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Summary AQA A-Level Psychology – Psychopathology/ Clinical Psychology (Unit 4) – Complete Revision Notes

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These notes cover the AQA A-Level Psychology Psychopathology topic, including definitions of abnormality, phobias, depression, and obsessive-compulsive disorder (OCD). The document explains behavioural, cognitive, and biological explanations of mental disorders, as well as treatments such as systematic desensitisation, flooding, cognitive behavioural therapy (CBT), and drug therapy. It includes detailed evaluation and research studies aligned with the AQA specification and is structured as comprehensive exam preparation material.

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psychopathology (clinical
psychology)

Abnormality
four definitions of abnormality

1. statistical infrequency
when an individual has a relatively less common characteristic; anomolous

usually for characteristics that can be reliably measured

anything above or below the normal distribution would be considered abnormal

EG: those with an IQ lower than 70 are considered to be abnormal and are liable
to receive a diagnosis of Intellectual Diagnosis Disorder

other uses: manufacturing items, medical diagnoses

evaluation

1. real-world evaluation ✓
used in clinical practice, both as a part of formal diagnosis and as a way to
assess severity of one’s symptoms
EG: Beck Depression Inventory says that score 30+ indicates severe
depression

useful in diagnostic and assessment processes

2. unusual characteristics can be positive ✘
EG: for every IQ under 70, there is an IQ over 130
130 would not be seen as requiring treatment, but 70 would

never sufficient as the sole basis for defining abnormality

3. benefits vs problems ✓ ✘
some benefit from being classified as abnormal




psychopathology (clinical psychology) 1

, EG: having a low IQ could help as would receive help with an IDD, but
also may not help due to social stigma

can bring good and bad

2. deviation from social norms
behaviour that is different from the accepted standards (norms) of behaviour in a
community or society

these are specific to the culture we live in, generation, etc (EG: homosexuality
was abnormal as it went against social norms)

EG: Antisocial Personality Disorder is impulsive, aggressive, and irresponsible.
According to the DSM-5, one symptom is an ‘absence of prosocial internal
standards associated with failure to conform to lawful and culturally normative
ethical behaviour’

evaluation

1. real-world application ✓

used in clinical practice, especially in diagnosis
EG: Antisocial Personality Disorder and Schizotypal Personality Disorder

value in psychiatry

2. cultural and situational relativism ✘

one person may say someone is abnormal, but another could say they are
normal
EG: superstitious behaviour

difficult to judge deviation from social norms across different situations
and cultures

3. human rights abuses ✘
carries the risk of unfair labelling and leaving a person open to human rights
abuses

EG: nymphomania being used to control women, drapetomania (black
slaves running away) used to control slaves and avoid debates

can be good or bad

3. failure to function adequately


psychopathology (clinical psychology) 2

, when someone is unable to cope with ordinary demands of day-to-day living

David Rosenham and Martin Seligman (1989) have proposed some additional
signs to help determine when someone is not coping:

1. no longer conforming to standard interpersonal rules (EG: eye contact,
personal space)

2. severe personal distress

3. irrational or dangerous to others or themselves

EG: Intellectual Disability Disorder can only be diagnosed if the patient cannot
function adequately, even if has low IQ (statistical deviation)

evaluation

1. represents threshold for help ✓

most have symptoms of a mental disorder to some degree (Mind Charity → 25%
of UK will experience a mental health problem in any given year), but this
becomes a concern when a person struggles to function adequately

treatment and services can be targeted to those who need them most

2. Patient’s Perspective is Considered ✓

definition attempts to include the subjective experience of the individual
and acknowledge that the experience of the patient is important

suggests it is useful criterion for assessing abnormality

2. discrimination and social control ✘
easy to label non-standard lifestyle choices as abnormal

EG: not having a job or a permanent address may be seen as abnormal,
but it is very common for people to live ‘off-grid’

those who make unusual choices may be incorrectly labelled abnormal
and thus have their freedom restricted

3. failure to function may not be abnormal ✘

some circumstances call for inadequate functioning to be normal
EG: bereavement

unfair to label as abnormal, HOWEVER… still may need professional
help




psychopathology (clinical psychology) 3

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