social norm = unwritten rule of how we should behave in society
OCD may deviate from social norms by excessively checking and counting items
Failure to Function Adequately
Rosenhan and Seligman identified a set of abnormal characteristics that show a person is failing to function adequately. Behaviour = unpredictable or maladaptive.
Depression - abnormal because unable to cope with daily demands of life
Deviation from ideal mental health
Jahoda created a list of six characteristics shown by normal people. personal growth, resistance to stress, accurate perception of reality etc.
Phobias - their behaviour prevents them from mastering the environment
Statistical Infrequency
fall more or less than two standard deviations away from the mean population considered statistically rare and abnormal
depression - not leaving the house is rare as most of the population would regularly go out
Behavioural explanation for development of phobias
Two-process model
Two-process model
Mowrer argues
phobias initiate because of classical conditioning
phobias are maintained because of operant conditioning
Initiation (two process)
a neutral stimulus is paired with an unconditioned response through repeated presentations
Little Albert experiment
Maintenence (two process)
if we carry out a behaviour that is negatively reinforced (escaping something unpleasant) it is more likely to be repeated.
interaction with the phobic stimulus is punishing because of the anxiety it produces
Behavioural treatment for phobias
Systematic Desensitisation
Flooding
Systematic Desensitisation
based on counterconditioning - patient is taught a new association that runs counter to the original association
Relaxation training - taught breathing exercises
Gradual Exposure - develop a fear hierarchy. agree on stages of exposure. learns to associate object with relaxation rather than fear
Flooding

involves putting the individual in a situation where they are forced to face their phobia immediately whilst practising relaxation techniques until the patient is fully relaxed
Vivo exposure - presenting the feared object in person
Vitro exposure - imaginary exposure
Cognitive approach to explaining depression
Becks negative triad
Ellis' ABC model
Becks negative triad

involves schemas
negative self-schema
automatic negative thoughts (self, world and future)
negative cognitive biases (minimise successes)
Ellis' ABC model
irrational beliefs lead to unhealthy emotions and maladaptive behaviours
Activating Event
Belief (irrational)
Consequences
Cognitive treatment for depression - REBT
a form of CBT
time limited sessions - 10-15 weekly, 45 minutes long
use ABCDEF chart
given homework tasks
therapist must show patient unconditional positive regard
Biological approach for OCD
Genetics
Neural Mechanisms
Genetics
gene mapping indicates that a single OCD gene does not exist but OCD is polygenic (over 230 genes)
Evidence comes from twin studies (Gottesman) concordance rate for OCD was 87% in MZ twins and 47% in DZ twins
Neural Explanations
two neurotransmitters play a role in OCD
Dopamine (COMT gene) - increased levels
Serotonin (SERT gene) - lower levels
Biological treatments for OCD
Anti-depressants (SSRIs)
Anti-anxiety drugs
Anti-depressants (SSRI)
Prozac increases the levels of serotonin and is taken daily
Anti-anxiety drugs
Valium helps to adjust neurotransmitter levels so that the person feels less anxious.
slow down the activity of the central nervous system by increasing levels of the neurotransmitter GABA