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97 Cards in this Set

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Goodness of fit

Understanding behavior within a specific model

Culture

Behavioral patters and lifestyles that differentiate one group of people from another

Culture-bound syndrome

A term that originally described abnormal behaviors that were specific to a particular location or group; however, we now know that some of these behavioral patterns extend across ethic groups and geographic areas.

Eccentricity

When behaviors violate cultural norms; eccentric behavior and how it violates cultural norms

Abnormal behavior

A behavior that is inconsistent with the individual's developmental, cultural, and social norms, and creates emotional distress or interferes with daily functioning.

Dimensional approach

Allow an understanding of how abnormal behavior varies in severity over time, perhaps increasing and decreasing, or how behaviors change from one disorder to another.

Developmental trajectory

Idea that the common symptoms of a disorder vary according to a person's age (path or progression).

Trephination

Using a circular instrument to cut away sections of the skull.


- Used to be a practice for treatment of abnormal behaviors

Emotional contagion

Defined as the automatic mimicry and synchronization of expressions, vocalizations, postures, and movements of one person by another.

Animal magnetism

A substance that existed within the body. Body becomes a healthy state when it flows within the body.

Dementia Praecox (Schizophrenia)

Mental deterioration (manic depressive intensity)

Autointoxication

Self-poisoning of brain cells as a result of abnormal metabolism

Talking cure

Discussing feelings that lays out a new approach to mental disorders

Psychoanalysis

Developed by Freud, a comprehensive theory that attempts to explain both normal and abnormal behavior.

Behaviorism

Based on principles that consider all behavior (normal or abnormal) to be learned as a result of experiences or interactions with the environment--Watson

Scientist-practitioner model

Meaning, when proving treatment, psychologists rely on the findings of research. Help provide care.


Neurons/ Synapses/ neurotransmitters

- Brain cells


- Between neurons are spaces


- Chemical substances released into the synapse

Biological scarring

Years of living with the disorder cause changes in the brain

Behavioral genetics

Explore behavior of genes and environment in the transmission of behavior traits

Viral infection theory

Specifically, during the prenatal period or shortly after birth, viral infections might cause brain abnormalities that later lead to behavioral abnormalities.

Reinforcement

Defined as a contingent event that strengthens the behavior that precedes it.

Vicarious Conditioning

No trial learning, the person need not actually do the behavior in order to learn it.

Phenomenology

School of thought that holds that one's subjective perception of the world in more important than the actual world (People are generally good and motivated to self actualize)

Sociocultural models

Propose that abnormal behavior must be understood within the context of social and cultural forces, such as genre roles, social class, and interpersonal resources.

Biopsychosocial perspective

Many different factors probably contribute to the development of abnormal behavior and the different factors may be important for different people.

Diathesis-stress model of abnormal behavior

Begins with the assumption that psychological disorders may have a biological basis

Defining a Mental Disorder

1. Statistical infrequency (behaving differently)


2. Personal Distress


3. Violating Cultural dorms


4. Dysfunction/ disability

Statistical infrequency

When one differs from the norm


(i.e.) Hearing voices

Violation of social/cultural norms

Non conforming (dev. or cult. norm)


(i.e.) Antisocial behavior


Emotional/personal distress

-Emotional pain/suffering


(i.e., depression)


- A problem is that it's quite normal to feel distressed

Dysfunction disability

Impairment/ inability to fulfill a goal


(i.e., excessive alchohol use)

Dimensions of the scientist-practitioner

- Consumer of science (enhances the practice)


- Evaluator of science (determining the effectiveness of the practice


- Creator of science (conducts research that leads to new procedures)

Psychopathology

Study of the nature and development of abnormal behavior --> theory driven

Ancient Greeks and the Supernatural model

- Abnormal behavior is punishment of the gods


- Treatment = temple, rest, diet, exercise

Ancient Greeks Biological model

- Hippocrates


- Somatogenis = physical cause


- Abnormal behaviors = natural causes


- Imbalance of humors: phlegm (sluggish); black bile (melancholy); yellow bile (irritable/quick temp.)

Ancient Greeks Psychological Model

Plato and Aristotle:


- Psychogenesis = psychological cause


- Abnormal behavior results from social-cultural influences

Middle Ages (476-1450 AD) Supernatural Model

- Demonology (abnormal behavior caused by possession)


- Mass hysteria, treatment was an exorcism


- Mad King of France = psychotic melt down and attacked his own men

Early Modern Period (15th - 17th century)

Supernatural model:


- Persecution of witches


- Pope Innocent VIII had witch tests


Biological Model


- Lunacy Trials in Britain

Age of Enlightenment

Bio model revisited --> abnormal behavior rooted in the brain (physical disease)


- Studied by William Griesinger (1817-1868_


Supernatural model--> plants associated with animal magnetism treated by mesmerizing???


- studied by Anton Mesmer

Asylums

- Places for confining ill


- Little or no treatment garnered


- Poor conditions


- Used as an entertainment source


Jean Babbise Pussin & Philippe Pinel, advocated for humane treatments in asylums


- Removed shackles and improved their diets

19th-21st centuries

- Rise of state hospitals


- elicited drugs to the ill (early use to control behavior involved opium, alcohol, and cannabis)


- Dortha Dix--> revamped mental health care system (Community mental health centers act)

Biological Paradigm

- Caused by biological factors (ultimate cause of abnormal behaviors


- Similar to physical diseases, except symptoms are behavioral


- An organic basis will be discovered

Behavioral Genetics sub-paradigm

- Degree to which individual differences are attributed to differences in genetic makeup


- Genotype: total genetic material (inherited by DNA)


- Phenotype: Observable characteristics = result of gene-environment interaction (can change over time

Diathesis

- Stress model that focuses on underlying vulnerability


- Stress = environmental/experience

Phenotype vs. Genotype

Geon= Total genetic material (inherited/DNA)


Pheno = causes the disorder, result of gene-environment interaction

Family Method

- Closer blood relationship (more genetic material in common


- 1st degree relatives = 50% gene similarity


- 2nd degree = 25%


* if psych disorder is genetically influenced, relatives genetically closer are more likely to have disorder*

Twin Studies

- Monozygotic MZ (identical) Share 100% genes


- Dizygotic DZ (Fraternal) share 50%


*If MZ pairs are more concordant for a disorder than DZ twin pairs, disorder is inheritable*

Adoption Studies

- Compares adoptive children to biological parents


- Genetic component of heritability


Q: Do children resemble parents biologically or from their environment interaction?

Linkage Analysis

- Search for one gene involved in disorder


- Compare inheritance pattern; look at genetic makers that show inheritance patterns for a disorder


- When a disorder and genetic maker co-occur, ability to locate gene region that confers risk of disorder

Association studies

Genome-Wide Association Study (GWAS)


- Compare those with and without disorder on genome


- Identify variants more common in patients


Common-Variant Association (CVA)


- Compare groups on one (or few) variants

Quantitative traits

- Many genes contribute risk


- Risk = addictive


- Difficult to find genes that contain small risks

Neurotransmitters and Reuptake

- Neurotransmitters = chemical messages released into synapse (inhibitory/excitatory)


- Postsynaptic: Neuron has receptor sites for neurotransmitters


- Reuptake: Neurotransmitters are taken back into synapse

Neurotransmitters associated with psychological disorders

- Norepinephrine = flight/fight


- Serotonin = depression


- Dopamine = schizophrenia


- GABA = anxiety

Structural brain abnormalities

- Damage causes abnormal behavior


- Location influences type of problem


Treatment in Bio paradigm

- Use of psychoactive drugs


- Modify neurotransmitters activity (block repute and block receptors on postsynaptic neuron)


- Reductionism = reduce psychological functioning to simplify components

Advantages/Disadvantages with Bio model

Advantages: Scientifically based, testable hypothesis, applies to all disorders, helpful treatments


Disadvantages: Reductionism, not all biological disorders are biologically based, medications do not teach adaption skills

Schizophrenia Prognosis

Early onset:


- male, poor premorbid, low education


- structural, negative signs/ brain abnormalities


- Cognitive impairment, usually have a worse outcome


Late onset:


- Female, less brain abnormalities, less cognitive impairment, better outcomes


Environmental Factors:


- Urban born, first born, CNS infection in childhood, prenatal exposure


- menopause, cardiovascular diseases, nicotine dependence (80-90%)

Freud's levels of consciousness

- Conscious = present awareness


- Preconscious = can be brought to awareness


- Unconscious = below awareness

ID

- Primary process thinking


- Satisfying desires


- Unconscious


- Pleasure principle

Ego

- 2nd process thinking


- Planning and decision making


- Conscious


- Reality principle

Superego

- Values and ideals (conscience)


- Introjection


- Moral principle

Stages of psychosexual development

- Fixation = too little or too much gratification at any stage


Oral stage (0-2yrs)


- Mouth, lips, gums, tongue


Anal stage (2-3yrs)


- Anus, pleasure from feces, elimination/retention


Phallic stage (3-5yrs)


- Sexual organs, sexual desire towards a parent (men)

Ego defense mechanisms

Regression: Return to an earlier stage


Denial: Keep real, threatening events from conscious awareness


Projection: Attributing unacceptable thoughts to someone else


Displacement: Redirect emotional responses from real targets to someone else


Rationalization: offer acceptable reasons for unacceptable action


Reaction formation: converting unacceptable feeling into opposite


Sublimation: Converting unacceptable impulses into socially valued behaviors

Assumptions of psychoanalytic paradigm

- Psychic determinism: behavior results from dynamic processes in the mind


- Unconsciousness motivation


- Problems can lead to abnormal disorders


- Insight needed to change

Advantages/ Disadvantages of psychoanalytic paradigm

Advantages:


- Contribution of psychological variables


- Emphasized importance of early childhood


- Explains both normal and abnormal


Disadvantages:


- Not scientifically testable/ based


- Not a lot of evidence


- Extremely long-term therapy indicated

Humanistic Paradigm

- Each person see's the world from a unique perspective


- Capacity for self awareness


- Humans are basically good and self directed


- Self actualization

Client-Centered Therapy (Carl Rogers)

- Unconditional (+) regard = accept patient


- Empathy (primary empathy = restating; advanced = interpreting)

Humanistic advantages/disadvantages

Advantages:


- Popular appeal, could be used as a way to relate with clients, led to therapy studies



Disadvantages:


- Not scientifically based, insufficient when treating disturbed clients, does not explain specific disorders

Operant conditioning

- Behaviors have consequences


- (+) reinforcement: behaviors followed by present stimuli are strengthened


- (-) reinforcement: behaviors terminate - stimuli are strengthened


- Behaviors can be shaped using successive approximation (reward responses that approx. desired response)

Basic Assumptions for behavioral paradigm

- Abnormal behaviors are learned


- Observable behavior = topic of investigation

Behavior Therapy

- Uses learning methods to change problem behaviors, thoughts, and feelings


- Counterconditioning: learning a new response (anxiety response)


- Systemic desensitization: pair relaxation with anxiety provoking stimulus


- Aversive conditioning: Pair an unpleasant event with a stimulus to reduce its attractiveness

Advantages/disadvantages of behavioral assumptions

Advantages:


- Scientifically based


- testable hypothesis


- predicts behavior


- generates research


- effective treatments


Disadvantages:


- Over simplified


- disorders cannot all be explained


- No thoughts/ feelings

Cognitive paradigm

- Cognitive activity affects behavior


- Schemas = cognitive structure consists of fundamental beliefs and assumptions


- Psych disorders involve problems in info-processing


- Cognitive activity may be altered/monitored


- Desired behavior change may be affected through cognitive change

Symptom

Observable behavior


Syndrome

Cluster of co-occurring symptoms

Disease

Disorder + known underlying cause

Diagnostic symptoms

- Diagnosis: classifying disorders by symptoms and signs


- Primary symptoms: internal statistical classification of diseases, injuries, and causes of death

DSM Diagnostic system

- Atheoretical; categorical; groups disorders together; criteria sets feats, significance, exclusions

Criticism of Classification

- Harmful nature of labels


- Doesn't capture individual uniqueness


- Implies abnormal & normal are qualitatively different (happen on a continuum)

Categorical vs. Dimensional classification

Categorical: Disorder present/absent


- involves assessment of disorders (i.e., DSM)


- diagnosed from specific symptoms


Dimensional: Rank on a continuum


- classified through numerical values on one or more scales

Research Domain Criteria (RDOC)

- Shift from description to mechanisms of psychological pathology (explanation vs. description)


- Not intended to explain DSM disorders


- Same mechanisms relate to different disorders


- Multiple mechanisms = any disorder


- Assessment issues = validity (construct)--> which means the extent to which diagnosis is related to, or predictive of, framing a network for diagnostic hypothesis.

Clinical assessment

Systematic evaluation and measurement of psychological problems


- Purposes:


1. Understand


2. Diagnose


3. Produce


4. Plan treatment


5. Evaluating an outcome

Reliability

Consistency of measurement

Inter Rater Reliability

Degree of agreement between two observers

Test-Retest

Extent to which a person's scores are similar across 2 trials (i.e., IQ tests)

Internal Consistency

Extent to which a test produces similar scores over time when given to the same individual (i.e., the SAT)--> predictive validity (predicting college performance by SAT scores)

Validitiy

Test fulfills a specific/intended purpose


- Construct = inferred dimension


- Instrument's validity - constrained by reliability (i.e., different people grading exams)

Content Validity

Measure that adequately samples domain of interest

Criterion Validity

Measures associated in an expected way with another measure

Standardization and norms

Stand: Procedures for administration, scoring, and interpretation


Norms: Population benchmarks for comparison

Clinical Interviews

Any interpersonal encounter using language to gather info


- How patients answer certain questions


- Empathy


- Structural/ informal


- Guided by paradigm

Psychological tests

Standardized procedures designed to measure performance


- (i.e., projective personality tests)


- ^ a way to project personality onto ambiguous stimuli


- Psychoanalytical


- High degree of inference


- Rorschach/ Inkblot tests are examples

Objective Personality tests

- Minimally ambiguous


- Empirical


- Minimal inference


- (i.e., Minnesota Multiphasic Personality test)--MMPI-2 --> uses extensive reliability, validity, and normative databases

Intelligence (IQ) Tests

Uses:


- Standard assessment of mental abilities


- Diagnose learning disabilities


- Identify intellectual disabilities & intellectually gifted


- Good reliability and criterion validity

Behavioral Assessment

- S (stimulus) = environment situations that precede problem


- O (organismic) = Psychological factors operating under the skin


- R (overt responses) = Responses and problems


- C (consequences) = Punishing/reinforcing events


Behavioral and cognitive methods

- Direct observation


- Self monitoring


- Interviews


- Self report inventories


- Thought diaries


Neuroimaging brain structure

Computerized axial tomography (CAT/CT scan)


- MRI etc.