Clinical Psychology

(Kiana) #1
example, in the case of Dmitri, is there some-
thing magical about an IQ of 64? Traditional
practice sets the cutoff point at 70. Get an IQ
score below 70 and you may be diagnosed with
mental retardation. But is a score of 69 all that
different from a score of 72? Rationally justifying
such arbitrary IQ cutoff points is difficult. This
problem is equally salient in Juanita’s case. Are
five crucifixes on the wall too many? Is atten-
dance at three church services per day acceptable?


  1. The Number of Deviations: Another difficulty
    with nonconformity standards is the number of
    behaviors that one must evidence to earn the
    label“deviant.”In Juanita’s case, was it just the
    crucifixes, or was it the total behavioral config-
    uration—crucifixes, clothes, no makeup or
    jewelry, withdrawal, fasting, and so on? Had
    Juanita manifest only three categories of unusual
    behavior, would we still classify her as deviant?
    3. Cultural and Developmental Relativity: Juanita’s
    case, in particular, illustrates an additional point.
    Her behavior was not deviant in some absolute
    sense. Had she been a member of an excep-
    tionally religious family that subscribed to radical
    religious beliefs and practices, she might never
    have been classified as maladjusted. In short,
    what is deviant for one group is not necessarily
    so for another. Thus, the notion ofcultural rela-
    tivityis important. Likewise, judgments can vary
    depending on whether family, school officials,
    or peers are making them. Such variability may
    contribute to considerable diagnostic unreliabil-
    ity because even clinicians’judgments may be
    relative to those of the group or groups to
    which they belong. In addition, some behaviors
    that may seem appropriate at one developmental
    stage may appear inappropriate at another
    developmental stage. When considering the
    presence of psychopathology among youth, it is
    important to consider whether a child’s behavior
    is inappropriate as compared to same-aged peers,
    or as compared to all peers.
    Two other points about cultural and develop-
    mental relativity are also relevant. First, carrying cul-
    tural relativity notions to the extreme can place
    nearly every reference group beyond reproach. Cul-
    tures can be reduced to subcultures and subcultures
    to minicultures. If we are not careful, this reduction
    process can result in our judging nearly every behav-
    ior as healthy. Second, the elevation of conformity
    to a position of preeminence can be alarming. One is
    reminded that so-called nonconformists have made
    some of the most beneficial social contributions. It
    can also become very easy to remove those whose
    different or unusual behavior bothers society. Some
    years ago in Russia, political dissidents were often
    placed in mental hospitals. In America, it sometimes
    happens that 70-year-old Uncle Arthur’sfamilyis
    successful in hospitalizing him largely to obtain his
    power of attorney. His deviation is that, at age 70, he
    is spending too much of the money that otherwise
    will be eventually inherited by the family. Finally, if
    all these points are not enough,excessiveconformity
    has itself sometimes been the basis for judging per-
    sons abnormal!


Appearance or dress may violate social norms but does
not necessarily indicate abnormality or psychopathology.


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134 CHAPTER 5

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