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55 Cards in this Set

  • Front
  • Back

Abnormal

Subjective idea infl. by social norms; look for the impact the disorder has on the person

Human condition

All people will face symptoms of some of the disorders, but it's just part of being human

Med student syndrome

Students learning about disorders diagnose everyone

4D's (Criteria of what is/isn't abnormal)

Deviance (statistically uncommon)



Dysfunction (maladaptive/interferes with ability to do things)



Distress (does it cause person emotional pain and distress)



Dangerous (Are they a danger to themselves/others)

% of US population that suffers from psych disorders

48%

Knowledge of prehistoric societies has been acquired indirectly, is based on inferences from archeological findings and is limited

Y

Historians think that prehistoric societies regarded psych disorders as...

The work of evil spirits

The prehistoric "cure" for abnormal behavior was...

To force the demons out through exorcism and trephination (drilling a hole in the head)

Psych disorders on the rise:

Anxiety


ADHD


Autism


Eating Disorders


Depression

Greek and Roman Time period

(500 BC to 500 AD)



Many psych disorders were identified by philosophers (like Hippocrates)

Hippocrates believed abnormality...

Had natural causes and resulted from internal physical problems



Ahead of his time because he knew abnormal behavior could be caused by physical issues

Hippocrates: (Dx and Tx)

For Dx he looked to an imbalance of the 4 humors



He suggested Tx that attempted to "rebalance" (warm baths, blood letting, massage)

Europe in the Middle Ages led t o return of

(500 AD to 1350)


Demonology


With the ⬆ of clergy ➡ ⬇ science


•Abnormality was again seen as a conflict b/w good and evil

Incidence of abnormality during the Middle Ages in Eur.

Increased dramatically as outbreaks of mass madness occurred

Tx in the Middle Ages:

Earlier Tx like exorcism reemerged

The Renaissance brought...

(1400 to 1700)


The rise of asylums


German physician Johann Weyer argued...

That the mind was susceptible to illness, just like the body



He is considered the founder of the modern study of psychopathology



This idea improved patient care

Renaissance:


Shrines devoted to...

The loving care of the mentally ill were established



1 at Gheel became a community mental health center

Asylums

Institutions whose purpose was to care for mentally ill

Problem w/ asylums

Overcrowding caused "warehousing" of patients

19th Century brought:

Reform and Moral treatment

As the 1800s arrived asylums...

Were reformed into places of care

Advocates of moral Tx sought...

Care that emphasized humane and moral Tx



In US advocates = Ben Rush (father of US psychiatry) + Dorothy Did



Europe= Pinel and Tuke

By 1850s there was a reversal of the moral Tx movement because of...

•$ and staff shortages


•⬇ recovery rates


• Lack of effective Tx for severely mentally ill

After 1850s

Long-term hospitalization became the norm again

Earlier 20th Century:



As the moral movement was decreasing in the late 1800s, 2 opposing perspectives emerged:

1. The Somatogenic Perspective



2. The Psychogenic Perspective

Somatogenic Perspective:

Abnormal functioning has physical causes



(Created optimism but led to few positive results until the 1950s)

Psychogenic Perspective:

Abnormal functioning has psychological causes

Somatogenic:



2 factors for reemergement:

1. Emil Kraeplin's textbook argued that physical factors (like fatigue) lead to mental dysfunction



2. Several biological discoveries were made (like the link b/w syphilis and general paresis)

Earlier 20th Century:



Medicine advancements...

Are starting to catch up to the fact that abnormal behavior can Tx with medicine

Early 20th Century:



Psychogenic Perspective:


Primarily applied to those...

Not requiring hospitalization

Rise in popularity of the psychogenic persp. was based on...

Work with hypnotism that was done by Friedrich Mesmer to treat hysterical disorders (which have no physiological cause)



Sigmund Freud (father of psychoanalysis) also did work in hypnosis and believed that unconscious processes cause abnormality

Is there still a stigma?

Yes. 43% of people believe that people bring mental health disorders on themselves



But the last 50yrs have brought big changes in the assessment, Dx, and Tx of mental health disorders but scientists are still struggling to make a diff.

Tx in 1950s

Psychotropic medications discovered



•Antipsychotics


•Antideppressants


•Anxiolytics (anti anxiety drugs)

Discoveries in Meds led to....

Deinstitutionalization and increase in outpatient care

Current primary mode of Tx is...

Outpatient care



When patients need greater care they're usually given short-term hospitalization or outpatient psychotherapy and medication in a community setting

Outpatient care

Once exclusively psychotherapy but now includes various settings and specialty care

An increase on preventing disorders and promoting mental health has led to...

The community health approach ➡ the creation of the prevention movement

Many of today's programs try to:

•Correct the social conditions associated with psychological probs.


•Identify those at risk for developing disorders

Prevention programs have been energized by...

The rise of positive psych. (The study and promotion of positive feelings, traits and abilities)

What are the names of all the theoretical perspectives (orientations)?

•Psychoanalytic


•Biological


•Behavioral


•Cognitive


•Humanistic-Existential


•Sociocultural

Different types of psych professionals:

•(Clinical) Psychologists (PhD and psychotherapy)


•Psychiatrists (MD and medications)


•Social Workers


•Marriage and family therapists

Clinical researchers attempt to...

Examine which concepts and theories best explain and predict abnormal behavior, which Tx are most effective, and what kinds of changes may be required

Models of Abnormality:



Biological

Deals with Neurotransmitters, health, genetics, brain anatomy, and latitude and sunlight (for dep.)

MoA:



Behavioral

Deals with conditioning:



Operant con.- Consequences, (reinforcers/rewards and punishments)



Classical con.- Pavlov and associations



Observational con.- learning behavior by watching others



MoA:



Cognitive

Attributions:



Internal att.- someone does something because of who they are as a person



External att.- someone does something because of their environment/situation



What kind of mindset a person has (optimist/pessimist)

MoA:



Psychoanalytic:

Freud



Deals with the influences of unconscious on our experiences



Components of the psyche (Id/ego/ super ego) (ego deals with defense mechanisms)



Early experiences have a major impact on how you see yourself and others



MoA:



Social/sociocultural:

Deals with relationships (family, friends, romantic)



Socioeconomic status and opportunities available to you



Media

MoA:



Humanistic:

Response to deterministic message of other movements



Deals with free will



Humans aren't determined completely by their circumstances, they have choices



ROGERS (positive growth as a default) discussed:



Unconditional positive regard (you are valued for being you)


Vs.


Conditions of worth (you are valued if...)

MoA:



Existential:

Argues for importance of choices but argues that with those choices comes responsibility



You're responsible for your own choices



Believes there are 3 Truths:


1. You will die


2. You die alone


3. **** HAPPENS (Life is neither fair noir predictable)



Main guy was Irving Yalom



Argues that 3 Truths create so much anxiety within us that we deny them and that anxiety interferes with our functioning and by eliminating it we can embrace life fully

Nuerons

Cells in your body that allow you to do everything you do



You have 100 billion of them



All have same general parts:



Dendrites: Receive info, other NTs attach to send 1 of 2 messages (fire (+) or don't fire (-))



Axon



Terminal Button: Where the cell communicates by releasing their NTs into the system (the NTs then connect to the dendrite of the next cell)



The job of the cell is to send messages. They are at -70mv and if the sum of the messages changes the gradient to -55mv the cell reaches action potential and sends the message


3 things happen to NT once released:

1. Bind to the next cell and then sends (+) or (-) message


2. Broken down- metabolized and removed


3. Reuptake: NTs get re-absorbed


1st Antideprssant

MAOI (contained enzymes that stop the breakdown of NTs)



Worked by slowing down the breakdown of NTs



⬆ amount of NTs available



Required extreme dietary restrictions bc the enzymes involved stopped the breakdown of food in the digestive track too

Newer versions of antidepressants

SSRIs:



Allows down the reuptaking of NTs



Causes nausea, can interfere with orgasms, causes weight gain, and headaches

IMPORTANT

All NTs are involved in lots of things