The Psychology Undergrad Podcast podcast

Why We Pathologize Normal Behavior

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You see someone on the sidewalk carefully stepping over every crack and whispering to themselves. Your first thought is "that's not normal." But who decides what normal is?

This episode covers chapter 10 of Neukrug (2022), on abnormal development, diagnosis and psychopharmacology. Neukrug admits that when he started as a therapist he resisted diagnosing clients, until the DSM "soon became my Bible." We take that line literally and use religious ideas to explain how each school of psychology tells the origin story of human suffering.

In this episode:

- Five origin stories: genetics and epigenetics as predestination, Freud's id, ego and superego as spiritual warfare, behaviorism as karma, humanism as an inner light, and social constructionism as myth

- Epigenetics explained as a sound board, where the environment pushes the genetic sliders up or down

- Freud's anal stage, and whether anyone still links hoarding to potty training

- How negative reinforcement slowly shrinks the world of someone with agoraphobia

- Rogers' conditions of worth and the case of Ellen West

- The "color therapy" thought experiment: what if loving blue were a diagnosis?

- The DSM from 1952 to the DSM-5: dropping the multiaxial system, specifiers, provisional diagnoses and Z codes

- The Cultural Formulation Interview and ataque de nervios

- Five classes of psychiatric medication: antipsychotics and tardive dyskinesia, lithium, the move from amphetamines to SSRIs, benzodiazepines, and why stimulants calm ADHD

- Szasz and Laing's critique, Rosenhan's "On Being Sane in Insane Places," and O'Connor v. Donaldson (1975)

- An ethics reminder: changing a diagnosis to satisfy an insurance company is fraud

To close: which traits we treat as disorders today might look like strengths 100 years from now?

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