Preface | p. xix |
Culture Index | p. xxvii |
Gender Index | p. xxviii |
Abnormal Behavior in Historical Context | p. 1 |
Understanding Psychopathology | p. 2 |
Judy: The Girl Who Fainted at the Sight of Blood | p. 2 |
What Is a Psychological Disorder? | p. 2 |
The Science of Psychopathology | p. 5 |
Historical Conceptions of Abnormal Behavior | p. 8 |
The Supernatural Tradition | p. 8 |
Demons and Witches | p. 8 |
Stress and Melancholy | p. 9 |
Charles VI: The Mad King | p. 9 |
Treatments for Possession | p. 10 |
The Moon and the Stars | p. 11 |
Comments | p. 11 |
The Biological Tradition | p. 11 |
Hippocrates and Galen | p. 11 |
The 19th Century | p. 13 |
The Development of Biological Treatments | p. 14 |
Consequences of the Biological Tradition | p. 14 |
The Psychological Tradition | p. 15 |
Moral Therapy | p. 15 |
Asylum Reform and the Decline of Moral Therapy | p. 16 |
Psychoanalytic Theory | p. 17 |
Humanistic Theory | p. 24 |
The Behavioral Model | p. 24 |
The Present: The Scientific Method and an Integrative Approach | p. 28 |
Summary | p. 29 |
Key Terms | p. 30 |
Answers to Concept Checks | p. 30 |
Chapter Quiz | p. 32 |
An Integrative Approach to Psychopathology | p. 33 |
One-Dimensional or Multidimensional Models | p. 34 |
What Caused Judy's Phobia? | p. 34 |
Outcome and Comments | p. 36 |
Genetic Contributions to Psychopathology | p. 37 |
The Nature of Genes | p. 38 |
New Developments in the Study of Genes and Behavior | p. 38 |
The Interaction of Genetic and Environmental Effects | p. 39 |
Nongenomic "Inheritance" of Behavior | p. 42 |
Neuroscience and Its Contributions to Psychopathology | p. 43 |
The Central Nervous System | p. 44 |
The Structure of the Brain | p. 45 |
The Peripheral Nervous System | p. 48 |
Neurotransmitters | p. 50 |
Implications for Psychopathology | p. 54 |
Psychosocial Influences on Brain Structure and Function | p. 54 |
Interactions of Psychosocial Factors with Brain Structure and Function | p. 56 |
Comments | p. 56 |
Behavioral and Cognitive Science | p. 57 |
Conditioning and Cognitive Processes | p. 57 |
Learned Helplessness and Learned Optimism | p. 58 |
Social Learning | p. 59 |
Prepared Learning | p. 59 |
Cognitive Science and the Unconscious | p. 60 |
Emotions | p. 61 |
The Physiology and Purpose of Fear | p. 61 |
Emotional Phenomena | p. 62 |
The Components of Emotion | p. 62 |
Anger and Your Heart | p. 63 |
Emotions and Psychopathology | p. 64 |
Cultural, Social, and Interpersonal Factors | p. 64 |
Voodoo, the Evil Eye, and Other Fears | p. 65 |
Gender | p. 65 |
Social Effects on Health and Behavior | p. 66 |
Global Incidence of Psychological Disorders | p. 67 |
Life-Span Development | p. 67 |
The Principle of Equifinality | p. 68 |
Conclusions | p. 69 |
Summary | p. 70 |
Key Terms | p. 71 |
Answers to Concept Checks | p. 71 |
Chapter Quiz | p. 72 |
Clinical Assessment, Diagnosis, and Research Methods | p. 73 |
Assessing Psychological Disorders | p. 74 |
Frank: Young, Serious, and Anxious | p. 74 |
Key Concepts in Assessment | p. 75 |
The Clinical Interview | p. 76 |
Physical Examination | p. 79 |
Behavioral Assessment | p. 79 |
Psychological Testing | p. 81 |
Neuropsychological Testing | p. 85 |
Neuroimaging: Pictures of the Brain | p. 86 |
Psychophysiological Assessment | p. 88 |
Diagnosing Psychological Disorders | p. 89 |
Classification Issues | p. 90 |
DSM-IV | p. 92 |
Current Trends | p. 95 |
Conducting Research in Psychopathology | p. 97 |
Basic Components of a Research Study | p. 97 |
Statistical versus Clinical Significance | p. 99 |
The "Average" Client | p. 100 |
Types of Research Methods | p. 101 |
Studying Individual Cases | p. 101 |
Research by Correlation | p. 102 |
Research by Experiment | p. 104 |
Single-Case Experimental Designs | p. 106 |
Genetics and Research Across Time and Cultures | p. 110 |
Studying Genetics | p. 110 |
Studying Behavior over Time | p. 112 |
Studying Behavior Across Cultures | p. 115 |
The Power of a Program of Research | p. 116 |
Replication | p. 117 |
Research Ethics | p. 117 |
Summary | p. 119 |
Key Terms | p. 120 |
Answers to Concept Checks | p. 121 |
Chapter Quiz | p. 122 |
Anxiety Disorders | p. 123 |
The Complexity of Anxiety Disorders | p. 124 |
Anxiety, Fear, and Panic: Some Definitions | p. 124 |
Gretchen: Attacked by Panic | p. 125 |
Causes of Anxiety Disorders | p. 126 |
Comorbidity of Anxiety Disorders | p. 129 |
Generalized Anxiety Disorder | p. 130 |
Clinical Description | p. 130 |
Irene: Ruled by Worry | p. 130 |
Statistics | p. 131 |
Causes | p. 132 |
Treatment | p. 133 |
Panic Disorder with and without Agoraphobia | p. 135 |
Mrs. M.: Self-Imprisoned | p. 135 |
Clinical Description | p. 136 |
Statistics | p. 137 |
Causes | p. 140 |
Treatment | p. 141 |
Specific Phobia | p. 144 |
Clinical Description | p. 144 |
Statistics | p. 147 |
Causes | p. 148 |
Treatment | p. 150 |
Social Phobia | p. 151 |
Billy: Too Shy | p. 151 |
Clinical Description | p. 151 |
Star Player? | p. 151 |
Statistics | p. 152 |
Causes | p. 152 |
Treatment | p. 154 |
Posttraumatic Stress Disorder | p. 155 |
Clinical Description | p. 155 |
The Joneses: One Victim, Many Traumas | p. 155 |
Statistics | p. 157 |
Causes | p. 158 |
Treatment | p. 160 |
Obsessive-Compulsive Disorder | p. 162 |
Clinical Description | p. 162 |
Richard: Enslaved by Ritual | p. 162 |
Statistics | p. 163 |
Causes | p. 164 |
Treatment | p. 165 |
Summary | p. 166 |
Key Terms | p. 167 |
Answers to Concept Checks | p. 167 |
Chapter Quiz | p. 169 |
Somatoform and Dissociative Disorders | p. 172 |
Somatoform Disorders | p. 173 |
Hypochondriasis | p. 173 |
Gail: Invisibly Ill | p. 174 |
Somatization Disorder | p. 177 |
Linda: Full-Time Patient | p. 177 |
Conversion Disorder | p. 180 |
Eloise: Unlearning Walking | p. 181 |
Celia: Seeing Through Blindness | p. 183 |
Pain Disorder | p. 185 |
The Medical Student: Temporary Pain | p. 186 |
The Woman with Cancer: Managing Pain | p. 186 |
Body Dysmorphic Disorder | p. 186 |
Jim: Ashamed to Be Seen | p. 186 |
Dissociative Disorders | p. 191 |
Depersonalization Disorder | p. 192 |
Bonnie: Dancing Away from Herself | p. 192 |
Dissociative Amnesia | p. 193 |
The Woman Who Lost Her Memory | p. 193 |
Dissociative Fugue | p. 194 |
The Misbehaving Sheriff | p. 194 |
Dissociative Trance Disorder | p. 195 |
Dissociative Identity Disorder | p. 195 |
Jonah: Bewildering Blackouts | p. 195 |
The Hillside Strangler | p. 197 |
Sybil: A Childhood Drama | p. 198 |
Summary | p. 203 |
Key Terms | p. 204 |
Answers to Concept Checks | p. 204 |
Chapter Quiz | p. 205 |
Mood Disorders and Suicide | p. 208 |
Understanding and Defining Mood Disorders | p. 209 |
Katie: Weathering Depression | p. 209 |
An Overview of Depression and Mania | p. 210 |
The Structure of Mood Disorders | p. 211 |
Depressive Disorders | p. 212 |
Jack: A Life Kept Down | p. 213 |
Bipolar Disorders | p. 216 |
Jane: Funny, Smart, and Desperate | p. 216 |
Billy: The World's Best at Everything | p. 217 |
Prevalence of Mood Disorders | p. 221 |
In Children and Adolescents | p. 222 |
In the Elderly | p. 224 |
Across Cultures | p. 225 |
Among the Creative | p. 226 |
The Overlap of Anxiety and Depression | p. 226 |
Causes of Mood Disorders | p. 228 |
Biological Dimensions | p. 228 |
Brain Wave Activity | p. 231 |
Psychological Dimensions | p. 231 |
Katie: No Easy Transitions | p. 233 |
Social and Cultural Dimensions | p. 236 |
An Integrative Theory | p. 238 |
Treatment of Mood Disorders | p. 240 |
Medications | p. 240 |
Electroconvulsive Therapy and Transcranial Magnetic Stimulation | p. 243 |
Psychological Treatments | p. 244 |
Beck and Irene: A Dialogue | p. 244 |
Combined Treatments | p. 247 |
Preventing Relapse | p. 247 |
Psychological Treatments for Bipolar Disorder | p. 248 |
Katie: The Triumph of the Self | p. 249 |
Suicide | p. 250 |
Statistics | p. 250 |
Causes | p. 252 |
Risk Factors | p. 253 |
Is Suicide Contagious? | p. 254 |
Treatment | p. 255 |
Summary | p. 256 |
Key Terms | p. 257 |
Answers to Concept Checks | p. 258 |
Chapter Quiz | p. 259 |
Physical Disorders and Health Psychology | p. 262 |
Psychological and Social Factors That Influence Health | p. 263 |
Health and Health-Related Behavior | p. 264 |
The Nature of Stress | p. 265 |
The Physiology of Stress | p. 265 |
Contributions to the Stress Response | p. 266 |
Stress, Anxiety, Depression, and Excitement | p. 267 |
Stress and the Immune Response | p. 268 |
Psychosocial Effects on Physical Disorders | p. 271 |
AIDS | p. 271 |
Cancer | p. 272 |
Cardiovascular Problems | p. 274 |
John: The Human Volcano | p. 274 |
Hypertension | p. 275 |
Coronary Heart Disease | p. 276 |
Chronic Pain | p. 279 |
Chronic Fatigue Syndrome | p. 282 |
Psychosocial Treatment of Physical Disorders | p. 284 |
Biofeedback | p. 285 |
Relaxation and Meditation | p. 286 |
A Comprehensive Stress- and Pain-Reduction Program | p. 286 |
Sally: Improving Her Perception | p. 287 |
Drugs and Stress-Reduction Programs | p. 288 |
Denial as a Means of Coping | p. 288 |
Modifying Behaviors to Promote Health | p. 289 |
Summary | p. 293 |
Key Terms | p. 294 |
Answers to Concept Checks | p. 294 |
Chapter Quiz | p. 295 |
Eating and Sleep Disorders | p. 298 |
Major Types of Eating Disorders | p. 299 |
Bulimia Nervosa | p. 300 |
Phoebe: Apparently Perfect | p. 300 |
Anorexia Nervosa | p. 303 |
Julie: The Thinner the Better | p. 303 |
Binge-Eating Disorder | p. 305 |
Statistics | p. 306 |
Causes of Eating Disorders | p. 309 |
Social Dimensions | p. 309 |
Phoebe: Dancing to Destruction | p. 312 |
Biological Dimensions | p. 313 |
Psychological Dimensions | p. 314 |
An Integrative Model | p. 314 |
Treatment of Eating Disorders | p. 316 |
Drug Treatments | p. 316 |
Psychological Treatments | p. 316 |
Phoebe: Taking Control | p. 317 |
Preventing Eating Disorders | p. 319 |
Obesity | p. 321 |
Statistics | p. 321 |
Disordered Eating Patterns in Cases of Obesity | p. 322 |
Causes | p. 322 |
Treatment | p. 323 |
Sleep Disorders: The Major Dyssomnias | p. 325 |
An Overview of Sleep Disorders | p. 325 |
Primary Insomnia | p. 327 |
Sonja: School on Her Mind | p. 328 |
Primary Hypersomnia | p. 331 |
Ann: Sleeping in Public | p. 331 |
Narcolepsy | p. 332 |
Breathing-Related Sleep Disorders | p. 332 |
Circadian Rhythm Sleep Disorders | p. 333 |
Treatment of Sleep Disorders | p. 334 |
Medical Treatments | p. 334 |
Environmental Treatments | p. 335 |
Psychological Treatments | p. 336 |
Preventing Sleep Disorders | p. 337 |
Parasomnias and Their Treatment | p. 337 |
Summary | p. 339 |
Key Terms | p. 340 |
Answers to Concept Checks | p. 340 |
Chapter Quiz | p. 341 |
Sexual and Gender Identity Disorders | p. 344 |
What Is Normal Sexuality? | p. 345 |
Gender Differences | p. 346 |
Cultural Differences | p. 348 |
The Development of Sexual Orientation | p. 348 |
Gender Identity Disorder | p. 350 |
Joe: Trapped in the Wrong Body | p. 350 |
Defining Gender Identity Disorder | p. 350 |
Causes | p. 351 |
John/Joan | p. 352 |
Treatment | p. 353 |
Overview of Sexual Dysfunctions | p. 354 |
Sexual Desire Disorders | p. 356 |
Mr. and Mrs. C.: Getting Started | p. 356 |
Lisa: The Terror of Sex | p. 357 |
Sexual Arousal Disorders | p. 357 |
Bill: Long Marriage, New Problem | p. 358 |
Orgasm Disorders | p. 359 |
Greta and Will: Loving Disunion | p. 359 |
Gary: Running Scared | p. 360 |
Sexual Pain Disorders | p. 361 |
Jill: Sex and Spasms | p. 361 |
Assessing Sexual Behavior | p. 362 |
Causes and Treatment of Sexual Dysfunction | p. 363 |
Causes of Sexual Dysfunction | p. 363 |
Treatment of Sexual Dysfunction | p. 368 |
Carl: Never Too Late | p. 368 |
Paraphilia: Clinical-Descriptions | p. 372 |
Fetishism | p. 372 |
Voyeurism and Exhibitionism | p. 372 |
Robert: Outside the Curtains | p. 373 |
Transvestic Fetishism | p. 373 |
Mr. M.: Strong Man in a Dress | p. 373 |
Sexual Sadism and Sexual Masochism | p. 374 |
Pedophilia and Incest | p. 374 |
Tony: More and Less a Father | p. 375 |
Paraphilia in Women | p. 376 |
Causes of Paraphilia | p. 376 |
Robert: Revenge on Repression | p. 376 |
Tony: Trained Too Young | p. 376 |
Assessing and Treating Paraphilia | p. 378 |
Psychological Treatment | p. 378 |
Tony: Imagining the Worst | p. 378 |
Drug Treatments | p. 380 |
Summary | p. 380 |
Summary | p. 381 |
Key Terms | p. 382 |
Answers to Concept Checks | p. 382 |
Chapter Quiz | p. 383 |
Substance-Related and Impulse-Control Disorders | p. 386 |
Perspectives on Substance-Related Disorders | p. 387 |
Danny: Multiple Dependencies | p. 387 |
Levels of Involvement | p. 388 |
Diagnostic Issues | p. 393 |
Depressants | p. 394 |
Alcohol Use Disorders | p. 394 |
Sedative, Hypnotic, or Anxiolytic Substance Use Disorders | p. 398 |
Stimulants | p. 400 |
Amphetamine Use Disorders | p. 400 |
Cocaine Use Disorders | p. 401 |
Nicotine Use Disorders | p. 403 |
Caffeine Use Disorders | p. 404 |
Opioids | p. 404 |
Hallucinogens | p. 405 |
Marijuana | p. 406 |
LSD and Other Hallucinogens | p. 407 |
Other Drugs of Abuse | p. 408 |
Causes of Substance-Related Disorders | p. 409 |
Biological Dimensions | p. 410 |
Psychological Dimensions | p. 411 |
Cognitive Factors | p. 412 |
Social Dimensions | p. 413 |
Cultural Dimensions | p. 413 |
An Integrative Model | p. 414 |
Treatment of Substance-Related Disorders | p. 416 |
Biological Treatments | p. 416 |
Psychosocial Treatments | p. 418 |
Prevention | p. 421 |
Impulse-Control Disorders | p. 422 |
Intermittent Explosive Disorder | p. 422 |
Kleptomania | p. 422 |
Pyromania | p. 423 |
Pathological Gambling | p. 423 |
Trichotillomania | p. 424 |
Summary | p. 424 |
Key Terms | p. 425 |
Answers to Concept Checks | p. 425 |
Chapter Quiz | p. 427 |
Personality Disorders | p. 430 |
An Overview of Personality Disorders | p. 431 |
Aspects of Personality Disorders | p. 431 |
Categorical and Dimensional Models | p. 432 |
Personality Disorder Clusters | p. 433 |
Statistics and Development | p. 433 |
Gender Differences | p. 434 |
Comorbidity | p. 436 |
Personality Disorders Under Study | p. 436 |
Cluster A Personality Disorders | p. 437 |
Paranoid Personality Disorder | p. 437 |
Jake: Research Victim | p. 437 |
Schizoid Personality Disorder | p. 439 |
Mr. Z.: All on His Own | p. 440 |
Schizotypal Personality Disorder | p. 441 |
Mr. S.: Man with a Mission | p. 441 |
Cluster B Personality Disorders | p. 443 |
Antisocial Personality Disorder | p. 444 |
Ryan: The Thrill Seeker | p. 444 |
Borderline Personality Disorder | p. 452 |
Claire: A Stranger Among Us | p. 452 |
Histrionic Personality Disorder | p. 455 |
Pat: Always Onstage | p. 455 |
Narcissistic Personality Disorder | p. 457 |
Willie: It's All About Me | p. 457 |
Cluster C Personality Disorders | p. 459 |
Avoidant Personality Disorder | p. 459 |
Jane: Not Worth Noticing | p. 459 |
Dependent Personality Disorder | p. 461 |
Karen: Whatever You Say | p. 461 |
Obsessive-Compulsive Personality Disorder | p. 462 |
Daniel: Getting It Exactly Right | p. 462 |
Summary | p. 464 |
Key Terms | p. 465 |
Answers to Concept Checks | p. 465 |
Chapter Quiz | p. 467 |
Schizophrenia and Other Psychotic Disorders | p. 470 |
Perspectives on Schizophrenia | p. 471 |
Early Figures in Diagnosing Schizophrenia | p. 471 |
Identifying Symptoms | p. 472 |
Arthur: Saving the Children | p. 472 |
Clinical Description, Symptoms, and Subtypes | p. 474 |
Positive Symptoms | p. 474 |
David: Missing Uncle Bill | p. 475 |
Negative Symptoms | p. 477 |
Disorganized Symptoms | p. 478 |
Schizophrenia Subtypes | p. 479 |
Other Psychotic Disorders | p. 480 |
Prevalence and Causes of Schizophrenia | p. 483 |
Statistics | p. 483 |
Development | p. 483 |
Cultural Factors | p. 484 |
Genetic Influences | p. 485 |
Neurobiological Influences | p. 488 |
Psychological and Social Influences | p. 492 |
Treatment of Schizophrenia | p. 494 |
Biological Interventions | p. 495 |
Psychosocial Interventions | p. 497 |
Treatment Across Cultures | p. 500 |
Prevention | p. 500 |
Summary | p. 501 |
Key Terms | p. 502 |
Answers to Concept Checks | p. 502 |
Chapter Quiz | p. 503 |
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