PSYCHOPATHOLOGY
CONCEPT
• Psychopathology derives from two Greek words: ‘psyche’ meaning
‘soul’, and ‘pathos’ meaning ‘suffering’.
• Currently, ‘psychopathology’ is understood to mean the origin of
mental disorders, how they develop and their symptoms.
• Psychopathology and abnormal behaviour are synonymous
• Traditionally, those suffering from mental disorders have usually been
treated by the psychiatric profession or psychologist, which adheres
to the DSM-V or ICD-10 for classifying mental disorders.
• The four Ds of Psychopathology:
• Deviance: Different, extreme, unusual, bizarre
• Distress: Unpleasant and upsetting to the person
• Dysfunction: Interfering with the person’s ability to conduct daily activities
• Dangerousness: Posing a risk of harm
HISTORY OF PSYCHOPATHOLOGY
• Ancient Views & Treatments:
• Demonology-psychopathology is the work of demons and evil spirits
• Treatments were exorcism, trephining (drilling a hole through a skull and
taking a part out), bloodletting (cutting the patient and letting blood run
out). Getting the demon out of the body.
• Greek and Roman Views and Treatments: 500 A.D. Demonology
• Hippocrates believed that illnesses has somatic causes (somatogenesis, not
psychogenesis)
• Humors played an important role in peoples mood and psychological
functioning – phlegm, bile, etc. (warm baths and massages) o Unbalance of
the four bodily humors
• Treatments attempted to “rebalance” humors
• Europe in the Middle Ages: (religion based)
• Religious beliefs dominated, and science declined
• Psychopathology (again) was viewed as conflict between good and evil
• Earlier demonological treatments reemerged o Burning people who were
believed to be witches
• The Renaissance:
• Patient care was improved (somewhat)
• Rise of asylums
• They were overcrowded
• Patients were used as entertainment and tourists came to watch them
• The 19th Century – Reform and Moral Treatment:
• Treatment was reformed, and focused on patient’s needs
• Europe: Phillipe Pinel and William Tuke
• U.S.: Dorothea Dix and Benjamin Rush
• Early 20th Century:
• Rebirth of the somatogenic perspective
• Emil Kraepelin
• Biological Discoveries (physical/biological cause between biology and psychopathology)
• Rise of the psychogenic Perspective
• Hypnotism (Put patients in a trance and find the connection between psychological
stressors and the psychological symptoms/physical symptoms)
• Freud (arguing that psychology plays a big role in people’s symptoms)
• Saw people who could be treated without going to the hospital for treatment.
• Psychoanalytic approach
• Current Trends:
• Deinstitutionalization – getting them out of hospitals and into outpatient treatments.
• Rise of community mental health centers
• New psychotropic medicines – Medicine that decrease depression, anxiety, stabilize
mood, decrease psychotic symptoms.
CLASSIFYING ABNORMAL BEHAVIOUR
• Classification is important in any science, whether we are studying chemical
elements, plants, planets, or people. With an agreed-upon classification
system we can be confident that we are communicating clearly.
• In abnormal psychology, classification involves the attempt to delineate
meaningful subvarieties of maladaptive behavior.
• Like defining abnormal behavior, classification of some kind is a necessary
first step toward introducing order into our discussion of the nature, causes,
and treatment of such behavior.
• Classification makes it possible to communicate about particular clusters of
abnormal behavior in agreed-upon and relatively precise ways.