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| Abnormal Psychology: An Overview | p. 1 |
| What do we Mean by Abnormal Behavior? | p. 3 |
| Why Do We Need to Classify Mental Disorders? | p. 6 |
| What Are the Disadvantages of Classification? | p. 8 |
| The DSM-IV Definition of Mental Disorder | p. 9 |
| How Does Culture Affect What Is Considered Abnormal? | p. 10 |
| Culture-Specific Disorders | p. 11 |
| How Common Are Mental Disorders? | ... MORE |
| Prevalence and Incidence | p. 12 |
| Prevalence Estimates for Mental Disorders | p. 13 |
| Treatment | p. 14 |
| The Mental Health "Team" | p. 14 |
| Research Approaches in Abnormal Psychology | p. 15 |
| Sources of Information | p. 16 |
| Forming Hypotheses about Behavior | p. 17 |
| Sampling and Generalization | p. 18 |
| Criterion and Comparison Groups | p. 18 |
| Studying the World As It Is: Observational Research Designs | p. 19 |
| Retrospective versus Prospective Strategies | p. 19 |
| Manipulating Variables: The Experimental Method in Abnormal Psychology | p. 20 |
| Studying the Efficacy of Therapy | p. 20 |
| Single-Case Experimental Designs | p. 21 |
| Animal Research | p. 23 |
| The Focus of This Book | p. 24 |
| Summary | p. 25 |
| Key Terms | p. 26 |
| Historical and Contemporary Views of Abnormal Behavior | p. 27 |
| Historical Views of Abnormal Behavior | p. 28 |
| Demonology, Gods, and Magic | p. 28 |
| Hippocrates' Early Medical Concepts | p. 28 |
| Early Philosophical Conceptions of Consciousness and Mental Discovery | p. 29 |
| Later Greek and Roman Thought | p. 30 |
| Abnormality during the Middle Ages | p. 31 |
| Toward Humanitarian Approaches | p. 35 |
| The Resurgence of Scientific Questioning in Europe | p. 35 |
| The Establishment of Early Asylums and Shrines | p. 36 |
| Humanitarian Reform | p. 37 |
| Nineteenth-Century Views of the Causes and Treatment of Mental Disorders | p. 40 |
| Changing Attitudes toward Mental Health in the Early Twentieth Century | p. 41 |
| Mental Hospital Care in the Twentieth Century | p. 41 |
| Contemporary Views of Abnormal Behavior | p. 44 |
| Biological Discoveries: Establishing the Link between the Brain and Mental Disorder | p. 45 |
| The Development of a Classification System | p. 46 |
| Causation Views: Establishing the Psychological Basis of Mental Disorder | p. 46 |
| The Evolution of the Psychological Research Tradition: Experimental Psychology | p. 49 |
| Summary | p. 54 |
| Key Terms | p. 55 |
| Causal Factors and Viewpoints | p. 57 |
| Causes and Risk Factors for Abnormal Behavior | p. 58 |
| Necessary, Sufficient, and Contributory Causes | p. 58 |
| Feedback and Circularity in Abnormal Behavior | p. 60 |
| Diathesis-Stress Models | p. 60 |
| Viewpoints for Understanding the Causes of Abnormal Behavior | p. 63 |
| The Biological Viewpoint and Biological Causal Factors | p. 63 |
| Neurotransmitter and Hormonal Imbalances | p. 64 |
| Genetic Vulnerabilities | p. 66 |
| Temperament | p. 71 |
| Brain Dysfunction and Neural Plasticity | p. 72 |
| The Impact of the Biological Viewpoint | p. 73 |
| The Psychosocial Viewpoints | p. 74 |
| The Psychodynamic Perspectives | p. 74 |
| The Behavioral Perspective | p. 80 |
| The Cognitive-Behavioral Perspective | p. 83 |
| What the Adoption of a Perspective Does and Does Not Do | p. 87 |
| Psychosocial Causal Factors | p. 88 |
| Early Deprivation or Trauma | p. 89 |
| Inadequate Parenting Styles | p. 91 |
| Marital Discord and Divorce | p. 94 |
| Maladaptive Peer Relationships | p. 95 |
| The Sociocultural Viewpoint | p. 97 |
| Uncovering Sociocultural Factors through Cross-Cultural Studies | p. 97 |
| Sociocultural Causal Factors | p. 101 |
| The Sociocultural Environment | p. 101 |
| Pathogenic Societal Influences | p. 101 |
| Impact of the Sociocultural Viewpoint | p. 103 |
| Summary | p. 105 |
| Key Terms | p. 106 |
| Clinical Assessment | p. 107 |
| The Basic Elements in Assessment | p. 108 |
| The Relationship between Assessment and Diagnosis | p. 108 |
| Taking a Social or Behavioral History | p. 109 |
| The Influence of Professional Orientation | p. 110 |
| Trust and Rapport between the Clinician and the Client | p. 110 |
| Assessment of the Physical Organism | p. 111 |
| The General Physical Examination | p. 111 |
| The Neurological Examination | p. 111 |
| The Neuropsychological Examination | p. 113 |
| Psychosocial Assessment | p. 114 |
| Assessment Interviews | p. 114 |
| The Clinical Observation of Behavior | p. 116 |
| Psychological Tests | p. 117 |
| Advantages and Limitations of Objective Personality Tests | p. 127 |
| A Psychological Case Study: Esteban | p. 127 |
| The Integration of Assessment Data | p. 130 |
| Ethical Issues in Assessment | p. 130 |
| Classifying Abnormal Behavior | p. 131 |
| Reliability and Validity | p. 132 |
| Differing Models of Classification | p. 133 |
| Formal Diagnostic Classification of Mental Disorders | p. 133 |
| Summary | p. 140 |
| Key Terms | p. 141 |
| Stress and Adjustment Disorders | p. 143 |
| What is Stress? | p. 144 |
| Categories of Stressors | p. 145 |
| Factors Predisposing a Person to Stress | p. 146 |
| Coping with Stress | p. 149 |
| The Effects of Severe Stress | p. 151 |
| Biological Effects of Stress | p. 151 |
| Psychological Effects of Long-Term Stress | p. 154 |
| Adjustment Disorder: Reactions to Common Life Stressors | p. 154 |
| Adjustment Disorder Caused by Unemployment | p. 155 |
| Adjustment Disorder Caused by Bereavement | p. 155 |
| Adjustment Disorder Caused by Divorce or Separation | p. 156 |
| Post-Traumatic Stress Disorder: Reactions to Catastrophic Events | p. 157 |
| Prevalence of PTSD in the General Population | p. 157 |
| Distinguishing between Acute Stress Disorder and Post-Traumatic Stress | p. 157 |
| The Trauma of Rape | p. 160 |
| The Trauma of Military Combat | p. 162 |
| Severe Threats to Personal Safety and Security | p. 166 |
| Causal Factors in Post-Traumatic Stress | p. 169 |
| Long-Term Effects of Post-Traumatic Stress | p. 171 |
| Prevention and Treatment of Stress Disorders | p. 171 |
| Prevention of Stress Disorders | p. 171 |
| Treatment for Stress Disorders | p. 172 |
| Challenges in Studying Crisis Victims | p. 174 |
| What We Are Learning about Crisis Intervention | p. 174 |
| Summary | p. 177 |
| Key Terms | p. 177 |
| Panic, Anxiety, and Their Disorders | p. 179 |
| The Fear and Anxiety Response Patterns | p. 181 |
| Overview of the Anxiety Disorders and Their Commonalities | p. 182 |
| Specific Phobias | p. 183 |
| Blood-Injection-Injury Phobia | p. 185 |
| Age of Onset and Gender Differences in Specific Phobias | p. 185 |
| Psychosocial Causal Factors | p. 185 |
| Genetic and Temperamental Causal Factors | p. 188 |
| Treating Specific Phobias | p. 188 |
| Social Phobias | p. 190 |
| Interaction of Psychosocial and Biological Causal Factors | p. 191 |
| Treating Social Phobias | p. 193 |
| Panic Disorder With and Without Agoraphobia | p. 194 |
| Panic Disorder | p. 194 |
| Agoraphobia | p. 195 |
| Prevalence, Gender, and Age of Onset of Panic Disorder with and without Agoraphobia | p. 197 |
| Comorbidity with Other Disorders | p. 197 |
| The Timing of a First Panic Attack | p. 198 |
| Biological Causal Factors | p. 198 |
| Behavioral and Cognitive Causal Factors | p. 200 |
| Treating Panic Disorder and Agoraphobia | p. 203 |
| Generalized Anxiety Disorder | p. 205 |
| General Characteristics | p. 205 |
| Prevalence and Age of Onset | p. 207 |
| Comorbidity with Other Disorders | p. 207 |
| Psychosocial Causal Factors | p. 207 |
| Biological Causal Factors | p. 209 |
| Treating Generalized Anxiety Disorder | p. 210 |
| Obsessive-Compulsive Disorder | p. 211 |
| Prevalence, Age of Onset, and Comorbidity | p. 212 |
| Characteristics of OCD | p. 213 |
| Psychosocial Causal Factors | p. 215 |
| Biological Causal Factors | p. 216 |
| Treating Obsessive-Compulsive Disorder | p. 218 |
| Sociocultural Causal Factors for All Anxiety Disorders | p. 220 |
| Cultural Differences in Sources of Worry | p. 221 |
| Taijin Kyofusho | p. 221 |
| Summary | p. 222 |
| Key Terms | p. 223 |
| Mood Disorders and Suicide | p. 225 |
| What are Mood Disorders? | p. 226 |
| The Prevalence of Mood Disorders | p. 227 |
| Unipolar Mood Disorders | p. 228 |
| Depressions That Are Not Mood Disorders | p. 228 |
| Dysthymic Disorder | p. 230 |
| Major Depressive Disorder | p. 231 |
| Causal Factors in Unipolar Mood Disorders | p. 235 |
| Biological Causal Factors | p. 235 |
| Psychosocial Causal Factors | p. 240 |
| Bipolar Disorders | p. 253 |
| Cyclothymic Disorder | p. 253 |
| Bipolar Disorders (I and II) | p. 254 |
| Causal Factors in Bipolar Disorder | p. 257 |
| Biological Causal Factors | p. 257 |
| Psychosocial Causal Factors | p. 258 |
| Sociocultural Factors Affecting Unipolar and Bipolar Disorders | p. 260 |
| Cross-Cultural Differences in Depressive Symptoms | p. 260 |
| Cross-Cultural Differences in Prevalence | p. 261 |
| Demographic Differences in the United States | p. 261 |
| Treatments and Outcomes | p. 263 |
| Pharmacotherapy | p. 263 |
| Alternative Biological Treatments | p. 265 |
| Psychotherapy | p. 265 |
| Suicide | p. 268 |
| The Clinical Picture and the Causal Pattern | p. 269 |
| Suicidal Ambivalence | p. 273 |
| Suicide Prevention and Intervention | p. 274 |
| Summary | p. 277 |
| Key Terms | p. 278 |
| Somatoform and Dissociative Disorders | p. 279 |
| Somatoform Disorders | p. 280 |
| Hypochondriasis | p. 281 |
| Somatization Disorder | p. 283 |
| Pain Disorder | p. 285 |
| Conversion Disorder | p. 286 |
| Body Dysmorphic Disorder | p. 290 |
| Dissociative Disorders | p. 295 |
| Depersonalization Disorder | p. 295 |
| Dissociative Amnesia and Fugue | p. 296 |
| Dissociative Identity Disorder (DID) | p. 298 |
| General Sociocultural Causal Factors in Dissociative Disorders | p. 306 |
| Treatment and Outcomes in Dissociative Disorders | p. 307 |
| Summary | p. 310 |
| Key Terms | p. 310 |
| Eating Disorders and Obesity | p. 311 |
| Clinical Aspects of Eating Disorders | p. 313 |
| Anorexia Nervosa | p. 313 |
| Bulimia Nervosa | p. 315 |
| Age of Onset and Gender Differences | p. 318 |
| Medical Complications of Anorexia Nervosa and Bulimia Nervosa | p. 319 |
| Other Forms of Eating Disorders | p. 319 |
| Distinguishing among Diagnoses | p. 320 |
| Association of Eating Disorders with Other Forms of Psychopathology | p. 321 |
| Prevalence of Eating Disorders | p. 321 |
| Eating Disorders across Cultures | p. 321 |
| Course and Outcome | p. 322 |
| Risk and Causal Factors in Eating Disorders | p. 323 |
| Biological Factors | p. 323 |
| Sociocultural Factors | p. 324 |
| Family Influences | p. 326 |
| Individual Risk Factors | p. 326 |
| Treating Eating Disorders | p. 330 |
| Treating Anorexia Nervosa | p. 330 |
| Treating Bulimia Nervosa | p. 332 |
| Treating Binge-Eating Disorder | p. 332 |
| Obesity | p. 333 |
| Risk and Causal Factors in Obesity | p. 334 |
| The Role of Genes | p. 334 |
| Hormones Involved in Appetite and Weight Regulation | p. 335 |
| Sociocultural Influences | p. 335 |
| Family Influences | p. 335 |
| Stress and "Comfort Food" | p. 336 |
| Pathways to Obesity | p. 337 |
| Treatment of Obesity | p. 337 |
| The Importance of Prevention | p. 339 |
| Summary | p. 340 |
| Key Terms | p. 341 |
| Health Problems and Behavior | p. 343 |
| Psychological Factors in Health and Disease | p. 346 |
| Stress and the Stress Response | p. 346 |
| Biological Costs of Stress | p. 347 |
| Stress and the Immune System | p. 348 |
| Psychoneuroimmunology | p. 350 |
| Lifestyle Factors in Health and Illness | p. 351 |
| Health, Attitudes, and Coping Resources | p. 352 |
| Cardiovascular Disease | p. 354 |
| Hypertension | p. 355 |
| Coronary Heart Disease | p. 356 |
| What Psychological Factors Are Implicated in Cardiovascular Disease? | p. 356 |
| General Causal Factors in Physical Illness and Disease | p. 360 |
| Genetic Factors | p. 360 |
| Psychosocial Factors | p. 362 |
| Sociocultural Factors | p. 364 |
| Treatments and Outcomes | p. 364 |
| Biological Interventions | p. 365 |
| Psychological Interventions | p. 365 |
| Sociocultural Approaches | p. 366 |
| Summary | p. 369 |
| Key Terms | p. 369 |
| Personality Disorders | p. 371 |
| Clinical Features of Personality Disorders | p. 372 |
| Difficulties Doing Research on Personality Disorders | p. 374 |
| Difficulties in Diagnosing Personality Disorders | p. 374 |
| Difficulties in Studying the Causes of Personality Disorders | p. 375 |
| Categories of Personality Disorders | p. 376 |
| Paranoid Personality Disorder | p. 376 |
| Schizoid Personality Disorder | p. 377 |
| Schizotypal Personality Disorder | p. 379 |
| Histrionic Personality Disorder | p. 380 |
| Narcissistic Personality Disorder | p. 382 |
| Antisocial Personality Disorder | p. 384 |
| Borderline Personality Disorder | p. 385 |
| Avoidant Personality Disorder | p. 388 |
| Dependent Personality Disorder | p. 390 |
| Obsessive-Compulsive Personality Disorder | p. 391 |
| Provisional Categories of Personality Disorder in DSM-IV-TR | p. 392 |
| General Sociocultural Causal Factors for Personality Disorders | p. 393 |
| Treatments and Outcomes | p. 393 |
| Adapting Therapeutic Techniques to Specific Personality Disorders | p. 394 |
| Treating Borderline Personality Disorder | p. 394 |
| Treating Other Personality Disorders | p. 395 |
| Antisocial Personality Disorder and Psychopathy | p. 395 |
| Psychopathy and ASPD | p. 395 |
| The Clinical Picture in Psychopathy and Antisocial Personality Disorder | p. 398 |
| Causal Factors in Psychopathy and Antisocial Personality | p. 399 |
| A Developmental Perspective on Psychopathy and Antisocial Personality | p. 403 |
| Treatments and Outcomes in Psychopathic and Antisocial Personality | p. 405 |
| Summary | p. 409 |
| Key Terms | p. 410 |
| Addiction Disorders | p. 411 |
| Alcohol Abuse and Dependence | p. 413 |
| The Prevalence, Comorbidity, and Demographics of Alcohol Abuse and Dependence | p. 413 |
| The Clinical Picture of Alcohol Abuse and Dependence | p. 414 |
| Biological Factors in the Abuse of and Dependence on Alcohol and Other Substances | p. 419 |
| Psychosocial Causal Factors in Alcohol Abuse and Dependence | p. 421 |
| Sociocultural Factors | p. 425 |
| Treatment of Alcohol Abuse Disorders | p. 426 |
| Drug Abuse and Dependence | p. 431 |
| Opium and Its Derivatives (Narcotics) | p. 433 |
| Cocaine and Amphetamines (Stimulants) | p. 437 |
| Barbiturates (Sedatives) | p. 439 |
| LSD and Related Drugs (Hallucinogens) | p. 441 |
| Ecstasy | p. 442 |
| Marijuana | p. 443 |
| Summary | p. 447 |
| Key Terms | p. 448 |
| Sexual Variants, Abuse, and Dysfunctions | p. 449 |
| Sociocultural Influences on Sexual Practices and Standards | p. 451 |
| Degeneracy and Abstinence Theory | p. 451 |
| Ritualized Homosexuality in Melanesia | p. 452 |
| Homosexuality and American Psychiatry | p. 453 |
| Sexual and Gender Variants | p. 456 |
| The Paraphilias | p. 456 |
| Causal Factors and Treatments for Paraphilias | p. 462 |
| Gender Identity Disorders | p. 463 |
| Sexual Abuse | p. 467 |
| Childhood Sexual Abuse | p. 467 |
| Pedophilia | p. 470 |
| Incest | p. 471 |
| Rape | p. 472 |
| Treatment and Recidivism of Sex Offenders | p. 475 |
| Sexual Dysfunctions | p. 478 |
| Dysfunctions of Sexual Desire | p. 479 |
| Dysfunctions of Sexual Arousal | p. 481 |
| Orgasmic Disorders | p. 483 |
| Dysfunctions Involving Sexual Pain | p. 484 |
| Summary | p. 486 |
| Key Terms | p. 487 |
| Schizophrenia and Other Psychotic Disorders | p. 489 |
| Schizophrenia | p. 490 |
| The Epidemiology of Schizophrenia | p. 490 |
| Origins of the Schizophrenia Construct | p. 492 |
| The Clinical Picture in Schizophrenia | p. 492 |
| Delusions | p. 493 |
| Hallucinations | p. 493 |
| Disorganized Speech | p. 494 |
| Disorganized and Catatonic Behavior | p. 494 |
| Negative Symptoms | p. 494 |
| Subtypes of Schizophrenia | p. 496 |
| Paranoid Type | p. 496 |
| Disorganized Type | p. 497 |
| Catatonic Type | p. 497 |
| Undifferentiated Type | p. 498 |
| Residual Type | p. 498 |
| Other Psychotic Disorders | p. 499 |
| What Causes Schizophrenia? | p. 500 |
| Genetic Aspects | p. 501 |
| Prenatal Exposures | p. 507 |
| Genes and Environment in Schizophrenia: A Synthesis | p. 508 |
| A Neurodevelopmental Perspective | p. 509 |
| Biological Aspects | p. 511 |
| Neurocognition | p. 516 |
| Psychosocial and Cultural Aspects | p. 517 |
| Treatment and Clinical Outcome | p. 522 |
| Pharmacological Approaches | p. 523 |
| Psychosocial Approaches | p. 524 |
| Summary | p. 528 |
| Key Terms | p. 529 |
| Cognitive Disorders | p. 531 |
| Brain Impairment in Adults | p. 533 |
| Diagnostic Issues | p. 533 |
| Clinical Signs of Brain Damage | p. 533 |
| Diffuse versus Focal Damage | p. 534 |
| The Neuropsychology/Psychopathology Interaction | p. 537 |
| Delirium | p. 538 |
| Clinical Presentation | p. 538 |
| Treatment and Outcome | p. 538 |
| Dementia | p. 539 |
| Alzheimer's Disease | p. 541 |
| Dementia from HIV-1 Infection | p. 548 |
| Vascular Dementia | p. 549 |
| Amnestic Syndrome | p. 549 |
| Disorders Involving Head Injury | p. 550 |
| The Clinical Picture | p. 551 |
| Treatments and Outcomes | p. 553 |
| Summary | p. 556 |
| Key Terms | p. 556 |
| Disorders of Childhood and Adolescence | p. 557 |
| Maladaptive Behavior in Different Life Periods | p. 558 |
| Varying Clinical Pictures | p. 558 |
| Special Vulnerabilities of Young Children | p. 559 |
| The Classification of Childhood and Adolescent Disorders | p. 559 |
| Common Disorders of Childhood | p. 560 |
| Attention-Deficit/Hyperactivity Disorder | p. 560 |
| Oppositional Defiant Disorder and Conduct Disorder | p. 563 |
| Anxiety Disorders of Childhood and Adolescence | p. 566 |
| Childhood Depression | p. 569 |
| Symptom Disorders: Enuresis, Encopresis, Sleepwalking, and Tics | p. 572 |
| Pervasive Developmental Disorders | p. 575 |
| Autism | p. 575 |
| Learning Disabilities and Mental Retardation | p. 580 |
| Learning Disabilities | p. 580 |
| Causal Factors in Learning Disabilities | p. 581 |
| Treatments and Outcomes | p. 581 |
| Mental Retardation | p. 582 |
| Brain Defects in Mental Retardation | p. 583 |
| Organic Retardation Syndromes | p. 584 |
| Treatments, Outcomes, and Prevention | p. 588 |
| Planning Better Programs to Help Children and Adolescents | p. 589 |
| Special Factors Associated with Treatment for Children and Adolescents | p. 589 |
| Child Advocacy Programs | p. 593 |
| Summary | p. 596 |
| Key Terms | p. 597 |
| Therapy | p. 599 |
| An Overview of Treatment | p. 600 |
| Why Do People Seek Therapy? | p. 600 |
| Who Provides Psychotherapeutic Services? | p. 601 |
| The Therapeutic Relationship | p. 602 |
| Measuring Success in Psychotherapy | p. 603 |
| Objectifying and Quantifying Change | p. 604 |
| Would Change Occur Anyway? | p. 604 |
| Can Therapy Be Harmful? | p. 606 |
| What Therapeutic Approaches Should be Used? | p. 606 |
| Evidence-Based Treatments | p. 606 |
| Medication or Psychotherapy? | p. 607 |
| Combined Treatments | p. 607 |
| Pharmacological Approaches to Treatment | p. 609 |
| Antipsychotic Drugs | p. 609 |
| Antidepressant Drugs | p. 611 |
| Antianxiety Drugs | p. 615 |
| Lithium and Other Mood-Stabilizing Drugs | p. 616 |
| Electroconvulsive Therapy | p. 618 |
| Neurosurgery | p. 620 |
| Psychological Approaches to Treatment | p. 622 |
| Behavior Therapy | p. 622 |
| Cognitive and Cognitive-Behavioral Therapy | p. 625 |
| Humanistic-Experiential Therapies | p. 627 |
| Psychodynamic Therapies | p. 630 |
| Marital and Family Therapy | p. 633 |
| Eclecticism and Integration | p. 634 |
| Psychotherapy and Society | p. 634 |
| Social Values and Psychotherapy | p. 635 |
| Psychotherapy and Cultural Diversity | p. 635 |
| Summary | p. 637 |
| Key Terms | p. 639 |
| Contemporary and Legal Issues in Abnormal Psychology | p. 641 |
| Perspectives on Prevention | p. 642 |
| Universal Interventions | p. 642 |
| Selective Interventions | p. 644 |
| Indicated Interventions | p. 648 |
| The Mental Hospital as a Therapeutic Community | p. 648 |
| Deinstitutionalization | p. 650 |
| Controversial Legal Issues and the Mentally Disordered | p. 652 |
| The Commitment Process | p. 652 |
| Assessment of "Dangerousness" | p. 655 |
| The Insanity Defense | p. 657 |
| Organized Efforts for Mental Health | p. 661 |
| U.S. Efforts for Mental Health | p. 662 |
| International Efforts for Mental Health | p. 663 |
| Challenges for the Future | p. 664 |
| The Need for Planning | p. 664 |
| The Individual's Contribution | p. 665 |
| Summary | p. 667 |
| Key Terms | p. 668 |
| Glossary | p. 1 |
| References | p. 1 |
| Credits | p. 1 |
| Name Index | p. 1 |
| Subject Index | p. 1 |
| Table of Contents provided by Ingram. All Rights Reserved. |