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51 Cards in this Set

  • Front
  • Back
Repression and Reaction formation
Associated with Freud, defense mechanisms, serve to deny or distort reality

repression: id's drives and needs are excluded from conscious awareness by maintaining in the unconscious

Reaction formation: avoiding an anx evoking instict by expressing it's opposite
Adler
Inferiority feelings, striving for superiority, style of life, social interest

mental disorders=mistaken style of life

lifestyle investigation

Systematic Training for Effective Teaching: behaviors have goals (attn, power, revenge, display deficiency) which reflect a desire to belong, acc. by faulty beliefs about what it takes to belong
Jung
personal and collective unconscious

archetypes: the persona, shadow, anima and animus

individuation= integration of the conscious and unconscious aspects of one psyche, leading to the dev't of unique identity

transference=projections of the personal and collective unconscious and analysis is cruicial part of therapy
Gestalt therapy
self and self-image

boundary disturbances (disturbance in the boundary between the seflf and the external environment): introjection, projection, retroflection, confluence

avoid diagnostic lbels

transference=bad; distortion of reality
Prochaska's transtheoretical model (stages of change)
1)precontemplation-little insight, does not intend to change

2)contemplation-aware of the need to change, is considering change in the next 6 months, but not committed to it

3)preparation-clear intent to take action within the next month

4) action: takes steps to change

5) maintenance: bx change has lasted for at least 6 mos, person is tking steps to prevent relapse
Extended Family Systems Therapy
Bowen

bx disorders result from multigenerational transmission that result in progressively lower levels of differentiation (ability to separate intellectual and emotional functioning)

use of the genogram
Structural Family Therapy
Minuchin

power hierarchies, subsystems

boundaries; disengaged or enmeshed

3 chronic boundary problems (rigid triads): 1) detouring (parents focus on child and overprotect or blame/scapegoat) 2)stable coalition 3)triangulation (unstable coalition)

therapist uses technique of joining
Strategic Family Therapy
combination of the communication/interaction and structural schools of thought

emphasize the role of communication

therapist takes on an active,take charge role, issues directives (assignments)
Milan Systemic Family Therapy
circular patterns of action and reaction

use of therapeutic team

hypothesizing, neutrality, paradox, circular questions
Health Belief Model
Health bxs are influence by the persons readiness to take action which is related to his perceived susceptability to the illenss and the perceived severity of the consequences; the person's evaluation of the benefits and costs of making a particular response; the internal and external "cues to action" that trigger the response
Mental Health consultation
1) client-centered: work with the consultee to develop a plan that will enable the consultee to work more effectively with a particular client; Expert model
2)consultee-centered: enhance the consultee's performance (skills, knowledge, abilities or objectivity--theme interference)
3)program-centered administrative consultation: working with one or more administrators (consultees) to resolve problems related to an existing program
4)consultee-centered administrative consultation: help administrators improve their progession functioning
Howard's Phase Model
1) Remoralization-improve feelings of hopelessness and despartion in first few sessions

2)remediation-focus on symptoms, sx releif usually requires about 16 sessions

3)rehabilitation: unlearning maladaptive bxs.
Dose Dependant Effect
More therapy improves outcomes but levles off at about 26 sessions (75% improve) at 53 (85% improve)
cultural competence
1)awareness
2)knowledge
3)skills
emic vs. etic
emic=culture-specific theories, concepts,and research strategies

etic=phenomena that reflect universal (culture general) orientation
cultural vs. functional paranoia
cultural=healthy
functional=psychopathology
Acculturation
1)integration
2)assimilation-accepts majority culture, reliquishes own
3)separation-withdraws from dominant culture and accepts own culture
4)marginalization-doesn't identify with majority or own culture
Racial/Cultural Identity Model
1)conformity (positive attitudes and pref for majority culture, deprecation of own group)
2)dissonance (confusion and conflict; see problems as being related to racial identity issues)
3)resistance and immersion (reject dominant society, perceive personal problems as result of oppression)
4)introspection (uncertainty about the rigid beliefs of stage 3; prefer therapist of same group but open to therapists who share same worldview)
5)integrative awareness (strong personal cultural identity, desire to eliminate all forms of oppression, similarity in world view is the most important thing in a therapist)
Black Racial Identity Model (Nigrescence)
1)preencounter (whites seen as ideal, blacks denigrated; prefer white counselor)
2)encounter (awareness, interest in dev'p an AA id; prefer a black therapist)
3)immersion/emersion (initially idealizes AAs and denigrates whites, towards the end is less emotionally immersed and moving toward internalization of id)
4)internalization/commitment (AA worldview, may exhibit health cultural paranoia)
White Racial Identity
1) contact (little awareness, unsophisticated, possibly racist views)
2)disintegration (increasing contact with AA; confusion, ambivalence, may overid with AAs or retreat into white society)
3)reintegration (accepts racist views)
4)pseudo-independence (a personally jarring event causes the person to question views or recognize that whites have a responsibility for racism)
5)immmersion-emersion (exploration of the meaning of being white)
6)autonomy (internalizes a positive, nonracist white id, that includes appreciation and respect for other cultures)
Homosexual ID dev't
1)sensitization/feeling different
2)self-recognition/identity confusion (attraction to same sex leasds to turmois and confusion)
3)identity assumption (bx in stereotypical ways or try to "pass")
4)commitment/identity integration (out, adopted a homosexual WOL)
Stages of Alzheimers
Stage 1: one to three years, anterograde amnesia (esp for declarative memories), deficits in visual-spatial skills (wandering), indifference, irritability and sadness, anomia (difficulty naming familiar objects)

Stage 2: 2 to 10 years, increasing retrograde amnesia, flat or labile mood, restlessness and agitation, delusions, fluent aphasia, acalculia, and ideomotor apraxia (inability to translate and idea into movement)

Stage 3: 8 to 12 years, severely deteriorated intellectual functioning, apathy, limb rigidity, incontinence
Learned Helplessness Model
tendency to attribute negative events to internal, stable, and global factors...later versions deemphasize the role of attributions and instead describe depression as being related to a sense of hopelessness
Rehm's Self-Control Model
Depression is related to a combination of self-monitoring, self-evaluation and self-reinforcement. Depressed ppl attend to negative events and immediate outcomes; fail to make accurate internal attributions and set stringent criteria for self evaluation; low rates of self-reinforcemtn and high rates of self-punishment
Beck's Depressive Cognitive Triad
negative, illogical self-statements about oneself, the workd, and the future.
Bipolar I vs. Bipolar II
I requires a full manic episode, not necessary to have had a major depressive episode

II requires at least one MDE, and one Hypomanic episode

I is equally common in males and females; II is more common in females
Acute Stress Disorder vs. PTSD
acute=sx must occur within 4 weeks of trauma, sxs must last 2 day but less than 4 weeks

PTSD=sx can have delayed onset; sxs are for 1+ months
Brief Psychotic Disorder vs. Schizophreniform Disorder vs. Schizophrenia
Brief=one day to one month with return to premorbid functioning, follows an overwhelming stressor

Schizophreniform=nearly identicle to schizophrenia but distubance is 1 month to less than 6 months; may end up diagnosed with schizophrenia

Schizophrenia=continuous disturbance for 6 + months, with at least one month of 2+ active phase symptoms (delusions, hallucinations, disorganized speech, grossly disorganized or catatonic bx, negative sxs)
Hypomanic vs. Manic episode
Hypomanic=at least 4 days of elevated/expansive/irritable mood but does not cause marked impairment in functioning or require hospitalization

manic=at least 1 week of symptoms with significant impairment in occupational or social function, need to be hospitalized and/or the presence of psychotic features
Agoraphobia and Panic Attacks are usually treated with...
In vivo exposure with response prevention (flooding)

In vivo exposure is good for phobias too

Exposure with response prevention is good for OCD
Schizoid Personality Disorder vs. Schizotypal
Schizoid=indifference to interpersonal relationship, restricted range of emotional expression, doesn't desire or enjoy close relationships, solitary, little interest in sex, takes pleasure in few activities, emotional coldness or detachment

schizotypal=may desire friends; not so much indifference as social and interpersonal deficits, eccentricities in cognition, perception or bx, may also have inappropriate or restricted affect
Cerebellum
part of hindbrain

important for balance and posture

damage can result in ataxia (lack of coordination, clumsiness, loss of balance)
Amygdala
part of the limbic system

control of emotional activities (inc. the mediation of defensive-aggressive bx)

perception and expression of emotions

attachment of emotion to memories
Basal Ganglia
Subcoritical structures of the forebrain

includes the caudate nucleus, putamen, globus pallidus and SUBSTANTIA NIGRA

Planning, organizin, and coordinating voluntary movements

damage is associated with Parkinson's and Huntington's
Emotion (Areas of the Brain)
Amygdala-perception and expression of anger, fear, sadness, happiness; attaches emotion to memories

Hypothalamus-translation of emotions into physical responses

Cerebral cortex--Left governs positive emotions; right governs negative emotions
Frontal Lobe
One of the 4 lobes of the cerebral cortex (Forebrain)

contains the primary motor cortex, premotor cortex, and the prefrontal cortex

INITIATIVE, PLANNING ABILITY, ABSTRACT THINKING, and other EXECUTIVE FUNCTIONS

Left frontal lobe=broca's area

personality and mood

Motor functions

Damage to the prefrontal cortex produces personality changes and deficits in higher-level cognitive ability
Huntington's
inherited

early symptoms inc. depression, apathy, anxiety, antisocial tendencise, forgetfulness, figeting, and clumsiness

later, athetosis (slow writhing movements) and chorea, more serious cogn symptoms

due to loss of GABA secreting neurons and glutamate excitotoxicity in the basal ganglia
Hypothalamus
subcortical structure of the forebrain

controls the autonomic NS and endocrine glands

mediates basic drives

regulates emotional expression

the SCN is located here, involved in the regulation of the body's circadian rhythms
Learning and Memory (areas of the brain)
1)Temporal Lobes=essential for encoding, storage, and retrieval of L-T declarative memories

2)Hippocampus=consolidation of declarative memories

3)amygdala=fear conditioning, learning about rewards and punisment, adding emotional significance to memories

4)prefrontal cortex=short-term memory, episodic memory, and prospective memory

5)thalamus=processing information and transferring it to the neocortex

6)basal ganglia, cerebellum, and motor cortex--play a role in procedural memory and implicit memory
Hippocampus
part of the limbic system (subcortical structure of the forebrain)

important in spatial and explicit memory

consolidation of declarative memories
Learning and Memory (neural mechanisms)
1)long term potentiation (involves glutamate receptors in the hipposcampus)

2)protein synthesis (important for the formation of LTM)
Occipital Lobe
one of the 4 lobes of the cerebral cortex (forebrain)

Primary sensory cortex for Vision

damange can result in visual object agnosia, color agnosia, word blindness, and/or blind spots
Parietal Lobe
one of the 4 lobes of the cerebral cortex (forebrain)

contains the Somatosensory Cortex

damage can cause apraxia (inability to perform voluntary movements), inability to recognize objects by touch, problems related to L-R orientation, contralateral neglect
Parkinson's Disease
tremor, muscle rigidity, akathisia, akinisia, speech difficulties, may eventually include dementia

due to degeneration of dopamine-conataining cells esp in the substantia nigra

sx temp relieved by L-dopa (dopamine agonist)
Reticular Activating System
WAKEFULNESS, AROUSAL, CONSCIOUSNESS
Temporal Lobe
Primary Auditory Cortex

Wernicke's area
Thalamus
Relay station for all of the senses except smell

Involved in Language and Memory
James-Lange Theory of Emotion
I am nervous because my hands are shaking.

emotions rep perceptions about bodily rxns to stimuli
Cannon Bard Theory of Emotion
emotional and bodily rxns to stimuli occur simultaneously due to thalamic stimulation of the cotex and PNS
Schachter and Singer's Two factor (cognitive) theory of emotion
subjective emotional experience is the consequence of physiological arousal and cogntive interpretaion of that arousal and the environmental context in which it occurs
Sleep
1)alpha waves
2)theta waves, sleep spindles and K complexes
3)delta waves appear
4)delta waves dominate
5)REM sleep