DSM stands for diagnostic and statisticalmanual - for mental health disorders
DSM was first published in 1952 - constantly being updated due to change in abnormalities + adaptations in information gathered
DSM classifies and diagnoses mental health disorders
current DSM - DSM - 5 (PUBLISHED 2013)
DSM classifies mental health disorders into major groups
depressive disorders
anxiety disorders
OCD + related disorders
feeding + eating disorders
4 definitions of abnormality
deviation from social norms
statistical infrequency
deviation from idealmental health
failure to functionadequately
abnormality can be defined as deviating from social/cultural norms
statistical infrequency is where behaviour is seen as 'abnormal' if its statistically uncommon - any usually behaviour is thought to be 'normal' and so behaviours differing from this is seen as 'abnormal'
example of statistical infrequency - IQ + intellectualdisabilitydisorder
in IQ test - majority of human scores cluster around average meaning further above or below the fewer people there will be (seen as abnormal to average)
average IQ is 100 - most have range between 85 - 110
2% people score BELOW 70 - are seen as 'abnormal' and likely to get diagnosed with intellectual disability disorder
deviation from socialnorms is when person behaves in way not expected from them to behave
groups tend to define behaviour as abnormal on basis that it goes against sense of what their norm is
norms are based on culture and generations making judgements
few behaviours are seen as universally abnormal
example of deviation from social norms - antisocial personality disorder
person with antisocial personality disorder goes against norms in society by being impulsive, aggressive and irresponsible
psychopathy seen as abnormal as they dont conform to moralstandards
failure to function adequately
seen as abnormal if cannot cope with demands of everyday life + fail to function adequately
Rosenhan + seligman - signs which can be used to determine when someone is not coping:
severe personal distress
persons behaviour is dangerous to self or others
nolonger conforms to standardinterpersonalrules (eye contact)
deviation from ideal mental health
classified as abnormal if deviate from whats considered as ideal mental health
jahoda
jahoda - ideal mental health - suggested good mental health is achieved by meeting following
positive attitude towards self
self actualisation of own potential
resistance to stress
personal autonomy (independence)
realistic view of world
adapting to + mastering environment
there are 6 key suggestions that jahoda said is ideal mental health
evaluation points for statistical infrequency
negatively labelled
real life application
negatively labelled (-) - statistical infrequency
limitation of definition is some wont benefit from such labels
someone whos classed as 'abnormal' wont mean they will benefit from having label
example - having low IQ an individual still may be able to lead relatively normal life - however they wont benefit from having known as 'abnormal' - affects how others see them
therefore labelling individuals abnormal can affect them negatively whilst potentially impacting how they are treated
real life application (+) - statistical infrequency
definition can be applied within real world where it is easily appliable
definition can be used for diagnosing intellectual disability disorder
helpful in measuring severity of mental disorders individuals may have - done through comparing them to statisticalnorms
strength as it has helped mental disorders be appropriately diagnosed where help can then be given
evaluation points for deviation from social norms
cultural relativism (-)
not sole explanation (-)
cultural relativism (-) - deviation from social norms
social norms vary across cultures meaning definition is weakened
view that behaviour cannot be judged unless its viewed within context of culture which it originates from
this means some cultures are seen as abnormal but not abnormal to others
limitation includes definition not transferring well to other cultures - weakening reliability of definition
not sole explanation (-) - deviation from social norms
limitation for definition includes although its useful diagnosing disorders (antisocial personality disorder) - there are additional factors apart from deviation from social norms which should be further considered
example - distress of others which results from having antisocial personality disorder
definition shouldnt be used as sole reason to define the term abnormality
evaluation points for failure to function adequately
subjective judgements from psychiatrist (-)/ personal perspective (+)
may just be deviation from socialnorms
subjective judgements (-) - failure to function adequately
when assessing whether someone fails to function adequately - someone has to observed + judge if patient is distressed enough to diagnose
problem as patients may say they are distress but are judged as not suffering
limitation as it is down to psychiatrists to make judgements which could be inaccurate
HOWEVER - (+) takes on personal perspective as it attempts to include subjective experience of individual - acknowledges what a patient experiences
may not be deviation from social norms (-) - failure to function adequately
definition is unclear in how we are to tell if someone is genuinelly failing to function or if they are just deviating from social norms
example - alternative lifestyles (extreme sport) - be seen as failure to function as individuals may not have permanent address/job - however it doesnt mean they're putting selves at risk of harm
therefore treating behaviours as 'failures' of adequate functioning heightens discrimination and limits personal freedom
evaluation points for deviation from ideal mental health
unrealistic standards of mh (-)
cultural relativism (-)
unrealistic standards of mh (-) - deviation from ideal mental health
limitation of deviation from ideal mh as definition of abnormality includes jahoda criteria being too unrealistic
according to jahoda - you have ideal mh if you are able to meet ALL the criteria - most individuals wont meet that criteria (inferring that everyone is deviating from ideal mental health + classed as abnormal)
limits definition as it provides unrealisticexpectations for what standard mental health should look like
cultural relativism (-) - deviation from ideal mental health
criteria created was based on western ideals
therefore other cultures will be seen as deviating due to not meeting likely criteria
definition cannot be applied to other cultures due to differing views of what is seen as ideal mental health - what is not
ultimately - definition cannot be applied to certain cultures as it could lead to incorrect results