The placebo effect

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Transcript The placebo effect

The Psychodynamic Approach to Explaining Abnormality

Unconscious unresolved conflicts from childhood

By the end of this topic, you should be able to:

• • • • Describe the main assumptions of the psychodynamic approach to psychology Describe proposed by Freud: the id, the ego, and the superego the three parts of the mind as Explain how mental abnormality might arise from imbalances between the id, ego and superego Explain the difference between conscious, preconscious and unconscious thoughts, feelings and memories

Assumptions of the psychodynamic approach

• • • • Much of our behaviour is driven by unconscious motives Childhood is a critical period in development Mental disorders arise from unresolved, unconscious conflicts originating in childhood Resolution occurs through accessing and coming to terms with repressed ideas and conflicts

Id: Pleasure principle Superego: Morality principle Ego: Reality principle Conscious: The part of the mind we are aware of – everyday thoughts and feelings Preconscious: Thoughts and memories not accessible at all times, but easily recalled Unconscious: and feelings The deep dark shameful part! Repressed thoughts, memories Freud’s tripartite model of personality

Are we born with an ego?

• • •

Id

is present at birth – a newborn baby is completely selfish Ego develops by the age of three – child becomes aware that other people have feelings and that it can’t always have it’s own way Superego appears around age five – sense of morality (conscience) passed on by parents – child internalises this

Proof of the unconscious?

• • • ‘Freudian slips’ “A Freudian slip is saying one thing and meaning your mother” http://www.youtube.co

m/watch?v=Mvxe04wG mTw&feature=related

Summary

• • • • Ego too weak – allows id and superego to dominate

Id

too strong – selfish, out of control, could become psychopathic Superego too strong – strict, anxious, obsessive – depression, anxiety, OCD How might bipolar disorder be explained using this approach?

By the end of this topic, you should be able to:

• • • • Explain what defence mechanisms are Describe at least 3 common defence mechanisms Apply defence mechanisms to ‘real life’ examples Explain how over-use of defence mechanisms might lead to mental abnormality

Defence mechanisms

• • • The constant disagreements between the id, the ego and the superego can lead to a lot of anxiety E.g. You want that bar of chocolate but you know you’re meant to be on a diet – you feel guilty if you have it but unsatisfied if you don’t – anxiety either way! So the mind develops various methods of defending itself – for example you tell yourself that it’s ok to eat the chocolate because it’s good for you (rationalisation)

• • • We all basis use defence mechanisms on a daily They are unconscious – what we’re doing we aren’t aware of But… if we over use them they can lead to mental abnormalities – psychosis?

Denial:

You completely reject the thought or feeling My Ashley would never cheat on me…

• Projection: You attribute your own socially unacceptable thought or feeling to someone else I can’t believe what Vernon Kay has been up to… what a cheating liar! How could he do that to his beautiful wife?

• Suppression: You are vaguely aware of the thought or feeling, but try to hide it.

Hmmm, perhaps Ashley isn’t as perfect as I thought. Can’t think about that now… got to go and buy some new shoes instead.

• Displacement: you redirect your feelings to another target It’s not my fault my marriage is over. It’s the newspapers’. And those women for selling their stories… And Cheryl’s for not being there enough… And my mum’s for not breastfeeding me. I hate them all!

• ‘m usually immature, behaviour I’m going home to me Mam, so she can cook me beans on toast, and stroke me hair and tell me that everything is going to be alright.

• Sublimation: You redirect the feeling into a socially productive activity e.g. art, poetry, sport I’m going to make another album, and learn how to tap dance, and take up scuba diving!

• Rationalisation: You try to justify uncomfortable thoughts or feelings with socially acceptable motives I don’t hate women… I love them… that’s why I can’t keep it in my pants!

• Reaction formation: You turn the feeling into its opposite I’m not at all upset or humiliated. In fact, I’m the happiest I’ve ever been.

By the end of this topic you should be able to:

• • • • Describe the 5 psychosexual stages of development, including the Oedipus/Electra Complex

Explain

how fixation at each stage may lead to abnormality Evaluate the psychodynamic approach to psychopathology Discuss debate the free will vs determinism

Psychosexual stages

• • • • Freud believed that children are born with a libido – a sexual (pleasure) urge There are a number of stages of childhood, during which the child seeks pleasure from a different ‘object’ To be psychologically healthy, we must successfully complete each stage Mental abnormality can occur if a stage is not completed successfully – the person becomes ‘fixated’

The oral stage

• • • • • • Birth to 18 months approximately The mouth this stage is the main focus of pleasure during The child enjoys tasting and sucking Successful completion of this stage is demonstrated by weaning – eating independently Oral receptive (not allowed to suck freely) – passive, needy, sensitive to rejection – overeats and drinks, bite nails, may smoke Oral aggressive (allowed to suck too often/too long) – hostile and verbally abusive, sarcastic

The anal stage

• • • • • 18 months to 3 years Defecation is main source of pleasure Successful completion marked by potty training Anally retentive - very tidy, stubborn, likes order and being in control Anally expulsive - generous but disorganised , doesn’t like to follow rules

The Oedipus complex

• • • • • • Occurs during the

phallic stage

Around age 3-5 Boy wants his mother as his ‘primary love object’ Wants his father out of the way Fears that his father knows this and will castrate him as punishment Identifies with father to stop castration anxiety

• • • • •

The Electra (female Oedipus) complex

A girl also desires her mother But she realises she doesn’t have a penis like her father! Becomes hostile towards her mother because she believes her mother has castrated her Develops attraction to father instead because she believes he can give her a baby, which will act as a penis substitute Eventually resolves feelings towards mother and identifies with her – doesn’t want to lose her mother’s love

The latency stage

• • • • • Age 6 to puberty approximately Sexual urges sublimated and other hobbies into sports Focus on developing

same sex

friendships No particular requirements for successful completion Lull before the storm of puberty !

The genital stage

• • • • Puberty into adulthood Focus on to same extent as phallic stage genitals but not Task is to develop

healthy

adult relationships This should happen if earlier stages have been negotiated successfully

• O ld A ge P ensioners L ove G uinness! • • • • • O ral stage A nal stage P hallic stage L atent stage G enital stage Now use your textbook to help you complete page 23 of your workbook (yellow cover)

Little Hans

• • Freud believed that the case study of Little Hans supported his theory of psychosexual stages and the Oedipus complex in particular Work in pairs to read the information on p. 24 of your workbook, then complete p. 25 with his interpretation of Hans’ behaviour

Evaluation of the psychodynamic approach to psychopathology

1. Influential 2. Unscientific – how can it be tested?

3. Retrospective data – case studies 4. Doesn’t consider adult experiences 5. Blames parents! 6. Deterministic • • • Is it a strength or a limitation? Is there any evidence to support this point? Is there a counter argument? How might Freud have defended himself?

Free will vs determinism

• • • Determinism is the belief that everything – including human thought and behaviour – is predetermined by the law of nature (fate, God, evolution, etc.) Free will is the belief that we have total control over our own lives Psychodynamic theory is deterministic because it states that behaviour is controlled by the unconscious mind – something we don’t have control of

Using this in the exam…

• • • • In pairs, you have 10 minutes to write a 6 point evaluation of the psychodynamic approach to abnormality This means either two points perhaps with examples OR three points briefly explained When you have finished, swap with another pair to mark each other’s answers well explained,