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59 Cards in this Set

  • Front
  • Back

Case study

Intensive study on individual that includes clinical data, observations, medical and psychological tests, and historical/biographical information. Bad for global application, no causal info, easy to be biased.

Levels of evidence

1: randomized, controlled studies


2: correlational and observed studies


3: case studies and clinical judgements or opinions

Analogue study

Investigation that attempts to replicate/simulate a situation that occurs in real life.

Endophenotype

Measurable characteristics that indicate the genetic pathways involved in a disorder.

Steps of a genetic linkage study

-The proband and their family members identified.


-Proband asked about psychiatric history of specific family members


-These members contacted and given assessment to determine mental health status.

Reliability: Test retest reliability

Determines whether measure yields the same results when given at two different points in time.

Reliability: internal consistency reliability

Requires that various parts of test yield similar or consistent results.

Reliability: Interrater reliability

How consistent tests results are when scored by different t test administrators.

Predictive validity

How well a test or measure predicts or forecasts a person's behaviour, response, or performance.

Construct validity

How well a test or measure relates to the characteristics of disorder in question.

Content validity

How well a test measures what it is intended to measure.

Standardizarion

Use of identical procedures in the administration of tests.

Standardization sample

Sample group on which test norms are based.

Mental status examination components

Appearance, speech, mood, thought process, affect, thought content, memory, abstract thought, and general knowledge.

Projective personality tests

-Rorschach (symmetrical inkblots)


-Thematic appreciation test (30 picture cards depicting 2 people in vague scenes).


Both lack validity.

Self report inventories: MMPI

Personality test with 567 statements. Ask whether true or false about self. 10 clinical scales measuring different characteristics. Alert clinicians to possible faking answers.

Self report inventories: Beck depression inventory

21 items measuring mood, appetite, suicidal thoughts, etc.

Limitations of self report inventories

-No opportunity to explain answer.


-Personality can mask symptoms.


-Cultural bias of clinician, personal culture affecting response of participant.

IQ

Indicates individuals level of performance relative to that of other people the same age. 100 is mean. Predicts school performance, detects intellectual disability.

Weschler adult intelligence scale

Persons 16 and older. WAIS-IV assesses verbal comprehension, perceptual organization, working memory, and processing speed.

Stanford Binet intelligence scale

Assesses intelligence in individuals 2-85. Examiner establishes basal age (pass all subtests) and ceiling age (fail all subtests) as part of process calculating score.

MMPI scales: hypochondriasis

Individuals showing excessive worry about health with reports of obscure pains.

MMPI scales: Depression

People suffering from chronic depression.

MMPI scales: Hysteria

Individuals who react to stress by developing physical symptoms.

MMPI scales: Psychopathic deviate

People who show irresponsibility, disregard social conventions, and lack deep emotional responses.

MMPI scale: Masculinity femininity

People tending to identify with the opposite sex rather than their own.

MMPI scales: Paranoia

People who are suspicious, sensitive, and feel persecuted.

MMPI scales: Psychasthenia

People trouble with fears and compulsive tendencies

MMPI scales: Schizophrenia

People with bizarre thoughts and behaviours

MMPI scales: Hypomania

People who are physically and mentally overactive and who shift rapidly in ideas and actions.

MMPI scales: Social introversion

People who tend to withdraw from social contacts and responsibilities.

Criticisms of IQ

-Reflect social and cultural factors rather than innate intelligence.


-Predictive validity low.


-Question whether current conceptions of IQ tests and intelligence are accurate.

Bender gestalt visual motor test

9 geometric designs in black on white. Participants copy them on piece of paper. Certain drawing impairments indicate pathology.

Halsted Reitman neuropsychological test

Differenciates patients with brain damage and can provide location of damage.

DSM disorders categories: neurodevelopmental disorders

Cognitive, learning, and language disabilities evident in early life.

DSM disorders categories: neurocognitive disorders

Psychological or behavioural abnormalities associated with dysfunction of the brain.

DSM disorders categories: substance related and addictive disorders

Excessive use of alcohol, illicit drugs, or prescription medications that results in impaired functioning; behavioural addictions such as gambling.

DSM disorders categories: schizophrenia spectrum and other psychotic disorders

Disorders marked by severe impairment in thinking and perception, often involving delusions, hallucinations, and inappropriate affect.

DSM disorders categories: bipolar and related disorders

Disorder marked by episodes of mania or hypomania alternating with normal or depressed mood.

DSM disorders categories: depressive disorders

Disorder associated with feelings of sadness, emptiness, and social withdrawal.

DSM disorders categories: anxiety disorders

Disorders characterized by excessive or irrational anxiety or fear, often accompanied by avoidance behaviours and fearful cognitions or worry.

DSM disorders categories: obsessive compulsive and related disorders

Disorders characterized by obsessions and or compulsions and other compulsive behaviours like hoarding.

DSM disorders categories: trauma and stressor related disorders

Disorders associated with chronic or acute reactions to trauma and stress.

DSM disorders categories: trauma and stressor related disorders

Disorders associated with chronic or acute reactions to trauma and stress.

DSM disorders categories: dissociative disorders

Disturbance or alteration in memory, identity, or consciousness, including amnesia, having two or more distinct personalities, or experiencing feelings of depersonalization.

DSM disorders categories: sexual dysfunctions

Disorders involving the disruption of any stage of normal sexual response cycle, including desire, arousal, orgasm.

DSM disorders categories: gender dysphoria

Significant distress associated with conflict between biological sex and gender assigned at birth.

DSM disorders categories: paraphilic disorders

Recurrent and intense sexual fantasies or urges involving nonhuman objects, pain, humiliation, or children.

DSM disorders categories: eating disorders

Disturbed eating patterns and body dissatisfaction involved in bingeing, purging, and excessive dieting.

DSM disorders categories: sleep wake disorders

Problems in initiating or maintaining sleep, excessive sleepiness, sleep disruptions, sleepwalking, or repeated awakening associated with nightmares.

DSM disorders categories: personality disorders

Disorders involving stable personality traits that are inflexible and maladaptive and notably impair functioning or cause subjective distress.

DSM disorders categories: personality disorders

Disorders involving stable personality traits that are inflexible and maladaptive and notably impair functioning or cause subjective distress.

Causal and contributing factors

-biological/genetic


-environmental


-developmental


-social


-cultural


-behavioural

Concerns with the DSM: Broadening

Viewing mental disorders more broadly or on a continuum may have the unexpected consequences of broadening diagnostic boundaries to encompass people with less severe symptoms.

Concerns with the DSM: Changing criteria

Criteria for certain disorders, such as alcohol use disorders, increases numbers of people diagnosed.

Concerns with the DSM: Outside pressure

Decisions regarding the dsm5 has been influenced by outside pressure, such as pharma companies which can pressure to increase diagnosis.

Concerns with the DSM: addictive disorders

Now include behavioural addictions. Some believe that this may result in medicalization of behavioural problems.

Concerns with the DSM: premenstrual dysphoria disorder

Should be considered physiological or gynaecological and that it is stigmatizing to label sever premenstrual mood swings as disordered.

Concerns with the DSM: cross cultural applications

Prevalence of some disorders varies globally. May be that some descriptions of disorders developed in western countries do not fit others.