Five Criteria for Abnormal Behavior with Dr Z


Hi gang. Today we’re going to go over the
five criteria that we use to define abnormal behavior. Sometimes it can be a challenge
to determine whether or not someone’s behavior and thinking patterns are normal or abnormal.
And because it can be so confusing, the psychologists and psychiatrists here in the States and from
around the world have come together and determined five criteria, five factors that a person
has to have in order to be considered having a diagnosable disorder. They can have one
criteria present. They can have all 5 criteria present, but at least one needs to be legitimate
for a person to have a diagnosable disorder. Now the first criteria, clinical significance,
which is impairment. This person cannot do every day activities. You can see here, a
man cannot get out of bed. The woman over there on the right, who has herself yelling
at herself, she’s not moving, she’s not doing, she not taking care of her family, she’s not
taking care of herself. Same thing with the young man down below who’s holding on to his
parent’s leg. He’s not going in to school. He’s not meeting his daily responsibilities.
He’s not functioning. That is clinical significance and impairment. Now dyfunction in processes
is about faulty thinking. The ideas that you have are illogical, irrational. They interfer
with your ability to function. And see the gentleman on the left? These are very common
schizophrenic issues, like “Where are the voices coming from?” “The radio told me to
do this.” Seeing elephants, that’s a cognitive process where you’re hallucinating. Aliens
are contacting me. People are following me. Maybe I’m Jesus. Maybe I’m Napoleon. Thoses
are irrational thoughts, those are interfering thoughts. And the M&Ms – if you notice the
M&Ms are broken down by color and separated by color. This is common in people who have
OCD – obsessive-compulsive disorder – where they have to separate everything by colors
because if they let the colors mix, something bad is gonna happen. Just like they can’t
leave the house without double-checking things. Because if they don’t double-check, something
bad is gonna happen. It’s a thought that really is irrational and interfers with healthy functioning.
Distress. Distress is about mental pain. In the psychological world, just like in the
medical world, if someone is in pain, we want to help them get better. So even if the behavior
doesn’t meet the previous 2 criteria – they’re not impaired, so they go to work and take
care of their responsibilities, their thinking is normal, reasonable, and rational – it’s
still possible to be doing a behavior that is painful. The gentleman who is crying and
the young person who is turning their head away from being bullied or yelled at, they
might be doing the right thing. They might be taking care of their family, going to school,
meeting all their responsibilities, but the pain of being bullied – that’s a criteria
that needs help. The pain of having to relocate your family to be safe and being upset about
having to relocate, that’s a pain that could need help. And then of course the lady there
over on the right who has a smiling face to the world and the sad face or the – it looks
like a depressed face – in private, that’s pain. Mental pain. Deviant. Deviant means
against societal norms. Usually the easy way here to determine if someone is deviant is
if their behavior breaks the law. Murder, breaking the law. Deviant. The gentleman who
is flashing himself to other people – there’s laws for lewd and lacivious behavior. This
one is the tricky one, though, ’cause sometimes what some people consider to be deviant isn’t
necessarily against all society norms. That’s why there’s the young man there who on one
side of his face is his drag queen self, and the other side of his face is his everyday
male face. The question is if someone is a drag queen, is that truly deviant behavior
that we need to fix, that we need to help with? This one, it can be tricky. Unless we’re
talking about something illegal, then not so tricky. Now the last criteria – and this
is the criteria that can be very confusing – dysfunction in relation to society. This
means the way the person was raised, the behavioral norms that they were raised with are antithetical
to a broader or general society. This tends to refer to people who have been raised in
isolated communities, isolated areas. On the left hand side, you can see, first, there’s
a group of women who are wearing traditional dress for a specific fundamental LDS group,
specifically with Warren Jeffs. You can see, they’re all dressed the same. Their hair is
all the same. Their eating habits, by the way, are all the same. What they are and aren’t
allowed to do are all the same. In the other picture, you can see they are no longer with
the Warren Jeffs group. So they were able to change and adapt, but when they left, they
thought riding bicycles was immoral. They thought consuming dairy products, immoral.
Again, it’s very specific to that group, but I presume that the rest of America, we’re
okay with bicycles. We’re okay with dairy products being consumed. The Japanese picture
to the right, hari-kari, which is committing honorable suicide in order preserve either
your honorability or your family’s honor. I know it’s no longer practiced anymore, but
that idea that some people are raised in order to preserve honor, in order to make sure no
shame is brought to your family, you must kill yourself. Here in the United States,
that’s not so much the thinking. But it was very specific, very traditional in Japanese
culture. And as an interesting side note, since this is being recorded in New York,
in New York, committing suicide is illegal. So, again, is the dysfunction in relation
to society. Here in New York, suicide is illegal. Japanese culture, suicide is acceptable to
preserve your family honor. So those are the five criteria to determining whether or not
someone has a psychological disorder. So, thank you. Bye.

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