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292 Cards in this Set

  • Front
  • Back
Context
circumstances surrounding a behavior
Cultural relativism
perspective holds that there are no universal standards or rules for labeling a behavior as abnormal; instead, behaviors can only be abnormal relative to cultural norms
Drapetomania
sickness that caused slaves to desire freedom
Dysaesthesia aethiopois
disease in which slaves refused to work for their masters
Unusualness
a standard used to designate behaviors as abnormal, stating that behaviors that are rare are considered abnormal whereas behaviors that are typical are considered normal
Discomfort
states that behaviors should be considered abnormal only if the individual suffers discomfort and wishes to be rid of the behaviors
Mental illness
implies that there is a clear, identifiable physical process that differs from health and that leads to specific behaviors or symptoms
Maladaptive
cause people to suffer distress and prevent them from functioning in daily life are abnormal and should be the focus of research; 3 components: dysfunction, distress, and deviance
Biological theories
saw abnormal behavior as similar to physical disease, caused by the breakdown of systems in the body and the appropriate cure was the restoration of the body to good health
Supernatural theories
saw abnormal behavior as a result of divine intervention, curses, demonic possession, and personal sin and the cure was religious rituals, exorcisms, confessions, and atonement
Psychological theories
saw abnormal behavior as a result of traumas, such as bereavement or chronic stress and the cure was relaxation, rest, a change in environment, and certain herbal medicines
Trephination
used during the stone age to treat abnormality and consisted of drilling holes into the skulls of people displaying abnormal behavior to allow the spirits to depart
General paresis
disease that leads to paralysis, insanity, and eventually death
Psychoanalysis
study of the unconscious
Behaviorism
study of the impact of reinforcements and punishments on behavior
Cognitions
thought processes that influence behavior and emotion
Self-efficacy beliefs
people's beliefs about their ability to execute the behaviors necessary to control important events
Patients' rights movement
large vocal movement in the 1960s that advocated deinstitutionalization
Deinstitutionalization
argued that mental patients can recover more fully or live more satisfying lives if they are integrated into the community with the support of community based treatment facilities
Community mental health movement
launched by John Kennedy in 1963 that attempted to provide coordinated mental health services to people in community based centers
Managed care
loose collection of methods for organizing health care that ranges from simple monitoring all the way to total control over what care can be provided and paid for; the goals are to coordinate services for an existing medical problem and to prevent future medical problems before they arise
Biological approach
mental disorders are caused by biological factors like genetic vulnerability to a disorder that is inherited from parents
Cerebral cortex
area of the brain involved in many of our most advanced thinking processes
Hypothalamus
regulated eating, drinking, and sexual behavior as well as influencing basic emotions
Limbic system
collection of structures that are closely interconnected with the hypothalamus and appear to exert additional control over some of the instinctive behaviors regulated by the hypothalamus, such as eating, sexual behavior, and reactions to stressful situations
Neurotransmitters
biochemicals that act as messengers, carrying impulses from one neuron, or nerve cell, to another in the brain and other parts of the nervous system
Synapse
gap between the synaptic terminals and the adjacent neurons which is where the neurotransmitter is released and then it binds to receptors
Receptors
molecules on the membranes of adjacent neurons
Reuptake
when the initial neuron releasing the neurotransmitter into the synapse reabsorbs the neurotransmitter, decreasing the amount left in the synapse
Degradation
when the receiving neuron releases an enzyme into the synapse that breaks down the neurotransmitter into other biochemicals
Serotonin
a neurotransmitter that regulates emotions and impulses, such as aggression
Dopamine
a neurotransmitter that is prominent in areas of the brain that regulate our experience of reinforcements or rewards, and is affected by substances, such as alcohol, that we find rewarding
Norephinephrine
neurotransmitter when there is too little in the brain, a person's mood is depressed
Gammaaminobutyric acid - GABA
neurotransmitter that inhibits the action of other neurotransmitters
Endocrine system
system of glands that produces hormones
Hormones
carries messages throughout the body, potentially affecting a person's moods, levels of energy, and reactions to stress
Pituitary
master gland because it produces the largest number of different hormones and controls the secretion of other endocrine glands
Behavior genetics
study of genetics of personality and abnormality and concerns two questions: to what extent are behaviors or behavioral tendencies inherited and what are the processes by which genes affect behavior
Polygenic process
takes multiple genetic abnormalities coming together in one individual to create a disorder
Family history study
first scientists identify people who clearly have the disorder in question (probands) and a control group of people that clearly do not have the disorder; then they trade family pedigrees of the two groups to determine how many relatives have the disorder
Monozygotic twins
share 100% of their genes
Dizygotic twins
share an average of 50% of their genes
Twin studies
use of twins to understand if a disorder is entirely genetic because of one MZ twin has it, the other would as well
Concordance rate
probability that both twins have the disorder if one twin has it
Adoption study
researchers identify people that have a disorder and were adopted shortly after birth and then determine if they both have the disorder which can show the disorder is genetically based
Psychodynamic theories
suggest that all behavior, thoughts, and emotions are influenced to a large extent by unconscious process
Psychological approach
suggests that symptoms are rooted in psychological factors such as belied systems of early childhood experiences
Psychoanalysis
Freud developed and is a theory of personality and psychopathology, a method of investigating the mind, and a form of treatment for psychopathology
Catharsis
release of emotions connected with memories when someone says them aloud
Repression
motivated forgetting of a difficult experience or an unacceptable wish
Libido
sexual drive
Id
its drives and impulses seek immediate release
Pleasure principle
id operates under this to maximize pleasure and minimize pain, as quickly as possible
Primary process thinking
wish fulfillment - when direct action cannot be taken, humans use fantasies or memories to conjure up the desired object or action
Ego
the force that seeks to gratify wishes and needs in ways that remain within the rules of society for their appropriate expression
Reality principle
ego follows this; the drive to satisfy our needs within the realities of society's rules
Secondary process thinking
rational deliberation - ex: a preschooler may wish to suckle but know it can't so cuddles instead
Superego
made up of conscience and ego ideal; develops from the ego later in childhood and is the storehouse of rules and regulations for the conduct of behavior that are learned from parents and society
Conscience
evaluates whether we are conforming our behavior to our internalized moral standards
Ego ideal
image of the person we wish to become, formed from images of those people with whom we identified in our early years
Unconscious
where most interactions of the id, ego, and superego occur - out of our awareness
Preconscious
buffer between the unconscious and conscious
Introject
we internalize these moral standards because following them makes us feel good and reduces anxiety
Defense mechanisms
strategies that the ego uses to disguise or transform unconscious wishes
Neurotic paradox
when a person's behavior becomes ruled by defense mechanisms or when the mechanisms themselves are maladaptive, the defense mechanisms can result in abnormal, pathological behavior
Psychosexual stages
as children develop they pass through a series of universal stages - Freud
Oral stage
lasts for the first 18 months following birth in which libidinal impulses are satisfied through stimulation in the mouth area
Anal stage
lasts from 18 months to 3 years in which the focus of gratification is the anus
Phallic stage
from 3-6 in which the focus of pleasure is its genitals
Oedipus complex
boys become sexually attracted to their mothers and hate their fathers as rivals
Castration anxiety
boys fear their fathers will retaliate against them for being attracted to their mothers by castrating them and so the child then aspires to become like their fathers
Electra complex
girls develop an attraction for their fathers in hopes that their fathers will provide the penis they lack
Penis envy
women's behavior is driven by the wish to have a penis
Latency stage
libidinal drives are quelled; their attention turns to developing skills and interest and becoming socialized and avoid children of the opposite sex
Genital stage
age of 12; children's sexual desire emerge again
Object relations theory
our early relationships create images of ourselves and others and we carry these images throughout adulthood and they affect all our subsequent relationships
Undifferentiated stage
newborn has only an image of the self and no sense that other people and objects are separate from the self; it believes that itself and the caregiver are one and that everything it feels or wants the caregiver feels or wants
Symbiosis
infant still does not distinguish between self and other but does extinguish between good and bad aspects of the self-plus-other image
Separation-individuation
child begins to differentiate between the self and the other but it's images of the good self and the bad self are not integrated and it focuses on the good or bad self exclusively
Integration stage
the child distinguishes the self and integrates the good and bad images of the self and the other into complex representations
Splitting
people that never fully resolve stages 2 and 3 think that the self is all good or all bad
Social approach
look to interpersonal relationships and the social environment for causes of mental disorders
Vulnerability-stress models
a person must carry a vulnerability to the disorder in order to develop it; This can be biological, like a genetic predisposition to the disorder, or a psychological one, like a personality trait that increases person's risk of developing the disorder or a history of poor interpersonal relationships
Behavioral theories
focus on the influences and reinforcements and punishments in producing behavior
Classical conditioning
Pavlov's experiment; paired a neutral stimulus with a stimulus that naturally leads to a certain response and eventually the neutral stimulus was able to elicit the response
Unconditioned stimulus
the stimulus that naturally produced the desired response
Unconditioned response
response created by the unconditioned stimulus
Conditioned stimulus
the previously neutral stimulus that now elicits a response
Conditioned response
response that was elicited from the conditioned stimulus
Operant conditioning
shaping of behaviors by providing rewards for desired behaviors and punishments for undesired behaviors; Skinner
Continuous reinforcement schedule
behaviors are learned most quickly if they are paired with the reward or punishment every time the behavior is emitted
Partial reinforcement schedule
reward or punishment occurs only sometimes in response to the behavior
Extinction
elimination of a learned behavior; More difficult when the behavior has been learned through a partial reinforcement schedule than it is when the behavior has been learned through a continuous reinforcement schedule
Social learning theory
Bandura - people can learn behaviors by watching other people
Modeling
people learn new behaviors from imitating the behaviors modeled by important people in their lives
Observational learning
when a person observes the rewards and punishments that another person receives for his or her behavior and then behaves in accord with those rewards and punishments
Cognitive theories
argue that thoughts and beliefs shape our behaviors and the emotions we experience
Casual attribution
when something happens to us, this is the answer to the question why
Control theory
focuses on people's expectations regarding their abilities to control important events
Self-efficacy
person's belief that he or she can successfully execute the behaviors necessary to control desired outcomes
Global assumptions
we have broad beliefs about how things work which can either be positive and helpful or negative and destructive
Humanistic theories
focus on the person behind the cognitions, behaviors, and the unconscious conflicts; Based on the assumptions that humans have an innate capacity for goodness and that pressure from society to conform interferes with this
Self-actualization
Rogers - fulfillment of one's potential for love, creativity, and meaning
Client-centered therapy
designed to help people realize their genuine selves, accept themselves entirely, and begin growing toward self-actualization
Existential theories
humans are in control and have the capacity and responsibility to direct their lives in meaningful and constructive ways; also believe that goals in human growth are the discovery of one's own values and meaning and the living of one's life by these values; Put more emphasis on the difficulties inherent in self-actualization, recognizing that society puts many obstacles in the way of living according to one's own values
Interpersonal theories
Adler - the primary motivation of humans is to belong to an participate in social groups; emphasizes social motives and social forces more than sexual drives shape human's behaviors
Prototypes
images of the self and others in relation to the self
Family systems theories
therapies focus on the family and see that family as a complex system which works to maintain homeostasis
Inflexible family
resistant to and isolated from all forces outside the family
Enmeshed family
each member is too greatly involved in the lives of the other members, to the point that individuals do not have personal autonomy and can feel controlled
Disengaged family
members pay no attention to each other and operate as independent units isolated from other family members
Pathological triangular relationships
parents avoid dealing with conflicts with each other by always keeping their children involved in their conversations and activities
Social structural theories
suggest that we need to look beyond the family to the larger society to find causes of psychopathology in individuals; Society can create stresses on individuals that increase their risk for psychopathology; Some people live in more chronically stressful circumstances than others and these people are at a greater risk of psychopathology; Societies may influence the types of psychopathology their members show by having implicit or explicit rules about what types of abnormal behavior are acceptable and in what circumstances
Assessment
process of gathering information about people's symptoms and the possible causes of those symptoms
Diagnosis
label attached to a set of symptoms that tend to occur with one another
Differential diagnosis
determination of which of several possible disorders an individual may be suffering by assessing cognitive functioning and intellectual abilities
Acculturation
the extent to which a person identifies with his or her group of origin and its culture or with the dominant, mainstream culture
Unstructured interview
only has a few open ended questions like "tell me about yourself"
Structured interview
clinician asks the respondent a series of questions about symptoms he or she is experiencing or has experienced in the past; it is structured and standardized
Resistance
the individual being assessed does not want to be treated and may be resistant in providing information
Validity
accuracy of a test in assessing what it is supposed to measure
Face validity
on face value the items seem to be measuring what the test is intended to measure
Content validity
extent to which a test assesses all the important aspects of a phenomenon that it purports to measure
Concurrent validity
extent to which a test yields the same results as other measures of the same behavior, thoughts, or feelings
Predictive validity
good at predicting how a person will think, act, or feel in the future
Construct validity
extent to which the test measures what it is supposed to measure, not something else altogether
Reliability
indicator of the consistency of a test in measuring what it is supposed to measure
Test-retest reliability
an index of how consistent the results of a test are over time
Alternate form reliability
when people's answers to these different forms of a test are similar
Internal reliability
when there is similarity in people's answers among different parts of the same test
Interrater reliability
different raters or judges who administer and score the interview or test should come to similar conclusions when they are evaluating the same people
Neuropsychological tests
useful in detecting specific cognitive and fine-motor deficits, such as an intentional problem or a tendency to ignore items in one part of the visual field
Computerized tomography - CT
enhancement of X-ray procedures; provides only an image of the structure of the brain rather than an image of the activity of the brain
Position-emission tomography - PET
can provide a picture of activity in the brain
Magnetic resonance imaging - MRI
provides more detailed pictures of the anatomy of the brain and can see the brain at any angle
Intelligence tests
used to get a sense of a client's intellectual strengths and weaknesses, particularly when mental retardation or brain damage is suspected
Symptom questionnaire
some can cover a wide variety of symptoms, representing several disorders while others are more specific; used to assess symptoms a patient can be feeling
Personality inventories
usually questionnaires that are meant to assess people's typical ways of thinking, feelings, and behaving
Projective test
based on the assumption that when people are presented with an ambiguous stimulus, such as an oddly shaped inkblot, they will interpret the stimulus in line with their current concerns and feelings, their relationships with others, and their conflicts or desires
Behavioral observation
asses deficits in their skills or ways of handling situations
Self-monitoring
when a client keeps tack of the number of times he engages in a specific behavior
Axis I
major disorders with exclusion of mental retardation and personality disorders
Chronic
last long periods of time
Acute
more recent and abrupt onset of severe symptoms
Axis II
mental retardation or any personality disorders
Axis III
medical or physical diseases
Axis IV
rates the severity of the psychological stressors
Axis V
rates level at which client is able to function in daily life
Psychotherapy
involve a therapist talking with the person suffering from the disorder about his symptoms and what is contributing to the symptoms
Chlorpromazine
treats the symptoms of psychosis, the loss of touch with reality and hallucinations
Phenothiazines
used for many things among which is calm agitated patients and reduce tremors in patients with Parkinson's
Neuroleptic
drug that depressed the activity of the nervous system
Butyrophenone
reduce psychotic symptoms
Antipsychotic drugs
drugs that relieve symptoms of psychosis
Antidepressants
drugs that treat the symptoms of depression
Monoamine oxidase inhibitors (MAOIs)
antidepressant drugs that inhibit the enzyme monoamine oxidase in the brain which results in higher levels of neurotransmitters
Selective serotonin reuptake inhibitors (SSRIs)
acts more selectively on serotonin receptors; antidepressants
Lithium
used to treat mania
Anticonculsants and calcium channel blockers
used to treat mania
Barbiturates
suppress the central nervous system, decreasing the activity of a variety of types of neurons
Benzodiazepines
reduce symptoms of anxiety without interfering substantially with an individual's ability to function in every day life
Electroconvulsive therapy - ECT
originally treatment for schizophrenia but not successful; can treat depression
Prefrontal lobotomy
the frontal lobes of the brain were severed from lower centers of the brain in people suffering from psychosis
Repetitive transcranial magnetic stimulation (rTMS)
exposes patients to repeated, high-intensity magnetic pulses with are focused on particular brain structures
Psychodynamic theories
focus on uncovering and resolving unconscious conflicts that are thought to drive psychological symptoms; goal is to help clients recognize the maladaptive ways in which they have been trying to cope and the sources of their unconscious conflicts
Free association
a client is taught to talk about whatever comes to mind, trying not to censor any thoughts
Resistance
material a client is reluctant to talk about
Transference
occurs when a client reacts to the therapist as if the therapist were an important person in the client's early development
Working through
going over and over through painful memories and difficult issues which help clients understand the memories
Catharsis
expression of emotions connected to memories and conflicts
Therapeutic alliance
being empathic and supportive, and listening nonjudgmentally, the therapist creates a relationship of trust with the client which gives the client freedom and courage to explore difficult issues
Psychoanalysis
typically involves 3-4 sessions a week over many years and the focus is on interpretations of transferences and resistances as well as on experiences in the client's past
Humanistic theory
person centered theory - help clients discover their greatest potential through self-exploration
Client centered therapy
Rogers - three essential ingredients; Therapist communicates a genuineness in his role as a helper to the client; Unconditional positive regard; Therapist communicates an empathic understanding of the client making it clear that he understands and accepts the client's underlying feelings and search for self
Reflection
method of responding in which the therapist expresses an attempt to understand what the client is experiencing and trying to communicate
Behavior therapies
focus on identifying the reinforcements and punishments contributing to a person's maladaptive behaviors and on changing specific behaviors
Behavior assessment
therapist works with the client to identify the specific circumstances that seem to elicit the client's unwanted behavior or emotional responses
Role-play
therapist takes the role of a person to whom the client feels she reacts badly
Systematic desensitization therapy
people develop fear and anxiety responses to previously neutral stimuli through classical conditioning and then, through operant conditioning, they develop behaviors designed to avoid triggers for that anxiety
Modeling
client watches therapist do what he wants the client to do later
In vivo exposure
goes in levels from least feared to most and tackles it one step at a time with calming exercises
Flooding - implosive therapy
exposing clients to feared stimuli or situations to an excessive degree while preventing them from avoiding the situation
Token economy
patient would receive a token each time he exhibited positive behavior and they could be exchanged for privileges
Response shaping
using operant conditioning - basically time out when child acts out and teaching child to socialize instead of misbehave for attention
Social skills training
helps people with a variety of problem in interacting and communicating with others
Cognitive therapies
focus on challenging people's maladaptive interpretations of events or ways of thinking and replacing them with more adaptive ways of thinking; also help clients lean more effective problem solving techniques with the concrete problems in their lives
Behavioral assignments
help clients gather evidence concerning his beliefs, to test alternative viewpoints about the situation, and to try new methods of coping with different situations
Interpersonal therapy
focus on client's pattern of relationships with important people in his life
Family systems therapy
based on the beliefs that an individual's problems are always rooted in interpersonal systems, particularly families
Group therapy
members in a group share an experience and discuss their problems and attempt to help and support each other
Self-help groups
people who come together to deal with a common experience or need
Community mental health centers
intended to provide mental health care based in the community, often from teams of social workers, therapists, and physicians who coordinate care
Halfway houses
offer people with long-term mental health problems an opportunity to live in a structured, supportive environment while they are trying to reestablish a job and ties to family and friends
Day treatment centers
allow people to obtain treatment all day as well as occupational and rehabilitative therapies but to live at home at night
Primary prevention
stopping the developing disorders before they start by reducing drug abuse, changing bad neighborhoods, etc
Secondary prevention
focused on catching disorders in their earliest stages and providing treatment designed to reduce their development
Psychosis
unable to tell the difference between what is real and what is unreal
Schizophrenia
at times, people think and communicate clearly but other times their thinking and speech are garbled, they lost touch with reality, and they are not able to care for themselves in basic ways
Positive symptoms - or type I symptoms
characterized by the presence of unusual perceptions, thoughts or behaviors
Negative symptoms - or type II symptoms
represent losses or deficits in certain domains
Delusions
ideas that an individual believes are true but are highly unlikely and often simply impossible
Persecutory delusion
people with these believe that they are being watched or tormented by people they know
Delusion of reference
people believe that random events or comments by others are directed at them
Grandiose delusions
beliefs that one is a special person or being or possess special powers
Delusions of thought insertion
belief that one's thoughts are being controlled by outside forces
Hallucinations
unreal perceptual experiences
Auditory hallucination
more common type of hallucination; people hear voices accusing them of evil deeds or threatening them
Visual hallucination
seeing objects or people that are not there
Tactile hallucinations
involve the perception that something is happening to the outside of one's body
Somatic hallucinations
involve the perceptions that something is happening side one's body
Formal thought disorder
disorganized thinking of people with schizophrenia
Word salad
person's speech so disorganized that it is incoherent to the listener
Smooth pursuit eye movement
eye tracking; keeping their eyes on a moving object
Working memory
capacity to hold information in memory and manipulate it
Catatonia
group of disorganized behaviors that reflect an extreme lack of responsiveness to the outside world
Catatonic excitement
person becomes widely agitated for no apparent reason and is difficult to subdue
Affective flattening
severe reduction in, or complete absence of, affective (emotional) responses to the environment
Alogia
reduction in speaking; person will not initiate speech and will only give short answers if asked
Avolition
inability to persist at common, goal-directed activities, including those at work, school, and home
Anhedonia
loss of interest in everything in life
Dementia praecox
premature deterioration of the brain
Paranoid schizophrenia
people with this have prominent delusions and hallucinations that involve themes of persecution and grandiosity
Disorganized schizophrenia
people with this do not have well-formed hallucinations or delusions; these people may speak in word salads and are prone to odd, stereotyped behaviors and might be disorganized and do not bathe, dress, or eat on their own
Catatonic schizophrenia
people with this show a variety of motor behaviors and ways of speaking that suggest almost complete unresponsiveness to their environment
Echolalia
senseless repetitions of words spoken by others
Echopraxia
repetitive imitation of the movements of another person
Undifferentiated schizophrenia
people with this have delusions, hallucinations, disorganized speech, or negative symptoms but do not meet the criteria for paranoid, disorganized, or catatonic schizophrenia
Residual schizophrenia
people with this have had at least one acute episode of acute positive symptoms of schizophrenia but do not currently have any prominent positive symptoms
Perinatal hypoxia
oxygen deprivation during labor and delivery
Dopamine
neurotransmitter thought to play a role in schizophrenia
Phenothiazines
reduces symptoms of schizophrenia by reducing the functional level of dopamine in the brain
Mesolymbic pathway
sub cortical part of the brain involved in cognition and emotion
Atypical antipsychotics
work to reduce the symptoms of schizophrenia by binding to D4 receptors in the mesolimbic pathways, blocking the action of dopamine in the system
Social selection
symptoms of schizophrenia interfere with a person's ability to complete an education and hold a job so people tend to drift downward in social class
Expressed emotion
families with this are over involved with each other, overprotective of the disturbed family member, and voice self-sacrificing attitudes while being critical, hostile, and resentful of the disturbed family member
Chlorpromazine
calms agitation and reduces hallucinations and delusions in patients with schizophrenia
Akinesia
characterized by slow motor activity, monotonous speech, and an expressionless face
Akathesis
agitation that causes people to pace and be unable to sit still
Tardive dyskinesia
involves involuntary movements of the tongue, face, mouth, or jaw
Agranulocytosis
deficiency of the substances produced by cone marrow to fight infection
Assertive community treatment programs
provide comprehensive services to people with schizophrenia, using the expertise of medical professionals, social workers, and psychologists to meet a variety of patients' needs 24 hours a day
Physiological, or somatic, symptoms
muscle tension, heart palpitations, stomach pain, and so on
Emotional symptoms
sense of fearfulness and watchfulness
Cognitive symptoms
unrealistic worries that something bad is happening or is about to happen
Behavioral symptoms
avoids situations because of fears
Adaptive fear
concerns are realistic; the amount of fear is in proportion to the reality of the threat; fear response subsides when the threat ends
Maladaptive fear
concerns are unrealistic; the amount of fear is out of proportion to the reality of the threat; concern is persistent when threat passes and have anticipatory anxiety about the future
Neurosis
Freud - disorders in which the anxiety aroused by unconscious conflicts could not be quelled or channeled by defense mechanisms
Panic attacks
hort but intense periods in which she experiences many symptoms of anxiety: heart palpitations, trembling, a feeling of choking, dizziness, intense dread, and so on
Panic disorder
when panic attacks become common, not provoked, and when a person worries about having more attacks and changes because of the panic attacks
Cognitive model
people prone to panic attacks pay close attention to their bodily sensations, misinterpret bodily sensations in a negative way, and engage in snowballing catastrophic thinking
Anxiety sensitivity
belief that symptoms of anxiety have harmful consequences
Interoceptive awareness
heightened awareness of bodily cues that a panic attack may soon happen
Tricyclic antidepressants
improve functioning of norepinephrine system
Selective serotonin reuptake inhibitors (SSRIs)
increase the functional levels of the neurotransmitter serotonin in the brain
Benzodiazepines
suppress the central nervous system and influence functioning in the GABA, norepinephrine, and serotonin neurotransmitters
Cognitive behavioral therapy
getting clients to confront situations or thoughts that arouse anxiety in them
Systematic desensitization therapy
exposes the client gradually to the situations they most fear while helping them maintain control over their panic symptoms
Agoraphobia
fear crowded places as well as enclosed spaces, open spaces, or any place that they might have trouble escaping or getting help; usually the person has panic attacks and usually get to the point where they can't leave their homes
Specific phobias
most fall into one category: animal type, natural environment type, situational type, blood-injection-injury type
Social phobia
people fear being judged or embarrassing themselves in front of other people
Psychodynamic theories
people become phobic of objects because they have displaced their anxiety over other issues onto the object
Behavioral theories
classical conditioning leads to the fear of the object and operant conditioning helps maintain the fear
Negative reinforcement
the avoidance of the phobia reduces the anxiety
Safety signal hypothesis
people remember vividly the places in which they have had panic attacks, even if panic attacks have come on by surprise, with and they associate these places with their symptoms and begin to feel these symptoms again if they return to these places
Prepared classical conditioning
it's easier to become phobic of things when our ancestors needed to avoid the creatures or such
Cognitive theories
focus on what's going wrong and not what's going right and judge themselves harshly; they have biases in attention and in evaluating situations
Biological theories
relatives of people with phobias are more likely to get phobias
Systematic desensitization
clients formulate lists of situations or objects they fear and they learn relaxation techniques and then they start with the least feared, using the relaxation techniques
Modeling techniques
therapist models the behaviors most feared by clients before they attempt the behaviors themselves
Flooding
intensively expose a client to his or her feared object until anxiety extinguishes
Cognitive-behavioral therapy
help clients identify and challenge the negative thoughts they have when they are anxious
Self-efficacy expectations
creating expectations in clients that they can master their problems
Benzodiazepines
to reduce anxiety when forced to confront phobic objects
Generalized anxiety disorder
people who are anxious all the time in almost all situations; they worry about a lot of things
Realistic anxiety
occurs when we face a real danger or threat
Neurotic anxiety
occurs when we are repeatedly prevented from expressing out id impulses
Moral anxiety
occurs when we have been punished for expressing our id impulses and we come to associate those impulses with punishments, causing anxiety
Conditions of worth
harsh self-standards they feel they must meet in order to be acceptable
Existential anxiety
universal human fear of the limits and responsibilities of one's existence; Anxiety arises when we face the finality of death, the fact that we may unintentionally hurt someone, or the prospect that our lives have no meaning
Cognitive theories
people are focused on a threat from both the conscious and unconscious levels
Automatic thoughts
maladaptive assumptions that lead people with GAD to responds to situations with these thoughts that stir up anxiety, cause them to be hyper vigilant, and lead them to overreact to situations
Benzodiazepines
increase the activity of the gamma-aminobutyric acid (GABA) which is a neurotransmitter that carries inhibitory messages from one neuron to another
Cognitive behavioral
focus on helping people confront the issues they worry most about and challenge their negative thoughts, and develop coping strategies
Buspirone
appears to alleviate symptoms of generalized anxiety for some people
Obsessions
thoughts, images, ideas, or impulses that are persistent that the individual feels intrude upon his or her consciousness without control and that cause significant anxiety or distress
Compulsions
repetitive behaviors or mental acts that an individual feels he or she must perform
OCD
classified as an anxiety disorder because people experience anxiety as a result of their obsessional thoughts and when they cannot carry out their compulsive behaviors
Caudate nucleus
allows only the strongest of impulses to carry through to the thalamus; People with OCD cannot turn off these impulses
Psychodynamic theories of OCD
particular obsessions are symbolic of unconscious conflicts that they are guarding against and these conflicts create anxiety in which they displace onto more acceptable thought or behavior
Cognitive-behavioral of OCD
people with OCD cannot turn off negative, intrusive thoughts
Cognitive behavioral treatment of OCD
focus on repeatedly exposing the client to the focus of the obsession and preventing compulsive responses to the anxiety aroused by the obsession