into sections for class assignments. Some images to break up each module at the beginning would be nice for some added aesthetics and flare. The interface (see below) could have been a bit better though.

I was most impressed by the organization as it was clear and straight-forward. It is formatted exactly how I would which is a more technical writing style. This however makes me a bit bias due to the personal preference in organization.

The text could have been organized a bit better. The section breakage for a more aesthetically appealing read was not there. It was reminiscent of strict APA or MLA guidelines in the breakage of section. It felt a big awkward with a title heading being at the end of a page and the accompanying content being on the next page.

I did not notice any grammatical errors while reading. At least any that stood out enough to make the read difficult or awkward in flow.

I would have liked to have seen a more in-depth look into cultural difference in applying these disorders. There was brief recognition and consideration, however, at the minimum that I see in most Western texts. There are references to build cultural understanding and humility as part of the standard in practice; a good list of sources would be beneficial. I would use this resource along with several other resources with a more in-depth cultural lens.

Reviewed by Ann Tamulinas, Adjunct Professor, Massachusetts Bay Community College on 5/24/21

It covers most topics and more than adequate background as well. I like that it includes at the end of each section specific takeaways. read more

It covers most topics and more than adequate background as well. I like that it includes at the end of each section specific takeaways.

Topics appear to be accurate and references abundant.

Content is very relevant and includes biological information that is accurate and up to date and not prone to become obsolute.

Clear language, but a bit dull. Authors managed to make a fascinating subjects not so!

Text is extremely structured with precise sections and clear language and many definitions.

Text is divided into many sections and vocabulary defined and grouped in each section.

Again the text is extremely organized from beginning to end. The numbering of the sections is very precise.

Sometimes the text is cut off on the bottom of lines. The look and feel is not appealing--does not grab. More visuals needed and perhaps a better font.

The entire book is well written, but gain not in an interesting style. Too clinical.

The text is quite neutral in cultural bias. I didn't see any race, ethnicity inclusiveness of any kind.

I usually teach Computers and Technology and was unable to find a suitable text. I have taught abnormal psychology in the past so I chose this text. I had an excellent textbook (I can't remember the title, though) which was easy to follow as well as informative and interesting to read. While this one is well organized and well written, I would not recommend this text to use other than a reference.

Reviewed by Xin Zhao, Assistant Professor, Salt Lake Community College on 2/24/21

Excellent content offering, comparable to traditional publisher's. The chapters are narrative driven in the beginning. With updated 2nd edition, excellent glossary, references, index, and adequate content. read more

Excellent content offering, comparable to traditional publisher's. The chapters are narrative driven in the beginning. With updated 2nd edition, excellent glossary, references, index, and adequate content.

The content is very up to date and accurate, which I compared chapter by chapter during lecture with the DSM-V. Also did a good job noting significant changes from DSM-V-TR and in comparisons with ICD-11.

The authors did a good job incorporating culturally appropriate updates and timely changes, however, the information in this domain is a little bit thin. I find it helpful to incorporate some more updated changes in the field and current events to supplement the text.

The written text is excellent. Very easy to read and engaging for the reader, even without technical background. Very appropriately done, especially for psychology students who most likely have been exposed to some of these content in lower level psychology classes. Language and terminology are up to the latest standard.

Terminology and framework consistent throughout the textbook and in line with DSM-V standards.

The updated 2nd edition improved on the organization of modules, making the different disorder information easily accessible according to appropriate diagnostic areas.

Perhaps one of the significant strength of this textbook is the organization. Very easy to find relevant disorder and learn about them from a student perspective. With the updated version, it follows closely with how DSM-V is organizing the diagnoses.

Both the Pressbook and pdf versions are clear and displayed correctly.

No grammatical errors detected.

The textbook made attempts to introduce cultural factors in each respective chapters. However, I would like to see later versions build upon this interest and facilitate more in depth discussions about multiculturalism.

The ancillary material offered were excellent, including visual-based powerpoint slides, and learning objective based test banks. Highly recommend reaching out to authors to supplement teaching.

Reviewed by Angela Mar, Lecturer, University of Texas Rio Grande Valley on 11/13/20

The textbook does an adequate job of covering the essential topics of the field, and additionally provides a glossary and index that would help a reader find key concepts quickly and efficiently. read more

The textbook does an adequate job of covering the essential topics of the field, and additionally provides a glossary and index that would help a reader find key concepts quickly and efficiently.

To the extent of this review, the text is accurate and error-free. The textbook states facts, so bias should not be an issue.

The topic of abnormal psychology is going to be one that is studied for generations to come. Although, the diagnostic manual (DSM) is already in its 5th edition and was created in a way to allow for evolve with times and society, so this textbook will need to be updated to adhere to the newest diagnostic guidelines.

Students who take an abnormal psychology course are usually in their fourth year, almost ready to graduate. Given this, the textbook's clarity should be on par with that of the students' level.

The terminology is consisten throughout the text and is in line with the DSM diagnostic guidelines.

I like who the textbook is divided into diagnostic blocks to help the student become familiar with diagnostic guidelines.

I like how the book reads like the DSM diagnostic manual. The same class of disorders are paired together to better understand the disorders and the similarities between them, which is helpful because of the incidence of comorbidity.

No problems while reviewing.

No grammatical errors were encountered during the review of this textbook.

The textbook does a fair job of including cultural awareness and sensitivity into the relaying of demographic information about the incidence of each disorder.

Reviewed by Mary Ann Woodman, Adjunct Professor, Rogue Community College on 8/10/20

Bridley and Daffin provide one of the most comprehensive treatments of mental health and illness offered in an open textbook. The authors cover nearly every subject and learning objective required for a college introductory course on Abnormal... read more

Bridley and Daffin provide one of the most comprehensive treatments of mental health and illness offered in an open textbook. The authors cover nearly every subject and learning objective required for a college introductory course on Abnormal Psychology. They begin with a story to capture the reader’s interest and lay out the intention and format so that it is uncomplicated and clearly understood. The writing style appears easy to read, full of useful, insightful information. There is a significant glossary, list references and an index at the end.

The content of the text seems quite accurate and up to date. The authors present subject matter in an unbiased and objective manner. The subject matter as well as the notes on changes in the Diagnostic Statistical Manual and International Classification of Diseases are devoid of errors.

The content seems current and relevant especially to college students who are preparing to work in human services careers. The authors interface statistics, modern research articles and web sites to support the concepts. The text is arranged in a way that new additions could be easily added in the future. The book could use more stories, narratives and visuals supporting the content especially case studies which students may encounter in their lives. Examples of how to apply what one learns to real life would greatly enrich the textbook and easy to coalesce.

The text is written in lucid, intelligible, easy to read prose. Brief introductions and summaries are offered throughout the book which enhances clarity. No part of the written material seems confusing to the reader. The language and terminology are standard in terms of the learning objectives and information. It may need to be made accessible to students with learning disabilities and thus easily utilized in online course platforms such as Blackboard.

The text is internally consistent in terms of terminology and framework. The authors might consider spelling out terms in headings such as BDD, BED and FBT. However, the format is totally consistent throughout the entire book.

The outline of the book is most impressive. The text is readily divisible with reading sections and sub- headings that are precise and uncomplicated. There are no areas with large blocks of text that require further subdivision. The learning objectives are implemented with ease and flow. Having the learning objectives explained is an advantage for college curriculum purposes. There are no sections with an overload of written material nor is there overly self-referential material in the book.

The written material is presented in a logical, explicit and clear fashion. The six modules are laid out with titles and each module subdivided into sections. The authors begin “setting the stage” by introducing the notion of what it means to be normal and move into definitions of abnormality citing the traditional criteria: dysfunction, distress, defiance and danger. They integrate positive psychology with abnormal psychology, so the reader has a broader vision of the field. The history of mental illness, various theories and brief descriptions of the major research methods establish a foundation for the study. Concepts are backed up with research and website references. Clinical assessment, diagnosis and treatment contains just the right amount of information. The remainder of the modules treat most of the psychiatric disorders listed in the Diagnostic Statistical Manual, with a concise introduction and focus on clinical presentation, epidemiology, comorbidity, etiology, and treatment options. The authors refer the students back to modules 1-3 for reminders of theory and causality. The book includes some information on psychopathology, law, ethics and leaves the reader wondering if gaming is an addiction. It is missing sexual and sleep disorders. Finally, each module is recapped at its close.

The visuals interfaced in the text regarding the nervous system and classical conditioning support the written material. There does not seem to be any distortions, navigation problems or display features that confuse or distract the reader. The remainder of the book contains very few graphs, tables or visuals which would be very useful learning tools to add in the future.

The text contains no grammatical or spelling errors.

The authors state that “culture-sensitive therapies have been developed increasing awareness of cultural values, hardships, stressors, and/or prejudices, the identification of suppressed anger and pain; and raising the client’s self-worth.” Here is one example: “Individuals from non-Western countries (China and other Asian countries) often focus on the physical symptoms of depression- tiredness, weakness, sleep issues, and less of an emphasis on the cognitive symptoms. Individuals from Latino and Mediterranean cultures often experience problems with “nerves” and headaches as primary symptoms of depression (American Psychiatric Association, 2013). Multi-cultural psychology appears somewhat integrated into the text material. Naturally, more examples inclusive of race and ethnicity could be employed in the future including Native American and other indigenous cultures.

The book includes common treatments used for mental illness: CBT, IPT, Modeling, Biofeedback, Rational-Emotive Therapy, EMDR, Exposure and Desensitization, Hypnosis, Relaxation Training, Aversion Therapy, Emotional Regulation and others. It would be helpful to expand treatment options to include Naturopathy (homeopathy, acupuncture, herbal medicine etc), Orthomolecular Medicine (Nutritional Therapy, and Energy Psychology such as EFT (Emotional Freedom Technique, Reiki, Neuro-linguistic Programming, and Group Therapy Workbooks, such as Anger and Stress Management, Drug and Alcohol Programs or SAMHSA Trauma Informed Care Manual that lists numerous programs for Post Traumatic Stress for example. The authors could provide at least one study on the benefits of spiritual practices such as prayer, ritual, mindfulness, music, tribal dance, yoga etc. The significance of spirituality and religious practices is overlooked. A more comprehensive list of various treatments could be included as an appendix.

In the section on the history of mental illness, there could be a comment on the fact that former methods of treatment are still employed today and have been improvised to meet the challenges of modernity. ECT, still used in psychiatric hospitals and exorcism/deliverance therapy employed in various religious traditions are merely two examples.

Another option would be to place pharmacology at the end of the treatment list instead of the first, primary one in the sections of each module. Then comment about how prescription drugs have side-affects and are sometimes abused by the recipient.

A graph of specific phobias, list of common “stressors” with reference to various stress inventories, and examples of adjustment disorders related to college students would enrich the text . The section on suicide could be expanded further as well as additional treatments and current programs for neurocognitive disorders.

Overall, Bridley and Daffin have accomplished a major task in edition one. It would be a welcomed text for a college course in Abnormal Psychology.

Table of Contents

Part I. Setting the Stage

  • Module 1: What is Abnormal Psychology?
  • Module 2: Models of Abnormal Psychology
  • Module 3: Clinical Assessment, Diagnosis, and Treatment

Part II. Mental Disorders - Block 1

  • Module 4: Mood Disorders
  • Module 5: Trauma- and Stressor-Related Disorders
  • Module 6: Dissociative Disorders

Part III. Mental Disorders - Block 2

  • Module 7: Anxiety Disorders
  • Module 8: Somatic Symptom and Related Disorders
  • Module 9: Obsessive-Compulsive and Related Disorders

Part IV. Mental Disorders - Block 3

  • Module 10: Feeding and Eating Disorders
  • Module 11: Substance-Related and Addictive Disorders

Part V. Mental Disorders - Block 4

  • Module 12: Schizophrenia Spectrum and Other Psychotic Disorders
  • Module 13: Personality Disorders

Part VI. Mental Disorders - Block 5

  • Module 14: Neurocognitive Disorders
  • Module 15: Contemporary Issues in Psychopathology

Ancillary Material

  • Ancillary materials are available by contacting the author or publisher .

About the Book

Fundamentals of Psychological Disorders (formerly Abnormal Psychology) is an Open Education Resource written by Alexis Bridley, Ph.D. and Lee W. Daffin Jr., Ph.D. through Washington State University. The book tackles the difficult topic of mental disorders in 15 modules and is updated through the DSM-5-TR. This journey starts by discussing what abnormal behavior is by attempting to understand what normal behavior is. Models of abnormal psychology and clinical assessment, diagnosis, and treatment are then discussed. With these three modules completed, the authors next explore several classes of mental disorders in 5 blocks. Block 1 covers mood, trauma and stressor related, and dissociative disorders. Block 2 covers anxiety, somatic symptom, and obsessive-compulsive disorders. Block 3 covers eating and substance-related and addictive disorders. Block 4 tackles schizophrenia spectrum and personality disorders. Finally, Block 5 investigates neurocognitive disorders and then ends with a discussion of contemporary issues in psychopathology. Disorders are covered by discussing their clinical presentation and DSM Criteria, epidemiology, comorbidity, etiology, and treatment options.

About the Contributors

Alexis Bridley , Washington State University

Lee W. Daffin Jr. , Washington State University

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Module 2: Research and Ethics in Abnormal Psychology

Why it matters: psychological research, why learn about research and ethics in abnormal psychology.

How do you know what you know? And how do you know that what you believe to be true is really true? Many of us might just say that we know what we know because of what we have experienced in life. People are naturally inquisitive, so they often come up with questions about things they see or hear, and they often develop ideas or hypotheses about why things are the way they are. Sometimes we just have a gut feeling about certain things based on phenomena we have observed. However, if we are to be objective, one way of finding out if we are accurate in our beliefs is to conduct research. Consider the types of headlines that you might read in the popular media:

  • Diet of fish ‘can prevent’ teen violence [1]
  • Social isolation may have a negative effect on intellectual abilities [2]

Each of these statements is biased in one way or another.  Both contain a direct claim that the writer wishes the audience to accept; however,  there is some problem with design, methodology, or analysis making it possible to account for the findings by considering other variables or even a rival hypothesis. It is possible the  research findings were reported incorrectly. S tatements like the ones above should only be made if there were empirical research studies to back up the results or findings.  Results from the studies need to be conveyed in an objective manner.  Furthermore, only a specific type of experimental research design should be used before making these statements.

This issue is important in abnormal psychology. Is the will to live a consequence or predictor of depression?  [3] We may think we know the answer based on our life experiences or based on our clinical practice, but w hat we think we know about mental health and where mental disorder comes from  should be verified and clarified in rigorous research studies.

In their research, psychologists use case studies, naturalistic observation, and surveys to describe behavior. They use correlation to assess the relationship between variables and use experimentation to uncover cause-effect relationships. Researchers use statistics to describe their data, assess relationships between variables, and determine whether differences are significant.

Watch the CrashCourse video to review the main types of research studies that you learn about in this module, then read through the following examples and see if you can come up with your own design for each type of study.

You can view the transcript for “Psychological Research: Crash Course Psychology #2” here (opens in new window) .

  • Hinsliff, G. (2003, September 14). Diet of fish ‘can prevent’ teen violence. The Observer . Retrieved from www. theguardian.com/politics/2003/sep/14/science.health. ↵
  • Social isolation may have a negative effect on intellectual abilities. (2007, October 30). Medical News Today . Retrieved from http://www.medicalnewstoday.com/ releases/87087.php. ↵
  • Carmel S, Tovel H, Raveis VH, O'Rourke N. Is a Decline in Will to Live a Consequence or Predictor of Depression in Late Life? J Am Geriatr Soc. 2018 Jul;66(7):1290–1295. doi: 10.1111/jgs.15394. Epub 2018 Apr 20. PMID: 29676436. ↵
  • Modification, adaptation, and original content. Authored by : Sonja Ann Miller for Lumen Learning. Provided by : Lumen Learning. License : CC BY: Attribution
  • Introduction to Psychological Research. Authored by : OpenStax College. Located at : http://cnx.org/contents/[email protected]:QKvTPo6D@4/Introduction . License : CC BY: Attribution . License Terms : Download for free at http://cnx.org/content/col11629/latest/.
  • Understanding Driver Distration. Provided by : American Psychological Association. Located at : https://www.youtube.com/watch?v=XToWVxS_9lA&list=PLxf85IzktYWJ9MrXwt5GGX3W-16XgrwPW&index=9 . License : Other . License Terms : Standard YouTube License
  • Psychological Research - Crash Course Psychology #2. Authored by : Hank Green. Provided by : CrashCourse. Located at : https://www.youtube.com/watch?v=hFV71QPvX2I . License : Other . License Terms : Standard YouTube License

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50+ Research Topics for Psychology Papers

How to Find Psychology Research Topics for Your Student Paper

  • Specific Branches of Psychology
  • Topics Involving a Disorder or Type of Therapy
  • Human Cognition
  • Human Development
  • Critique of Publications
  • Famous Experiments
  • Historical Figures
  • Specific Careers
  • Case Studies
  • Literature Reviews
  • Your Own Study/Experiment

Are you searching for a great topic for your psychology paper ? Sometimes it seems like coming up with topics of psychology research is more challenging than the actual research and writing. Fortunately, there are plenty of great places to find inspiration and the following list contains just a few ideas to help get you started.

Finding a solid topic is one of the most important steps when writing any type of paper. It can be particularly important when you are writing a psychology research paper or essay. Psychology is such a broad topic, so you want to find a topic that allows you to adequately cover the subject without becoming overwhelmed with information.

I can always tell when a student really cares about the topic they chose; it comes through in the writing. My advice is to choose a topic that genuinely interests you, so you’ll be more motivated to do thorough research.

In some cases, such as in a general psychology class, you might have the option to select any topic from within psychology's broad reach. Other instances, such as in an  abnormal psychology  course, might require you to write your paper on a specific subject such as a psychological disorder.

As you begin your search for a topic for your psychology paper, it is first important to consider the guidelines established by your instructor.

Research Topics Within Specific Branches of Psychology

The key to selecting a good topic for your psychology paper is to select something that is narrow enough to allow you to really focus on the subject, but not so narrow that it is difficult to find sources or information to write about.

One approach is to narrow your focus down to a subject within a specific branch of psychology. For example, you might start by deciding that you want to write a paper on some sort of social psychology topic. Next, you might narrow your focus down to how persuasion can be used to influence behavior .

Other social psychology topics you might consider include:

  • Prejudice and discrimination (i.e., homophobia, sexism, racism)
  • Social cognition
  • Person perception
  • Social control and cults
  • Persuasion, propaganda, and marketing
  • Attraction, romance, and love
  • Nonverbal communication
  • Prosocial behavior

Psychology Research Topics Involving a Disorder or Type of Therapy

Exploring a psychological disorder or a specific treatment modality can also be a good topic for a psychology paper. Some potential abnormal psychology topics include specific psychological disorders or particular treatment modalities, including:

  • Eating disorders
  • Borderline personality disorder
  • Seasonal affective disorder
  • Schizophrenia
  • Antisocial personality disorder
  • Profile a  type of therapy  (i.e., cognitive-behavioral therapy, group therapy, psychoanalytic therapy)

Topics of Psychology Research Related to Human Cognition

Some of the possible topics you might explore in this area include thinking, language, intelligence, and decision-making. Other ideas might include:

  • False memories
  • Speech disorders
  • Problem-solving

Topics of Psychology Research Related to Human Development

In this area, you might opt to focus on issues pertinent to  early childhood  such as language development, social learning, or childhood attachment or you might instead opt to concentrate on issues that affect older adults such as dementia or Alzheimer's disease.

Some other topics you might consider include:

  • Language acquisition
  • Media violence and children
  • Learning disabilities
  • Gender roles
  • Child abuse
  • Prenatal development
  • Parenting styles
  • Aspects of the aging process

Do a Critique of Publications Involving Psychology Research Topics

One option is to consider writing a critique paper of a published psychology book or academic journal article. For example, you might write a critical analysis of Sigmund Freud's Interpretation of Dreams or you might evaluate a more recent book such as Philip Zimbardo's  The Lucifer Effect: Understanding How Good People Turn Evil .

Professional and academic journals are also great places to find materials for a critique paper. Browse through the collection at your university library to find titles devoted to the subject that you are most interested in, then look through recent articles until you find one that grabs your attention.

Topics of Psychology Research Related to Famous Experiments

There have been many fascinating and groundbreaking experiments throughout the history of psychology, providing ample material for students looking for an interesting term paper topic. In your paper, you might choose to summarize the experiment, analyze the ethics of the research, or evaluate the implications of the study. Possible experiments that you might consider include:

  • The Milgram Obedience Experiment
  • The Stanford Prison Experiment
  • The Little Albert Experiment
  • Pavlov's Conditioning Experiments
  • The Asch Conformity Experiment
  • Harlow's Rhesus Monkey Experiments

Topics of Psychology Research About Historical Figures

One of the simplest ways to find a great topic is to choose an interesting person in the  history of psychology  and write a paper about them. Your paper might focus on many different elements of the individual's life, such as their biography, professional history, theories, or influence on psychology.

While this type of paper may be historical in nature, there is no need for this assignment to be dry or boring. Psychology is full of fascinating figures rife with intriguing stories and anecdotes. Consider such famous individuals as Sigmund Freud, B.F. Skinner, Harry Harlow, or one of the many other  eminent psychologists .

Psychology Research Topics About a Specific Career

​Another possible topic, depending on the course in which you are enrolled, is to write about specific career paths within the  field of psychology . This type of paper is especially appropriate if you are exploring different subtopics or considering which area interests you the most.

In your paper, you might opt to explore the typical duties of a psychologist, how much people working in these fields typically earn, and the different employment options that are available.

Topics of Psychology Research Involving Case Studies

One potentially interesting idea is to write a  psychology case study  of a particular individual or group of people. In this type of paper, you will provide an in-depth analysis of your subject, including a thorough biography.

Generally, you will also assess the person, often using a major psychological theory such as  Piaget's stages of cognitive development  or  Erikson's eight-stage theory of human development . It is also important to note that your paper doesn't necessarily have to be about someone you know personally.

In fact, many professors encourage students to write case studies on historical figures or fictional characters from books, television programs, or films.

Psychology Research Topics Involving Literature Reviews

Another possibility that would work well for a number of psychology courses is to do a literature review of a specific topic within psychology. A literature review involves finding a variety of sources on a particular subject, then summarizing and reporting on what these sources have to say about the topic.

Literature reviews are generally found in the  introduction  of journal articles and other  psychology papers , but this type of analysis also works well for a full-scale psychology term paper.

Topics of Psychology Research Based on Your Own Study or Experiment

Many psychology courses require students to design an actual psychological study or perform some type of experiment. In some cases, students simply devise the study and then imagine the possible results that might occur. In other situations, you may actually have the opportunity to collect data, analyze your findings, and write up your results.

Finding a topic for your study can be difficult, but there are plenty of great ways to come up with intriguing ideas. Start by considering your own interests as well as subjects you have studied in the past.

Online sources, newspaper articles, books , journal articles, and even your own class textbook are all great places to start searching for topics for your experiments and psychology term papers. Before you begin, learn more about  how to conduct a psychology experiment .

What This Means For You

After looking at this brief list of possible topics for psychology papers, it is easy to see that psychology is a very broad and diverse subject. While this variety makes it possible to find a topic that really catches your interest, it can sometimes make it very difficult for some students to select a good topic.

If you are still stumped by your assignment, ask your instructor for suggestions and consider a few from this list for inspiration.

  • Hockenbury, SE & Nolan, SA. Psychology. New York: Worth Publishers; 2014.
  • Santrock, JW. A Topical Approach to Lifespan Development. New York: McGraw-Hill Education; 2016.

By Kendra Cherry, MSEd Kendra Cherry, MS, is a psychosocial rehabilitation specialist, psychology educator, and author of the "Everything Psychology Book."

80 fascinating psychology research questions for your next project

Last updated

15 February 2024

Reviewed by

Brittany Ferri, PhD, OTR/L

Short on time? Get an AI generated summary of this article instead

Psychology research is essential for furthering our understanding of human behavior and improving the diagnosis and treatment of psychological conditions.

When psychologists know more about how different social and cultural factors influence how humans act, think, and feel, they can recommend improvements to practices in areas such as education, sport, healthcare, and law enforcement.

Below, you will find 80 research question examples across 16 branches of psychology. First, though, let’s look at some tips to help you select a suitable research topic.

  • How to choose a good psychology research topic

Psychology has many branches that break down further into topics. Choosing a topic for your psychology research paper can be daunting because there are so many to choose from. It’s an important choice, as the topic you select will open up a range of questions to explore.

The tips below can help you find a psychology research topic that suits your skills and interests.

Tip #1: Select a topic that interests you

Passion and interest should fuel every research project. A topic that fascinates you will most likely interest others as well. Think about the questions you and others might have and decide on the issues that matter most. Draw on your own interests, but also keep your research topical and relevant to others.

Don’t limit yourself to a topic that you already know about. Instead, choose one that will make you want to know more and dig deeper. This will keep you motivated and excited about your research.

Tip #2: Choose a topic with a manageable scope

If your topic is too broad, you can get overwhelmed by the amount of information available and have trouble maintaining focus. On the other hand, you may find it difficult to find enough information if you choose a topic that is too narrow.

To determine if the topic is too broad or too narrow, start researching as early as possible. If you find there’s an overwhelming amount of research material, you’ll probably need to narrow the topic down. For example, instead of researching the general population, it might be easier to focus on a specific age group. Ask yourself what area of the general topic interests you most and focus on that.

If your scope is too narrow, try to generalize or focus on a larger related topic. Expand your search criteria or select additional databases for information. Consider if the topic is too new to have much information published on it as well.

Tip #3: Select a topic that will produce useful and relevant insights

Doing some preliminary research will reveal any existing research on the topic. If there is existing research, will you be able to produce new insights? You might need to focus on a different area or see if the existing research has limitations that you can overcome.

Bear in mind that finding new information from which to draw fresh insights may be impossible if your topic has been over-researched.

You’ll also need to consider whether your topic is relevant to current trends and needs. For example, researching psychology topics related to social media use may be highly relevant today.

  • 80 psychology research topics and questions

Psychology is a broad subject with many branches and potential areas of study. Here are some of them:

Developmental

Personality

Experimental

Organizational

Educational

Neuropsychology

Controversial topics

Below we offer some suggestions on research topics and questions that can get you started. Keep in mind that these are not all-inclusive but should be personalized to fit the theme of your paper.

Social psychology research topics and questions

Social psychology has roots as far back as the 18th century. In simple terms, it’s the study of how behavior is influenced by the presence and behavior of others. It is the science of finding out who we are, who we think we are, and how our perceptions affect ourselves and others. It looks at personalities, relationships, and group behavior.

Here are some potential research questions and paper titles for this topic:

How does social media use impact perceptions of body image in male adolescents?

2. Is childhood bullying a risk factor for social anxiety in adults?

Is homophobia in individuals caused by genetic or environmental factors?

What is the most important psychological predictor of a person’s willingness to donate to charity?

Does a person’s height impact how other people perceive them? If so, how?

Cognitive psychology research questions

Cognitive psychology is the branch that focuses on the interactions of thinking, emotion, creativity, and problem-solving. It also explores the reasons humans think the way they do.

This topic involves exploring how people think by measuring intelligence, thoughts, and cognition. 

Here are some research question ideas:

6. Is there a link between chronic stress and memory function?

7. Can certain kinds of music trigger memories in people with memory loss?

8. Do remote meetings impact the efficacy of team decision-making?

9. Do word games and puzzles slow cognitive decline in adults over the age of 80?

10. Does watching television impact a child’s reading ability?

Developmental psychology research questions

Developmental psychology is the study of how humans grow and change over their lifespan. It usually focuses on the social, emotional, and physical development of babies and children, though it can apply to people of all ages. Developmental psychology is important for understanding how we learn, mature, and adapt to changes.

Here are some questions that might inspire your research:

11. Does grief accelerate the aging process?

12. How do parent–child attachment patterns influence the development of emotion regulation in teenagers?

13. Does bilingualism affect cognitive decline in adults over the age of 70?

14. How does the transition to adulthood impact decision-making abilities

15. How does early exposure to music impact mental health and well-being in school-aged children?

Personality psychology research questions

Personality psychology studies personalities, how they develop, their structures, and the processes that define them. It looks at intelligence, disposition, moral beliefs, thoughts, and reactions.

The goal of this branch of psychology is to scientifically interpret the way personality patterns manifest into an individual’s behaviors. Here are some example research questions:

16. Nature vs. nurture: Which impacts personality development the most?

17. The role of genetics on personality: Does an adopted child take on their biological parents’ personality traits?

18. How do personality traits influence leadership styles and effectiveness in organizational settings?

19. Is there a relationship between an individual’s personality and mental health?

20. Can a chronic illness affect your personality?

Abnormal psychology research questions

As the name suggests, abnormal psychology is a branch that focuses on abnormal behavior and psychopathology (the scientific study of mental illness or disorders).

Abnormal behavior can be challenging to define. Who decides what is “normal”? As such, psychologists in this area focus on the level of distress that certain behaviors may cause, although this typically involves studying mental health conditions such as depression, obsessive-compulsive disorder (OCD), and phobias.

Here are some questions to consider:

21. How does technology impact the development of social anxiety disorder?

22. What are the factors behind the rising incidence of eating disorders in adolescents?

23. Are mindfulness-based interventions effective in the treatment of PTSD?

24. Is there a connection between depression and gambling addiction?

25. Can physical trauma cause psychopathy?

Clinical psychology research questions

Clinical psychology deals with assessing and treating mental illness or abnormal or psychiatric behaviors. It differs from abnormal psychology in that it focuses more on treatments and clinical aspects, while abnormal psychology is more behavioral focused.

This is a specialty area that provides care and treatment for complex mental health conditions. This can include treatment, not only for individuals but for couples, families, and other groups. Clinical psychology also supports communities, conducts research, and offers training to promote mental health. This category is very broad, so there are lots of topics to explore.

Below are some example research questions to consider:

26. Do criminals require more specific therapies or interventions?

27. How effective are selective serotonin reuptake inhibitors in treating mental health disorders?

28. Are there any disadvantages to humanistic therapy?

29. Can group therapy be more beneficial than one-on-one therapy sessions?

30. What are the factors to consider when selecting the right treatment plan for patients with anxiety?

Experimental psychology research questions

Experimental psychology deals with studies that can prove or disprove a hypothesis. Psychologists in this field use scientific methods to collect data on basic psychological processes such as memory, cognition, and learning. They use this data to test the whys and hows of behavior and how outside factors influence its creation.

Areas of interest in this branch relate to perception, memory, emotion, and sensation. The below are example questions that could inspire your own research:

31. Do male or female parents/carers have a more calming influence on children?

32. Will your preference for a genre of music increase the more you listen to it?

33. What are the psychological effects of posting on social media vs. not posting?

34. How is productivity affected by social connection?

35. Is cheating contagious?

Organizational psychology research questions

Organizational psychology studies human behavior in the workplace. It is most frequently used to evaluate an employee, group, or a company’s organizational dynamics. Researchers aim to isolate issues and identify solutions.

This area of study can be beneficial to both employees and employers since the goal is to improve the overall work environment and experience. Researchers apply psychological principles and findings to recommend improvements in performance, communication, job satisfaction, and safety. 

Some potential research questions include the following:

36. How do different leadership styles affect employee morale?

37. Do longer lunch breaks boost employee productivity?

38. Is gender an antecedent to workplace stress?

39. What is the most effective way to promote work–life balance among employees?

40. How do different organizational structures impact the effectiveness of communication, decision-making, and productivity?

Forensic psychology research questions

Some questions to consider exploring in this branch of psychology are:

41. How does incarceration affect mental health?

42. Is childhood trauma a driver for criminal behavior during adulthood?

43. Are people with mental health conditions more likely to be victims of crimes?

44. What are the drivers of false memories, and how do they impact the justice system?

45. Is the media responsible for copycat crimes?

Educational psychology research questions

Educational psychology studies children in an educational setting. It covers topics like teaching methods, aptitude assessment, self-motivation, technology, and parental involvement.

Research in this field of psychology is vital for understanding and optimizing learning processes. It informs educators about cognitive development, learning styles, and effective teaching strategies.

Here are some example research questions:

46. Are different teaching styles more beneficial for children at different times of the day?

47. Can listening to classical music regularly increase a student’s test scores?

48. Is there a connection between sugar consumption and knowledge retention in students?

49. Does sleep duration and quality impact academic performance?

50. Does daily meditation at school influence students’ academic performance and mental health?

Sports psychology research question examples

Sport psychology aims to optimize physical performance and well-being in athletes by using cognitive and behavioral practices and interventions. Some methods include counseling, training, and clinical interventions.

Research in this area is important because it can improve team and individual performance, resilience, motivation, confidence, and overall well-being

Here are some research question ideas for you to consider:

51. How can a famous coach affect a team’s performance?

52. How can athletes control negative emotions in violent or high-contact sports?

53. How does using social media impact an athlete’s performance and well-being?

54. Can psychological interventions help with injury rehabilitation?

55. How can mindfulness practices boost sports performance?

Cultural psychology research question examples

The premise of this branch of psychology is that mind and culture are inseparable. In other words, people are shaped by their cultures, and their cultures are shaped by them. This can be a complex interaction.

Cultural psychology is vital as it explores how cultural context shapes individuals’ thoughts, behaviors, and perceptions. It provides insights into diverse perspectives, promoting cross-cultural understanding and reducing biases.

Here are some ideas that you might consider researching:

56. Are there cultural differences in how people perceive and deal with pain?

57. Are different cultures at increased risk of developing mental health conditions?

58. Are there cultural differences in coping strategies for stress?

59. Do our different cultures shape our personalities?

60. How does multi-generational culture influence family values and structure?

Health psychology research question examples

Health psychology is a crucial field of study. Understanding how psychological factors influence health behaviors, adherence to medical treatments, and overall wellness enables health experts to develop effective interventions and preventive measures, ultimately improving health outcomes.

Health psychology also aids in managing stress, promoting healthy behaviors, and optimizing mental health, fostering a holistic approach to well-being.

Here are five ideas to inspire research in this field:

61. How can health psychology interventions improve lifestyle behaviors to prevent cardiovascular diseases?

62. What role do social norms play in vaping among adolescents?

63. What role do personality traits play in the development and management of chronic pain conditions?

64. How do cultural beliefs and attitudes influence health-seeking behaviors in diverse populations?

65. What are the psychological factors influencing the adherence to preventive health behaviors, such as vaccination and regular screenings?

Neuropsychology research paper question examples

Neuropsychology research explores how a person’s cognition and behavior are related to their brain and nervous system. Researchers aim to advance the diagnosis and treatment of behavioral and cognitive effects of neurological disorders.

Researchers may work with children facing learning or developmental challenges, or with adults with declining cognitive abilities. They may also focus on injuries or illnesses of the brain, such as traumatic brain injuries, to determine the effect on cognitive and behavioral functions.

Neuropsychology informs diagnosis and treatment strategies for conditions such as dementia, traumatic brain injuries, and psychiatric disorders. Understanding the neural basis of behavior enhances our ability to optimize cognitive functioning, rehabilitate people with brain injuries, and improve patient care.

Here are some example research questions to consider:

66. How do neurotransmitter imbalances in specific brain regions contribute to mood disorders such as depression?

67. How can a traumatic brain injury affect memory?

68. What neural processes underlie attention deficits in people with ADHD?

69. Do medications affect the brain differently after a traumatic brain injury?

70. What are the behavioral effects of prolonged brain swelling?

Psychology of religion research question examples

The psychology of religion is a field that studies the interplay between belief systems, spirituality, and mental well-being. It explores the application of the psychological methods and interpretive frameworks of religious traditions and how they relate to both religious and non-religious people.

Psychology of religion research contributes to a holistic understanding of human experiences. It fosters cultural competence and guides therapeutic approaches that respect diverse spiritual beliefs.

Here are some example research questions in this field:

71. What impact does a religious upbringing have on a child’s self-esteem?

72. How do religious beliefs shape decision-making and perceptions of morality?

73. What is the impact of religious indoctrination?

74. Is there correlation between religious and mindfulness practices?

75. How does religious affiliation impact attitudes towards mental health treatment and help-seeking behaviors?

Controversial topics in psychology research question examples

Some psychology topics don’t fit into any of the subcategories above, but they may still be worthwhile topics to consider. These topics are the ones that spark interest, conversation, debate, and disagreement. They are often inspired by current issues and assess the validity of older research.

Consider some of these research question examples:

76. How does the rise in on-screen violence impact behavior in adolescents.

77. Should access to social media platforms be restricted in children under the age of 12 to improve mental health?

78. Are prescription mental health medications over-prescribed in older adults? If so, what are the effects of this?

79. Cognitive biases in AI: what are the implications for decision-making?

80. What are the psychological and ethical implications of using virtual reality in exposure therapy for treating trauma-related conditions?

  • Inspiration for your next psychology research project

You can choose from a diverse range of research questions that intersect and overlap across various specialties.

From cognitive psychology to clinical studies, each inquiry contributes to a deeper understanding of the human mind and behavior. Importantly, the relevance of these questions transcends individual disciplines, as many findings offer insights applicable across multiple areas of study.

As health trends evolve and societal needs shift, new topics emerge, fueling continual exploration and discovery. Diving into this ever-changing and expanding area of study enables you to navigate the complexities of the human experience and pave the way for innovative solutions to the challenges of tomorrow.

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Free APA Journals ™ Articles

Recently published articles from subdisciplines of psychology covered by more than 90 APA Journals™ publications.

For additional free resources (such as article summaries, podcasts, and more), please visit the Highlights in Psychological Research page.

  • Basic / Experimental Psychology
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  • Educational Psychology, School Psychology, and Training
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  • Industrial / Organizational Psychology & Management
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  • Moving While Black: Intergroup Attitudes Influence Judgments of Speed (PDF, 71KB) Journal of Experimental Psychology: General February 2016 by Andreana C. Kenrick, Stacey Sinclair, Jennifer Richeson, Sara C. Verosky, and Janetta Lun
  • Recognition Without Awareness: Encoding and Retrieval Factors (PDF, 116KB) Journal of Experimental Psychology: Learning, Memory, and Cognition September 2015 by Fergus I. M. Craik, Nathan S. Rose, and Nigel Gopie
  • The Tip-of-the-Tongue Heuristic: How Tip-of-the-Tongue States Confer Perceptibility on Inaccessible Words (PDF, 91KB) Journal of Experimental Psychology: Learning, Memory, and Cognition September 2015 by Anne M. Cleary and Alexander B. Claxton
  • Cognitive Processes in the Breakfast Task: Planning and Monitoring (PDF, 146KB) Canadian Journal of Experimental Psychology / Revue canadienne de psychologie expérimentale September 2015 by Nathan S. Rose, Lin Luo, Ellen Bialystok, Alexandra Hering, Karen Lau, and Fergus I. M. Craik
  • Searching for Explanations: How the Internet Inflates Estimates of Internal Knowledge (PDF, 138KB) Journal of Experimental Psychology: General June 2015 by Matthew Fisher, Mariel K. Goddu, and Frank C. Keil
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  • "So What Are You?": Inappropriate Interview Questions for Psychology Doctoral and Internship Applicants (PDF, 79KB) Training and Education in Professional Psychology May 2015 by Mike C. Parent, Dana A. Weiser, and Andrea McCourt
  • Cultural Competence as a Core Emphasis of Psychoanalytic Psychotherapy (PDF, 81KB) Psychoanalytic Psychology April 2015 by Pratyusha Tummala-Narra
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  • Nepali Bhutanese Refugees Reap Support Through Community Gardening (PDF, 104KB) International Perspectives in Psychology: Research, Practice, Consultation January 2017 by Monica M. Gerber, Jennifer L. Callahan, Danielle N. Moyer, Melissa L. Connally, Pamela M. Holtz, and Beth M. Janis
  • Does Monitoring Goal Progress Promote Goal Attainment? A Meta-Analysis of the Experimental Evidence (PDF, 384KB) Psychological Bulletin February 2016 by Benjamin Harkin, Thomas L. Webb, Betty P. I. Chang, Andrew Prestwich, Mark Conner, Ian Kellar, Yael Benn, and Paschal Sheeran
  • Youth Violence: What We Know and What We Need to Know (PDF, 388KB) American Psychologist January 2016 by Brad J. Bushman, Katherine Newman, Sandra L. Calvert, Geraldine Downey, Mark Dredze, Michael Gottfredson, Nina G. Jablonski, Ann S. Masten, Calvin Morrill, Daniel B. Neill, Daniel Romer, and Daniel W. Webster
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  • Randomized Controlled Trial of an Internet Cognitive Behavioral Skills-Based Program for Auditory Hallucinations in Persons With Psychosis (PDF, 92KB) Psychiatric Rehabilitation Journal September 2017 by Jennifer D. Gottlieb, Vasudha Gidugu, Mihoko Maru, Miriam C. Tepper, Matthew J. Davis, Jennifer Greenwold, Ruth A. Barron, Brian P. Chiko, and Kim T. Mueser
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  • Sending Your Grandparents to University Increases Cognitive Reserve: The Tasmanian Healthy Brain Project (PDF, 88KB) Neuropsychology July 2016 by Megan E. Lenehan, Mathew J. Summers, Nichole L. Saunders, Jeffery J. Summers, David D. Ward, Karen Ritchie, and James C. Vickers
  • The Foundational Principles as Psychological Lodestars: Theoretical Inspiration and Empirical Direction in Rehabilitation Psychology (PDF, 68KB) Rehabilitation Psychology February 2016 by Dana S. Dunn, Dawn M. Ehde, and Stephen T. Wegener
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Lander College Touro University

  • Academic Calendar
  • Admission Requirements
  • Scholarships

Academics

Required Courses (22 credits)

Psyn 101 - introduction to psychology (3 credits).

Psychology as a biological, behavioral, and social science. Topics include: critical and scientific analysis of human behavior, fundamentals of psychological research, biological bases of behavior, states of consciousness, learning, thought, memory and intelligence, social behavior and personality, mental health and adjustment, diagnosis and treatment of abnormal behavior.

PSYN 301 - Experimental Psychology (3 credits)

Methodological and experimental approaches to human behavior focusing on sensation, perception, learning, and memory. Experiments conducted in class, results analyzed, and scientific reports written. Students also design and write a proposal for an experimental project. Prerequisite: PSYN 101 and MATN 261.

PSYN 301L - Experimental Psychology Lab (1 credit)

[course description missing from catalog]

PSYN 351 - Biological Psychology (3 credits)

The biological bases of behavior and methods of study. Topics include: anatomy and physiology of the nervous system and sense organs, drugs and behavior, sleep and dreaming, eating and drinking, memory and language, brain disorders and abnormal behavior. Prerequisite: PSYN 101 or BION 101.

PSYN 493 - Advanced Topics for Psychology (3 credits)

Prerequisite: 21 credits in psychology, including PSYN 301 and PSYN 301L.

PSYN 201 - Developmental Psychology (3 credits)

Stages of life: infancy, childhood, adolescence, adulthood, and old age. Mental, emotional, and personality changes during development, and the psychological hurdles overcome. Prerequisite: PSYN 101.

MATN 261 - Statistics for Social Science Majors (3 credits)

Basic concepts in descriptive and inferential statistics, including measurement scales, frequency distributions, measures of central tendency and distribution, correlation coefficients, linear regression, probability theory, binomial distribution, and parametric and nonparametric tests of significant differences. Introduction to hypothesis testing. Prerequisite: MATN 111 or examination.

PSYN 335 - Abnormal Psychology (3 credits)

Description and diagnosis of abnormal behavior. Causes, symptoms and treatments of mental illness. Basic principles of psychotherapy. Prerequisite: PSYN 101.

Four Electives from the Following (12 credits)

Psyn 102 - social psychology (3 credits).

Social influences on values, attitudes, and behavior. Determinants of social perceptions and cognitions. Bases for friendship, love, prejudice, and anti-social behavior. Group dynamics involved in conformity, conflict and cooperation. Prerequisite or corequisite: PSYN 101.

PSYN 205 - Psychology of Motivation (3 credits)

Motivation for human behavior from the basic psychological drives to higher drives such as achievement, self-fulfillment and altruism. Emphasis on contemporary research as well as classical theories. Prerequisite: PSYN 101.

PSYN 210 - Theories of Learning (3 credits)

Models of animal and human learning including classical and operant conditioning, as well as contemporary theories drawn from information processing and cognitive science. Applications to education, social and clinical psychology. Prerequisite: PSYN 101.

PSYN 216 - Adolescent Psychology (3 credits)

This course examines the physical, cognitive, emotional, and social development of adolescents. Topics include genetic, cultural, and social factors that enhance or inhibit development. Prerequisite: PSYN 101.

PSYN 221 - Industrial Psychology (3 credits)

Psychological techniques for selecting and training employees, enhancing morale of workers and improving their relationship with management. Psychology of marketing and advertising. Prerequisite: PSYN 101.

PSYN 231 - Psychological Testing (3 credits)

Theoretical and statistical foundations of psychological testing. Measurement of intelligence, aptitudes, academic skills, personality, and behavior. Includes formal and informal tests and rating scales. Prerequisite: PSYN 101.

PSYN 302 - Experimental Psychology II (3 credits)

More advanced research design and experimental approaches to human behavior including learning, perception, and problem solving. Scientific reports including possible honors thesis proposal prepared by students. Prerequisite: PSYN 301.

PSYN 310 - Theories of Personality (3 credits)

Description and assessment of personality. Classical approaches of psychoanalysis tract theory, humanism, behaviorism and cognitive theorists as well as contemporary research and practical applications. Prerequisite: PSYN 101.

PSYN 311 - Psycholinguistics (3 credits)

Psychology of language and the higher mental processes. Modern conceptions of syntactic, semantic, and lexical structure of language. Prerequisite: PSYN 101.

PSYN 312 - Cognition and Memory (3 credits)

Overview of approaches to thinking, reasoning, problem solving, and decision making. Memory theories and process and neurological underpinnings. Interplay of memory and cognition. Prerequisite: PSYN 101.

PSYN 314 - Group Dynamics (3 credits)

This course covers the theoretical background and the practical applications of small group processes. Factors that hinder or promote group development, effectiveness and productivity are discussed, and the necessary skills for effective group functioning are taught through experiential learning exercises. Fundamental topics, such as: Group Goals, Roles, Communication, Leadership, Conflict, DecisionMaking and others will be covered. Prerequisite: PSYN 101.

PSYN 326 - Forensic Psychology (3 credits)

The course provides an overview of the interface between psychology and the legal system. It covers the role and functions of the forensic psychologist, the nature and methods of forensic assessment, mental health evaluations in the criminal justice system and in civil law. It will also address such special topics as jury selection and eyewitness testimony. Prerequisite: PSYN 101; recommend PSYN 335.

PSYN 325 - Drugs and Behavior (Psychoactive Drugs) (3 credits)

Behavioral effects of biochemical mechanisms of psychoactive drugs, including prescription, recreational, and illegal drugs. Topics include psychopharmacological treatment of abnormal behaviors and moods, addiction and tolerance, and the treatment of addictions. Prerequisite: PSYN 101.

PSYN 332 - History and Systems of Psychology (3 credits)

The origin of modern psychology within philosophy during the 19th century. Founding and growth of experimental psychology in Germany and its spread to the United States. Developments in psychoanalysis, Gestalt psychology, humanistic psychology, and behaviorism, and new trends. Prerequisite: PSYN 101.

PSYN 340 - Introduction to Counseling and Therapy (3 credits)

Theories and techniques counseling. Course includes practice in interviewing and development of basic skills necessary for successful treatment. Prerequisite: PSYN 101. Strongly recommend PSYN 310 and PSYN 335.

PSYN 345 - Psychology of Health and Illness (3 credits)

This course will examine psychological influences on how people stay healthy, why they become ill, and how they respond when they are ill. Topics include the mind-body relationship, stress and stress management, chronic pain, headaches, biofeedback, the patient in various treatment settings. The course also examines changes in lifestyle and psychological issues faced by individuals dealing with stroke, arthritis, diabetes, heart disease, cancer and AIDS. Prerequisite: PSYN 101.

PSYN 401 - Psychology of the Exceptional Child (3 credits)

Special problems of children who differ markedly from the average: mentally retarded, brain damaged, psychologically disturbed, sociopathic, physically handicapped, culturally deprived, and gifted children. Genetics, neuropsychological and sociological aspects, as well as causes, assessment, and remediation. Prerequisite: PSYN 101 (PSYN 335 strongly recommended).

PSYN 402 - Clinical Psychology (3 credits)

Overview of clinical psychology as both an art and a science. Roles of the clinical psychologist and the scientific foundations of assessment and treatment. Prerequisite: PSYN 101. Strongly recommend PSYN 340.

PSYN 420 - Eating Disorders (3 credits)

The etiology, description, and treatment of anorexia nervosa, bulimia nervosa, and binge eating disorder associated with obesity. Relation between eating disorders and other psychopathology. Prerequisite: PSYN 101. Strongly recommend PSYN 335.

PSYN 432 - Neuropsychology (3 credits)

Cognitive function in the normal and brain-injured adult. Methods of neuropsychological assessment in clinical and research situations. Topics include consciousness, body sense, spatial understanding, language encoding, attention, memory, perceptual processing including vision, and personality. Strategies for remediation. Prerequisite: PSYN 351 or departmental permission.

PSYN 481 - Independent Study in Psychology (3 credits)

Directed study in subject matter not offered in a standard course or independent research study of a new topic. Prerequisite: Junior or higher status with appropriate Psychology GPA and departmental permission

PSYN 485 - Internship in Psychology (3 credits)

Opportunity to work as an intern in an approved organization, such as a clinic, school or hospital. The customary requirement is to work 1 day per week, keep a log of daily activity, read relevant texts and journal articles, and write a brief paper linking observations to the literature. Coordinated by a site supervisor and Touro faculty member. Prerequisite: Senior status and departmental permission.

PSYN 494 - Senior Honors Project in Psychology (3 credits)

Independent research study including literature review, protocol, methods and implementation, statistical analysis, results and discussion, supervised by a Touro faculty member or appropriate substitute. Prerequisite: PSYN 492.

Honors Psychology (43 credits)

The Department of Psychology has added an honors major. Students who complete the honors major satisfactorily will be graduated with honors in psychology. Requirements for the honors major are all those of the standard major, with the following additions:

PSYN 496 - Honors Seminar (3 credits)

Psyn 494 - senior honors project (3 credits), five electives in psychology, which must include:.

abnormal psychology research

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IMAGES

  1. Abnormal Psychology: An Integrative Approach, 7th Edition

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  2. Abnormal Psychology PSY 470 Research Paper Outline

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  3. Abnormal Psychology: An Integrative Approach

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  4. Abnormal Psychology: Contrasting Perspectives: Jonathan D. Raskin

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  5. Abnormal Psychology A Scientist Practitioner Approach 4Th Edition Pdf

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  6. AP notes

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COMMENTS

  1. Journal of Psychopathology and Clinical Science

    The Journal of Psychopathology and Clinical Science publishes articles on the basic science (both research and theory) and methodology in the broad field of psychopathology and other behaviors relevant to mental illness, their determinants, and correlates. The following topics fall within the journal's major areas of focus: psychopathology ...

  2. Module 1: What is Abnormal Psychology?

    Abnormal psychology is the scientific study of abnormal behavior, with the intent to be able to predict reliably, explain, diagnose, identify the causes of, and treat maladaptive behavior. The study of psychological disorders is called psychopathology. Section 1.1 Review Questions.

  3. What Is Abnormal Psychology? Definition and Examples

    Abnormal psychology is a branch of psychology that studies, diagnoses, and treats unusual patterns of behavior, emotions, and thoughts that could signify a mental disorder. Abnormal psychology studies people who are "abnormal" or "atypical" compared to the members of a given society. Remember, "abnormal" in this context does not ...

  4. Psychopathology—a Precision Tool in Need of Re-sharpening

    Psychopathology is the scientific exploration of abnormal mental states that, for more than a century, has provided a Gestalt for psychiatric disorders and guided clinical as well as scientific progress in modern psychiatry. In the wake of the immense technical advances, however, psychopathology has been increasingly marginalized by neurobiological, genetic, and neuropsychological research.

  5. PDF Journal of Psychopathology and Clinical Science Is the Future of the

    The Journal of Psychopathology and Clinical Science Is the Future of the Journal of Abnormal Psychology: An Editorial Angus W. MacDonald III1, Sherryl H. Goodman2, and David Watson3 1 Department of Psychology, Editor-in-Chief, Journal of Abnormal Psychology, Current, University of Minnesota 2 Department of Psychology, Editor-in-Chief, Journal of Abnormal Psychology, 2012-2017, Emory University

  6. Introduction to Research

    What you'll learn to do: examine how descriptive, correlational, and experimental research is used to study abnormal behavior. As you learned in the previous module, the scientific approach led to major advances in understanding abnormal behavior and treating mental disorders. The essence of the scientific method is objectivity.

  7. Abnormal Psychology

    Abnormal psychology is based on the basic knowledge and experimental techniques of general psychology, including experimental psychology, and its research results can open up new fields and extract new research subjects to enrich general psychology. Abnormal psychology is an important branch of medical psychology, and crosses and infiltrates ...

  8. Abnormal psychology

    Abnormal Psychology is the branch of psychology that studies unusual patterns of behavior, emotion, and thought, which could possibly be understood as a mental disorder. ... The DSM-5 is the text where most commonly discussed and research information about this particle topic of abnormalities are added. Psychopathology is defined to be more ...

  9. Journal of Abnormal Psychology

    The Journal of Abnormal Psychology publishes articles on basic research and theory in the broad field of abnormal behavior, its determinants, and its correlates. The following general topics fall within its area of major focus: (a) psychopathologyâ its etiology, development, symptomatology, and course; (b) normal processes in abnormal individuals; (c) pathological or atypical features of the ...

  10. Handbook of Research Methods in Abnormal and Clinical Psychology

    The Handbook of Research Methods in Abnormal and Clinical Psychology presents a diverse range of areas critical to any researcher or student entering the field. It provides valuable information on the foundations of research methods, including validity in experimental design, ethics, and statistical methods. The contributors discuss design and ...

  11. An Exploration of Abnormal Psychology and Mental Illness

    Abstract. ABSTRACT Abnormal psychology constitutes a specialized branch within the field of psychology, concentrating on comprehending, diagnosing, and treating mental disorders. It delves into ...

  12. Abnormal Psychology: Definition, History, Assessment

    Perhaps the simplest definition of what is abnormal involves deviation from what a group considers correct or acceptable. Each group develops a set of rules and expectations, or norms, for behavior under a variety of cir­cumstances. A norm may be explicit (e.g., written laws) or implicit, but group membership and acceptance is largely ...

  13. A global perspective on the current state of abnormal psychology

    Abnormal psychology, as a major branch of academic psychology, is centered on core concepts such as deviation, irrationality, maladaptivity, and unpredictability—all of which can only be properly understood in the unique socio-cultural contexts of a country. ... which endeavor to facilitate more fruitful discussions and relevant research ...

  14. Abnormal Technology: Definition, Topics, Criticisms

    Abnormal psychology is a branch of psychology that deals with psychopathology and abnormal behavior, or the patterns of emotion, thought, and behavior that can be signs of a mental health condition. The term covers a broad range of disorders, from depression to obsessive-compulsive disorder (OCD) to personality disorders.

  15. The impact of environment on abnormal behavior and mental disease

    An extremely topical subject is migration as a risk factor of abnormal behavior and mental disease. Type 3 shades signify clearly preventable, secondary risk factors that can act as detrimental add‐ons to preexisting factors. These are substance abuse—mainly cannabis and alcohol—but also nutrition factors such as vitamin D deficiency, or ...

  16. Journal of Psychopathology and Clinical Science: Sample articles

    The Journal of Psychopathology and Clinical Science Is the Future of the Journal of Abnormal Psychology: An Editorial. January 2021. by Angus W. MacDonald III, Sherryl H. Goodman, and David Watson. Redefining Phenotypes to Advance Psychiatric Genetics: Implications From Hierarchical Taxonomy of Psychopathology (PDF, 383KB)

  17. Fundamentals of Psychological Disorders

    Fundamentals of Psychological Disorders (formerly Abnormal Psychology) is an Open Education Resource written by Alexis Bridley, Ph.D. and Lee W. Daffin Jr., Ph.D. through Washington State University. The book tackles the difficult topic of mental disorders in 15 modules and is updated through the DSM-5-TR. This journey starts by discussing what abnormal behavior is by attempting to understand ...

  18. Why It Matters: Psychological Research

    Watch It. Watch the CrashCourse video to review the main types of research studies that you learn about in this module, then read through the following examples and see if you can come up with your own design for each type of study. You can view the transcript for "Psychological Research: Crash Course Psychology #2" here (opens in new window).

  19. 1980 PDFs

    Abnormal psychology is the branch of psychology that studies unusual patterns of behavior, emotion and thought, which may or may not be understood... | Explore the latest full-text research PDFs ...

  20. 50+ Research Topics for Psychology Papers

    Psychology Research Topics Involving a Disorder or Type of Therapy . Exploring a psychological disorder or a specific treatment modality can also be a good topic for a psychology paper. Some potential abnormal psychology topics include specific psychological disorders or particular treatment modalities, including:

  21. Psychology Research Questions: 80 Ideas For Your Next Project

    Abnormal psychology research questions. As the name suggests, abnormal psychology is a branch that focuses on abnormal behavior and psychopathology (the scientific study of mental illness or disorders). Abnormal behavior can be challenging to define. Who decides what is "normal"? As such, psychologists in this area focus on the level of ...

  22. Free APA Journal Articles

    Journal of Abnormal Psychology February 2016 by Erica D. Musser, Sarah L. Karalunas, Nathan Dieckmann, Tara S. Peris, and Joel T. Nigg; The Integrated Scientist-Practitioner: A New Model for Combining Research and Clinical Practice in Fee-For-Service Settings (PDF, 58KB) Professional Psychology: Research and Practice December 2015

  23. Psychology

    Psychology as a biological, behavioral, and social science. Topics include: critical and scientific analysis of human behavior, fundamentals of psychological research, biological bases of behavior, states of consciousness, learning, thought, memory and intelligence, social behavior and personality, mental health and adjustment, diagnosis and treatment of abnormal behavior.

  24. General Psychology

    In addition to psychology requirements, students must meet the College of Liberal Arts & Sciences degree requirements. Dual Degree/Double Major Requirements Students interested in pursuing a Dual Degree/Double Major in Psychology MUST fulfill (earning a passing grade) all 1-5 critical tracking criteria .

  25. Abnormal Child Psychology, 7th ed., Wolfe, Mash

    Find many great new & used options and get the best deals for Abnormal Child Psychology, 7th ed., Wolfe, Mash at the best online prices at eBay! Free shipping for many products! ... Introduction to Normal and Abnormal Behavior in Children and Adolescents.2. Theories and Causes.3. Research.4. Assessment, Diagnosis, and Treatment.Part II ...