Theoretical Perspectives of Certain Disorders
Anxiety Disorder
Psychoanalysts believe that anxiety disorders are caused by internal mental
conflicts often involving sexual impulses. These impulses cause an overuse of
the ego’s defense system that fails over time. This shows that the unacceptable
impulses the ego has blocked are the generalized anxiety disorders. These
blocked impulses cause an unconscious state of apprehension for which the person
does not know the cause of. Phobias, however, occur if the person sets the cause
of the anxiety to a certain object, or situation, which they can more easily
avoid than the actual source of anxiety.
Panic disorders and agoraphobia are
caused by separation anxiety, mainly separation from parents, early in life.
This happens in children who were taught to intervene in separation from a
parenting figure by throwing tantrums. Obsessive-Compulsive Disorder is seen as
a fixation in the mind at the primary stage of psychosexual development. The
fact that compulsive behavior rituals often involve cleanliness shows that there
is mental fixation during a period of mastering unclean bowel movements.
Behaviorists believe that in anxiety disorders the individual is not
“fixated” but they have a
conditioned fear that does not involve oedipal
complexes or displacement. The theory of classical conditioning says that
phobias are the result of learned associations of neutral stimuli and
frightening events. This also demonstrates why an individual might have a phobia
of guns after being shot by one.
Biological theorists believe that people
with anxiety disorders have unusually responsive autonomic systems that are more
easily aroused by environmental stimuli. This condition is known as autonomic
lability that contributes to a tendency to be jumpy or anxious. They feel that
the basal ganglia has loops in the sensory input and behavioral output centers.
Somatoform Disorders
Psychoanalysts feel that somatoform disorders are
caused by unresolved sexual impulses that produce intense anxiety that is
converted into physical symptoms. Because of this conversion the original
anxiety produced is now reduced, this process is termed primary gain, but if the
person is allowed to escape or avoid stressful life situations.
Similar to
the psychoanalysts’ perspective of secondary gain, behaviorists feel that if a
person is allowed to escape or avoid the physical symptoms are reinforced.
Biological theorists, have very little to say since there seems to be no
physical cause of the symptoms, except that there may be some genetic
predisposition to Somatoform disorders.
Dissociative Disorders
Psychoanalysts believe that dissociative symptoms are caused by massive
reliance on repression to ward off unacceptable impulses, particularly those of
a sexual nature. The person then relocates the guilt produced into a second
identity that is in the unconscious mind.
Behaviorists feel that
dissociative symptoms may be caused by avoidance of highly stressful events,
particularly those dealing with childhood abuse.
There is no evidence that
dissociative disorders are linked to genetic or biological disorders.
Mood
Disorders
Psychoanalysts feel that because of a fixation at an oral stage of
psychosexual development, individuals tend to develop ambivalent feelings toward
their mothers. These feelings are then transferred to other loved ones. Because
of the feelings the person cannot be successfully social to the loved one and
then regresses back to an oral level, where the person takes the love-hate
relationship, and places it on their self.
Also, overdependency in instant
gratification of basic needs and self esteem cause a person to become so
ambivalent that they may commit suicide which is the ultimate form of aggression
turned on the person.
Behaviorists theorize that the loss or separation of a
loved one means a loss of positive reinforcement. An example would be an
individual who experienced the death of a spouse, this person may lock himself
or herself up and with no one giving positive reinforcement the individual may
fall out the social picture that also provided reinforcement. Not only is the
loss of a loved one the cause for mood disorders, but others causes can be the
loss of a job, separation from a primary group of friends, or an illness.
Depressed people also tend to pick out negative comments from conversations to
provide a type of negative reinforcement about themselves.
Another
Behavioral theory is that people tend to have learned helplessness if they feel
they have no control over the reinforcers or punishers in their lives. This
produces a feeling that even if they take action the results will not be
desirable
Genetics: May play an essential role in determining causes for
mood disorders, studies done on twins support this theory, by saying that twins
in which at least one is bipolar, seventy two percent of twins were both
bipolar.
Brain Biochemistry: Irregular levels of neurotransmitters in the
brain may cause mood disorders. An example would be the neurotransmitter
norepenephrine, is the levels of it are too low, an individual tends to become
depressed. But if it is too high, then the person exhibits symptoms of the manic
side of bipolar disorder.
Schizophrenia
Psychoanalysts believe that when
a person’s ego becomes overwhelmed by impulses from the id, or unbearable guilt.
Instead of trying to resolve the issues the ego retreats and the person
regresses to the oral stage of psychosexual development. The person then
regresses so far that they become infantile in manner and lose all sense of
reality. Bizarre hallucinations and speech represent the individual’s struggle
to regain reality.
Behaviorists feel that individual may not have been
conditioned to respond successfully to social stimuli, or they have been
punished for such responses. Because of this lack of social contact the
individual fills the emptiness by responding to imaginary voices emanating from
a lamppost. When others react to these behaviors, it reinforces the person’s
responses.
Genetics: Some people may be genetically predisposed to being
schizophrenic, as studies have proven that people who had biological
schizophrenic parents, but were adopted showed signs of schizophrenia.
Brain
Biochemistry and Structure: The neurotransmitter dopamine plays a major role,
because people who are schizophrenic have unusually high levels of dopamine.
Also, abnormal brain structure could play a role, for individuals who have
schizophrenia, have unusually large ventricles file with cerebrospinal fluid.