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134 Cards in this Set

  • Front
  • Back
Factors influencing normal development (biological x5)
genes, in utero effects, brain structure, head injuries/illnesses, gender
Factors influencing normal development (psychological x5)
temperament, self-esteem, coping, emotion regulation, cognitions
Factors influencing social development (social x5)
environment, modeling, interaction with environment, peers, school
dimensional classification

(pros and cons)
everyone possesses symptoms to varying degrees, disorder when it reaches an extreme

Pros: everyone has behaviours and symtoms, people rated as below or above average, analyze how it will affect functioning

Cons: practically difficult, insensitive to contextual effects, dependent on understanding of "normal"
categorical classification

(cons)
distinctive categories that are black and white and must meet specific criteria

Cons: specific/rigid and people don't always fit into criteria, behavior hardly falls into certain categories, impaired but at a subthreshold?
DSM-IV-TR

(cons x4)
categorical tool and listing of mental health disorders

Cons: no focus on infancy and childhood (developmentally inappropriate criteria), individualistic, need to meet criteria for treatment, doesn't cater well to those that don't fit
Evidence based practice
integration of best available reserach with clinical experience in context of patient characteristics, cultures, and preferences
Ethics (x5)
respect for dignity of persons and peoples, responsible caring, integrity of relationships, social justice, honest practices
Assessing Children (4 items)
interviews, observations, rating scales, tests
Formulating a Case (1 + 5 items)
context - look at environment child is working within
predisposing - pre-birth/in utero and family history
precipitating - what has led to current situation
present - what needs to be dealt with
perpetuating - looking at factors that could keep problem going
protective - stress positives and strengths that help people overcome difficulties
ADHD
(3 types)
difficulties in behaviour, cognitive functioning (poor at planning, problem solving, focus, and attention span), social functioning (peers avoid or ignore because seen as annoying)

inattentive, hyperactive/impulsive, combination
Conduct Disorder (CD)

Onset Times (2)
aggressive and antisocial behaviors that overflow onto other people

Childhood onset (before 10)
Adolescent onset (after 10, more covert)
Oppositional Defiance Disorder (ODD)
Child's behavior exists on a spectrum from non-compliance (failure to respond to a task, passive in nature) to defiance (vocal, active refusal to a reasonable request)

-caused by poor parenting + child's nature
Patterson's Bidirectional Influence (ODD)
Give them what they want leading to reinforce defiance; harsher punishment and model hostile behaviour
Separation Anxiety Disorder
Not wanting to separate from parents and excessive anxiety concerning separation, preoccupation with returning home

-environmental triggers(rsponse to dangerous life event)
-chronic and progressive
Behavioral Treatment for Anxiety
(2 items)
-flooding and habituation
-systematic desensitization
Childhood Depression
child is irritable or grumpy (low mood) or has diminished interests or pleasure (over 2 week period)

-uses adult diagnositc criteria
Autism
impairments in social interaction, communication, and restricted/repetitive patterns of behaviours/interests/activities

-likely to have an intellectual disability, genetic condition
Echolalia
feature of autism, child repeats what they heard (whether immediately after event or delayed)
Male Erectile Disorder
inability to attain or maintain an adequate erection
-acquired problem, likely due to occasional failure and attribution
Theory of Sexual Functioning
Performance demands, for normal males, creates a positive affect and focus on sexual cues

Performance demands, for impaired males, creates a negative affect with focus on failure (negative feedback)
Diathesis-stress model
looks at an individual's disposition and liability to disorders
Psychoanalytic theory
three components of psyche (id, ego, superego), and pathology stems from either ego anxieties (causing fixations or stress) or tension among components
Behavioural Theory
dependent on classical conditioning and operant conditioning
Classical Conditioning
pairing of stimulus with unconditioned stimulus
Operant conditioning
behaviours are rewarded, punished, or reinforced, which influences their recurrence after response
Depression Affects... (4 things)
Emotions (sadness, loneliness), motivations (loss of interest, yearning for escape, no will), cognitions (pessimism and negative self-concept), and physical state (movement, fatigue, appetite)
Beck's Cognitive Theory

(cons x4)
Depression arises from cognitive triad, logical errors in thinking, and cognitive schema

-does not explain diversity of symptoms of depression, psychological reactions more complex, individual differences not accomodated, does not distinguish from abnormal
Cognitive Triad (3 parts)
patients tend to hold negative automatic thoughts about self, world, and future
Logical Errors in Thinking (4 parts)
-arbitrary influences = jump to conclusion based on little evidence
-selective abstraction = confirmation bias and attending to the negative
-overgeneralizations = sweeping conclusions from minimal events
-dichotomous thinking = thinking in all or none terms
Cognitive Schemata
organised representations of prior experience that facilitate information processing, guiding behaviour and interpretation
psychometrics
identify the boundaries of appropriate use of constructs as found using a measure
reliability
replicability of score, consistency or stability of score across measurements
alternate-form reliability
two versions of test developed and look for correlation
split-half
divide questions into two groups
internal consistency
item and correlation score
test-retest
want scores to remain the same when test is taken again
inter-rater reliability
measure error produced by different raters
validity
meaningfulness of score, degree to which a score corresponds to construct measure is assumed to quantify
concurrent validity
correlation between score and criterion score using correlated scores from new and old measures
predictive validity
measure taken now and taken in future, correlation between score and criterion outcome
face validity
degree that a measure seems to be a good measure (based on inference)
discriminant validity
don't want high correlation coefficient, want yours to be better (measuring different constructs)
construct validity
what is the construct that accounts for score variance
personality disorder
enduring pattern of inner experience and behavior that deviates from norms and manifests itself in cognition, interpersonal function, affect, impulse control
-inflexible and pervasive
Clusters and Classifications of Personality Disorders
(3 clusters)
Odd/Eccentric (schizoid, schizotypal, paranoid)
Dramatic/Flamboyant (narcissitic, antisocial, borderline, histrionic)
Anxious/Fearful (avoidant, dependent, OCD)
Clinical Impressions of Schizophrenia

(4 items)
ambivalence, associative disturbances, affective disturbances, preference for fantasy over reality
Formal Thought Disorder
Derangement in form of language: reduced cohesion, greater repetition, less predictable
-impaired inhibitory mechanisms in semantic network result in intrusions of activated associations in speed
Panic Disorder
repeated panic attacks (change behavior related to attacks)
Simple Phobia
excessive fear of a specific stimulus
Social Phobia
fear of social performance or scrutiny
Obsessive-compulsive disorder
preoccupied with details, routine, and perfectionism interfering with task completion
Generalized Anxiety Disorder
excessive worry/anxiety
Paruresis
disruption of urination in defined public or social settings
-stable and unremitting, prevalence in late childhood and puberty
-not generally associated with an event; combination of shyness with precipitating context that prevents learning
Enuresis
bedwetting (involuntary and frequent)
Psychogenic urninary retention
people can't urinate because it is a pseudo-neurological disorder (regardless of other's attentions)
Biopsychosocial Framework
physical pathology, mental processes, and structural context
Te Whare Tapa Wha
Maori definition of health, modeled as a house with four sides (body, psychological, family, spritiual)
Acute Illnesses
rapid onset, quick to resolve, self-treated
Chronic Illnesses
Long-lasting, sometimes self-manageable, onset from acute situation
health psychology (3 items)
promotion and maintenance of health, prevention and treatment of illness, social construction of what it means to be ill
Socioeconomic status
can be defined as educational attainment, income, job category, materialistic access, trapnsportation, property ownership
-connected to stress, depression
Structured interviewing
quantitate participants' views (questionnaire), closed questions, fixed answer choices, specific set order
Semi-structured interviewing
investigate participants' views, open ended questions, no leading questions, no set order
underweight
condition of being lighter than average for one's height and build
-under 18.5 kg/m^2 for BMI
overweight
weighing more than is normal or desriable for height/build
-in between 25 and 30 kg/m^2
BMI Limitations (4 items)
Treated as absolute categories, obesity as a diagnosis and not a symptom, not a direct measure of body fat (muscle?), not direct measure of spread of body mass/fat
Anorexia nervosa
refusal to maintain body weight above a minimally normal weight for age and height, intense fear of gaining weight, disturbance in perception of one's body weight or shape, amenorrhea
Bulimia Nervosa
recurrent episodes of binge eating and recurrent inappropriate behaviour (purging or non-purging subtypes)
-3 months at least twic a week
-self-concept influenced by body shape and weight
Eating-disorder-not-otherwise specified
anorexia nervosa criteria met but menstruating or normal weight -or- bulimia nervosa criteria met but compensatory behavior not as frequent
Body Image
(3 parts)
subjective picture or mental image of one's body
-perceptions, beliefs, and feelings
Body Dysmorphia
preoccupation with defect in appearance, functional impairment (spend hours thinking about defect, feelings of self-consciousness lead to avoiding public situations)
Substance Dependence
behavior controlled by a substance with need for dose escalation, withdrawal on sensation
Addict
habitual user of substance (excessive use of drugs)
Addictions
continued use because of history
Transtheoretical Model/Stages of Change Model

(5 parts)
Used to understand the process of change common to all theories of psychotherapy
-precontemplation = not aware or concerned of problem
-contemplation = vaguely considering change
-preparation = intention fromed, start to plan
-Action = start to make change
-Maintenance = keep up change
3 Benefits of Stages of Change

3 Cons of Stages of Change
Benefits: no assumption about readiness to change, provide structure for interventions and monitoring, applied to health-related behaviors too

Problems: assume insight can be gained, not explicit about relapses, trouble with coplex combinations of behaviors
Sex
Defined as chromosomal differences
Gender
defined as socially constructed role differences
Transexualism
desire to belong to other sex
Transgenderism
does not fit into gender roles
Gender Identity Disorder
strong and persistent cross-gender identification (persistent discomfort)
Medicalizing Disorders Pros
(3 parts)
legitimizes distress, justifies seeking help, facilitates withdrawal from life stress
Medicalizing Disorders Cons
(4 parts)
focuses on individual (not cultural context), distress not seen as a real physical condition, pathologizes life experiences, medication as easy route to quick recovery
Negative Affectivity
trait propensity to experience poor mood states
Personal self-consciousness
trait propensity to focus on self (emotional states + body presentation)
Somatization
trait propensity to make somatic attributions for sensations
Systematic Lupus Erythematosus
SLE or Lupus, photosensitivity to sunlight causing mild to severe rashes, cyclical/chronical
-invovles problems with menstruation and miscarriage
Rheumatoid Arthritis
autoimmune disease, inflammation and destruction of many joints; disability builds up as joint erosions do not heal
-cyclical
HIV
Retrovirus invading host's cells, leads to AIDS
Illness Beliefs
(5 parts)
Feedback process of coping with illness
-Identity = symptoms and labels of condition
-Timeline = how long illness is going to last
-Causes = beliefs about onset of illness
-Controllability = personal control versus outside of control
-Consequences = impact on individual and those close to them
Stress
Transaction between person and their environmental demands
-tradtionally: major life events
Primary Stress Appraisals
(3 parts)
Harm, threat, and challenge
Secondary Appraisals (coping)
(2 parts)
Self, help
Coping (3 parts)
problem-focused (active and approach), emotion-focused (passive and avoidant), meaning-focused (passive and approach)
CB Therapists
help people become aware of potentially problematic situations, help people understand how they think
compliance
traditional term for taking medicine as prescribed
-reinforces power differential
Non-compliant
purposeful and unintentional non-compliance
Suboptimal Dosage (4 parts)
wasted products, worsening health status, need for more appointments, premature death
Adherence
(Two correlations)
steady observance or maintenance of medical recommendations for treatment
-specifically necessary for individual and medications are not generally overused
Measuring Medication Taking (3 ways, two with deception)
-Inert dose of additional substance and check with blood test
-Electronic monitoring of when pill bottles are opened
-Questionnaires that are disease-specific and relies on self-report
Health Belief Model
Cost-benefit analysis and predicts the likelihood of action
Concordance
optimize health gain from best use of medicines, compatible with what patient desires and is capable of achieving
-shared decision making, therapeutic alliance, consumer-led healthcare
Quantitative Data
anything that can be represented as numerical quantity
Qualitative Data
anything not being converted to numerical representation, interpreting the deeper meaning of data
Media/medium
conduit of information
Discourses
culturally specific sets of statements/meanings/metaphors; actively received by people
Borderline Personality Disorder
instability in interpersonal relationships, self-image, affect, impulsivity
Paranoid Disorder
pervasive distrust, suspiciousness of other's motives
Schizoid Disorder
pattern of detachment from social relationships, restricted range of expression of emotions
Schizotypal Disorder
social/interpersonal deficits marked by discomfort with close relationships`
Schema Therapy
identification and modification of schemata driving inappropriate behaviors
Antisocial personality disorder
pervasive pattern of disregard for the violation of rights of others
psychopathy
emotional detachment and antisocial lifestyle
Avoidant personality disorder
social inhibition, inadequacy, hypersensitivity to negative evaluation
dependent personality
advice/reassurance from others
Humanistic Theory
consequence of deviation from drive for self-actualization
social learning theory
learn fear responses from observation of other's responses
Cognitive Behavioral Therapy
Change cognitive distortions, focus on present but learn how schemas were formed
mania
increased self-esteem, grandiosity, decreased need for sleep, talkativeness, racing thoughts, distractability, agiation, high risk activities
-extreme defense mechanism
Factors influencing simple phobias
familiarity (positive and negative associations), beliefs and expectations regarding stimulus
Maintained Phobias
experience with object or situation, socially transmitted information, cognitive rehearsal
Preparedeness theory
biological or evolutionary in nature, beneficial to have specific fear of stimuli or to acquire it more easily
Neurological disorders
damage or disease to brain following onset of disease or trauma
Alzheimer's
amnesia, aphasia (language), apraxia (impaired motor abilities), agnosia (failure to identify objects)
health promotion
holistic approach to health, respecting cultural differences, promoting positive health at societal and individual level
Multiple Sclerosis
neurological conditon involving destruction of myelin sheath that surrounds nerve cells (blocks/distorts normal transmission of nerve impulses)
Social causation model
higher levels of stress from those less well-off (greater exposure, emotional impacts, less resources)
social drift model
mental health problems decreases SES, less economically viable and experience greater stress
Relativity issue
knowingly having less resources than other groups in society
Transvetism
wearing clothing of opposite sex
unstructured interviews
guided conversation (participant observation, record field notes, use of key informants)
Genetic essentialism
genes revealing true nature of person, negation of environmental influences
Genetic contingency
rise of genetic explanations has condition specific effect