Normality (behavior)

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Normality is a behavior that can be normal for an individual (intrapersonal normality) when it is consistent with the most common behavior for that person. Normal is also used to describe individual behavior that conforms to the most common behavior in society (known as conformity). However, normal behavior is often only recognized in contrast to abnormality. In many cases normality is used to make moral judgements, such that normality is seen as good while abnormality is seen as bad, [1] or conversely normality can be seen as boring and uninteresting. Someone being seen as normal or not normal can have social ramifications, such as being included, excluded or stigmatized by wider society.

Contents

Measuring

Many difficulties arise in measuring normal behaviors—biologists come across parallel issues when defining normality. One complication that arises regards whether 'normality' is used correctly in everyday language. [2] People say "this heart is abnormal" if only a portion of it is not working correctly, yet it may be inaccurate to include the entirety of the heart under the description of 'abnormal'. There can be a difference between the normality of a body part's structure and its function. Similarly, a behavioral pattern may not conform to social norms, but still be effective and non-problematic for that individual. Where there is a dichotomy between appearance and function of a behavior, it may be difficult to measure its normality. This is applicable when trying to diagnose a pathology and is addressed in the Diagnostic and Statistical Manual of Mental Disorders .

Statistical normality

In general, 'normal' refers to a lack of significant deviation from the average. The word normal is used in a more narrow sense in mathematics, where a normal distribution describes a population whose characteristics center around the average or the norm. When looking at a specific behavior, such as the frequency of lying, a researcher may use a Gaussian bell curve to plot all reactions, and a normal reaction would be within one standard deviation, or the most average 68.3%. However, this mathematical model only holds for one particular trait at a time, since, for example, the probability of a single individual being within one standard deviation for 36 independent variables would be one in a million. [3]

In statistics, normal is often arbitrarily considered anything that falls within about 1.96 standard deviations of the mean, i.e. the most average 95% (1.96). The probability of an individual being within 1.96 standard deviations for 269 independent variables is approximately one in a million. [4] For only 59 independent variables, the probability is just under 5%. [5] Under this definition of normal, it is abnormal to be normal for 59 independent variables.[ clarification needed ]

Sociology

Durkheim

In his Rules of the Sociological Method , French sociologist Émile Durkheim indicates that it is necessary for the sociological method to offer parameters in order to distinguish normality from pathology or abnormality. He suggests that behaviors, or social facts, which are present in the majority of cases are normal, and exceptions to that behavior indicate pathology. [6] Durkheim's model of normality further explains that the most frequent or general behaviors, and thus the most normal behaviors, will persist through transition periods in society.

Crime, for instance, should be considered normal because it exists in every society through every time period. [7] There is a two-fold version of normality; behaviors considered normal on a societal level may still be considered pathological on an individual level. On the individual level, people who violate social norms, such as criminals, will invite a punishment from others in the society.

Social norms

An individual's behaviors are guided by what they perceive to be society's expectations and their peers' norms[ citation needed ]. People measure the appropriateness of their actions by how far away they are from those social norms[ citation needed ]. However, what is perceived as the norm may or may not actually be the most common behavior. In some cases of pluralistic ignorance, most people wrongly believe the social norm is one thing, but in fact very few people hold that view.[ citation needed ]

When people are made more aware of a social norm, particularly a descriptive norm (i.e., a norm describing what is done), their behavior changes to become closer to that norm. The power of these norms can be harnessed by social norms marketing, where the social norm is advertised to people in an attempt to stop extreme behavior, such as binge drinking. However, people at the other extreme (very little alcohol consumption) are equally likely to change their behavior to become closer to the norm, in this case by increasing alcohol consumption.

Instead of using descriptive norms, more effective social norms marketing may use injunctive norms which, instead of describing the most common behavior, outline what is approved or disapproved of by society. When individuals become aware of the injunctive norm, only the extremes will change their behavior (by decreasing alcohol consumption) without the boomerang effect of under-indulgers increasing their drinking. [8]

The social norms that guide people are not always normal for everyone. Behaviors that are abnormal for most people may be considered normal for a subgroup or subculture. For example, normal college student behavior may be to party and drink alcohol, but for a subculture of religious students, normal behavior may be to go to church and pursue religious activities. Subcultures may actively reject "normal" behavior, instead replacing society norms with their own. [9]

What is viewed as normal can change dependent on both timeframe and environment. Normality can be viewed as "an endless process of man's self-creation and his reshaping of the world." [10] Within this idea, it is possible to surmise that normality is not an all-encompassing term, but simply a relative term based around a current trend in time. With statistics, this is likened to the thought that if the data gathered provides a mean and standard deviation, over time these data that predict "normalness" start to predict or dictate it less and less since the social idea of normality is dynamic. This is shown in studies done on behavior in both psychology and sociology where behavior in mating rituals or religious rituals can change within a century in humans, showing that the "normal" way that these rituals are performed shifts and a new procedure becomes the normal one.

Since normality shifts in time and environment, the mean and standard deviation are only useful for describing normality from the environment from which they are collected.

Sexual behavior

As another example, understandings of what is normal sexual behavior varies greatly across time and place. In many countries, perceptions on sexuality are largely becoming more liberal, especially views on the normality of masturbation and homosexuality. Social understanding on normal sexual behavior also varies greatly country by country; countries can be divided into categories of how they approach sexual normality, as conservative, homosexual-permissive, or liberal.

The United States, Ireland, and Poland have more conservative social understanding of sexuality among university students, while Scandinavian students consider a wider variety of sexual acts as normal. Although some attempts have been made to define sexual acts as normal, abnormal, or indeterminate, these definitions are time-sensitive. Gayle Rubin's 1980s model of sexual 'normality' was comprehensive at the time but has since become outdated as society has liberalized. [11]

Regulation

A disharmony exists between a virtual identity of the self and a real social identity, whether it be in the form of a trait or attribute. If a person does not have this disharmony, then he or she is described as normal. A virtual identity can take many definitions, but in this case a virtual identity is the identity that persons mentally create that conforms to societal standards and norms, it may not represent how they actually are, but it represents what they believe is the typical "normal" person. A real social identity is the identity that persons actually have in their society or is perceived, by themselves or others, to have. If these two identities have differences between each other, there is said to be disharmony. Individuals may monitor and adapt their behavior in terms of others' expected perceptions of the individual, which is described by the social psychology theory of self-presentation. [12] In this sense, normality exists based on societal norms, and whether someone is normal is entirely up to how he or she views him- or herself in contrast to how society views him or her. While trying to define and quantify normality is a good start, all definitions confront the problem of whether we are even describing an idea that even exists since there are so many different ways of viewing the concept. [13]

Effects of labeling

When people do not conform to the normal standard, they are often labelled as sick, disabled, abnormal, or unusual, which can lead to marginalization or stigmatization. Most people want to be normal and strive to be perceived as such, so that they can relate to society at large. Without having things in common with the general population, people may feel isolated among society. [14] The abnormal person feels like they have less in common with the normal population, and others have difficulty relating to things that they have not experienced themselves. Additionally, abnormality may make others uncomfortable, further separating the abnormally labelled individual.[ citation needed ]

Since being normal is generally considered an ideal, there is often pressure from external sources to conform to normality, as well as pressure from people's intrinsic desire to feel included. For example, families and the medical community will try to help disabled people live a normal life. However, the pressure to appear normal, while actually having some deviation, creates a conflict—sometimes someone will appear normal, while actually experiencing the world differently or struggling. When abnormality makes society feel uncomfortable, it is the exceptional person themselves who will laugh it off to relieve social tension. A disabled person is given normal freedoms, but may not be able to show negative emotions. Lastly, society's rejection of deviance and the pressure to normalize may cause shame in some individuals. Abnormalities may not be included in an individual's sense of identity, especially if they are unwelcome abnormalities.[ citation needed ]

When an individual's abnormality is labelled as a pathology, it is possible for that person to take on both elements of the sick role or the stigmatization that follows some illnesses. Mental illness, in particular, is largely misunderstood by the population and often overwhelms others' impression of the patient.[ citation needed ]

Intrapersonal normality

Most definitions of normality consider interpersonal normality, the comparison between many different individual's behaviors to distinguish normality from abnormality. Intrapersonal normality looks at what is normal behavior for one particular person (consistency within a person) and would be expected to vary person-to-person. [15] A mathematical model of normality could still be used for intrapersonal normality, by taking a sample of many different occurrences of behavior from one person over time.

Also like interpersonal normality, intrapersonal normality may change over time, due to changes in the individual as they age and due to changes in society (since society's view of normality influences individual peoples' behavior).

It is most comfortable for people to engage in behavior which conforms to their own personal habitual norms. When things go wrong, people are more likely to attribute the negative outcome on any abnormal behavior leading up to the mishap. After a car crash, people may say "if only I didn't leave work early," blaming the crash on their actions which were not normal. [16] This counterfactual thinking particularly associates abnormal behavior with negative outcomes.

Behavioral normality

In medicine, behavioral normality pertains to a patient's mental condition aligning with that of a model, healthy patient. A person without any mental illness is considered a normal patient, whereas a person with a mental disability or illness is viewed as abnormal. These normals and abnormals in the context of mental health subsequently create negative stigmatic perceptions towards individuals with mental illness. [17]

According to the Brain & Behavior Research Foundation, "an estimated 26.2 percent of Americans ages 18 and older—about 1 in 4 adults—suffer from one or more of (several) disorders in a given year." [17] Though the population of American individuals living with mental illness is not as small of a minority as commonly perceived, it is considered abnormal nonetheless, therefore the subject of discrimination and abuse such as violent therapies, punishments, or labeling for life by the normal, healthy majority. [18] The CDC reported that "cluster[s] of negative attitudes and beliefs motivate the general public to fear, reject, avoid, and discriminate against people with mental illnesses." In continuum, the resources available to those who suffer from such illness are limited, and government support is constantly being cut from programs that help individuals living with mental illness live more comfortable, accommodative, happier lives. [19]

Neuronal and synaptic normality

Hebbian associative learning and memory maintenance depends on synaptic normalization mechanisms to prevent synaptic runaway. [20] Synaptic runaway describes overcrowding of dendritic associations, which reduce sensory or behavioral acuteness proportional to the level of synaptic runaway. Synaptic/neuronal normalization refers to synaptic competition, where the prosper of one synapse may weakening the efficacy of other nearby surrounding synapses with redundant neurotransmission.

Animal dendritic density greatly increases throughout waking hours despite intrinsic normalization mechanisms as described as above. The growth rate of synaptic density is not sustained in a cumulative fashion. Without a pruning state, the signal to noise ratio of CNS mechanism would not be able to operate with maximum effectiveness, and learning would be detrimental to animal survival. Neuronal and synaptic normalization mechanisms must operate so positive association feedback loops to not become rampant while constantly processing new environmental information. [20]

Some researchers speculate that the slow oscillation (nREM) cycles of animal sleep constitute an essential 're-normalization' phase. The re-normalization occurs from cortical large amplitude brain rhythm, in the low delta range (0.5–2  Hz), synaptically downscaling the associations from the wakeful learning state. [21] Only the strongest associations survive the pruning from this phase. This allows retention of salient information coding from the previous day, but also allows more cortical space and energy distribution to continue effective learning subsequently after a slow-wave oscillation episode of sleep. [21]

Also, organisms tend to have a normal biological developmental pathway as a central nervous system ages and/or learns. Deviations for a species' normal development frequently will result in behavior dysfunction, or death, of that organism.

Clinical normality

Applying normality clinically depends on the field and situation a practitioner is in. In the broadest sense, clinical normality is the idea of uniformity of physical and psychological functioning across individuals.

Psychiatric normality, in a broad sense, states that psychopathology are disorders that are deviations from normality. [22]

Normality, and abnormality, can be characterized statistically. Related to the previous definition, statistical normality is usually defined it in terms of a normal distribution curve, with the so-called 'normal zone' commonly accounting for 95.45% of all the data. The remaining 4.55% will lie split outside of two standard deviations from the mean. Thus any variable case that lies outside of two deviations from the mean would be considered abnormal. However, the critical value of such statistical judgments may be subjectively altered to a less conservative estimate. It is in fact normal for a population to have a proportion of abnormals. The presence of abnormals is important because it is necessary to define what 'normal' is, as normality is a relative concept. [23] So at a group, or macro, level of analysis, abnormalities are normal given a demographic survey; while at an individual level, abnormal individuals are seen as being deviant in some way that needs to be corrected.

Statistical normality is important in determining demographic pathologies. When a variable rate, such as virus spread within a human population, exceeds its normal infection rate, then preventative or emergency measures can be introduced. However, it is often impractical to apply statistical normality to diagnose individuals. Symptom normality is the current, and assumed most effective, way to assess patient pathology.

DSM

Normality, as a relative concept, is intrinsically involved with contextual elements. As a result, clinical disorder classification has particular challenges in discretely diagnosing 'normal' constitutions from true disorders. The Diagnostic and Statistical Manual of Mental Disorders (DSM) is the psychiatric profession's official classification manual of mental disorders since its first published version (DSM-I) by the American Psychological Association in 1952.

As the DSM evolved into its current version (DSM-V) in late 2013, there have been numerous conflicts in proposed classification between mental illness and normal mentality. In his book Saving Normal, Allen Frances, who chaired the task force for content in the DSM-IV and DSM-IV-TR, wrote a scathing indictment of the pressures incumbent on the definition of "normal" relative to psychological constructs and mental illness.

Most of this difficulty stems from the DSM's ambiguity of natural contextual stressor reactions versus individual dysfunction. There are some key progressions along the DSM history that have attempted to integrate some aspects of normality into proper diagnosis classification. As a diagnostic manual for classification of abnormalities, all DSMs have been biased towards classifying symptoms as disorders by emphasizing symptomatic singularity. The result is an encompassing misdiagnosis of possible normal symptoms, appropriate as contextually derived. [24]

DSM-II

The second edition of the DSM could not be effectively applied because of its vague descriptive nature. Psychodynamic etiology was a strong theme in classifying mental illnesses. The applied definitions became idiosyncratic, stressing individual unconscious roots. This made applying the DSM unreliable across psychiatrists. [24] No distinction between abnormal to normal was established.

Evidence of the classification ambiguity were punctuated by the Rosenhan experiment of 1972. This experiment demonstrated that the methodology of psychiatric diagnosis could not effectively distinguish normal from disordered mentalities. DSM-II labelled 'excessive' behavioral and emotional response as an index of abnormal mental wellness to diagnose some particular disorders. [25] 'Excessiveness' of a reaction implied alternative normal behavior which would have to include a situational factor in evaluation. As an example, a year of intense grief from the death of a spouse may be a normal appropriate response. To have intense grief for twenty years would be indicative of a mental disorder. As well, to grieve intensely over the loss of a sock would also not be considered normal responsiveness and indicate a mental disorder. The consideration of proportionality to stimuli was a perceived strength in psychiatric diagnosis for the DSM-II. [24]

Another characteristic of the DSM-II systemization was that it classified homosexuality as a mental disorder. Thus, homosexuality was psychiatrically defined as a pathological deviation from "normal" sexual development. In the 7th printing of the DSM-II, "homosexuality" was replaced with "sexual orientation disturbance." The intent was to have a label that applied only to homosexual individuals who were bothered by their sexual orientation. [26] In this manner homosexuality would not be viewed as an atypical mental disorder; only if it was distressing would it be classified as a mental illness. [26] [25] However, the DSM-II did not state that homosexuality was normal, either, and a diagnosis of distress related to one's sexual orientation was retained in all editions of the DSM until the DSM-5 in 2013, under different names. [27]

DSM-III

DSM-III was a best attempt to credit psychiatry as a scientific discipline from the opprobrium resulting from DSM-II. [22] A reduction in the psychodynamic etiologies of DSM-II spilled over into a reduction symptom etiology altogether. Thus, DSM-III was a specific set of definitions for mental illnesses, and entities more suited to diagnostic psychiatry, but which annexed response proportionality as a classification factor. The product was that all symptoms, whether normal proportional response or inappropriate pathological tendencies, could both be treated as potential signs of mental illness. [22]

DSM-IV

DSM-IV explicitly distinguishes mental disorders and non-disordered conditions. A non-disordered condition results from, and is perpetuated by, social stressors. Included in DSM-IV's classification is that a mental disorder "must not be merely an expectable and culturally sanctioned response to a particular event, for example, the death of a loved one. Whatever its original cause, it must currently be considered a manifestation of a behavioral, psychological, or biological dysfunction in the individual" (American Psychiatric Association 2000:xxxi) This had supposedly injected normality consideration back into the DSM, from its removal from DSM-II. However, it has been speculated that DSM-IV still does not escape the problems DSM-III faced, where psychiatric diagnoses still include symptoms of expectable responses to stressful circumstances to be signs of disorders, along with symptoms that are individual dysfunctions. [24] The example set by DSM-III, for principally symptom-based disorder classification, has been integrated as the norm of mental diagnostic practice. [24]

DSM-5

The DSM-5 was released in the second half of 2013. It has significant differences from DSM IV-TR, including the removal of the multi-axial classifications and reconfiguring the Asperger's/autistic spectrum classifications.[ citation needed ]

Criticisms of diagnostics

Since the advent of DSM-III, the subsequent editions of the DSM have all included a heavy symptom based pathology diagnosis system. Although there have been some attempts to incorporate environmental factors into mental and behavioral diagnostics, many practitioners and scientists believe that the most recent DSM's are misused. The symptom bias makes diagnosing quick and easier allowing for practitioners to increase their clientele because symptoms can be easier to classify and deal with than dealing with life or event histories which have evoked what may be a temporary and normal mental state in reaction to a patient's environmental circumstances.

The easy-to-use manual not only has increased the perceived need for more mental health care, stimulating funding for mental health care facilities, but also has had a global impact on marketing strategies. Many pharmaceutical commercial ads list symptoms such as fatigue, depression, or anxiety. However, such symptoms are not necessarily abnormal, and are appropriate responses to such occurrences as the loss of a loved one. The targets of such ads in such cases do not need medication and can naturally overcome their grief, but with such an advertising strategy pharmaceutical companies can greatly expand their marketing. [24]

See also

Related Research Articles

<i>Diagnostic and Statistical Manual of Mental Disorders</i> American psychiatric classification

The Diagnostic and Statistical Manual of Mental Disorders is a publication by the American Psychiatric Association (APA) for the classification of mental disorders using a common language and standard criteria. It is the main book for the diagnosis and treatment of mental disorders in the United States and Australia, while in other countries it may be used in conjunction with other documents. The DSM-5 is considered one of the principal guides of psychiatry, along with the International Classification of Diseases (ICD), Chinese Classification of Mental Disorders (CCMD), and the Psychodynamic Diagnostic Manual. However, not all providers rely on the DSM-5 as a guide, since the ICD's mental disorder diagnoses are used around the world and scientific studies often measure changes in symptom scale scores rather than changes in DSM-5 criteria to determine the real-world effects of mental health interventions.

A mental disorder, also referred to as a mental illness, a mental health condition, or a psychiatric disorder, is a behavioral or mental pattern that causes significant distress or impairment of personal functioning. A mental disorder is also characterized by a clinically significant disturbance in an individual's cognition, emotional regulation, or behavior, often in a social context. Such disturbances may occur as single episodes, may be persistent, or may be relapsing–remitting. There are many different types of mental disorders, with signs and symptoms that vary widely between specific disorders. A mental disorder is one aspect of mental health.

<span class="mw-page-title-main">Paraphilia</span> Atypical sexual attraction

A paraphilia is an experience of recurring or intense sexual arousal to atypical objects, places, situations, fantasies, behaviors, or individuals. It has also been defined as a sexual interest in anything other than a legally consenting human partner. Paraphilias are contrasted with normophilic ("normal") sexual interests, though the definition of what makes a sexual interest normal or atypical remains controversial.

Abnormal psychology is the branch of psychology that studies unusual patterns of behavior, emotion, and thought, which could possibly be understood as a mental disorder. Although many behaviors could be considered as abnormal, this branch of psychology typically deals with behavior in a clinical context. There is a long history of attempts to understand and control behavior deemed to be aberrant or deviant, and there is often cultural variation in the approach taken. The field of abnormal psychology identifies multiple causes for different conditions, employing diverse theories from the general field of psychology and elsewhere, and much still hinges on what exactly is meant by "abnormal". There has traditionally been a divide between psychological and biological explanations, reflecting a philosophical dualism in regard to the mind–body problem. There have also been different approaches in trying to classify mental disorders. Abnormal includes three different categories; they are subnormal, supernormal and paranormal.

<span class="mw-page-title-main">Homosexuality and psychology</span> Homosexuality as studied by the field of psychology

The field of psychology has extensively studied homosexuality as a human sexual orientation. The American Psychiatric Association listed homosexuality in the DSM-I in 1952, but that classification came under scrutiny in research funded by the National Institute of Mental Health. That research and subsequent studies consistently failed to produce any empirical or scientific basis for regarding homosexuality as anything other than a natural and normal sexual orientation that is a healthy and positive expression of human sexuality. As a result of this scientific research, the American Psychiatric Association removed homosexuality from the DSM-II in 1973. Upon a thorough review of the scientific data, the American Psychological Association followed in 1975 and also called on all mental health professionals to take the lead in "removing the stigma of mental illness that has long been associated" with homosexuality. In 1993, the National Association of Social Workers adopted the same position as the American Psychiatric Association and the American Psychological Association, in recognition of scientific evidence. The World Health Organization, which listed homosexuality in the ICD-9 in 1977, removed homosexuality from the ICD-10 which was endorsed by the 43rd World Health Assembly on 17 May 1990.

<span class="mw-page-title-main">Anhedonia</span> Inability to feel pleasure

Anhedonia is a diverse array of deficits in hedonic function, including reduced motivation or ability to experience pleasure. While earlier definitions emphasized the inability to experience pleasure, anhedonia is currently used by researchers to refer to reduced motivation, reduced anticipatory pleasure (wanting), reduced consummatory pleasure (liking), and deficits in reinforcement learning. In the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), anhedonia is a component of depressive disorders, substance-related disorders, psychotic disorders, and personality disorders, where it is defined by either a reduced ability to experience pleasure, or a diminished interest in engaging in previously pleasurable activities. While the International Statistical Classification of Diseases and Related Health Problems, Tenth Revision (ICD-10) does not explicitly mention anhedonia, the depressive symptom analogous to anhedonia as described in the DSM-5 is a loss of interest or pleasure.

Psychopathology is the study of abnormal cognition, behaviour, and experiences which differs according to social norms and rests upon a number of constructs that are deemed to be the social norm at any particular era.

Abnormality is a behavioral characteristic assigned to those with conditions that are regarded as rare or dysfunctional. Behavior is considered to be abnormal when it is atypical or out of the ordinary, consists of undesirable behavior, and results in impairment in the individual's functioning. Abnormality in behavior, is that in which is considered deviant from specific societal, cultural and ethical expectations. These expectations are broadly dependent on age, gender, traditional and societal categorizations. The definition of abnormal behavior is an often debated issue in abnormal psychology, because of these subjective variables.

The mental status examination (MSE) is an important part of the clinical assessment process in neurological and psychiatric practice. It is a structured way of observing and describing a patient's psychological functioning at a given point in time, under the domains of appearance, attitude, behavior, mood and affect, speech, thought process, thought content, perception, cognition, insight, and judgment. There are some minor variations in the subdivision of the MSE and the sequence and names of MSE domains.

<span class="mw-page-title-main">Labeling theory</span> Labeling people changes their behavior

Labeling theory posits that self-identity and the behavior of individuals may be determined or influenced by the terms used to describe or classify them. It is associated with the concepts of self-fulfilling prophecy and stereotyping. Labeling theory holds that deviance is not inherent in an act, but instead focuses on the tendency of majorities to negatively label minorities or those seen as deviant from standard cultural norms. The theory was prominent during the 1960s and 1970s, and some modified versions of the theory have developed and are still currently popular. Stigma is defined as a powerfully negative label that changes a person's self-concept and social identity.

Robert Leopold Spitzer was a psychiatrist and professor of psychiatry at Columbia University in New York City. He was a major force in the development of the Diagnostic and Statistical Manual of Mental Disorders (DSM).

<span class="mw-page-title-main">Ego-dystonic sexual orientation</span> Psychiatric diagnosis

Ego-dystonic sexual orientation is a highly controversial mental health diagnosis that was included in the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (DSM) from 1980 to 1987 and in the World Health Organization's (WHO) International Classification of Diseases (ICD) from 1990 to 2019. Individuals could be diagnosed with ego-dystonic sexual orientation if their sexual orientation or attractions were at odds with their idealized self-image, causing anxiety and a desire to change their orientation or become more comfortable with it. It describes not innate sexual orientation itself, but a conflict between the sexual orientation a person wishes to have and their actual sexual orientation.

Medical model is the term coined by psychiatrist R. D. Laing in his The Politics of the Family and Other Essays (1971), for the "set of procedures in which all doctors are trained". It includes complaint, history, physical examination, ancillary tests if needed, diagnosis, treatment, and prognosis with and without treatment.

The classification of mental disorders, also known as psychiatric nosology or psychiatric taxonomy, is central to the practice of psychiatry and other mental health professions.

<span class="mw-page-title-main">DSM-5</span> 2013 edition of the Diagnostic and Statistical Manual of Mental Disorders

The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), is the 2013 update to the Diagnostic and Statistical Manual of Mental Disorders, the taxonomic and diagnostic tool published by the American Psychiatric Association (APA). In 2022, a revised version (DSM-5-TR) was published. In the United States, the DSM serves as the principal authority for psychiatric diagnoses. Treatment recommendations, as well as payment by health care providers, are often determined by DSM classifications, so the appearance of a new version has practical importance. However, not all providers rely on the DSM-5 for planning treatment as the ICD's mental disorder diagnoses are used around the world and scientific studies often measure changes in symptom scale scores rather than changes in DSM-5 criteria to determine the real-world effects of mental health interventions. The DSM-5 is the only DSM to use an Arabic numeral instead of a Roman numeral in its title, as well as the only living document version of a DSM.

Personality disorders (PD) are a class of mental disorders characterized by enduring maladaptive patterns of behavior, cognition, and inner experience, exhibited across many contexts and deviating from those accepted by the individual's culture. These patterns develop early, are inflexible, and are associated with significant distress or disability. The definitions vary by source and remain a matter of controversy. Official criteria for diagnosing personality disorders are listed in the sixth chapter of the International Classification of Diseases (ICD) and in the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (DSM).

Zouhuorumo, also known as qigong deviation, is a Chinese-culture concept traditionally used to indicate that something has gone wrong in spiritual or martial arts training. The qigong community uses this term to describe a physiological or psychological disorder believed to result during or after qigong practice, due to "improper practice" of qigong and other self-cultivation techniques. The concept was highlighted in the social and political context of mass popularization of qigong in China. The Buddhist or Taoist community also uses this term when referring to people who practice esoteric techniques or meditation without the proper guidance of a teacher.

Sexual sadism disorder is the condition of experiencing sexual arousal in response to the involuntary extreme pain, suffering or humiliation of other people. Several other terms have been used to describe the condition, and the condition may overlap with other conditions that involve inflicting pain. It is distinct from situations in which consenting individuals use mild or simulated pain or humiliation for sexual excitement. The words sadism and sadist are derived from the French writer and libertine Marquis de Sade, who wrote several novels depicting sexualized torture and violence.

Sexual masochism disorder (SMD) is the condition of experiencing recurring and intense sexual arousal in response to enduring moderate or extreme pain, suffering, or humiliation. The Diagnostic and Statistical Manual (DSM-5) of the American Psychiatric Association indicates that a person may have a masochistic sexual interest but that the diagnosis of sexual masochism disorder would only apply to individuals who also report psychosocial difficulties because of it.

Homosexuality was classified as a mental disorder in the Diagnostic and Statistical Manual of Mental Disorders (DSM) beginning with the first edition, published in 1952 by the American Psychiatric Association (APA). This classification was challenged by gay rights activists during the gay liberation following the 1969 Stonewall riots, and in December 1973, the APA board of trustees voted to declassify homosexuality as a mental disorder. In 1974, the DSM was updated and homosexuality was replaced with a new diagnostic code for individuals distressed by their homosexuality, termed ego-dystonic sexual orientation. Distress over one's sexual orientation remained in the manual, under different names, until the DSM-5 in 2013.

References

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  4. ↑ Figured mathematically 0.95^269 is approximately 0.000001
  5. ↑ Figured mathematically 0.95^59 is approximately 0.048
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  15. ↑ Hur, Taekyun; Neal J. Roese; Jae-Eun Namkoong (June 2009). "Regrets in the East and West: Role of intrapersonal versus interpersonal norms". Asian Journal of Social Psychology. 12 (2): 151–156. doi:10.1111/j.1467-839X.2009.01275.x.
  16. ↑ Catellani, Patrizia; Augusta I. Albertici; Patrizia Milesi (2004). "Counterfactual thinking and stereotypes: The nonconformity effect". European Journal of Social Psychology. 34 (4): 421–436. doi:10.1002/ejsp.206. S2CID   56375547.
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  27. ↑ Robles, Rebeca; Real, Tania; Reed, Geoffrey M. (2021). "Depathologizing Sexual Orientation and Transgender Identities in Psychiatric Classifications". Consortium Psychiatricum. 2 (2): 45–53. doi: 10.17816/CP61 . ISSN   2713-2919. S2CID   241240350.
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