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The Development of Psychiatric Disorders from Adaptive Behavior to Serious Mental Health Conditions

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Abstract

In this paper we look at the manifestation of different psychopathologies and propose that the disorders are on a continuum with normal behavior which, when exaggerated, becomes maladaptive. The basic paradigm of adaptation consists of cognition, affect, motivation, and behavior. Maladaptation occurs when there are errors in cognition involving the four domains of gain, loss, threat, or offense, thus triggering positive or negative affect, motivation, and subsequent behavior. Behavior is traditionally focused upon when we evaluate and treat psychopathology, but the root of disorders is the exaggeration of commonplace thoughts. We argue that treating the exaggerated expectation of pleasure or apprehension of pain will result in the return of the normal processes as the superordinate monitors discrepancies between maladaptive beliefs and reality.

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Contributions

Credit for original conceptualization of the manuscript given to ATB with significant contributions in idea formulation, writing, editing and design of manuscript given to BKJ. Literature review conducted by BKJ. The first draft of the manuscript was written by ATB and BKJ. Supervision, critical commentary and significant revisions provided by JSB. All authors edited and commented on previous versions of the manuscript. All authors read and approved the final manuscript.

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Correspondence to Aaron T. Beck.

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Aaron T. Beck, Brittany K. John and Judy Beck declare that they have no conflict of interest.

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No procedures were used in this study, no humans or animals participated in this study and no informed consent had to be obtained from any subjects. The writing of this manuscript was in accordance with the national and international ethical standards.

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No animal studies were carried out by the authors for this paper.

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Beck, A.T., John, B.K. & Beck, J. The Development of Psychiatric Disorders from Adaptive Behavior to Serious Mental Health Conditions. Cogn Ther Res 45, 385–390 (2021). https://doi.org/10.1007/s10608-021-10227-3

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