Abnormal Psychology: Leading Research Perspectives

633 Pages·2017·27.873 MB·English

by  Elizabeth Rieger

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Maree Abbott Carol Hulbert Greg Murray By
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Harjit Bagga Martina Jovev Richard O’Kearney
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Sarah Bendall Riki Lane Nancy A. Pachana H

Alex Blaszczynski Marita McCabe Ken Pang R
PSYCHOLOGY
Richard Bryant Louise McCutcheon Elizabeth Rieger I
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Phyllis Butow Peter McEvoy Matthew Sanders G
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David Clarke Catharine McNab Marianna Szabó
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David H. Gleaves Ross G. Menzies Robert Tait
John Gleeson Philip B. Mitchell Stephen Touyz LEADING RESEARCHER PERSPECTIVES
Phillipa Hay Alina Morawska
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ELIZABETH RIEGER
edited by
www.mhhe.com/au/rieger4e
spine: 21.88mm
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ABNORMAL
PSYCHOLOGY
LEADING RESEARCHER PERSPECTIVES
ELIZABETH RIEGER
EDITED BY
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Dedication
In memory of Karl Rieger, my father—generous in his love and affirmation,
contagious in his exuberance for life,
unmatched in his courage.
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National Library of Australia Cataloguing-in-Publication Data
Title: Abnormal psychology : leading researcher perspectives / edited by Elizabeth Rieger.
Edition: 4th edition.
ISBN: 9781743766620 (paperback)
Notes: Includes index.
Subjects: Psychology, Pathological.
Psychology, Pathological—Case studies.
Psychiatry.
Clinical psychology.
Other Authors/Contributors:
Rieger, Elizabeth, editor.
Published in Australia by
McGraw-Hill Education (Australia) Pty Ltd
Level 33, 680 George Street, Sydney 2000
Product manager: Lisa Coady
Content developer: Isabella Mead
Senior content producer: Claire Linsdell
Permissions editor: Haidi Bernhardt
Copyeditor: Alison Moore
Proofreader: Anne Savage
Cover design: Simon Rattray
Printed in China on 70 gsm matt art by CTPS
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iii
Contents in brief
C HAPTER 1 Conceptual issues in abnormal psychology 1
C HAPTER 2 Anxiety disorders 41
C HAPTER 3 Obsessive-compulsive and related disorders 73
C HAPTER 4 Trauma- and stressor-related disorders 87
C HAPTER 5 Depressive disorders 99
C HAPTER 6 Bipolar disorder 125
C HAPTER 7 Psychotic disorders 147
C HAPTER 8 Somatic symptom and dissociative disorders 187
C HAPTER 9 Eating disorders 235
C HAPTER 10 Addictive disorders 281
C HAPTER 11 Sexual and relationship problems 327
C HAPTER 12 Gender dysphoria 369
C HAPTER 13 Personality disorders 399
C HAPTER 14 Disorders of childhood 443
C HAPTER 15 Ageing and psychological disorders 491
C HAPTER 16 Health psychology 537
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iv
C ontents in full
Preface xi Case matrix xix
About the editor xii What’s new in this edition? xx
Contributing authors xiii Text at a glance xxii
Acknowledgments xviii Digital resources xxiv
CHAPTER 1 Conceptual issues in abnormal psychology 1
Marianna Szabó
ABNORMAL PSYCHOLOGY: AN AUSTRALASIAN The cognitive-behavioural perspective 24
FOCUS 1 The humanistic perspective 25
The definitions of abnormal behaviour and mental The sociocultural perspective 27
disorder 2 An integrative approach 28
Abnormality 2 The classification and diagnosis of
Mental disorder 4 mental disorders 28
Perspectives on the classification, causation Advantages and disadvantages of diagnosis 30
and treatment of mental disorders 6 The development of the DSM system of classification
The biological perspective 6 and diagnosis 31
Psychological perspectives 11 Summary 37
The psychoanalytic perspective 12 Key terms 37
The behavioural perspective 17 Review questions 38
The cognitive perspective 21 References 38
CHAPTER 2 Anxiety disorders 41
Peter McEvoy • Maree Abbott
ANXIETY DISORDERS: AN AUSTRALASIAN FOCUS 41 Social anxiety disorder 55
Fear and anxiety disorders 42 The diagnosis of social anxiety disorder 55
The nature of fear and anxiety disorders 42 The epidemiology of social anxiety disorder 55
Types of anxiety disorders 45 CASE STUDY: SOCIAL ANXIETY DISORDER 55
Specific phobias 46 The aetiology of social anxiety disorder 56
The diagnosis of specific phobias 46 The treatment of social anxiety disorder 57
CASE STUDY: SPECIFIC PHOBIA 47 Generalised anxiety disorder (GAD) 58
The epidemiology of specific phobias 47 The diagnosis of generalised anxiety disorder 58
The aetiology of specific phobias 47 CASE STUDY: GENERALISED ANXIETY DISORDER 59
The treatment of specific phobias 48 The epidemiology of generalised anxiety disorder 59
Panic disorder and agoraphobia 50 The aetiology of generalised anxiety disorder 60
The diagnosis of panic disorder and agoraphobia 50 The treatment of generalised anxiety disorder 62
The epidemiology of panic disorder and agoraphobia 50 Summary 65
CASE STUDY: PANIC DISORDER AND AGORAPHOBIA 51 Key terms 66
The aetiology of panic disorder and agoraphobia 51 Review questions 67
The treatment of panic disorder and agoraphobia 52 References 67
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Contents in full v
CHAPTER 3 Obsessive-compulsive and related disorders 73
Ross G. Menzies
OBSESSIVE-COMPULSIVE AND RELATED The aetiology of obsessive-compulsive disorder 78
DISORDERS: AN AUSTRALASIAN FOCUS 73 The treatment of obsessive-compulsive disorder 80
Obsessive-compulsive disorder: diagnosis OCD-related disorders 81
and presentation 74 Hoarding disorder 81
The diagnosis of obsessive-compulsive disorder 74 Body dysmorphic disorder 82
The presentation of obsessive-compulsive disorder 75 Trichotillomania (hair-pulling disorder) 82
CASE STUDY: OBSESSION WITH HARMING OTHERS 75 Excoriation (skin-picking) disorder 82
CASE STUDY: CONTAMINATION OBSESSIONS AND The treatment of OCD-related disorders 83
COMPULSIONS 77 Summary 83
The epidemiology and aetiology of obsessive- Key terms 84
compulsive disorder 77 Review questions 84
The epidemiology of obsessive-compulsive disorder 77 References 84
CHAPTER 4 Trauma- and stressor-related disorders 87
Richard Bryant
TRAUMA- AND STRESSOR-RELATED-DISORDERS: Avoidance 91
AN AUSTRALASIAN FOCUS 87 The treatment and prevention of posttraumatic
The diagnosis of posttraumatic stress disorder 88 stress disorder  92
The epidemiology of posttraumatic stress disorder  89 Treatment 92
The prevalence of posttraumatic stress disorder 89 Prevention 93
Risk factors for the development of posttraumatic Current challenges in treatment and prevention 94
stress disorder 90 CASE STUDY: POSTTRAUMATIC STRESS DISORDER 94
The aetiology of posttraumatic stress disorder  91 Summary 95
Cognitive models 91 Key terms 96
Learning accounts 91 Review questions 96
Biological accounts 91 References 96
CHAPTER 5 Depressive disorders 99
Richard O’Kearney
DEPRESSIVE DISORDERS: AN AUSTRALASIAN The aetiology of depression 107
FOCUS 99 Biological factors 107
Historical and current approaches to the Environmental factors 108
diagnosis of depression 100 Psychological factors 109
Historical approaches to the diagnosis of depression 100 Social factors 111
Current approaches to the diagnosis of depression 100 Protective factors 112
The epidemiology and associated The treatment of depression 112
features of depression 103 Pharmacological and physical approaches 113
The prevalence of depression 103 Psychological approaches 114
The age of onset of depression 105 Relapse prevention 116
The course of depression 105 The prevention of depression 116
Problems associated with depression 105 CASE STUDY: THE SYMPTOMS AND TREATMENT
CASE STUDY: ANXIETY AND DEPRESSION 107 OF MAJOR DEPRESSIVE DISORDER 117
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vi Contents in full
Summary 117 Review questions 118
Key terms 118 References 119
CHAPTER 6 Bipolar disorder 125
Philip B. Mitchell • Greg Murray
BIPOLAR DISORDER: AN AUSTRALASIAN FOCUS 125 The aetiology of bipolar disorder 134
Historical and current approaches The treatment of bipolar disorder 137
to the diagnosis of bipolar disorder 126 Pharmacological approaches 137
The history of bipolar disorder 126 Psychological approaches 137
The diagnosis of bipolar disorders 127 CASE STUDY: FIRST MANIC EPISODE 141
The epidemiology of bipolar disorder 130 Summary 143
Prevalence, age of onset and course of the disorder 130 Key terms 143
Problems associated with bipolar disorder 131 Review questions 143
Bipolar disorder and creativity 133 References 144
CHAPTER 7 Psychotic disorders 147
John Gleeson • Sarah Bendall
PSYCHOTIC DISORDERS: AN AUSTRALASIAN Vulnerability factors: psychosocial 166
FOCUS 147 Triggering factors 168
The definition and symptoms of psychosis 148 CASE STUDY: THE ROLE OF STRESS AND TRAUMA
Hallucinations 149 IN PSYCHOSIS ONSET 168
Delusions 149 Symptom-specific aetiological factors: hallucinations 169
Disorganised thinking 152 Symptom-specific aetiological factors: delusions 170
Grossly disorganised behaviour 152 Symptom-specific aetiological factors: thought
Negative symptoms 153 disorder 170
The diagnosis of psychotic disorders: core and The treatment of psychotic disorders 171
associated features 153 Prodromal phase interventions 171
Core features 153 Acute phase interventions 173
Associated features 156 Interventions to prevent relapse 175
Historical and current conceptualisations Interventions for enduring psychosis 176
of psychotic disorders 158 The consumer recovery model 177
Historical developments 158 Limitations of current treatment approaches 177
Ongoing controversies 158 CASE STUDY: FROM PRODROMAL PHASE TO EARLY
The epidemiology of psychotic disorders 159 RECOVERY 178
Prevalence and age of onset 159 Summary 179
The course of psychotic disorders 159 Key terms 180
The aetiology of psychosis 163 Review questions 180
Vulnerability factors: biological 163 References 181
CHAPTER 8 Somatic symptom and dissociative disorders 187
David H. Gleaves • David Clarke
SOMATIC SYMPTOM AND DISSOCIATIVE The definition of somatic symptom and dissociative
DISORDERS: AN AUSTRALASIAN FOCUS 187 disorders 188
Somatic symptom and dissociative disorders: Historical approaches to somatic symptom
definitions and historical approaches 188 and dissociative disorders 189
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Somatic symptom and related disorders 191 The diagnosis of dissociative disorders 210
The diagnosis of somatic symptom and related disorders 191 The epidemiology of dissociative disorders 213
The epidemiology of somatic symptom and The aetiology of dissociative disorders 215
related disorders 196 The treatment of dissociative disorders 219
The aetiology of somatic symptom and related CASE STUDY: THE RECOVERED MEMORY/FALSE
disorders 198 MEMORY DEBATE 220
The treatment of somatic symptom and related CASE STUDY: DISSOCIATIVE IDENTITY DISORDER 224
disorders 204 Summary 225
CASE STUDY: SOMATIC SYMPTOM DISORDER 206 Key terms 226
Dissociative disorders 208 Review questions 226
References 227
CHAPTER 9 Eating disorders 235
Stephen Touyz • Phillipa Hay • Elizabeth Rieger
EATING DISORDERS: AN AUSTRALASIAN FOCUS 235 The aetiology of bulimia nervosa 257
Historical and current approaches The treatment of bulimia nervosa 259
to the diagnosis of eating disorders 236 CASE STUDY: BULIMIA NERVOSA 262
Anorexia nervosa 237 Binge eating disorder 263
Bulimia nervosa 238 The epidemiology of binge eating disorder 263
Binge eating disorder 239 The aetiology of binge eating disorder 264
Other DSM-5 feeding or eating disorders 239 The treatment of binge eating disorder 266
CASE STUDY: AVOIDANT/RESTRICTIVE FOOD INTAKE CASE STUDY: BINGE EATING DISORDER 269
DISORDER (ARFID) 240 General topics in eating disorders 270
Anorexia nervosa 241 Current challenges and controversies 270
The epidemiology of anorexia nervosa 242 Eating disorder organisations 274
The aetiology of anorexia nervosa 243 Summary 274
The treatment of anorexia nervosa 249 Key terms 275
CASE STUDY: ANOREXIA NERVOSA 254 Review questions 275
Bulimia nervosa 256 References 275
The epidemiology of bulimia nervosa 256
CHAPTER 10 Addictive disorders 281
Alex Blaszczynski • Robert Tait
ADDICTIVE BEHAVIOURS: AN AUSTRALASIAN The aetiology of substance use disorders 292
FOCUS 281 The treatment of substance use disorders 297
Substance use disorders 282 Gambling disorder 301
The diagnosis of substance use disorders 282 Types of gamblers 303
CASE STUDY: SEVERE ALCOHOL USE DISORDER 283 Historical approaches to gambling and
CASE STUDY: CANNABIS WITHDRAWAL 285 problem gambling 304
The epidemiology of substance use The diagnosis of gambling disorder 305
disorders 285 The epidemiology of problem gambling 307
CASE STUDY ACUTE INTOXICATION: SYNTHETIC The aetiology of gambling disorder 309
CANNABINOIDS 287 CASE STUDY: A BEHAVIOURALLY CONDITIONED
CASE STUDY: STIMULANT-INDUCED PSYCHOTIC PROBLEM GAMBLER 314
DISORDER 288 The treatment of gambling disorder 315
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viii Contents in full
CASE STUDY: COGNITIVE THERAPY FOR A Key terms 320
PROBLEM GAMBLER 318 Review questions 320
Summary 319 References 320
CHAPTER 11 Sexual and relationship problems 327
Marita McCabe
SEXUAL AND RELATIONSHIP PROBLEMS: AN Historical and current approaches to understanding
AUSTRALASIAN FOCUS 327 paraphilias 343
Sexual problems: sexual dysfunctions 329 The diagnosis of paraphilic disorders 344
The definition of sexual dysfunction 329 The aetiology of paraphilic disorders 348
CASE STUDY: A MALE WITH HYPOACTIVE SEXUAL The treatment of paraphilic disorders 348
DESIRE DISORDER 331 Relationship problems 349
CASE STUDY: A MALE WITH PREMATURE Historical and current approaches to understanding
EJACULATION 332 relationship problems 349
The conceptualisation of sexual dysfunctions 333 The aetiology of relationship problems 350
The aetiology of sexual dysfunction 334 A developmental perspective on relationship problems 357
The treatment of sexual dysfunction 337 The treatment of relationship problems 358
CASE STUDY: A FEMALE WITH SEXUAL INTEREST Summary 361
DISORDER AND A MALE WITH ERECTILE Key terms 362
DISORDER 343 Review questions 362
Sexual problems: the paraphilic disorders 343 References 363
CHAPTER 12 Gender dysphoria 369
Ken Pang • Riki Lane • Harjit Bagga
GENDER VARIANCE: AN AUSTRALASIAN FOCUS 369 Concluding remarks 384
Definition of terms and the diagnosis Treatment options for gender dysphoria 385
of gender dysphoria 371 Guiding principles 385
What is meant by trans and gender diverse (TGD)? 371 CASE STUDY: KELSEY 387
The diagnosis of gender dysphoria 373 Changes in gender expression and role 387
Differential diagnosis 375 Psychological therapies 388
CASE STUDY: JARC 376 CASE STUDY: SURAJEK 389
The epidemiology of gender dysphoria 377 Pharmacological interventions 390
Prevalence 377 Current practices to access gender-affirming
Age of onset and course 379 medical interventions 391
Associated psychological and medical problems 379 Resources 393
CASE STUDY: AUBREY 380 CASE STUDY: NAYA 393
The aetiology of gender dysphoria 380 Summary 394
Gender identity formation: nature versus nurture 381 Key terms 395
Biological influences on gender variance 382 Review questions 395
Psychosexual theories on gender variance 383 References 395
Sociocultural influences on gender variance 384
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Contents in full ix
CHAPTER 13 Personality disorders 399
Louise McCutcheon • Carol Hulbert • Martina Jovev • Catharine McNab
PERSONALITY DISORDERS: AN AUSTRALASIAN The dimensional approach to personality dysfunction 409
FOCUS 399 What is the role of culture in the development
The definition of personality and personality of personality disorders? 409
disorder 401 The epidemiology of personality disorders 410
Personality 401 General models of the aetiology
Personality disorder 402 and treatment of personality disorders 411
CASE STUDY: PERSONALITY DISORDER 402 CASE STUDY: COGNITIVE ANALYTIC THERAPY 418
The diagnosis of personality disorder 402 Can the impact of personality disorders be reduced
The Cluster A personality disorders 404 through early-intervention programs? 421
CASE STUDY: PARANOID PERSONALITY DISORDER 405 The aetiology and treatment of specific
The Cluster B personality disorders 405 personality disorders 422
CASE STUDY: ANTISOCIAL PERSONALITY DISORDER 406 Summary 435
The Cluster C personality disorders 407 Key terms 435
CASE STUDY: OBSESSIVE-COMPULSIVE PERSONALITY Review questions 436
DISORDER 408 References 436
CHAPTER 14 Disorders of childhood 443
Alina Morawska • Matthew Sanders
DISORDERS OF CHILDHOOD: AN AUSTRALASIAN CASE STUDY: PARENT MANAGEMENT TRAINING FOR
FOCUS 443 OPPOSITIONAL DEFIANT DISORDER 470
Psychological and behavioural disorders in  Internalising disorders 472
children 444 The diagnosis and epidemiology of separation
Myths, realities and research challenges 444 anxiety disorder 473
Historical and current approaches to the The aetiology of separation anxiety disorder 473
understanding and classification of childhood The treatment of separation anxiety disorder 474
disorders 447 CASE STUDY: COGNITIVE-BEHAVIOURAL TREATMENT
Neurodevelopmental disorders 450 FOR ANXIETY 475
The diagnosis and epidemiology of attention-deficit/ The diagnosis and epidemiology of selective mutism 476
hyperactivity disorder 450 The aetiology of selective mutism 476
The aetiology of attention-deficit/hyperactivity The treatment of selective mutism 477
disorder 451 Elimination disorders 477
Specific learning disorder 453 The diagnosis and epidemiology of enuresis 477
Autism spectrum disorder 455 The aetiology of enuresis 478
Intellectual disability 457 The treatment of enuresis 478
Externalising disorders 460 The diagnosis and epidemiology of encopresis 479
The diagnosis and epidemiology of oppositional The aetiology of encopresis 479
defiant disorder 461 The treatment of encopresis 479
The aetiology of oppositional defiant disorder 462 Summary 480
The diagnosis and epidemiology of conduct disorder 463 Key terms 480
The aetiology of conduct disorder 464 Review questions 481
The treatment and prevention of externalising disorders 465 References 481
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