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43 Cards in this Set

  • Front
  • Back
Medical Model
the conceptualization of psychological abnormalities as diseases that, like biological diseases, have symptoms and causes and possible cures
DSM-IV-TR
– classification system used for diagnosis of recognized mental disorders and indicates how the disorder can be distinguished from other similiar problems
Key elements for a cluster of symptoms to qualify as a potential disorder; defining normality
a. Disturbances in behavior, thoughts, or emotion
b. Personal distress or impairment
c. Internal dysfunction (biological, psychological, or both)
Global Assessment of Functioning (GAF) Scale
a 0 to 100 rating of the person, with more sever disorders indicated by lower numbers and more effective functioning by higher numbers
Classification of Psychological Disorders
1. Early versions of DSM were unreliable
2. 17 main categories of mental disorders in DSM-IV-TR
Comorbidity
– co-occurrence of two or more disorders in one person
Diathesis-stress model
suggests that a person my be predisposed for a mental disorder that remains unexpressed until triggered by stress
Intervention-causation fallacy
the assumption that if a patient responds favorably to drugs, the disorder is biological
- if the patient responds favorably to psychotherapy, the disorder psychological
Consequences of Labeling
Stigma prevents people from seeking treatment (~70%)
Generalized Anxiety Disorder (GAD)
a disorder characterized by chronic excessive worry and Symptoms (3 or more): restlessness, fatigue, concentration problems, irritability, muscle tension, and sleep disturbance
- Treated with benzodiazepines (increase GABA)
Phobic Disorders
Disorders characterized by marked, persistent, and excessive fear and avoidance of specific objects, activities, or situations
Specific Phobia
involves an irrational fear of a particular object or situation that markedly interferes with an individual's ability to function.
- Five categories: animals, natural environments, situations (blood, injections, injury), other phobias (illness, death)
Social Phobia
– irrational fear of being publicly humiliated or embarrassed
Preparedness Theory
– people are instinctively predisposed toward certain fears
Panic Disorder
sudden occurrence of multiple psychological and physiological symptoms that contribute to a feeling of stark terror
Agoraphobia
– extreme fear of venturing out into public places (often for fear of having a panic attack)
Obsessive-Compulsive Disorder (OCD)
- Symptoms: repetitive, intrusive thoughts (obsessions) and ritualistic behaviors (compulsions) that are intended to fend off those thoughts; result in significant interference into person’s ability to function
- Increased serotonin inhibits the caudate nucleus and reduces symptoms of OCD
Dissociative Disorder
normal cognitive processes are severly disjointed and fragmented, creating significant disruptions in memory, awareness, or personality that can vary in length from a matter of minutes to many years
Dissociative Identity Disorder
- the presence within an individual of two or more distinct identities that at different times take control of the individuals behavior.
Dissociative Amnesia
- the sudden loss of memory for significant personal information
Dissociative Fugue
sudden loss of memory for one's personal history, accompanied by an abrupt departure from home and the assumption of a new identity
Major depressive disorder
Symptoms: severely depressed mood (> 2 weeks) with feelings of worthlessness and lack of pleasure, lethargy, sleep and appetite disturbances
Dysthymia
– similar to major depression but less severe and lasting for at least 2 years
Double depression
– moderately depressed for at least 2 years, punctuated with severe depression
Seasonal affective disorder (SAD)
depression that involves recurrent depressive episodes in a seasonal pattern
Helplessness theory
individuals who are prone to depression automatically attribute negative experiences to causes that are internal (their own fault), stable (unlikely to change), and global (widespread).
- Negative thinking and interpretation
Bipolar Disorder
- Symptoms: unstable emotional condition characterized by cycles of abnormal, persistent high mood (mania) and low mood (depression)
- Rapid cycling
- Extremely high heritability (~80% monozygotic twins)
- Lithium reduces symptoms
- Episodes triggered by stressful events
Schizophrenia
- profound disruption of psychological processes; distorted perception of reality; altered or blunted emotion; disturbances in thought, motivation, and behavior
Delusion
- a false belief system, often bizarre and grandiose, that is maintained in spite of its irrationality
- symptom of Schizophrenia
Hallucination
- a false perceptual experience that has a compelling sense of being real despite the absence of external simulation
- symptom of Schizophrenia
Disorganized Speech
- sever disruption of verbal communication in which ideas shift rapidly and incoherently from one to another related topic
- symptom of Schizophrenia
Grossly Disorganized Behavior
- behavior that is inappropriate for the situation or ineffective in attaining goals, often with specific motor disturbances
- symptom of Schizophrenia
Catatonic Behavior
- a marked disease in movement or an increase in muscular rigidity and overactivity
- symptom of Schizophrenia
Negative Symptoms Schizophrenia
- emotional and social withdrawal; apathy; poverty of speech; and other indications of the absence or insufficiency of normal behavior, motivation, and emotion.
Types of Schizophrenia
a. Paranoid
b. Catatonic
c. Disorganized
d. Undifferentiated
e. Residual
Genetic Factors of Schizophrenia
a. High heritability (~50% monozygotic twins)
Prenatal and Perinatal Factors of Schizophrenia
Virus or influenza in second trimester increases risk
Biochemical Factors of Schizophrenia
Dopamine hypothesis (too much = positive symptoms)
Biochemical Factors
a. Enlarged ventricles
b. Progression of “pruning” starting in parietal lobe
Expressed emotion
- emotional overinvolvement (intrusiveness) and excessive criticism directed toward the patient by his or her family
Personality Disorder
Disorder characterized by deeply ingrained, inflexible patterns of thinking, feeling, or relating to other or controlling impulses that cause distress or impaired functioning
Types of Personality Disorders (clusters)
1. Odd/Eccentric Cluster
2. Dramatic/Erratic Cluster
3. Anxious/Inhibited Cluster
Antisocial Personality Disorder
- persuasive pattern of disregard for, and violation of, the rights of others
- Usually starts with conduct disorder in adolescence and continues into adulthood
- Sociopath and psychopath (coldhearted and ruthless while still glib and charming)
- Less active hippocampus and amygdala