MALADAPTIVE
BEHAVIOR OF
INDIVIDUALS AND
GROUPS: STRESS,
CRISIS AND DISASTER
All living organisms have a tendency to
maintain themselves in a state of relative
constancy called as Homeostasis.
Adaptation occurs when there is a threat to
this homeostasis. Adaptive responses occurs
when a stimulus from the internal or external
environment causes a departure from the
balanced state of organism.
 Group adaptation is a process by which the
group maintains a balance so that it can
promote growth of individual and group
members.
For group to adapt successfully there must be:
1) Good communication skills.
2) Mutual respect for each other
3) Adequate resources available for adaptation
4) Previous experience with stressors
The word “Stress” was derived from Latin word
“Stringere” which means “to draw tight”.
Change in the internal/ external environment
causes stress and an organism has to adapt to
it to survive. The stimulus preceding or
precipitating the changes are called stressors.
 Crisis is a disturbance caused by a stressful
event or a perceived threat. The person usual
way of coping becomes ineffective in dealing
with the threat, causing anxiety.
 Disaster is defined by the WHO as “A severe
disruption, ecological and psychological, which
greatly exceeds the coping capacity of the
affected community. It can be natural and man
made, psychological reaction may be either
adaptive or maladaptive.
ETIOLOGY: BIO-
PSYCHO-SOCIAL
FACTORS
 Previously, cause of mental illness was
explained through humoral, demonic and
physical theories. However, over the last few
decades, a number of theories have been
elaborated to explain psychiatric disorders on
a scientific basis:
Some of these are:
1. Genetic theories
2. Biochemical theories
3. Psychological theories
4. Behavioral and cognitive theories
Cause of mental illness can be chronologically
divided into 3 groups:
I. Pre- disposing Factors:
These occurs before the onset of the disease
or before psychopathology have appeared.
1) Genetic Factors
2) Biological Factors
3) Psychological Factors
II. Precipitating Factors:
These are events that occur shortly before
the onset of disorders and appear to have
induced it.
1) Physical Factors
2) Physiological Factors
3) Psychological Factors
4) Social factors
III. Perpetuating Factors:
These are factors that prolong the course of a
disorder after it has been provoked. It is
extremely vital to consider these factors while
planning treatment.
PSYCHOPATHOLOGY
OF MENTAL
DISORDERS
Meaning of Psychopathology:
Psychopathology is the systematic study of
abnormal experience, cognition and behavior.
It involves the observation and categorization
of abnormal psychic events, internal
experiences of the patient and his consequent
behavior.
Disorder may be due to disorder of personality,
activity, perception, thinking, affect, attention,
consciousness, memory and structural
disturbances in the brain
1. DISORDERS OF
PERSONALITY
a) Cyclothymic Personality (Alternating Mood)
b) Hypomanic Personality (Cheerful, enjoyer of
life, energetic, confident, aggressive, pleasure
loving)
c) Melancholic Personality (kindly, sympathetic,
quiet, good tempered, easily depressed,
helplessness)
d) Paranoid Personality (suspicious, stubborn,
lonely, insecured, unhappy, sarcastic,
argumentative)
e) Schizoid Personality (loneliness, isolation,
f) Obsessive Compulsive Personality (rigid,
punctual, cannot work under pressure, do not
relax, cannot make decisions)
g) Hysterical Personality (self- centered
dramatization, labile affect, emotional out
burst, attention seeking)
h) Passive- Aggressive Personality (Manifest by
3 ways: (Passive- dependent, Passive-
aggressive, Aggressive type)
i) Explosive Personality (friendly, happy,
likeable, outgoing suddenly displayed guilt
2. DISORDERS OF
MOTOR BEHAVIOR
a) Over Activity (seen in mania, can be goal
directed but goal keeps changing)
b) Decreased Activity (takes long time to start
activity, once started it is done very slowly)
c) Stereotypy (persistent, constant repetition of
activities, that involve position, movement or
speech) (e.g: catalepsy, waxy- flexibility,
mannerisms, verbigeration)
d) Repetitious Activities (activity is initiated, there
is tendency to repeat)
e) Automatic Behavior (echolalia, echopraxia)
f) Negativism (manifested by opposition and
resistance to what is suggested)
g) Compulsion (morbid and irresistible urges to
perform purposeless acts repetitiously)
h) Violence (expression of aggressiveness in the
form of murders, assaults, rape, damaging
self)
i) Suicide (means self- destruction, feel rejected
and unloved, commonly seen recovery
depression, acute schizophrenia and delirium)
3. DISORDERS OF
PERCEPTION
a) Illusion (misinterpretation of sense
impression)
b) Hallucination (perception occurs in the
absence of the object, not related to external
stimuli)
Types: (auditory, visual, olfactory, gustatory,
tactile and kinesthetic hallucination)
4. DISORDERS OF
THINKING
a) Disorders of Form of Thought (thinking is the
response to a stimulus. This stimulus can be
from unconscious or external environment,
autistic thinking)
b) Disorders in Progression of Thought (flight of
ideas, retardation, perseveration,
circumstantiality, incoherence, tangentiality,
blocking)
c) Disorders of Content of Thought (overvalued
ideas, delusion)
d) Hypochondriacal Delusion (exaggerated
concern over physical health)
e) Obsession (persistent , irresistible thoughts)
f) Phobias (irrational fear)
5. DISTURBANCES OF
AFFECT
a) Pleasurable Affects (euphoria, elation,
exhilaration, ecstasy)
b) Depression (feeling of sadness)
c) Anxiety (free- floating anxiety, agitation, tension,
panic)
d) Inadequate affect (emotionally dull o detached,
indifferent and apathetic)
e) Inappropriate Affect ( disharmony of affect ans
situation)
f) Ambivalence (contradictory feeling and attitude)
g) Depersonalization (feeling of unreality and loss
of self identity)
6. DISTURBANCES OF
ATTENTION
a) Disordered attention (conation, affect and
associations, fatigue, toxic states and organic
lesion interfere and lowered attention)
b) Distractibility (inability to hold attention for
sufficient length of time)
7. DISORDERS OF
CONSCIOUSNESS
a) Confusion (bewilderment, disorientation,
disturbances of associative function and poverty
of ideas)
b) Clouding of Consciousness (due to physical or
chemical disturbances producing functional
impairment of the cerebrum)
c) Delirium (acute brain syndrome)
d) Dream State (twilight state, person is unaware of
his surroundings, may last for several minutes to
few days)
e) Stupor (motionless, mute, movement of eyes and
respiration occur)
8. DISORDERS OF
MEMORY
Memory is a function when information is
acquired, presented to the consciousness,
store and later recalled. There are three
processes:
1. Registration
2. Retention
3. Recall
There are several disorders of memory:
i. Hyperamnesia (exaggerated degree of
retention and recall)
ii. Amnesia (intergraded amnesia, retrograde
amnesia)
iii. Paramnesia (confabulation, retrospective
falsification)
9. DEJA VU
Is a French term meaning, “Already seen”.
It is an experience of seeing with the feeling
that one has seen it before but does not know
when and where.
10. DEMENTIA
Is a permanent, irreversible loss of intellectual
efficiency, it occurs due to structural
disturbances or degeneration of the higher
cortical neurons of the brain due to prolonged
toxication or malnutrition.
Maladaptive behavior Psychiatry

Maladaptive behavior Psychiatry

  • 1.
  • 2.
    All living organismshave a tendency to maintain themselves in a state of relative constancy called as Homeostasis. Adaptation occurs when there is a threat to this homeostasis. Adaptive responses occurs when a stimulus from the internal or external environment causes a departure from the balanced state of organism.
  • 3.
     Group adaptationis a process by which the group maintains a balance so that it can promote growth of individual and group members. For group to adapt successfully there must be: 1) Good communication skills. 2) Mutual respect for each other 3) Adequate resources available for adaptation 4) Previous experience with stressors
  • 4.
    The word “Stress”was derived from Latin word “Stringere” which means “to draw tight”. Change in the internal/ external environment causes stress and an organism has to adapt to it to survive. The stimulus preceding or precipitating the changes are called stressors.
  • 5.
     Crisis isa disturbance caused by a stressful event or a perceived threat. The person usual way of coping becomes ineffective in dealing with the threat, causing anxiety.  Disaster is defined by the WHO as “A severe disruption, ecological and psychological, which greatly exceeds the coping capacity of the affected community. It can be natural and man made, psychological reaction may be either adaptive or maladaptive.
  • 6.
  • 7.
     Previously, causeof mental illness was explained through humoral, demonic and physical theories. However, over the last few decades, a number of theories have been elaborated to explain psychiatric disorders on a scientific basis: Some of these are: 1. Genetic theories 2. Biochemical theories 3. Psychological theories 4. Behavioral and cognitive theories
  • 8.
    Cause of mentalillness can be chronologically divided into 3 groups: I. Pre- disposing Factors: These occurs before the onset of the disease or before psychopathology have appeared. 1) Genetic Factors 2) Biological Factors 3) Psychological Factors
  • 9.
    II. Precipitating Factors: Theseare events that occur shortly before the onset of disorders and appear to have induced it. 1) Physical Factors 2) Physiological Factors 3) Psychological Factors 4) Social factors
  • 10.
    III. Perpetuating Factors: Theseare factors that prolong the course of a disorder after it has been provoked. It is extremely vital to consider these factors while planning treatment.
  • 11.
  • 12.
    Meaning of Psychopathology: Psychopathologyis the systematic study of abnormal experience, cognition and behavior. It involves the observation and categorization of abnormal psychic events, internal experiences of the patient and his consequent behavior. Disorder may be due to disorder of personality, activity, perception, thinking, affect, attention, consciousness, memory and structural disturbances in the brain
  • 13.
  • 14.
    a) Cyclothymic Personality(Alternating Mood) b) Hypomanic Personality (Cheerful, enjoyer of life, energetic, confident, aggressive, pleasure loving) c) Melancholic Personality (kindly, sympathetic, quiet, good tempered, easily depressed, helplessness) d) Paranoid Personality (suspicious, stubborn, lonely, insecured, unhappy, sarcastic, argumentative) e) Schizoid Personality (loneliness, isolation,
  • 15.
    f) Obsessive CompulsivePersonality (rigid, punctual, cannot work under pressure, do not relax, cannot make decisions) g) Hysterical Personality (self- centered dramatization, labile affect, emotional out burst, attention seeking) h) Passive- Aggressive Personality (Manifest by 3 ways: (Passive- dependent, Passive- aggressive, Aggressive type) i) Explosive Personality (friendly, happy, likeable, outgoing suddenly displayed guilt
  • 16.
  • 17.
    a) Over Activity(seen in mania, can be goal directed but goal keeps changing) b) Decreased Activity (takes long time to start activity, once started it is done very slowly) c) Stereotypy (persistent, constant repetition of activities, that involve position, movement or speech) (e.g: catalepsy, waxy- flexibility, mannerisms, verbigeration) d) Repetitious Activities (activity is initiated, there is tendency to repeat)
  • 18.
    e) Automatic Behavior(echolalia, echopraxia) f) Negativism (manifested by opposition and resistance to what is suggested) g) Compulsion (morbid and irresistible urges to perform purposeless acts repetitiously) h) Violence (expression of aggressiveness in the form of murders, assaults, rape, damaging self) i) Suicide (means self- destruction, feel rejected and unloved, commonly seen recovery depression, acute schizophrenia and delirium)
  • 19.
  • 20.
    a) Illusion (misinterpretationof sense impression) b) Hallucination (perception occurs in the absence of the object, not related to external stimuli) Types: (auditory, visual, olfactory, gustatory, tactile and kinesthetic hallucination)
  • 21.
  • 22.
    a) Disorders ofForm of Thought (thinking is the response to a stimulus. This stimulus can be from unconscious or external environment, autistic thinking) b) Disorders in Progression of Thought (flight of ideas, retardation, perseveration, circumstantiality, incoherence, tangentiality, blocking) c) Disorders of Content of Thought (overvalued ideas, delusion) d) Hypochondriacal Delusion (exaggerated concern over physical health)
  • 23.
    e) Obsession (persistent, irresistible thoughts) f) Phobias (irrational fear)
  • 24.
  • 25.
    a) Pleasurable Affects(euphoria, elation, exhilaration, ecstasy) b) Depression (feeling of sadness) c) Anxiety (free- floating anxiety, agitation, tension, panic) d) Inadequate affect (emotionally dull o detached, indifferent and apathetic) e) Inappropriate Affect ( disharmony of affect ans situation) f) Ambivalence (contradictory feeling and attitude) g) Depersonalization (feeling of unreality and loss of self identity)
  • 26.
  • 27.
    a) Disordered attention(conation, affect and associations, fatigue, toxic states and organic lesion interfere and lowered attention) b) Distractibility (inability to hold attention for sufficient length of time)
  • 28.
  • 29.
    a) Confusion (bewilderment,disorientation, disturbances of associative function and poverty of ideas) b) Clouding of Consciousness (due to physical or chemical disturbances producing functional impairment of the cerebrum) c) Delirium (acute brain syndrome) d) Dream State (twilight state, person is unaware of his surroundings, may last for several minutes to few days) e) Stupor (motionless, mute, movement of eyes and respiration occur)
  • 30.
  • 31.
    Memory is afunction when information is acquired, presented to the consciousness, store and later recalled. There are three processes: 1. Registration 2. Retention 3. Recall
  • 32.
    There are severaldisorders of memory: i. Hyperamnesia (exaggerated degree of retention and recall) ii. Amnesia (intergraded amnesia, retrograde amnesia) iii. Paramnesia (confabulation, retrospective falsification)
  • 33.
  • 34.
    Is a Frenchterm meaning, “Already seen”. It is an experience of seeing with the feeling that one has seen it before but does not know when and where.
  • 35.
  • 36.
    Is a permanent,irreversible loss of intellectual efficiency, it occurs due to structural disturbances or degeneration of the higher cortical neurons of the brain due to prolonged toxication or malnutrition.