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160 Cards in this Set

  • Front
  • Back

CHAPTER 1

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Psychopathology

A scientific field concerned with the nature and development of abnormal behaviour, thoughts (cognition), and/or feelings (affect)

Behaviour is abnormal if... (5)

Unusual (statistical infrequency)


Violation of norms


Causes distress


Maladaptive


Defined by the DSM-5

3D's - Maladaptive (3)

Dysfunction


Deviance


Distress

Demonology

The doctrine that an evil being, such as the devil, may dwell within a person and control his or her mind and body

Treppaning

Involved making a surgical opening in a living skull (used to treat things such as headaches and seizures)

Somatogenesis

Having its origin in the functioning of the physical body

Psychogenesis

Having its origin in psychological functions

Humours of the body (4)

Blood


Black bile


Yellow bile


Phlegm

Kraepelin major types of psychosis (2)

Dementia praecox (now schizophrenia)


Manic depressive psychosis (now bipolar disorder)

General Paresis

A steady physical and mental deterioration, delusions of grandeur and progressive paralysis from which there is no recovery

Neurosis

Mild emotional disturbances (now depression, anxiety, borderline personality disorder)

Hysteria

Somatic symptoms without an organic cause

Psychoanalytic theory

Behaviour is motivated by unconscious forces and/or early childhood experiences of which we have little control

Cognitive theory

Abnormal behaviour is influenced by the way people think and understand the world

Psychological disorder

A psychological dysfunction within an individual that is associated with distress or impairment in functioning and a response that is not typical or culturally expected

Psychological dysfunction

A breakdown in cognitive, emotional or behavioural functioning

Scientist practitioners (3)

Consumer of science


Evaluator of science


Creator of science

Presenting problem

A patient presents with a specific problem of set of problems

Clinical description

Represents the unique combination of behaviour, thoughts, and feelings that make up a specific disorder

Prevalence

How many people in the population as a whole have the disorder

Incidence

How many new cases occur during a given period

Course

Most disorders follow somewhat of an individual pattern

Chronic course

Tend to last a long time or lifetime

Episodic course

The individual is likely to recover within a few months only to have a recurrence of the disorder later

Time-limited course

The disorder will improve without a treatment in a relatively short period

Acute onset

Begins suddenly

Insidious onset

Develop gradually over extended time

Prognosis

The anticipated course of a disorder

Etiology

Looks at why a disorder begins (causes) and includes, biological, psychological, and social dimensions

Historical models (3)

Supernatural model


Biological model


Psychological model

Bloodletting

A carefully measured amount of blood that was removed from the body

Catharsis

Recalling and reliving emotional trauma that has been made unconscious and releasing the accompanying tension is therapeutic

Insight

A further understanding of the relationship between current emotions and earlier events

Primary process

The way the id processes information, this type of thinking is very emotional, irrational, illogical, led with fantasies, and preoccupied with sex, aggression, selfishness and envy

Secondary process

The cognitive operations of the ego

Intrapsychic conflicts

When the ego is unsuccessful at mediating the mind and the id or the superego

Defence mechanisms

Unconscious protective processes that keep primitive emotions associated with conflicts in check so the ego can continue its coordinating function

Denial

Refuses to acknowledge some aspect of objective reality or subjective experience that is apparent to others

Displacement

Transfers feelings about an object that causes discomfort to another, usually less threatening object or person

Projection

Falsely attributes own unacceptable thoughts, feelings, or impulses to another individual or object

Rationalization

Conceals the true motivation for actions, thoughts, or feelings through elaborate reassuring or self-serving but incorrect explanations

Reaction formation

Substitutes behaviour, thoughts, or feelings that are direct opposite of unacceptable ones

Repression

Blocks disturbing wishes, thoughts or experiences from conscious awareness

Sublimation

Directs potentially maladaptive feelings or impulses into socially acceptable behaviour

Self-actualizing

All of us can reach our highest potential in all areas of functioning if we have the freedom to grow

CHAPTER 2

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Paradigm (4)

Outlines a basic set of assumptions


Defines how to conceptualize a disorder


Guides research


Guides treatment methods

Biological influences (3)

Structural factors


Biochemical factors


Genetic factors

Structural factors

Results from damage to the structural integrity of the brain

Biochemical factors

Results from changes or imbalances with neurotransmitters or of the endocrine system

Norepinephrine (NE) (3)

SNS activation


Regulating mood


Regulating awareness

Serotonin (SE) (5)

Mood


Sleep and arousal


Eating


Dreaming


Pain sensation

Dopamine (DA) (3)

Movement


Attention


Other cognitive function

GABA (3)

Sleep


Relaxation


Analgesia

Diathesis-Stress Model

Individuals inherit a vulnerability towards characteristics or behaviours which may or may not activate under conditions of stress

Gene-Environment Interaction

A reciprocal model of genetic influences and environmental factors to explain behaviour

Epigenetics

Behaviour is transmitted to subsequent generations through environmental effects indepdent of genetic influence

Quantitative genetics

Estimates the effect of genes in explaining individual differences (heritability) without necessarily telling us which genes are responsible for which effects

Molecular genetics

Focuses on examining the actual structure and functioning of genes with increasingly advanced technologies

The central nervous system

Processes all information received from our sense organs and reacts as necessary

Neurotransmitters

The chemicals that are released from the axon of one nerve cell and transmit the impulse to the receptors of another nerve cell

Temporal lobe

Recognizing various sites and sounds and long term memory storage

Parietal lobe

Recognizing sensations such as touch

Occipital lobe

Integrating and making sense of various visual inputs

Frontal lobe

Carries most of the weight for thinking and reasoning as well as memory

Peripheral nervous system

Consists of the somatic nervous system and the automatc nervous system

The automatic nervous system contains (2)

The sympathetic nervous system


The parasympathetic nervous system

Agonists

Substances that effectively increase the activity of a neurotransmitter by mimicking its effects

Antagonists

Substances that decrease or block a neurotransmitter

Inverse agonists

Substances that produce opposite to those produced by the neurotransmitter

Reuptake

After a neurotransmitter is ceased, it is quickly drawn back from the synaptic cleft into the same neuron

Rational emotive therapy

Focuses on irrational beliefs that were thought to be at the root of maladaptive feelings and behaviour

Self-instructional training

Modifying what clients say to themselves about the consequences of behaviour

Cognitive restructuring

To work with the patient to uncover automatic thoughts and to develop a different set of attitudes and attributions

Fight-or-flight response

The alarm reaction that activates during potentially life theatening emergencies

Relational components of emotion (3)

Behaviour


Physiology


Cognition

Interpersonal psychotherapy focuses on... (4)

Role dispute


Experiencing death of a loved one


New relationship through marriage or job


Identifying and correcting deficits in social skills

Equifinality

Principle used in development psychopathology to indicate that we must consider many paths to a given outcome

CHAPTER 3 & 4

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Axes of DSM-IV-TR (5)

All diagnostic categories except personality disorders and mental retardation


Personality disorders and mental retardation


General medical conditions


Psychosocial and environmental stressors


Global assessment of functioning scale

Advantages of DSM (3)

Focuses on description of diagnosis


Provides consistency in diagnosis


Allows professionals to communicate on common terms

Disadvantages of DSM (3)

High comorbidity


Labelling issues


What is normal changes over time

Assessment is the evaluation of... (3)

Client symptoms, development and history


Possible causal factors


Starts broad, becomes more specific

Goals of assessment (4)

Understand the individual's symptoms


Predict behaviour


Plan treatment


Evaluate treatment outcomes

Issues in assessment (3)

Standardization


Validity


Reliability

Face validity

On the surface, the items on test appear to measure what the intent

Criterion validity

The degree to which the measure correlates with a separate criterion of the same concept

Clinical interview mental status exam (5)

Appearance and behaviour


Thought processes


Mood and affect


Intellectual functioning


Sensorium

ABC's of observation (3)

Antecedents


Behaviour


Consequences

Intelligence tests index for (4)

Verbal comprehension


Perceptual reasoning


Working memory


Processing speed

Types of research methods (3)

Descriptive


Correlational


Experimental

Standardization

Process by which a certain set of standards or norms is determined for a technique to make its use consistent across different measurements

Deviation IQ

A person's score is only compared with those of the same age

Taxonomy

The classification of entities for scientific purposes

Nosology

If you apply a taxonomic system to psychological or medical phenomena

Classical categorical approach

Assume that every diagnosis has a clear underlying pathophysiological cause and that every disorder is unique

Dimensional approach

Note the variety of cognitions, mood and behaviours with which the patient presents and quantify them on a scale

Prototypical approach

Identifies certain characteristics of an entity so you can classify it, but it also allows for certain non-essential variations that do not necessarily change for the classification

Sub-threshold

All of the symptoms are there but they are in too mild of a form to impair functioning

Cultural formation

Allows the disorder to be described from the patients personal experience and in terms of the primary social and cultural group

Comorbidity

Individuals are often diagnosed with more than one disorder at the same time

Spectrum

A group of disorders that share basic biological or psychological qualities or dimensions

Generalizability

The extent to which results can apply to everyone within a particular disorder

Statistical significance

A mathematical calculation about the difference between groups

Clinical significance

Whether or not the difference is meaningful to those affected

Effect size

Statistical methods that address not just that the groups are different but how large the differences are

Patient uniformity myth

The tendency to see all patients as one homogenous group

Epidemiology

The study of incidence, distribution, and consequences of a particular problem of set of problems in a population

Incidence

The estimated number of new cases during a specific period

Prevalence

The number of people with a disorder at any one time

Clinical trial

An experiment used to determine the effectiveness and safety of a treatment

Frustro effect

People in the control group who are upset about not receiving the placebo treatment

Allegiance effect

A researcher comparing two treatments that expected one to be more effective than the other might try harder if the treatment wasn't working as well as expected

Parts of repeated measurement (3)

Level or degree of behaviour change with different interventions


The variability or degree of change overtime


The trend or direction of change

Parts of withdrawal design (3)

A persons condition is evaluated before treatment to establish a baseline


Change in the independent variable


Treatment is withdrawn, return to baseline, researcher assesses whether conditions change as a result of the last step

Drug holidays

Periods where medication is withdrawn so clinicians can determine whether it is responsible for treatment effects

Multiple baseline

Rather than stopping the intervention to see whether it is effective, the researcher starts at different times across settings, behaviours or people

Endophenotypes

The genetic mechanisms that also contribute to the underlying problems and difficulties experienced by people with psychological disorders

Association studies

Compare markers in a large group of people with a particular disorder to people without the disorder

Prevention research methods (4)

Positive development strategies


Universal prevention strategies


Selective prevention strategies


Indicative prevention strategies

Cohort effect

The confounding of age and experience in cross-sectional design

CHAPTER 5

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Major components of anxiety (2)

Physical


Cognitive

Specific phobia subtypes (5)

Animal phobias


Natural environment


Blood-injection-injury


Situation type


Other

What causes phobias? (3)

Behaviourist view


Cognitive view


Biological influences

Prepared learning

People may be biologically prepared to fear certain stimuli because it may have provided an evolutionary advantage to our ancestors

Phobic individuals are more likely to... (2)

Attend to negative stimuli


Interpret ambiguous information as threatening

Multi-model approach - drug treatment with... (3)

Relaxation training


CBT interventions


Exposure to internal cues that trigger panic

Generalized anxiety disorder (5)

Chronic uncontrollable worrying


Difficulty concentrating


Tiring easily


Irritability


High muscle tension

Obsession

Intrusive thoughts that seem irrational and uncontrollable to the person experiencing it

Compulsion

The irresistible impulse to complete an act over and over again, driven by the need to neutralize the obsession

PTSD features (3)

Flashback


Avoidance


Chronic arousal

Conversion disorders

Involves the presentation of a physical illness without any biological causes

Hysteria

Physical symptoms that did not appear to have an organic cause

Hysterical conversion

When powerful emotions are repressed they will display themselves as physical symptoms

Panic attack

An abrupt experience of intense fear or acute discomfort, accompanied by physical symptoms

Types of panic attacks (2)

Cued (expected)


Uncued (unexpected)

Behavioural inhibition system (BIS)

Activated by the signals of the brain stem of unexpected events, such as major changes in body functioning that might signal danger

Fight/flight system (FFS)

The circuit that originates through the brainstem produces an immediate alarm and escape response that looks very much like panic in humans

The triple vulnerability theory (3)

Generalized biological vulnerability


Generalized psychological vulnerability


Specific psychological vulnerability

Cognitive characteristics of GAD (4)

Intolerance of uncertainty


Erroneous beliefs about worry


Poor problem orientation


Cognitive avoidance

Introceptive avoidance

Involve removing oneself from situations or activities that might produce the physiological arousal that somehow resembles the beginnings of a panic attack

Learned alarms

Cues become associated with several internal and external stimuli through a learning process

Panic control treatment (PCT)

Focuses on exposing patients with panic disorder to a cluster of introceptive sensations that remind them of their panic attacks

Catharsis

Reliving emotional trauma to relieve emotional suffering

Imaginal exposure

The content of the trauma and the emotions associated with it are worked though systematically

Eye-movement and desensitization and reprocessing (EMDR)

While thinking about their traumatic experience in therapy, the client is asked to follow the therapists moving fingers with his or her eyes all while keeping the image of the trauma in mind

Adjustment disorders

Describes depressive or anxious reaction to life stress that are milder than acute disorder or PTSD

Attachment disorders

Child is unable or unwilling to form normal attachment relationships with caregiving adults

Reactive attachment disorder

A child will very rarely seek out a caregiver for protection, support and nurturance

Types of reactive attachment disorder (2)

Emotionally withdrawn inhibited type


Indiscriminatly social disinhibited type

Disinhibited social engagement disorder

Set of child rearing circumstances in which the child shows no inhibitions to approaching adults

Types of obsessive compulsive behaviour (4)

Symmetry obsessions


Forbidden thoughts or actions


Cleaning and contamination


Hearing

Tic disorder

Characterized by involuntary movement and often co-occurs with OCD

Body dysmorphic disorder

A preoccupation with some imagined defect in appearance by someone who looks reasonably normal

Characteristics of hoarding (3)

Excessive acquisition of things


Difficulty discarding anything


Living with excessive clutter

Trichotillomania

The urge to pull out one's own hair from anywhere on the body

Excoriation

Repetitive and compulsive picking of the skin

DONE

WOO