Abnormal Psychology Seventeenth Edition
Jill M. Hooley Harvard University
James N. Butcher University of Minnesota
Matthew K. Nock Harvard University
Susan Mineka Northwestern University
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Library of Congress Cataloging-in-Publication Data
Names: Hooley, Jill M., author. | Butcher, James Neal, author. | Nock, Matthew, author. | Mineka, Susan, author. Title: Abnormal psychology. Description: Seventeenth edition / Jill M. Hooley, James N. Butcher, Matthew K. Nock, Susan Mineka. | Boston : Pearson, [2017] | Revision of: Abnormal psychology / James N. Butcher, University of Minnesota, Susan Mineka, Northwestern University, Jill M. Hooley, Harvard University. Sixteenth edition. | Includes bibliographical references and index. Identifiers: LCCN 2015041946 | ISBN 9780133852059 | ISBN 0133852059 Subjects: LCSH: Psychology, Pathological—Textbooks. | Psychiatry—Textbooks
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iii
1 Abnormal Psychology: Overview and Research Approaches 1
2 Historical and Contemporary Views of Abnormal Behavior 32
3 Causal Factors and Viewpoints 60
4 Clinical Assessment and Diagnosis 106
5 Stress and Physical and Mental Health 136
6 Panic, Anxiety, Obsessions, and Their Disorders 173
7 Mood Disorders and Suicide 220
8 Somatic Symptom and Dissociative Disorders 269
9 Eating Disorders and Obesity 303
10 Personality Disorders 341
11 Substance-Related Disorders 384
12 Sexual Variants, Abuse, and Dysfunctions 421
13 Schizophrenia and Other Psychotic Disorders 459
14 Neurocognitive Disorders 503
15 Disorders of Childhood and Adolescence (Neurodevelopmental Disorders) 532
16 Psychological Treatment 570
17 Contemporary and Legal Issues in Abnormal Psychology 607
Brief Contents
iv
Features xiii What’s New in DSM-5? A Quick Guide xv Preface xvii About the Authors xxiii
1 Abnormal Psychology: Overview and Research Approaches 1
What Do We Mean by Abnormality? 3 Indicators of Abnormality 3
The World Around Us Extreme Generosity or Pathological Behavior? 6
Thinking Critically about DSM-5 What Is the DSM and Why Was It Revised? 7
The DSM-5 and the Definition of Mental Disorder 7
Classification and Diagnosis 8 What Are the Disadvantages of Classification? 8 How Can We Reduce Prejudicial Attitudes Toward People Who Are Mentally Ill? 9
Culture and Abnormality 10
How Common Are Mental Disorders? 12 Prevalence and Incidence 12 Prevalence Estimates for Mental Disorders 13 The Global Burden of Disease 15 Treatment 15 Mental Health Professionals 16
Research Approaches in Abnormal Psychology 16
Sources of Information 17 Case Studies 17 Self-Report Data 18 Observational Approaches 18
Forming and Testing Hypotheses 19 Sampling and Generalization 20 Internal and External Validity 21 Criterion and Comparison Groups 21
Correlational Research Designs 22 Measuring Correlation 22 Statistical Significance 23 Effect Size 24 Meta-Analysis 24 Correlations and Causality 24 Retrospective versus Prospective Strategies 24
The Experimental Method in Abnormal Psychology 25 Studying the Efficacy of Therapy 26 Single-Case Experimental Designs 27
Developments in Research Do Magnets Help with Repetitive-Stress Injury? 27
Animal Research 29
Unresolved Issues Are We All Becoming Mentally Ill? The Expanding Horizons of Mental Disorder 29 Summary 30
Key Terms 31
2 Historical and Contemporary Views of Abnormal Behavior 32
Historical Views of Abnormal Behavior 33 Demonology, Gods, and Magic 34 Hippocrates’ Early Medical Concepts 34
Developments in Thinking Melancholia Through the Ages 35
Early Philosophical Conceptions of Consciousness 36 Later Greek and Roman Thought 36 Early Views of Mental Disorders in China 37 Views of Abnormality During the Middle Ages 37
Toward Humanitarian Approaches 39 The Resurgence of Scientific Questioning in Europe 39 The Establishment of Early Asylums 40 Humanitarian Reform 41 Nineteenth-Century Views of the Causes and Treatment of Mental Disorders 45 Changing Attitudes Toward Mental Health in the Early Twentieth Century 45
The World Around Us Chaining Mental Health Patients 46
Mental Hospital Care in the Twentieth Century 46
The Emergence of Contemporary Views of Abnormal Behavior 48
Biological Discoveries: Establishing the Link Between the Brain and Mental Disorder 48 The Development of a Classification System 49 Development of the Psychological Basis of Mental Disorder 50
Developments in Research The Search for Medications to Cure Mental Disorders 50
The Evolution of the Psychological Research Tradition: Experimental Psychology 53
Unresolved Issues Interpreting Historical Events 56 Summary 58
Key Terms 59
3 Causal Factors and Viewpoints 60 Risk Factors and Causes of Abnormal Behavior 61
Necessary, Sufficient, and Contributory Causes 61 Feedback and Bidirectionality in Abnormal Behavior 63 Diathesis–Stress Models 63
Contents
Contents v
Assessment Interviews 115 The Clinical Observation of Behavior 116 Psychological Tests 117
Developments in Practice The Automated Practice: Use of the Computer in Psychological Testing 118
The Case of Andrea C.: Experiencing Violence in the Workplace 125
Developments in Practice Computer-Based MMPI-2 Report for Andrea C. 126
The Integration of Assessment Data 128 Ethical Issues in Assessment 128
Classifying Abnormal Behavior 129 Differing Models of Classification 129 Formal Diagnostic Classification of Mental Disorders 130
Unresolved Issues The DSM-5: Issues in Acceptance of Changed Diagnostic Criteria 133 Summary 134
Key Terms 135
5 Stress and Physical and Mental Health 136
What Is Stress? 137 Stress and the DSM 138 Factors Predisposing a Person to Stress 138 Characteristics of Stressors 139 Measuring Life Stress 140 Resilience 140
Stress and Physical Health 141 The Stress Response 142 The Mind–Body Connection 143 Understanding the Immune System 143
Stress and Immune System Functioning 145 Stress and Cytokines 145 Chronic Stress and Inflammation 146 Stress and Premature Aging 147
The World Around Us Racial Discrimination and Cardiovascular Health in African Americans 147
Emotions and Health 149 Personality 149 Depression 150 Anxiety 151 Social Isolation and Lack of Social Support 151 Positive Emotions 151 The Importance of Emotion Regulation 153
Treatment of Stress-Related Physical Disorders 153 Biological Interventions 153 Psychological Interventions 153
Stress and Mental Health 155 Adjustment Disorder 155 Adjustment Disorder Caused by Unemployment 156 Posttraumatic Stress Disorder 156
Perspectives to Understanding the Causes of Abnormal Behavior 66
The Biological Perspective 66 Genetic Vulnerabilities 67
Developments in Thinking Nature, Nurture, and Psychopathology: A New Look at an Old Topic 71
Brain Dysfunction and Neural Plasticity 72 Imbalances of Neurotransmitters and Hormones 73 Temperament 75 The Impact of the Biological Viewpoint 76
The Psychological Perspective 76 The Psychodynamic Perspective 77
Developments in Thinking The Humanistic and Existential Perspectives 82
The Behavioral Perspective 83 The Cognitive-Behavioral Perspective 86 What the Adoption of a Perspective Does and Does Not Do 89
The Social Perspective 90 Early Deprivation or Trauma 90 Problems in Parenting Style 93 Marital Discord and Divorce 95 Low Socioeconomic Status and Unemployment 96 Maladaptive Peer Relationships 97 Prejudice and Discrimination in Race, Gender, and Ethnicity 98 The Impact of the Social Perspective 99
The Cultural Perspective 99 Universal and Culture-Specific Symptoms of Disorders 99 Culture and Over- and Undercontrolled Behavior 100
The World Around Us Culture and Attachment Relationships 101
Unresolved Issues Theoretical Perspectives and the Causes of Abnormal Behavior 102 Summary 103
Key Terms 104
4 Clinical Assessment and Diagnosis 106
The Basic Elements in Assessment 107 The Relationship Between Assessment and Diagnosis 107 Taking a Social or Behavioral History 108 Ensuring Culturally Sensitive Assessment Procedures 109 The Influence of Professional Orientation 109 Reliability, Validity, and Standardization 110 Trust and Rapport Between the Clinician and the Client 110
Assessment of the Physical Organism 111 The General Physical Examination 111 The Neurological Examination 111 The Neuropsychological Examination 114