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the study of people who suffer mental, emotional, and often physical pain as a result of some form of psychological or mental disorder
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psychopathology
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circumstances surrounding a behaviour
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context
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expectations for the behaviour of an individual based on his or her gender
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gender roles
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perspective that holds that there are no universal standards or rules for labeling a behaviour as abnormal
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cultural relativism (perspective)
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a second standard that has been used for designating behaviours as abnormal
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unusualness
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perspective that suggests that behaviours should be considered abnormal only if the individual suffers discomfort and wishes to be rid of the behaviours
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discomfort (perspective)
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perspective that defines abnormality as behaviours that result from mental disease or illness
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mental illness (perspective)
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perspective that behaviours and feelings that cause people to suffer distress and that prevent them from functioning in daily life are abnormal and should be the focus of research and intervention
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maladaptive (perspective)
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the behaviours or feelings prevent the person from functioning in daily life
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dysfunction
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the behaviours or feelings cause the person (or others) significant distress
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distress
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the behaviours or feelings are highly unusual
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deviance
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theories that saw abnormal behaviour as similar to physical diseases, cause by breakdowns of systems in the body
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biological theories
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theories that saw abnormal behaviour as a result of divine intervention, curses, demonic possession, and personal sin
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supernatural theories
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theories that saw abnormal behaviour as a result of traumas, such as bereavement or chronic stress
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psychological theories
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treatment for abnormality in the Stone Ages; to drill holes in the skulls of people displaying abnormal behaviour to allow the spirits to depart
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trephination
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a phenomenon in which large numbers of people begin to engage in unusual behaviours that appear to have a psychological origin
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psychic epidemics
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treatment designed to restore patients' self-restraint by treating them with respect and dignity and encouraging them to exercise self-control
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moral treatment
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a disease that leads to paralysis, insanity, and eventually death; discovery of its cause (syphilis) in the mid-1800s was one of the most important discoveries underpinning modern biological theories of abnormality
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general paresis
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methods used by Austrian physician Mesmer in the 18th century; "cures" caused in his psychiatric patients were attributed to the trancelike states he induced in his patients (hypnosis)
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mesmerism
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the study of the unconscious
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psychoanalysis
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the study of the impact of reinforcements and punishments on behaviour
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behaviourism
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thought processes that influence behaviour and emotion
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cognitions
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peoples' beliefs about their ability to execute the behaviours necessary to control important events
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self-efficacy beliefs
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movement which began in 1960; advocates 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
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patients' rights movement
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process of integrating patients into the community, with the support of community-based treatment facilities
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deinstitutionalization
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movement which attempted to provide coordinated mental-health services to people in community-based centers
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community mental-health movement
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generally a 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
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managed care
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approach that examines the biological, psychological, and social theories of a given disorder and focuses on how these factors interact and influence each other to produce and maintain mental-health problems
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integrationist approach
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movement started by Clifford Beers in the early 1900s for the reform of mental-health treatment
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mental hygiene movement
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a set of ideas that provides a framework for asking questions about a phenomenon, as well as gathering and interpreting information about that phenomenon
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theory
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approach that suggests that symptoms are caused by a biological factor; focuses on structural damage to the brain, biochemical imbalances, and genetic abnormalities
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biological approach
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approach that suggests that symptoms are rooted in psychological factors; focuses on unconscious conflicts, poor skills, and maladaptive cognitions
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psychological approach
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approach that a patient's symptoms are caused by their interpersonal relationships and the social environment in which they live; focuses on maladaptive upbringing and chronic stress
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social approach
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models integrating biological, psychological, and social approaches to develop comprehensive models of the many factors that lead some people to develop a given mental disorder
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vunerability-stress models
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an area of the brain involved in many of our most advanced thinking processes
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cerebral cortex
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area of the brain which regulates basic biological needs (eating, drinking, sexual behaviour) and influences basic emotions
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hypothalamus
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a collection of structures that are closely interconnected with the hypothalamus and appear to exert additional control over some of the instinctive behaviours regulated by the hypothalamus
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limbic system
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biochemicals that act as messengers, carrying impulses from one neuron (or nerve cell) to another in the brain and in other parts of the nervous system
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neurotransmitters
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the slight gap between the synaptic terminals and the adjacent neurons
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synapse
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molecules on the membranes of adjacent neurons
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receptors
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process which occurs when the initial neuron releasing the neurotransmitter into the synapse reabsorbs the neurotransmitter, decreasing the amount left in the synapse
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reuptake
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process which occurs when the receiving neuron releases an enzyme into the synapse that breaks down the neurotransmitter into other biochemicals
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degradation
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system of glands which produces many different chemicals called hormones which are released directly into the blood
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endocrine system
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carries messages throughout the body, potentially affecting a person's moods, levels of energy, and reaction to stress
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hormone
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one of the major endocrine glands; has been called the "master gland" because it produces the largest number of different hormones and controls the secretion of other endocrine glands; partly an outgrowth of the brain and lies just below the hypothalamus
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pituitary
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the study of the genetics of personality and anormality
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behaviour genetics
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process which takes multiple genetic abnormalities coming together in one individual to create a disorder
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polygenic
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study in which scientists first identify people who clearly have the disorder in question (probands), and also identify a control group of people who clearly do not have the disorder, then trace the family pedigrees (family trees) of the individuals in these two groups and determine how many of their relatives have the disorder
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family history study
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twins that come from a single fertilized egg which splits into two identical parts
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monozygotic twins
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twins that come from two separate eggs fertilized by separate sperm
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dizygotic twins
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studies used by researchers to investigate the contribution of genetics to many disorders through observing differences between MZ and DZ twins
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twin studies
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probability that both twins have the disorder if one twin has the disorder
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concordance rate
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a tendency to develop a disorder
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predisposition
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study in which researchers identify people who have the disorder of interest who were adopted shortly after birth, then determine the rates of the disorder in the biological relatives of these adoptees and the adoptive relatives of the adoptees
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adoption study
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theories that suggest that all behaviour, thoughts, and emotions, whether normal or abnormal, are influenced to a large extent by unconscious processes
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psychodynamic theories
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method developed by Freud which is (1) a theory of personality and psychopathology, (2) a method of investigating the mind, and (3) a form of treatment for psychopathology
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psychoanalysis
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the release of emotions connected to distressing memories
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catharsis
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the motivated forgetting of a difficult experience
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repression
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sexual drive
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libido
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the system from which the libido emerges, and its drives and impulses seek immediate release
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id
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the drive to maximize pleasure and minimize pain, as quickly as possible; operates the id
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pleasure principle
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when direct action cannot be taken, humans may use fantasies or memories to conjure up the desired object or action
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primary procss thinking, or wish fulfillment
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the force that seeks to gratify wishes and needs in ways that remain within the rules of society for their appropriate expression
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ego
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the drive to satisfy our needs within the realities of society's rules
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reality principle
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the ego's primary mode of operation; rational deliberation about how to satisfy primitive urges within the constraints of society
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secondary process thinking
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the storehouse of rules and regulations for the conduct of behaviour that are learned from one's parents and from society; made up of two components, the conscience (constantly evaluates whether we are conforming our behaviour to our internalized moral standards) and the ego ideal (an image of the person we wish to become)
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superego
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internalizing moral standards
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introject
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completely out of our awareness
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unconscious
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way station, or buffer, between unconscious and conscious
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preconscious
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completely part of our awareness
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conscious
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strategies that the ego uses to disguise or transform unconscious wishes
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defense mechanisms
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when a person's behaviour becomes ruled by defense mechanisms or when the mechanisms themselves are maladaptive, the defense mechanisms can result in abnormal, pathologicalc behaviour
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neurotic paradox
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Freud's proposition that as children develop, they pass through a series of univeral stages; in each stage, sexual drives are focused on the stimulation of certain body areas, and particular psychological issues can arouse anxiety
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psychosexual stages
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earliest stage of life; 0-18 months; libidinal impulses are best satisfied through stimulation of the mouth area, usually through feeding or sucking; central issues of this stage are of one's dependence and the reliability of others
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oral stage
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stage from 1.5-3 years; the focus of gratification is the anus
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anal stage
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stage from 3-6 years; the focus of pleasure is the genitals
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phallic stage
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boys become sexually attracted to their mothers and hate their fathers as rivals
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Oedipus complex
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boys with Oedipus complex fear that their fathers will retaliate against them by castrating them, motivating them to put aside their desire for their mothers and aspire to become like their fathers
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castration anxiety
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girls develop an attraction for their fathers, in hopes that their fathers will provide the penis they lack
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Electra complex
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the wish to have the male sex organ
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penis envy
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stage from 6-12 years; libidinal drives are quelled somewhat and attention turns to developing skills and interests and becoming fully socialized into the world
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latency stage
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stage from 12 years on; sexual interests turn to heterosexual interests; begin to pursue romantic alliances
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genital stage
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theory that suggests that our early relationships create images, or representations, of ourselves and others; we carry these images throughout adulthood and they affect all our subsequent relationships
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object relations theory
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the image of the self and other is split into the good image and the bad image, with no appreciation for the mixed qualities of good and bad that are true of all people
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splitting
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pairing a previously neutral stimulus with a stimulus that naturally leads to a certain response, and eventually the neutral stimulus is able to elicit that response
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classical conditioning
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the stimulus that naturally produces the desired response
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unconditioned stimulus
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the response created by the unconditioned stimulus
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unconditioned response
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the previously neutral stimulus
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conditioned stimulus
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the response the conditioned stimulus elicited
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conditioned response
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the shaping of behaviours by providing rewards for desired behaviours and punishments for undesired behaviours
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operant conditioning
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behaviours are paired with the reward or punishment every time the behavious is emitted
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continuous reinforcement schedule
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the reward or punishment occurs only sometimes in response to the behaviour
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partial reinforcement schedule
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the elimination of a learned behaviour
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extinction
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theory that suggests that people can learn behaviours by watching other people
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social learning theory
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people learn new behaviours from imitating the behaviours modeled by important people in their lives
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modeling
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a person observes the rewards and punishments that another person received for his or her behaviour and then behaves in accord with those rewards and punishments
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observational learning
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thoughts and beliefs
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cognitions
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theories that argue that cognitions shape our behaviours and the emotions we experience
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cognitive theories
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our answer to "why" an event happened
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causal attribution
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theory that focuses on people's expectations regarding their abilities to control important events
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control theory
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broad beliefs about how things work
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global assumptions
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theories of abnormality that focus on what we might call "the person" behind the cognitions, the behaviours, and the unconscious conflicts; based on the assumption that humans have an innate capacity for goodness and for living a full life; pressure from society to conform to certain norms, rather than to seek one's most developed self, interferes with the fulfillment of this capacity
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humanistic and existential theories
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the fulfillment of one's potential for love, creativity, and meaning
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self-actualization
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form of therapy designed to help people realize their genuine selves, accept themselves entirely, and begin growing toward self-actualization
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client-centered therapy
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theories that center their explanations of the development of normal and abnormal behaviour on the fact that humans are social beings
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interpersonal theories
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images of the self and others in relation to the self
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prototypes
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theories that see the family as a complex system, which works to maintain the status quo or homeostasis
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family systems theories
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theories that suggest that we need to look beyond the family to the larger society to find the causes of psychopathology in individuals
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social structural theories
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process in which steps are designed to obtain and evaluate information relevant to a problem in a systematic way
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scientific method
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expectation that there is no relationship between the phenomena being studied
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null hypothesis
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a factor or characteristic that can vary within an individual or between individuals
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variable
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the factor being predicted in a study
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dependent variable
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the factor that is believed to affect the dependent variable
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independent variable
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the way a researcher measures or manipulates the variables in a study
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operationalization
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a testable statement of what we predict will happen in the study
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hypothesis
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detailed histories of individuals who have suffered a form of psychological disopder
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case studies
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the ability to apply what has been learned to other individuals or groups
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generalizability
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one case study repeats the conclusions of another
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replication
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studies which examine the relationship between an independent variable and a dependent variable without manipulating either variable
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correlational studies
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a variable measured along a continuum
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continuous variable
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study in which researchers are interested in the relationship between people's membership in a particular group and their scores on some other variable
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group comparison study
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studies in which researchers observe people at only one point in time
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cross-sectional
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studies in which researchers observe people on two or more occasions over time
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longitudinal
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a statistic used to represent the relationship between variables; often denoted with the symbol r
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correlation coefficient
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an index of how likely a particular result occurred simply by chance
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statistical significance
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the possibility that variables not measured in a study are the real cause of the relationship between the variables measured in the study
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third variable problem
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a group of people taken from the population that we want to study
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sample
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the extent to which a study's results can be generalized to the phenomena in real life
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external validity
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the study of the frequency and distribution of a disorder, or a group of disorders, in a population
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epidemiology
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the proportion of the population that has the disorder at a given point or period in time
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prevalence
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the number of new cases of a disorder that delelop during a specific period of time
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incidence
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conditions or factors that are associated with a higher risk of having the disorder
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risk factors
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studies in which researchers attempt to control the independent variable and any potentially problematic third variables, rather than simply observing them as they naturally occur
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experimental studies
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study in which participants are exposed to a stressor in a laboratory and then researchers determine whether it causes an increase in depressed mood
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human laboratory study or analogue study
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changes in the dependent variable can be confidently attributed to the manipulation of the independent variable, not to other factors
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internal validity
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participants have all the same experiences as the group of main interest in the study, except that they do not receive the key manipulation
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control group
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group of main interest in the study, exposed to the key manipulation
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experimental group
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each participant has an equal chance of being assigned to the experimental or the control group
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random assignment
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situations that cause participants to guess the hypothesis of the study and change their behaviour as a result
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demand characteristics
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studies that attempt to reduce psychopathology by reducing the factors believed to cause it
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therapy outcome study
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participants do not receive the therapy when the experimental group does, but they go onto a wait list to receive the intervention at a later date when the study is complete
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wait list control group
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participants have the same interactions with experimenters as do the participants in the experimental group, but they take pills that are placebos (inactive substances) rather than the real drug
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placebo control group
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both the participants and the experimenters are unaware of what condition the participants are in
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double-blind experiment
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how well a therapy works in highly controlled settings with a narrowly defined group of people
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efficacy
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how well a therapy works in real-world settings with all the complications
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effectiveness
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study in which one individual or a small group of people is studied intensively
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single-case experimental design
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intervention is introduced, withdrawn, and then reinstated, and the behaviour of the participant is examined on and off the treatment
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ABAB or reveral design
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studies in which animals are subjected to situations in the laboratory that would not be ethical to impose on humans
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animal studies
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a statistical technique for summarizing the results across several studies
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meta-analysis
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the process of gathering information about people's symptoms and the possible causes of those symptoms
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assessment
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a label attached to a set of symptoms that tend to occur with one another
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diagnosis
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a determination of which of several possible disorders an individual may be suffering
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differential diagnosis
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the extent to which a person identifies with his or her group of origin and its culture
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acculturation
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interview with only a few questions that are open-ended
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unstructured interview
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interview in which the clinician asks the respondent a series of questions about symptoms he or she is experiencing or has experienced in the past; format is highly structured and standardized; clinician uses concrete criteria to score the person's answers to each question
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structured interview
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the individual being assessed does not want to be assessed or treated
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resistance
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the accuracy of a test in assessing what it is supposed to measure
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validity
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on face value, the items seem to be measuring what the test is intended to measure
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face validity
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the extent to which a test assesses all the important aspects of a phenomenon that it purports to measure
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content validity
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the extent to which a test yields the same results as other measures of the same behaviour, thoughts, or feelings
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concurrent validity
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the extent to which a test is good at predicting how a person will think, act, or feel in the future
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predictive validity
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the extent to which a test measures what it is supposed to measure, not something else altogether
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construct validity
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an indicator of the consistency of a test in measuring what it is supposed to measure
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reliability
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an index of how consistent the results of a test are over time
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test-retest reliability
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when people's answers to different forms of a test are similar
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alternate form reliability
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when there is similarity in people's answers among different parts of the same test
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internal reliability
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different raters or judges who administer and score the interview or test come to similar conclusions when they are evaluating the same people
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interrater reliability
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paper-and-pencil tests used to detect specific cognitive and fine-motor deficits when neurological impairment is suspected
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neuropsychological tests
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enhancement of x-ray procedures; constructs a 3-D image of the structure of the brain
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computerized tomography (CT)
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patient is injected with a harmless radioactive isotopes to provide a picture of activity in the brain
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positron-emission tomography (PET)
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creates a magnetic field around the brain to reconstruct a 3-D image; used to study structural and functional brain abnormalities
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magnetic resonance imaging (MRI)
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tests used to get a sense of a client's intellectual strengths and weaknesses, particularly when mental retardation or brain damage is suspected
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intelligence tests
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questionnaire for patients used when clinicians or researchers want a quick way to assess what symptoms a person is experiencing
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symptom questionnaire
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meant to assess people's typical ways of thinking, feeling, and behaving; usually questionnaires
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personality inventories
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test based on the assumption that, when people are presented with an ambiguous stimulus, they will interpret the stimulus in line with their current concerns and feelings, relationships with others, and conflicts or desires
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projective test
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clinicians observe clients in interpersonal settings to assess deficits in their skills or ways of handling situations
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behavioural observation
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clinician asks client to keep track of the number of times per day he or she engages in a specific behaviour and the conditions under which this behaviour happens
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self-monitoring
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a set of symptoms that tend to occur together
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syndrome
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the set of syndromes and the rules for determining whether an individual's symptoms are part of one of these syndromes
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classification system
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official manual for diagnosing psychological disorders in the US
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Diagnostic and Statistical Manual of Mental Disorders (DSM)
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therapy that involves a therapist talking with the person suffering from the disorder about his or her symptoms and what is contributing to these symptoms
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psychotherapy
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drug now used to treat the symptoms of psychosis; its discovery is generally thought of as the beginning of modern drug treatment
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chlorpromazine
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a group of chemical compounds that have a number of biological effects on humans, including acting as antihistamines, decreasing muscle tone, reducing nausea, and in some cases they cause either sedation or euphoria
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phenothiazines
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group of chemical compounds that depress the activity of the nervous system
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neuroleptic
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class of drugs that can reduce psychotic symptoms
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butyrophenone
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drugs that relieve the symptoms of psychosis (loss of reality testing, hallucinations, delusions); include thorazine, haldol, clozaril
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antipsychotic drugs
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drugs to treat the symptoms of depression (sadness, loss of appetite, sleep disturbances); include parnate, elavil,prozac
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antidepressant drugs
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antidepressant drugs that inhibit the enzyme monoamine oxidase in the brain, which results in higher levels of a number of neurotransmitters
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monoamine oxidase inhibitors (MAOIs)
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antidepressant drugs which inhibit the reuptake of neurotransmitters norepinephrine, serotonin, and dopamine
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tricyclic antidepressants
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antidepressant drugs thought to act more selectively on serotonin receptors
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selective serotonin reuptake inhibitors (SSRIs)
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drug which reduces the symptoms of mania (agitation, excitement, grandiosity)
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lithium
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other drugs which are used in the treatment of mania
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anticonvulsants and calcium channel blockers
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antianxiety drugs which supress the central nervous system, decreasing the activity of a variety of types of neurons
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barbituates
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drugs which reduce symptoms of anxiety (fearfulness, worry, tension); include nembutal and valium
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antianxiety drugs
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antianxiety drugs which appear to reduce the symptoms of anxiety without interfering substantially with an individual's ability to function in daily life
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benzodiazepines
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series of treatments in which a brain seizure is induced by passing electrical current through the patient's brain
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electroconvulsive therapy (ECT)
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procedure in which the frontal lobes of the brain were severed from the lower centers of the brain in people suffering from psychosis
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prefrontal lobotomy
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therapy using powerful magnets to stimulate targeted areas of the brain
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repetitive transcranial magnetic stimulation (rTMS)
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therapies focused on uncovering and resolving unconscious conflicts that are thought to drive psychological symptoms
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psychodynamic therapies
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a client is taught to talk about whatever comes to mind, trying not to censor any thoughts
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free association
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reluctance to talk about material during psychotherapy
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resistance
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when the client reacts to the therapist as if the therapist were an important person in the client's early development
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transference
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going over and over
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working through
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the expression of emotions connected to memories and conflicts
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catharsis
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by being empathetic and supportive, and by listening nonjudgementally, the therapist creates a relationship of trust with the client, which gives the client the freedom and courage to explore difficult issues
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therapeutic alliance
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therapy geared toward helping clients discover their greatest potential through self-exploration
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humanistic or person-centered therapy
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therapy with three essential parts: therapist communicates a genuineness in his or her role as helper to the client, therapist shows unconditional positive regard for the client, and therapist communicates an empathetic understanding of the client by making it clear that he or she understands and accepts the client's underlying feelings and search for self
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client-centered therapy
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a method of responding in which the therapist expresses an attempt to understand what the client is experiencing and trying to communicate
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reflection
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therapies focused on identifying the reinforcements and punishments contributing to a person's maladaptive behaviours and on changing specific behaviours
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behaviour therapies
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the therapist works with the client to identify the specific circumstances that seem to elicit the client's unwanted behaviour or emotional responses
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behavioural assessment
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therapist takes the role of a person to whom the client feels they react badly, then observes the client's behaviour to assess what aspects of that behaviour need to change for the client to be effective in interpersonal interactions
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role-play
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therapy which is a gradual method for extinguishing anxiety responses to stimuli and the maladaptive behaviour that often accompanies this anxiety
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systematic desensitization therapy
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the client watches the therapist in a situation that would induce anxiety for them and is encouraged to initate the therapist's behaviours and reactions
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modeling
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form of systematic desensitization in which the patient is asked to experience the negative stimulus directly
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in vivo exposure
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technique for extinguishing unwanted behaviours which involves exposing clients to feared stimuli or situations to an excessive degree while preventing them from avoiding that situation
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flooding or implosive therapy
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technique in which a patient receives a small chip or token each time he or she exhibited a desired behaviour which can be exchanged for privileges
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token economy
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form of social skills training through operant conditioning in order to help people with a wide variety of problems in interacting and communicating with others
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response shaping
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therapies which focus on challenging people's maladaptive interpretations of events or ways of thinking and replacing them with more adaptive ways of thinking
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cognitive therapies
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assignments presented to the client as ways of testing hypotheses and gathering information that will be useful in therapy, regardless of the outcome
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behavioural assignments
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therapy which focuses on the client's pattern of relationships with important people in his or her own life
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interpersonal therapy (IPT)
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therapy based on the belief that an individual's problems are always rooted in interpersonal systems, particularly in the systems called families
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family systems therapy
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therapy in which members of a group share an experience
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group therapy
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people who come together to deal with a common experience or need and organize themselves without the help of mental-health professionals
|
self-help groups
|
|
centers intended to provide mental-health care based in the community, often from teams of social workers, therapists, and physicians who coordinate care
|
community mental-health centers
|
|
centers which offer people with long-term mental-health problems the opportunity to live in a structured, supportive environment while they are trying to reestablish a job and ties to family and friends
|
halfway houses
|
|
centers which allow people to obtain treatment all day, as well as occupational and rehabilitative therapies, but to live at home at night
|
day treatment centers
|
|
stopping the development of disorders before they start
|
primary prevention
|
|
catching disopders in their earliest stages and providing treatment designed to reduce their development
|
secondary prevention
|
|
experiencing events that we perceive as endangering our physical or psychological well-being
|
stress
|
|
physiological responses developed through evolution to prepare the body to fight a threat or to flee from it
|
fight-or-flight response
|
|
group of hormones, often used as a measure of stress
|
cortisol
|
|
response to stress that all organisms show; three phases are alarm, resistance, and exhaustion
|
general adaptation syndrome
|
|
field of psychology which investigates the effects of stress and other psychological factors on physical illness
|
health psychology
|
|
occurs when the blood vessels that supply the heart muscles are narrowed or closed by the gradual buildup of a hard, fatty substance called plaque, blocking the flow of oxygen and nutrients to the heart
|
coronary heart disease (CHD)
|
|
high blood pressure
|
hypertension
|
|
system which protects the body from disease-causing microorganisms
|
immune system
|
|
the cells of the immune system that attack viruses
|
lymphocytes
|
|
sleep disorders which involve abnormalities in the amount, quality, or timing of sleep
|
dyssomnias
|
|
sleep disorders which involve abnormal behavioural and physiological events occurring during sleep
|
parasomnias
|
|
difficulty in initiating or maintaining sleep or sleep that chronically does not restore energy and alertness
|
insomnia
|
|
therapy involving a set of instructions designed to curtail behaviours that might interfere with sleep and to regulate sleep-wake schedules
|
stimulus-control therapy
|
|
therapy involving initially restricting the amount of time insomniacs can try to sleep in the night, and gradually increasing it as their sleep becomes more efficient
|
sleep restriction therapy
|
|
sleep disorder in which people are chronically sleepy and sleep for long periods at a time
|
hypersomnia
|
|
irresistible attacks of sleep
|
narcolepsy
|
|
episodes of sudden loss of muscle tone, lasting from a few seconds to minutes
|
cataplexy
|
|
repeated episodes of upper-airway obstruction during sleep
|
sleep apnea
|
|
behaviour pattern; the three components are a sense of time urgency, easily aroused hostility, and competitive achievement strivings
|
type A behaviour pattern
|
|
techniques which provide people with explicit information about how to engage in positive health-related behaviours and with opportunities to engage in these behaviours in increasingly challenging situations
|
guided mastery techniques
|
|
method involving several techniques designed to help people change bodily processes by learning to identify signs that the processes are going awry and then learning ways of controlling the processes
|
biofeedback
|
|
disorder with three types of symptoms: reexperiencing the traumatic event, emotional numbing and detachment, and hypervigilance and chronic arousal
|
posttraumatic stress disorder (PTSD)
|
|
symptoms that indicate a detachment from the trauma and from ongoing events
|
dissociative symptoms
|
|
disorder which has symptoms similar to those of PTSD but occurs within one month of a stressor and lasts less than four weeks
|
acute stress disorder
|
|
stress-related disorder which consists of emotional and behavioural symptoms (depressive symptoms, anxiety symptoms, and/or antisocial behaviours) that arise within three months of the onset of a stressor
|
adjustment disorder
|
|
therapy in which the client identifies thoughts and situations that create anxiety, ranking them from most anxiety-provoking to least, then the therapist begins to take the client through this hierarchy, using relaxation techniques to quell anxiety
|
systematic desensitization therapy
|
|
techniques which include the client's yelling "NO" loudly when realizing he or she is thinking about the trauma, as well as learning to engage in positive activities that distract thoughts away from the trauma
|
thought-stopping techniques
|
|
technique which teaches clients skills for overcoming problems in their lives that are increasing their stress and that may be the result of PTSD
|
stress-management interventions
|
|
therapy for trauma survivors that involves the client attending to the image of the trauma, thoughts about the trauma, and the physical sensations of anxiety aroused by the trauma while the therapist quickly moves a finger back and forth in front of the client's eyes to elicit a series of repeated, rapid, jerky, side-to-side eye movements
|
eye movement desensitization and reprocessing (EMDR)
|
|
state characterized by four symptoms: physiological, or somatic, symptoms (muscle tension, heart palpitations, stomach pains, need to urinate), emotional symptoms (sense of fearfulness and watchfulness), cognitive symptoms (unrealistic worries that something bad is happening or is about to happen), and behavioural symptoms (avoiding situations because of fears)
|
anxiety
|
|
disorders in which the anxiety aroused by unconscious conflicts could not be quelled or channeled by defense mechanisms
|
neurosis
|
|
short but intense periods in which one experiences many symptoms of anxiety (heart palpitations, trembling, a feeling of choking, dizziness, intense dread, etc.)
|
panic attacks
|
|
when panic attacks become a common occurrence, when the panic attacks are usually not provoked by any particular situation, and when a person begins to worry about having attacks and changes behaviours as a result of this worry; characterized by sudden bursts of anxiety symptoms, a sense of loss of control or unreality, and the sense that one is dying
|
panic disorder
|
|
neurotransmitter associated with panic disorder
|
norepinephrine
|
|
area of the brain stem associated with paniclike responses upon stimulation
|
locus ceruleus
|
|
the belief that bodily systems have harmful consequences
|
anxiety sensitivity
|
|
a heightened awareness of bodily cues that a panic attack may soon happen
|
interoceptive awareness
|
|
fear of places one thinks one might have trouble escaping or getting help in an emergency (crowded, bustling places, enclosed spaces, wide open spaces)
|
agoraphobia
|
|
phobias where when people afflicted with them encounter their feared objects or situations, their anxiety is immediate and intense, and they may even have full panic attacks
|
specific phobias
|
|
type of specific phobia focused on specific animals or insects
|
animal type phobias
|
|
type of specific phobia focused on events or situations in the natural environment
|
natural environment type phobias
|
|
type of specific phobia usually involving a fear of public transportation, tunnels, bridges, elevators, flying, and driving
|
situational type phobias
|
|
type of specific phobia involving fear of seeing blood or an injury
|
blood-injection-injury type phobias
|
|
phobia involving fear of being judged or embarassing oneself in front of other people
|
social phobia
|
|
when running away from or avoidance of a feared object is reinforced by the subsequent reduction of their anxiety
|
negative reinforcement
|
|
evolution may have selected for the rapid conditioning of the fear of certain objects or situations so now we carry the vestiges of our evolutionary history and are biologically prepared to learn certain associations quickly
|
prepared classical conditioning
|
|
technique where therapists teach clients to tense the muscles in their arms, legs, and chest until they feel the warmth of their blood rising in their face in order to counteract their typical biological response when confronted with a phobic object
|
applied tension technique
|
|
state of perpetual anxiety in almost all situations
|
generalized anxiety disorder (GAD)
|
|
anxiety occurring when we face a real danger or threat
|
realistic anxiety
|
|
anxiety occuring when we are repeatedly prevented from expressing our id impulses (the energy of those impulses is not allowed release, and it causes anxiety)
|
neurotic anxiety
|
|
anxiety occurring when we have been punished for expressing our id impulses, and we come to associate those impulses with punishment, causing anxiety
|
moral anxiety
|
|
harsh self-standards one feels one must meet in order to be acceptable
|
conditions of worth
|
|
a universal human fear of the limits and responsibilities of one's existence
|
existential anxiety
|
|
a neurotransmitter that carries inhibitory messages from one neuron to another; deficiency is associated with generalized anxiety disorder
|
gamma-aminobutyric acid (GABA)
|
|
drug which appears to reduce anxiety by blocking serotonin receptors; belongs to the drug class azaspirones
|
buspirone
|
|
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
|
obsessions
|
|
repetitive behaviours or mental acts that an individual feels he or she mush perform
|
compulsions
|
|
anxiety disorder where people experience anxiety as a result of their obsessional thoughts and when they cannot carry out their compulsive behaviours
|
obsessive-compulsive disorder (OCD)
|
|
a part of the basal ganglia which allows only the strongest impulses to carry through to the thalamus; dysfunction is associated with OCD
|
caudate nucleus
|
|
group of disorders in which people experience significant physical symptoms for which there is no apparent organic cause
|
somatoform disorders
|
|
medical disorders in which people have an acute physical illness or defect that can be documented with medical tests and that is being worsened by psychological factors
|
psychosomatic disorders
|
|
when people fake a symptom or disorder in order to avoid an unwanted situation or in order to gain something
|
malingering
|
|
disorders in which a person deliberately fakes an illness to gain medical attention
|
factitious disorders
|
|
when parents fake or even create illnesses in their children in order to gain attention for themselves
|
factitious disorder by proxy
|
|
somatoform disorder in which people lose functioning in a part of their bodies, apparently due to neurological or other medical causes
|
conversion disorder
|
|
symptom in which people lose all feeling in one hand, as if they were wearing a glove that wiped out physical sensation
|
glove anesthesia
|
|
somatoform disorder in which patients have a long history of complaints about physical symptoms, affecting many different areas of the body, for which medical attention has been sought but that appear to have no physical cause
|
somatization disorder
|
|
somatoform disorder in which patients complain of chronic, unexplainable pain
|
pain disorder
|
|
somatoform disorder in which people worry that they have a serious disease (but do not always experience severe physical symptoms)
|
hypochondriasis
|
|
somatoform disorder in which people are excessively preoccupied with a part of their bodies that they believe is defective
|
body dysmorphic disorder
|
|
group of disorders which involve frequent experiences in which various aspects of a person's "self" are split off from each other and felt as separate
|
dissociative disorders
|
|
dissociative disorder in which people have more than one distince identity or personality, and each personality appears to have different ways of perceiving and relating to the world
|
dissociative identity disorder (DID)
|
|
dissociative disorder in which a person will suddenly pick up and move to a new place, assume a new identity, and have no memory for his previous identity
|
dissociative fugue
|
|
dissociative disorder in which people have significant periods of amnesia but do not assume new personalities or identities; they cannot remember important facts about their lives and their personal identities and are typically aware that there are large gaps in their memory or knowledge of themselves
|
dissociative amnesia
|
|
amnesia caused by a brain injury resulting from disease, drugs, accidents, or surgery; often involves anterograde amnesia (inability to remember new information)
|
organic amnesia
|
|
inability to remember new information
|
anterograde amnesia
|
|
amnesia which arises in the absence of any brain injury or disease and is thought to have psychological causes
|
psychogenic amnesia
|
|
inability to remember information from the past
|
retrograde amnesia
|
|
dissociative disorder in which people have frequent episodes in which they feel detached from their own mental processes or bodies, as if they are outside observers of themselves
|
depersonalization disorder
|
|
mood disorder in which a person oscillates between periods of mania and periods of depression
|
bipolar disorder
|
|
period of great energy and enthusiasm for everything, high self-esteem, and elevated or irritable mood
|
mania
|
|
period of low energy and enthusiasm and lack of joy; mood disorder including disturbances in emotion (sadness, loss of interest), bodily function (loss of sleep, appetite, and sexual drive), behaviour (retardation or agitation), and thought (worthlessness, guilt, suicidality)
|
depression
|
|
mood disorder in which people experience depression (no mania)
|
unipolar depression
|
|
beliefs with no basis in reality
|
delusions
|
|
seeing, hearing, or feeling things that are not real
|
hallucinations
|
|
category of unipolar depression in which a person experiences either depressed mood or loss of interest in usual activities, plus at least four other symptoms of depression chronically for at least two weeks
|
major depression
|
|
category of unipolar depression in which a person experiences depressed mood plus two other symptoms of depression for at least two years
|
dysthymic disorder
|
|
disorder where people experience both major depression and dysthymic disorder
|
double depression
|
|
depression with seasonal pattern
|
seasonal affective disorder (SAD)
|
|
mood disorder in which people show an elevated, expansive, or irritable mood for at least one week, plus at least three other symptoms of mania, and eventually fall into a depressive episode (could be severe or relatively mild and infrequent)
|
bipolar I disorder
|
|
mood disorder in which people experience severe episodes of depression that meet the criteria for major depression, but their episodes of mania are milder and are known as hypomania
|
bipolar II disorder
|
|
milder mania state; has the same symptoms as mania but these symptoms are not severe enough to interfere with daily functioning and do not involve hallucinations or delusions
|
hypomania
|
|
mood disorder in which a person alternates between hypomania and moderate depression chronically over at least a two-year period
|
cyclothymic disorder
|
|
mood disorder where a person has four or more cycles of mania and depression within a year
|
rapid cycling bipolar disorder
|
|
class of neurotransmitters that have been implicated most often in the mood disorders
|
monoamines
|
|
specific neurotransmitters found in large concentrations in the limbic system thought to cause both depression and mania
|
norepinephrine, serotonin, and dopamine
|
|
a part of the brain associated with the regulation of sleep, appetite, and emotional processes
|
limbic system
|
|
theory that depression is caused by a reduction in the amount of norepinephrine or serotonin in the synapses between neurons and that mania is caused by an excess of the monoamines or perhaps dysregulation of the levels of these amines, especially dopamine
|
monoamine theories
|
|
biological feedback system in which the hypothalamus, pituitary, and adrenal cortex work together, richly interconnected with the limbic system and the cerebral cortex; involved in the fight-or-flight response; may be involved in the development of depression
|
hypothalamic-pituitary-adrenal axis (HPA axis)
|
|
diagnosis of depressions during the premenstrual period
|
premenstrual dysphoric disorder
|
|
theory that suggests that life stress leads to depression because it reduces the positive reinforcers in a person's life; the person begins to withdraw, which only results in a further reduction in reinforcers, which leads to more withdrawl, and a self-perpetuating chain is created
|
behavioural theory of depression
|
|
theory that suggests that the stressful type of event most likely to lead to depression is uncontrollable negative events; such events, especially if frequent or chronic, can lead people to believe that they are helpless to control important outcomes in their environment
|
learned helplessness theory
|
|
loss of motivation, reduction in actions that might control the environment, and inability to learn how to control situations that are controllable as a result of a belief in helplessness
|
learned helplessness defecits
|
|
peoples' negative views of themselves, of the world, and of the future
|
negative cognitive triad
|
|
an explanation of why an event happened
|
causal attribution
|
|
theory that people who habitually explain negative events by causes that are internal, stable, and global blame themselves for these negative events, expect negative events to recur in the future, and expect to experience negative events in many areas of their lives; these expectations lead them to experience long-term learned helplessness defecits plus self-esteem loss in many areas of their lives
|
reformulated learned helplessness theory
|
|
when asked to make judgements about how much control they have over situations that are actually uncontrollable, people with depression are quite accurate
|
depressive realism
|
|
theory that focuses more on the process of thinking, rather than the context of thinking, as a contributor to depression
|
ruminative response styles theory
|
|
theory that a depressed person's self-blame and punishment is actually blame and punishment of others who have abandoned them
|
introjected hostility theory
|
|
theories that are concerned with people's close relationships and their roles in those relationships; disturbences in these roles are thought to be the main source of depression
|
interpersonal theories of depression
|
|
expectations that one must be or do certain things in order to win the approval or others; developed in children with insecure attachments
|
contingenies of self-worth
|
|
constantly looking for assurances from others that they are accepted and loved
|
excessive reassurance seeking
|
|
people born in one historical period are at different risk for a disorder than are people born in another historical period
|
cohort effect
|
|
drugs which help reduce the symptoms of depression apparently by preventing the reuptake of norepinephrine and serotonin in the synapses or by changing the responsiveness of the receptors for these neurotransmitters
|
tricyclic antidepressants
|
|
drugs used to help reduce the symptoms of depression by increasing the levels of the neurotransmitters in the synapses
|
monoamine oxidase inhibitors (MAOIs)
|
|
drugs used to help reduce the symptoms of depression by changing the responsiveness of the receptors for norepinephrine and serotonin, working more directly to affect serotonin
|
selective serotonin reuptake inhibitors (SSRIs)
|
|
method for treatment of depression involving stimulating the vagus nerve with a small electronic device; the vagus nerve is a part of the autonomic nervous system that carries information from the head, neck, thorax, and abdomen to several areas of the brain, including the hypothalamus and amygdala
|
vagus nerve stimulation (VNS)
|
|
therapy to help reduce SAD by exposing patients to bright lights for a few hours each day during the winter months
|
light therapy
|
|
classes of drugs which are alternatives to lithium for the treatment of mania
|
anticonvulsants, antipsychotic drugs, and calcium channel blockers
|
|
therapies which focus on increasing the number of positive reinforcers and decreasing the number of aversive experiences in an individual's life by helping the depressed person change his or her ways of interacting with the environment and other people
|
behaviour therapies
|
|
therapy that aims to change the negative, hopeless patterns of thinking described by the cognitive models of depression and also to help people with depression solve concrete problems in their lives and develop skills for being more effective in their worlds, so that they no longer have the defecits in reinforcers described by behavioural theories of depression
|
cognitive-behavioural therapy
|
|
therapy that focuses on four types of interpersonal problems as sources of depression: grief and loss, interpersonal role disputes, role transitions, and interpersonal skills defecits
|
interpersonal therapy (IPT)
|
|
therapies in which the therapist closely observes a depressed client's behaviour to analyze the source of his or her depression, focusing on transference (the ways in which the client treats the therapist as though the therapist were someone else), recollection of recent events and distant events, and recounting of dreams
|
psychodynamic therapies
|
|
the purposeful taking of one's own life
|
suicide
|
|
people who clearly and explicitly seek to end their lives
|
death seekers
|
|
people who have a clear intention to die but believe that they are simply hastening an inevitable death
|
death initiators
|
|
people who intend to end their lives but do not believe that this means the end of their existence; they see their death as the beginning of a new and better life
|
death ignorers
|
|
people who are ambivalent about dying, and they take actions that greatly increase their chances of death
|
death darers
|
|
acts in which people indirectly contribute to their own death, perhaps unconsciously
|
subintentional deaths
|
|
suicide committed by people who feel alienated from others, empty of social contacts, and alone in an unsupportive world
|
egoistic suicide
|
|
suicide committed by people who experience severe disorientation because of a major change in their relationships to society
|
anomic suicide
|
|
suicide committed by people who believe that taking their own lives will benefit society in some way
|
altruistic suicide
|
|
when two or more suicides or attempted suicides are nonrandomly bunched in space or time
|
suicide cluster
|
|
people somehow "catch" suicidal intentions and behaviours from those who commit suicide
|
suicide contagion
|
|
the general tendency to act on one's impulses rather than to inhibit them when it is appropriate to do so
|
impulsivity
|
|
the sense that the future is bleak and there is no way of making it more positive
|
hopelessness
|
|
seeing everything in either/or terms
|
dichotomous thinking
|
|
community-based programs available to help people who are highly suicidal deal in the short term with their feelings and then refer them for longer care to mental-health specialists
|
crisis intervention
|
|
crisis intervention done over the phone
|
suicide hot lines
|
|
therapy aimed at addressing suicidal behaviours and thoughts which focuses on difficulties in managing negetive emotions and in controlling impulsive behaviours; it involves a number of techniques aimed at increasing problem-solving skills, interpersonal skills, and skills in managing negative emotions
|
dialectical behaviour therapy
|
|
mercy killing
|
euthanasia
|
|
all the ways we have of acting, thinking, believing, and feeling that make each of us unique
|
personality
|
|
category of disorders marked by a long-standing pattern of maladaptive behaviours, thoughts, and feelings
|
personality disorders
|
|
cluster of personality disorders where people behave in ways that are similar to the behaviours of people with schizophrenia or paranoid psychotic disorder, but they retain their grasp on reality to a greater degree than do people who are psychotic
|
cluster A: odd-eccentric personality disorders
|
|
cluster A personality disorder characterized by a pervasive and unwarranted mistrust and suspicion of others
|
paranoid personality disorder
|
|
cluster A personality disorder where people lack the desire to form interpersonal relationships and are emotionally cold in interactions with others
|
schizoid personality disorder
|
|
cluster A personality disorder where people tend to be socially isolated, to have a restricted range of emotions, and to be uncomfortable in interpersonal interactions; chronic pattern of inhibited or inappropriate emotion and social behaviour, aberrant cognitions, disorganized speech
|
schizotypal personality disorder
|
|
cluster of personality disorders where people engage in behaviours that are dramatic and impulsive, and they often show little regard for their own safety or the safety of others
|
cluster B: dramatic-emotional personality disorders
|
|
cluster B personality disorder in which people have chronic antisocial behaviours; pervasive pattern of criminal, impulsive, callous, or ruthless behaviour; disregard for the rights of others; no respect for social norms
|
antisocial personality disorder
|
|
characterized by a superficial charm, a grandiose sense of self-worth, a tendency toward boredom and need for stimulation, pathological lying, an ability to be conning and manipulative, and a lack of remorse
|
psychopathy
|
|
neurotransmitter whose defecit is associated with antisocial personality disorder
|
serotonin
|
|
the ability to sustain concentration, abstract reasoning, concept and goal formation, the ability to anticipate and plan, the capacity to program and initiate purposive sequences of behaviour, self-monitoring and self-awareness, and the ability to shift from maladaptive patterns of behaviour to more adaptive ones
|
executive functions
|
|
cluster B personality disorder characterized by rapidly shifting and unstable mood, self-concept, and interpersonal relationships, impulsive behaviour, transient dissociative states, and self-effacement; vacillate between all-good and all-bad evaluations of themselves and others
|
borderline personality disorder
|
|
therapy for the treatment of borderline personality disorder focused on helping clients gain a more realistic and positive sense of self, learn adaptive skills for solving problems and regulating emotions, and correct their dichotomous thinking
|
dialectical behaviour therapy
|
|
cluster B personality disorder characterized by rapidly shifting moods, unstable relationships, and intense need for attention and approval; dramatic, seductive behaviour; flamboyant; people are overly dependent and solicitous of others
|
histrionic personality disorder
|
|
cluster B personality disorder characterized by grandiose thoughts and feelings of one's own worth; obliviousness to others' needs; exploitative, arrogant demeanor; dismissive of others
|
narcissistic personality disorder
|
|
cluster of personality disorders characterized by a chronic sense of anxiety or fearfulness and behaviours intended to ward off feared situations
|
cluster C: anxious-fearful personality disorders
|
|
cluster C personality disorder characterized by pervasive anxiety, a sense of inadequacy, and a fear of being criticized, which lead to the avoidance of social interaction and nervousness
|
avoidant personality disorder
|
|
cluster C personality disorder characterized by pervasive selflessness, a need to be cared for, and a fear of rejection, leading to total dependence on and submission to others
|
dependent personality disorder
|
|
cluster C personality disorder characterized by pervasive rigidity in one's activities and interpersonal relationships, including emotional constriction, extreme perfectionism, and anxiety about even minor disruptions in one's routine
|
obsessive-compulsive personality disorder
|
|
theory which posits that any individual's personality is organized along five broad dimensions, or factors, of personality: neuroticism, extraversion, openness to experience, agreeableness, and conscientiousness
|
five-factor model
|
|
professionals who have an M.D. degree and have specialized training in the treatment of psychological problems; can prescribe medication and some have been trained to conduct psychotherapies
|
psychiatrists
|
|
professionals who typically have a Ph.D. in psychology, with a specialization in psychological problems; can conduct psychotherapies but most can't prescribe medication
|
clinical psychologists
|
|
professionals who specialize in helping families, couples, and children overcome problems that are interfering with their well-being
|
marriage and family therapists
|
|
professionals who have a master's degree in social work and often focus on helping people with psychological problems overcome the social conditions contributing to their problems
|
clinical social workers
|
|
professionals who have a degree in nursing, with a specialization in the treatment of people with severe psychological problems; often work on inpatient psychiatric wards in hospitals, delivering medical care and certain forms of psychotherapy; in some states they have privileges to write prescriptions
|
psychiatric nurses
|
|
structure of the brain in the limbic system important in the regulation of emotion and memory
|
amygdala
|
|
structure of the brain in the limbic system important in memory
|
hippocampus
|
|
bridge of fibers passing information between the two cerebral hemispheres
|
corpus callosum
|
|
brain structure that serves as a relay center for the cortex; handles incoming and outgoing signals
|
thalamus
|
|
brain structure involved in balance and the control of movement
|
cerebellum
|
|
brain structure responsible for regulating largely unconscious functions such as breathing and circulation
|
medulla
|
|
brain structure involved in sleep and arousal
|
pons
|
|
a network of neurons related to sleep, arousal, and attention
|
reticular formation
|
|
structure responsible for communicating between the brain and the rest of the body; involved with simple reflexes
|
spinal cord
|
|
neurotransmitter which plays a particularly important role in mental health, regulating emotions and impulses, such as aggression
|
serotonin
|
|
neurotransmitter that is prominent in areas of the brain that regulate our experience of reinforcements or rewards, and it is affected by substances, such as alcohol, that we find rewarding; also important to the functioning of muscle systems
|
dopamine
|
|
neurotransmitter that is produced mainly by neurons in the brain stem; related to mood levels
|
norepinephrine
|
|
neurotransmitter which inhibits the action of other neurotransmitters; plays an important role in anxiety symptoms
|
gamma-aminobutyric acid or GABA
|
|
retreating to a behaviour of an earlier developmental period to prevent anxiety and satisfy current needs
|
regression
|
|
refusing to perceive or accept reality
|
denial
|
|
discharging unacceptable feelings against someone or something other than the true target of these feelings
|
displacement
|
|
inventing an acceptable motive to explain unacceptably motivated behaviour
|
rationalization
|
|
adopting a cold, distant perspective on a matter that actually creates strong, unpleasant feelings
|
intellectualization
|
|
attributing one's own unacceptable motives or desires to someone else
|
projection
|
|
adopting a set of attitudes and behaviours that are the opposite of one's true dispositions
|
reaction formation
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adopting the ideas, values, and tendencies of someone in a superior position in order to evaluate self-worth
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identification
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translating wishes and needs into socially acceptable behaviour
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aublimation
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family which is resistant to and isolated from all forces outside the family and does not adopt well to changes within the family
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inflexible family
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family in which 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
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enmeshed family
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family in which the members pay no attention to each other and operate as individual units isolated from other family members
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disengaged family
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family in which parents avoid dealing with conflicts with each other by always keeping their children involved in their conversations and activities
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pathological triangular relationships
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DSM-IV axis on which a clinician lists any major disorders for which the person qualifies, with the exclusion of mental retardation and personality disorders (ex: delerium, substance-related disorders, schizophrenia, mood disorders, anxiety disorders, somatoform disorders, eating disorders, sleep disorders, etc); most of the disorders tend to wax and wane across the life span
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Axis I
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DSM-IV axis on which the clinician lists mental retardation or any personality disorders for which the person qualifies; lifelong disorders
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Axis II
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DSM-IV axis on which the clinician notes any medical or physical diseases from which the person is suffering
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Axis III
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DSM-IV axis on which the clinician rates the severity of the psychosocial stressors the client is facing (ex: educational problems, occupational problems, housing problems, economic problems, etc)
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Axis IV
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DSM-IV axis on which the clinician rates the level at which the client is able to function in daily life on a scale of 10-100 (10= persistent danger of severely hurting self or others, 100= superior functioning in a wide range of areas)
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Axis V
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model which suggests that psychological factors, such as stressful experiences or certain personality characteristics, directly cause changes in the physiology of the body, which in turn cause or exacerbate disease
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direct effects model
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model which suggests that psychological factors must interact with a preexisting biological vunerability to a disease in order for an individual to develop the disease
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interactive model
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model which suggests that psychological factors affect disease largely by influencing whether people engage in health-promoting behaviours
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indirect effects model
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subtype of depression characterized by inability to experience pleasure, distinct depressed mood, depression regularly worse in morning, early morning awakening, marked psychomotor retardation or agitation, significant anorexia or weight loss, excessive guilt
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depression with melancholic features
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subtype of depression characterized by presence of depressing delusions or hallucinations
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depression with psychotic features
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subtype of depression characterized by catatonic behaviours: catalepsy, excessive motor activity, severe disturbances in sleep
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depression with catatonic features
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subtype of depression characterized by positive mood reactions to some events, significant weight gain or increase in appetite, hypersomnia, heavy or laden feelings in arms or legs, long-standing pattern of seneitivity to interpersonal rejection
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depression with atypical features
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subtype of depression characterized by onset of major depressive episode within four weeks of delivery of child
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depression with postpartum onset
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subtype of depression characterized by history of at least two years in which major depressive episodes occur during one season of the year (usually winter) and remit when the season is over
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depression with seasonal pattern
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personality factor in which individuals high on the scale are chronically anxious, hostile, depressed, self-conscious, and impulsive and have poor coping skills; people low on the scale lack these problems
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neuroticism
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personality factor in which individuals high on the scale are sociable, active, talkative, interpersonally oriented, optimistic, fun-loving, and affectionate; people low on the scale are reserved, sober, aloof, independent, and quiet
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extraversion
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personality factor in which individuals high on the scale actively seek and appreciate experiences for their own sake and are curious, imaginative, and willing to entertain new and unconventional ideas; people low in this factor are conventional in their beliefs and attitudes, conservative in their tastes, dogmatic, rigid in their beliefs, set in their ways, and emotionally unresponsive
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openness to experience
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personality factor in which individuals high on the scale are softhearted, good-natured, trusting, helpful, forgiving, and altruistic; people low in this factor are cynical, rude, suspicious, uncooperative, and irritable and can be manipulative, vengeful, and ruthless
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agreeableness
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personality factor in which individuals high on the scale are organized, reliable, hardworking, self-directed, punctual, scrupulous, ambitious, and persevering; people low in this factor are aimless, unreliable, lazy, careless, lax, negligent, and hedonistic
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conscientiousness
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you see things in black-and-white categories; if your performance falls short of perfect, you see yourself as a total failure
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all-or-nothing thinking
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you see a single negative event as a never-ending pattern of defeat
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overgeneralization
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you pick out a single negative detail and dwell on it exclusively, so that your vision of all reality becomes darkened, like a drop of ink that discolours an entire beaker of water
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mental filter
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you reject positive experiences by insisting they "don't count" for some reason; in this way you can maintain a negative belief that is contradicted by your everyday experiences
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disqualifying the positive
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you make a negative interpretation, even though there are no definite facts that convincingly support your conclusion: (a) mind reading- you arbitrarily conclude that someone is reacting negatively to you, and you don't bother to check this out, (b) the fortune teller error- you anticipate that things will turn out badly, and you feel convinced that your prediction is an already established fact
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jumping to conclusions
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you exaggerate the importance of things (such as your goof-up or someone else's achievement), or you inappropriately shrink things until they appear tiny (your own desirable qualities or another's imperfections; this is also called the "binocular trick"
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magnification (catastrophizing) or minimizing
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you assume that your negative emotions necessarily reflect the way things really are (i feel it, therefore it must be true)
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emotional reasoning
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you try to motivate yourself with "shoulds" and "shouldn'ts", as if you had to be whipped and punished before you could be expected to do anything; "must" and "oughts" are also offenders; the emotional consequence is guilt; when you direct "should" statements toward others, you feel anger, frustration, and resentment
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"should" statements
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extreme form of overgeneralization; instead of describing your error, you attach a negative label to yourself ("i'm a loser"); when someone else's behaviour rubs you the wrong way, you attach a negative label to that person; mislabeling involves describing an event with language that is highly coloured and emotionally loaded
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labeling and mislabeling
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you see yourself as the cause of a negative external event, which, in fact, you were not primarily responsible for
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personalization
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