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131 Cards in this Set
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psychopathology
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the field concerned with the nature development and treatment of mental disorders.
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stigma
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destructive beliefs and attitudes held by a society that are ascribed to groups considered different in some manner (like people with mental disorders)
1. a label 2. label is linked to deviant or undesirable attributes by society 3. people with label are "different" us vs them 4. discrimination |
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mental disorder
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a clinically significant behavior or psychological syndrome or pattern
-present distress or disability -significantly increased risk of suffering death, pain -cant be an expectable and culturally sanctioned response -doesnt always have to cause distress |
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disability
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impairment in some important area of life
-phobias -alone cannot be used to define mental disorder (bulemia) |
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social norms
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widely held standers (beliefs and attitudes) that people use consciously to make judgments about where behaviors are situated
-vary a great deal across cultures and ethnic groups |
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harmful dysfunction
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-Wakefield
- a value judgement (harmful) and objective, scientific component (dysfunction) - depends on social norms and values -dysfunctions occur when an internal mechanism is unable to perform its natural function |
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demonology
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doctrine that an evil being or spirit can dwell within a person and control his mind and body
- Chinese, Egyptians, Greeks - treated by exorcism |
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exorcism
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treatment of demonology
- ritualistic casting out of evil spirits - prayer, noise making, forcing the afflicted to drink terrible tasting brew, flogging and starvation |
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Hippocrates
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-father of modern medicine
- separated medicine from religion, magic and superstition -rejected belief that gods send mental disturbances -brain is organ of consciousness, emotion and intellect -3 classifications of mental disorder: mania, melancholia, phrenitis (brain fever) -normal brain functioning depended on black bile (melancholia), blood (changeable temperament), yellow bile (irritability and anxiousness) and phlegm (sluggish and dull) |
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Galen
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greek
-last great physician of classical era/ Dark ages - christian monasteries replaced physicians as healers and as authority -monks cared for people with mental disorders -return to a belief in supernatural causes of mental disorders |
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Lunacy Trials
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thirteenth century
-held to determine a persons mental health in England -defendents orientation, memory, intellect, daily life, and habits were at issue lunacy- odd behavior was attributed to misalignment of moon and stars |
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asylum
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leprosariums were converted into asylums
- refuges for the confinement and care of people with mental illnesses |
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bedlam
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asylum in Bethlehem
- a place or scene of wild uproar and confusion. -londons great tourist attractions -viewing patients was entertainment -medical treatments were crude and painful |
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Benjamin Rush
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-father of american psychiatry
-mental disorder was caused by an excess of blood in the brain -could be cured by being frightened so convincing patient that death was near |
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Philippe Pinel
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movement for humanitarian treatment of people with mental illness in asylums
-moral treatment -removed the chains of people imprisoned in La Bicetre - treated patients as sick humans, not beasts - also Jean Baptiste Pussin - reserved the more humanitarian treatment for uper class, lower class was still subject to shit |
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moral treatment
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patients had close contact with attendants who talked and read to them
-residents led lives as close to normal |
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Dorothea Dix
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crusader for improved conditions for people with mental illness
- had 32 state hospitals built - took in patients that private hospitals couldnt accommodate - hospitals were administered by physicians and money went to labs and equipment |
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general paresis
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syndrome characterized by a steady deterioration of both mental and physical abilities
-delusions of grandeur and progressive paralysis -people also has syphilis |
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Louis Pasteur
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-germ theory of disease
- disease is caused by infection of body by minute organisms -laid groundwork for demonstration the relation between syphilis and general paresis - destruction of certain areas of brain |
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Francis Galton
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originator of genetic research with twins
- attributed behavioral characteristics to heredity |
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eugenics movement
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eliminate undesirable characteristics from population by restricting right to have children
- US laws were written in late 1800s early 1900s to prohibit marriage and force sterilization for people with mental illnesses |
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electroconvulsive therapy (ECT)
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biological treatment
- Ugo Cerletti and Lucino Bini - applying electric shocks to the sides of human head producing epileptic seizures - schizophrenia and depression - still used for severe depression |
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prefrontal lobotomy
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Egas Moniz
-biological approach - surgical procedure that destroys the tracts connecting the frontal lobes to other areas of the brain - for violent behavior - people became dull and listless and suffered serious losses in their cognitive capacities - couldnt carry conversation |
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hysteria
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18th century western europe
- physical incapacities like blindness or paralysis for which physical cause could be found |
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Franz Mesmer
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hysteria was caused by a particular distribution of a universal magnetic fluid in body
- rods transmitted animal magnetism and adjust the distribution of universal magnetic fluid and removed disorder -considered one of early practitioners of modern day hypnosis mesmerism |
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jean Charcot
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-hysteria
-took on patients no other doctors would treat -1800s - his students hypnotized a healthy woman and induced her to display certain hysterical symptoms -he was deceived to believe that she was an actual patient with hysteria - when students woke her, he changed his mind about hysteria and became interested in psychological interpretations |
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Josel Breuer
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hypnosis
-case of Anna O - treated a patient and led her to talk more freely with considerable emotion and upsetting past events and when woken she felt much better -cathartic method |
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cathartic method
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reliving an earlier emotional trauma and releasing emotional tension
- Anna O and Josel Breuer |
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Freud
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much of human behavior is determined by forces that are inaccessible to awareness
-psychoanalytic theory - id ego and superego - pleasure and reality principle -libido |
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psyche
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freud
- id - present at birth, urges for food, water, elimination, warmth, affection, sex. unconscious -ego- develops from the during second 6 months of life and are primarily conscious; dealing with reality -superego- persons conscience; begin to incorporate parental values as their own and eliminate unacceptable impulses |
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pleasure principle
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psychoanalytic theory
- demanding manner that id uses, seeking immediate gratification of its needs -Freud |
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reality principle
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-psychoanalytic theory
- ego - delays gratification and otherwise deals with the environment in a planned, rational fashion -freud |
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defense mechanisms
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-psychoanalyis
- a strategy used by ego to protect itself from anxiety -freud -ego |
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repression
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keeping unacceptable impulses from conscious awareness
- starting lecture shes dreading with "in conclusion" - someone who was abused cant form relationships |
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denial
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not accepting a painful reality into conscious awareness
- not acknowledging abuse as child |
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projection
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attributing to someone else, your own unacceptable thoughts
- hating jews but thinking they hate you |
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displacement
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redirecting emotional responses from their real target to someone else
-being mad at mom but treating friend like shit |
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reaction formation
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converting an unacceptable feeling into its opposite
-a person with sexual feelings towards children leads to a campaign against child sexual abuse |
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regression
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retreating to the behavior patterns of an earlier stage of development
-sucking thumb at age 15 |
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rationalization
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offering acceptable reasons for an unacceptable action or attitude
- being denied a date and then saying he wasn't good looking anyway |
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sublimation
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converting unacceptable aggressive or sexual impulses into socially valued behaviors
-kickboxing to get out anger |
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stages of psychosexual development
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Freud
1. oral- 0-18 months; demands of id, feeding, sucking, biting; lips, mouth, gums, tongue 2. anal- 18- 3 years; pleasure via anus; pooping 3. phallic- 3-5 genital stimulation 4. latency period- 6-12; id impulses do not play a major role in motivating behavior 5. genital stage- heterosexual interests predominate having a conflict at one of these stages leads to a fixation |
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fixation
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when stressed, they will regress to the stage where they had excessive or deficient amounts of gratification
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psychoanalysis
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attempts to help people face childhood conflicts, gain insight into them, and resolve them
-free association - interpretation -analysis of transference |
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free association
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psychoanalysis
- patient tries to say whatever comes to mind without censoring anything -patient reclines facing away from analyst |
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transference
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psychoanalysis
-patient puts attitudes on Dr. instead of a person they actually feel strongly about |
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interpretation
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-psychoanalysis
- analyst points out to patient the meaning of certain behaviors -defense mechanisms are focused on |
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Jung
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-analytical psychology
- collective unconscious -opposite of Freud - archetypes |
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analytical psychology
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focus less on biological drives and more on factors such as self-fulfillment, collective unconscious and religious symbolism
-Jung |
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collective unconscious
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-jung
- concept that every human being carries within the wisdom, ideas, and strivings of those who have come before |
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archetypes
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-jung
- basic categories that all humans use in conceptualizing about the world - extraversion vs introversion |
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Alfred Adler
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- individual psychology
- focus on helping individual patients change their illogical and mistaken ideas and expectations -thinking more rationally |
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individual psychology
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Adler
- regarded people as inextricably tied to their society because fulfillment was found in doing things for the social good. -importance of working towards goals |
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Ego analysis
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Karen Horney and Anna Freud
- greater emphasis on a persons ability to control the environment and to select the time and the means for satisfying basic drives -living conditions, social interactions |
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Behaviorism
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Watson
- focus on observable behavior rather than consciousness or mental functioning -classical conditioning, operant conditioning, modeling |
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watson
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behaviorism
- revolutionized psychology -baby albert |
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classical conditioning
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-behaviorism
- Pavlov - unconditioned stimulus, neutral stimulus-->conditioned stimulus - can instill pathological fear (Baby Albert) |
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extinction
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too many times of conditioned stimulus without unconditioned stimulus following it
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Baby Albert
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Watson and Rayner
loud noise whenever albert would reach for rat - albert feared rat that he used to love |
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skinner
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-operant conditioning
- renamed thorndikes "principle of reinforcement" - box- hungry rat -shaping |
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operant conditioning
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positive and negative reinforcement
-behavior operated on the environment -skinner |
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thorndike
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studied effects of consequences on behavior
- law of effect- behavior that is followed by consequences satisfying will be repeated |
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shaping
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rewarding a series of responses that more and more closely resemble the desired response
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modeling
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Bandura and Menlove
watching and imitating -can decrease or increase certain activities |
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Behavior Therapy
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aka behavior modification
- change behavior and feelings by applying in a clinical way - aversive conditioning - systematic desensitization - modeling |
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aversive conditioning
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associate something you are attracted to (cigarettes) something that you hate or that is not attractive (drug that makes you nauseous
-behavioral therapy |
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systematic desensitization
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-behavior therapy
- phobias and anxiety - 1. deep muscle relaxation -2. gradual exposure to a list of feared situations |
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clinical psychologists
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4-8 years of graduate school
Ph. D. or Psy. D - |
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Ph D
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research, statistics, neuroscience
-assessment oand doagnosis of psychopathology - learn how to practice psychotherapy (helping people change their thoughts_ |
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Psy. D
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less emphasis on research and more on clinical training
- specific techniques of assessment and therapeutic intervention rather than combining practice with research |
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psychiatrist
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M.D
-administer medication -examinations, diagnosing medical problems -prescribing psychoactive meds |
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psychiatric nurse
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bachelors or masters
-nurse practitioner that will allow them to prescribe psychoactive medications |
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counseling psychologist
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less emphasis on mental disorders and more on prevention, education and general life problems.
-schools, mental health agencies, industry, community |
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social workers
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MSW
-2 years -do not receive training in psychological assessment |
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Marriage and family therapists (MFT)
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families or couples
- master or doctoral levels -specialized training and certification in marriage and family therapy |
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Paradigm
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a conceptual framework or approach within which a scientist works
- a set of basic assumptions that defines how to conceptualize and study a subject - genetic, neuroscience, psychodynamic, cognitive, and factors that cut across |
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genetic
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- almost all behavior is heritable to some degree
- genes do not operate in isolation, they work with environment (both influence each other) -nature vs nurture |
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heritability
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extent to which variability in a particular behavior in a population can be accounted for by the genetic favors
-range from 0.1 to 1 - relevant only for a large population not just a particular individual - ADHD- 0.7 70% genes 30% environment |
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shared environment
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factors that members of a family have in common
- income, cild rearing practices , parents marital status |
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non shared environment
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relationships with friends
-specific events unique to an individual - important in understanding why two siblings are different |
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behavior genetics
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degree to which genes and environmental factors influence behavior
genotype- phenotype |
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phenotype
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totality of observable behavioral characteristics
-anxiety -changes over time and is the product of an interaction between genotype and environment |
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genotype
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total genetic make up of an individual
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Turkheimer
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study of IQ and how poverty effects it
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Molecular genetics
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find out what exactly is heritable by identifying particular genes and their functions
-alleles -promoters -transcription factors -polymorphism |
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serotonin transporter gene
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people with 1 or 2 short alleles have a higher change of depression if in correct environment
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Darlene Francis
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-genetic paradigm
- adoption study- even adopted children that were treated well then treated their kids well in same way and had no stress - environment caused it so that even though child inherited bad genes, it wasnt turned on (in this situation it WAS turned on) |
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Reciprocal Gene-Environment Interactions
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genes may predispose us to seek out certain environments that then increase our risk for developing a particular disorder
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epigenetics
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study of how the environment can alter gene expression or function
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neuroscience paradigm
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mental disorders are linked to aberrant process in the brain
-study brain regions -study neurotransmitters |
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neurotransmitters
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chemicals that allow neurons to send a signal across the synapse to another neuron.
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norepinephrine
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sympathetic nervous system
-high arousal -anxiety disorders, stress related conditions |
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GABA
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inhibits nerve impulses throughout most areas of the brain
-anxiety disorders |
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secondary messangers
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adjust sensitivity of postsynaptic receptors
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dopamine
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antagonist of this are used to treat schizophrenia
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corpus callosum
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major connection between two hemispheres allowing for communication
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gray matter
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thin outer covering of brain comprised of neurons
-6 layers - ridges = gyri -depression= sulci |
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basal ganglia
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regulate starting and stopping both motor and cognitive activity.
-deep within each hemisphere |
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ventricles
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cavities filled with cerbrospinal fluid
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thalamus
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relay station for all sensory pathways except the olfactory .
- receive all impulses arriving from sensory areas before passing them onto the cortex |
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brain stem
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medulla and pons
-neural relay station - pons- connect cerebellum with spinal cord and motor areas medulla- main line of traffic |
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cerebellum
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balance, posture, equilibrium, coordination
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limbic system
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visceral and physical expressions of emotion (heart beat, sweating, hunger, mating, defense
-anterior cingulate -septal area -hippocampus -hypothalamus -amygdala |
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anterior cingulate
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decision making in daily conflict (anxiety disorders)
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hypothalamus
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regulates metabolism, temperature, perspiration, blood pressure, sleeping
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amygdala
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attention to emotionally salient stimuli and memory for emotionally relevant memories
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pruning
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as we age, synaptic connections become eliminated. some also become faster
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HPA axis
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central to body's response to stress and stress figures prominently in many disorders
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cortisol
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stress hormone
-takes 20-40 minutes to hit peak |
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neuroscience approaches to treatment
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psychoactive drugs -re-uptake, blockers
fMRI- blood oxygen levels measuring neurotransmitter levels through metabolites - lobotomy - ECT |
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psychoanalytic paradigm
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childhood experiences effect life
-freud -focus on past and unconscious conflicts -implicit memory |
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pathogenic beliefs
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beliefs that are outside of the conscience and are responsible for other maladaptive thoughts and emotions
-survival guilt -psychoanalytic |
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implicit memory
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a person can without being aware of it, be influenced by prior learning
-being shown a list of words |
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object relations theory
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the importance of long-standing patterns in close relationships
"object"- another person how the self is situated in relation to other people |
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attachment theory
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Ainsworth and Bowlby
- type of style of an infants attachment to his or her caregivers can set the stage for psychological heather problems later in life |
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relational self
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the self in relation to others
- people will describe themselves differently depending on what other close relationships they have been asked to think about |
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brief therapy
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time limited psychodynamic therapies
- therapist takes active role -makes clear right away that therapy is limited |
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interpersonal therapy
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psychoanalytic therapy
- effective treatment for depression, eating disorders, anxiety disorders, personality disorders - current relationships in a persons life and how problems in these relationships can contribute to symptoms four issues: - unresolved grief -role transitions -role disputes - interpersonal or social deficits -focus on long standing problems in relationships |
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Cognitive Behavioral Paradigm
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interaction of how we think and how we behave. Consciousness and the present
-classical conditioning -exposure - time out -token economy - operant conditioning -schemas |
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schema
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a cognitive set
-people put new information into an organized network of already accumulated knowledge -cognitive therapy tries to change this s |
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stroop task
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see a set of color names in inks different from those colors and have to name the ink color
then do this when the words say threat danger happy people with anxiety find it very impulsive to read the emotional word |
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cognitive behavior therapy (CBT)
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pay attention to private events- thoughts, perceptions, judgements, self-statements
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cognitive restructuring
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general term for changing a pattern of thought that is presumed to be causing a disturbed emotion or behavior
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Aaron Beck
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cognitive behavior therapist for depression
- depressed mood is caused by distortions in the way people perceive life experiences - attention, interpretation and recall of negative and positive information were biased in depression -try to change peoples biases |
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Albert Ellis
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Rational Emotive Behavior theory
- emotional reactions are caused by internal sentences that people repeat to themselves -unspoken assumptions-irrational beliefs- about what is necessary to lead a meaningful life -eliminate self defeating beliefs |
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emotion
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expression, experience, physiology
schizophrenia- no facial expression |
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ideal effect
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kinds of emotional states that a person ideally wants to feel
-varies depending on cultural factors |
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factors that cut across paradigms
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emotion and sociocultural
-cant contribute everything to one of these things |
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socio-cultural
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economics, culture, social relationships
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diathesis stress
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cuts across paradigms
- diathesis- something that predisposes you to something (biological) stressor- need environments to cause predisposition to set off r |
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reliability
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consistency of measurement
-interrater -test retest -internal consistency |