JEFFREYS. NEVID St. John's University BEVERLY GREENE St. John's University LINDA J. KNIGHT john Abbott College PAUL A. JOHNSON STEVEN TAYLOR University of British Columbia • IN A CHANGING WORLD FOURTH CANADIAN EDITION @ Pearson VICE l'RESIDEN"T, EDITORIAL: Anne Williams I'ERMISSIONS l'ROJECT MANAGER: Kathryn O'Handley ExEctmvE AcQUISITIONS EorroR: Kimberley Veevers I'HOTO l'ERMJSSIONS RESEARCH: Integra Publishing Services, Inc. MARKETING MANAGER: Lisa Gillis TEXT l'ERMJSSIONS RESEARCH: Integra Publishing Services, Inc. Coi'<"TENT MANAGER: Madhu Ranadive ii'<"TERJOR DESIGNER: Anthony Leung l'ROJECT MANAGER: Susan Johnson CovER DESIGNER: Anthony Leung Coi'<"TENT DEVELOPER: Katherine Goodes CovER IMAGE: Burterfly Hunter/Shutterstock l'RODUCTION SERVICES: iEnergizer Aptara®, Ltd. Pearson Canada Inc., 26 Prince Andrew Place, North York, Ontario M3C 2H4. Copyright© 2019, 2015, 2013 Pearson Canada Inc. All rights reserved. Printed in the United States of America. 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Psychology, Pathological- Textbooks. 2. Textbooks. I. Greene, Beverly, author II. Knight, Linda J. (Linda Jocelyne), 1960-, author ill. Johnson, Paul A., author IV. Taylor, Steven, 1960-, aurhor V. Title. VI. Title: Abnormal psychology in a changing world. RC454.E88 2018 616.89 C2017-907063-0 @ Pearson To Sam, Scott, and Derek - LK To Anna, Alex, and Amy - ST This page intentionally left blank 1 What Is Abnormal Psychology? 1 2 Assessment, Classification, and Treatment of Abnormal Behaviour 40 3 Anxiety, Obsessive-Compulsive, and Trauma-and Stressor-Related Disorders 100 4 Depressive Disorders, Bipolar and Related Disorders, and Suicide 142 5 Dissociative Disorders and Somatic Symptom and Related Disorders 186 6 Personality Disorders 213 7 Substance-Related and Addictive Disorders 248 8 Feeding and Eating Disorders and Sleep-Wake Disorders 292 9 Gender Dysphoria, Paraphilic Disorders, and Sexual Dysfunctions 321 10 Schizophrenia Spectrum and Other Psychotic Disorders 357 11 Abnormal Behaviour across the Lifespan 391 Appendix: Research Methods in Abnormal Psychology 433 v This page intentionally left blank CONTENTS Preface xi 2 Acknowledgments xviii Assessment, Classification, and Treatment of About the Authors xix Abnormal Behaviour 40 1 Methods of Assessment 42 The Clinical Interview 42 What Is Abnormal Psychology? 1 Psychological Tests of Intelligence and Personality 43 How Do We Define Abnormal Behaviour? 3 Neuropsychological Assessment 50 Criteria for Determining Abnormality 3 Behavioural Assessment 51 Cultural Bases of Abnormal Behaviour 5 Cognitive Assessment 54 The Continuum between Normal and Abnormal Physiological Measurement 55 Behaviour 6 Probing the Workings of the Brain 56 CONTINUUM CHART 7 Sociocultural Factors in Psychological REVIEW IT How Do We Define Abnorm:tl Assessmenr 56 Behaviour? 8 REVIEW IT Methods of Assessment 58 Classification of Abnormal Behaviour 59 Historical Perspectives on Abnormal Behaviour 8 Systems of Classification 59 The Demonological Model 8 Tbe Diagnostic and Statistical Manual of Mental Origins of the Medical Model: An "Ill Humour" 8 Disorders (DSM) 59 Medieval Times 9 DSM-5 62 Witchcraft 9 Asj•lums in Europe and the New World 10 REVIEW IT Classification of Abnormal Behaviour 64 The Reform Movement and Moral Therapy in Europe and Methods of Treatment 64 North America 10 Types of Mental Health Professionals in Drugs and Deinsrirutionalization: The Exodus from Canad:t 65 Provincial Psychiatric Hospitals 11 Biological Therapies 66 Pathways to the Present: From Demonology to Psychodyn:tmic Therapies 69 Science 14 Behaviour Therapy 72 REVIEW IT Historical Perspectives on Abnormal Humanistic-Existential Therapies 74 Behaviour 17 Cognitive-Behaviour Therapies 76 Eclectic Therapy 79 Current Perspectives on Abnormal Behaviour 18 Group, Family, and Marital Therapy 79 Biological Perspectives on Abnormal Behaviour 18 Indigenous Healing Perspective 80 REVIEW IT Biological Perspectives 22 Computer-Assisted Therapy 81 PS)•Chological Perspectives on Abnormal Does Psychotherapy Work? 81 Behaviour 22 REVIEW IT Methods of Treatment 84 REVIEW IT Psychological Perspectives 33 Abnormal Psychology and Society 85 Sociocultural Perspectives on Abnormal Psychiatric Commitment and Patients' Rights 87 Behaviour 33 Mental Illness and Criminal Responsibility 91 REVIEW IT Sociocultural Perspectives 34 REVIEW IT Abnormal Psychology lnteractionist Perspectives 34 and Society 93 REVIEW IT lnteractionist Perspectives 35 CONCEPT MAP 96 CONCEPT MAP 38 vii 3 Theoretical Perspectives 155 Stress 155 Anxiety, Obsessive-Compulsive, and Trauma Psychodynamic Perspectives 156 and Stressor-Related Disorders 100 Learning Perspectives 157 Cognitive Perspectives 159 CONTINUUM CHART 103 Biological Perspectives 164 Tying It Together 165 Anxiety Disorders 103 REVIEW tT Theoretical Perspectives on Depressive and Panic Disorder 104 Bipolar Disorders 166 Agoraphobia 106 Generalized Anxiety Disorder 108 Treatment 166 Phobic Disorders 109 Psychodynamic Approaches 167 Behavioural Approaches 168 Obsessive-Compulsive and Related Disorders 113 Cognitive Approaches 168 Obsessive-Compulsive Disorder (OCD) 113 Biological Approaches 170 Trauma-and Stressor-Related Disorders 115 REVIEW IT Treatment of Depressive and Bipolar Adjustment Disorders 115 Disorders 175 Acute and Posttraum3tic Stress Disorders 116 Suicide 175 REVIEW IT Anxiety Disorders, Obsessive-Compulsive Who Commits Suicide? 176 Disorder, and Traum3-3nd Stressor-Related Why Do People Commit Suicide? 177 Disorders 120 Theoretical Perspectives on Suicide 177 Theoretical Perspectives 120 Predicting Suicide 180 Psychodynamic Perspectives 120 REVIEW IT Suicide 182 Behavioural Perspectives '121 CONCEPT MAP 184 Cognitive Perspectives 122 Biological Perspectives 125 Tying lt Together 128 5 REVIEW IT Theoretical Perspectives 13 0 Dissociative Disorders and Somatic Symptom Treatment 130 Psychodynamic Approaches 130 and Related Disorders 186 Humanistic Approaches 130 Biological Approaches 131 CONTINUUM CHART 188 Cognitive and Behaviour-Based Approaches 131 Dissociative Disorders 188 REVIEW IT Treatment of Anxiety, Obsessive- Dissociative Identity Disorder 188 Compulsive, and Trauma-and Stressor-Related Dissociative Amnesia 193 Disorders 138 Depersonalization/Derealization CONCEPT MAP 140 Disorder 194 Theoretical Perspectives 196 Treatment of Dissociative Disorders 198 4 REVIEW IT Dissociative Disorders 200 Depressive Disorders, Bipolar and Related Somatic Symptom and Related Disorders, and Suicide 142 Disorders 201 Conversion Disorder (Functional Neurological CONTINUUM CHART 143 Symptom Disorder) 201 Depressive Disorders 144 Illness Anxiety Disorder 202 Somatic Symptom Disorder 203 Major Depressive Disorder 144 Factitious Disorder 204 Persistent Depressive Disorder 151 Theoretical Perspectives 205 Bipolar and Related Disorders 152 Treatment of Somatic Symptom and Related Bipolar 1 Disorder 152 Disorders 207 Bipolar 11 Disorder 154 REVIEW IT Somatic Symptom and Related Cyclothymic Disorder J5 4 Disorders 209 REVIEW IT Depressive and Bipolar and Related CONCEPT MAP 211 Disorders 155 viii CONTENTS