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44 Cards in this Set

  • Front
  • Back
The DSM's primary aim is:
descriptive; to provide clear diagnostic categories, so that clinicians and researchers can agree on which disorder they are talking about and then can study and treat these disorders.
Any behavior or emotional state that:
-causes a person to suffer
-is self-destructive
-seriously impairs the person’s ability to work or get along with others
-endangers others or the community.
Mental disorder
Diagnostic and Statistical Manual [DSM] Axis I
Primary clinical problems
Diagnostic and Statistical Manual [DSM] Axis II
Personality disorders
Diagnostic and Statistical Manual [DSM] Axis III
General medical conditions
Diagnostic and Statistical Manual [DSM] Axis IV
Social and environmental stressors
Diagnostic and Statistical Manual [DSM] Axis V
Current and past levels of overall functioning
Explosion of mental disorders; ___________ of new categories answer that it is important to distinguish disorders precisely.
Supporters
Explosion of mental disorders; ___________ point to economics: diagnoses are needed for insurance reasons for therapists to be compensated.
Critics
Psychological tests used to infer a person’s motives, conflicts, and unconscious dynamics on the basis of the person’s interpretation of ambiguous stimuli
Projective tests
A projective personality test that asks respondents to interpret abstract, symmetrical inkblots
Rorschach inkblot test
Standardized objective questionnaires requiring written responses; they typically include scales on which people are asked to rate themselves.

“Evaluating Whether You Are Depressed”

Include Inventories
Objective tests (Inventories)
A mood disorder involving disturbances in:
-emotion (depressed mood, excessive sadness)
-behavior (reduced interest in one’s usual activities)
-cognition (thoughts of hopelessness, feelings of worthlessness or guilt,
reduced ability to concentrate, recurrent thoughts of death)
-body function (fatigue, loss of appetite, significant weight loss or gain,
sleeping too much or too little)

DSM IV requires 5 of these within the past 2 weeks
Major depression
A mood disorder in which episodes of depression and mania (excessive euphoria) occur.
AKA: manic-depressive disorder
Bipolar disorder
Studies of adopted children support genetic explanations of depression.

5-HTT is a gene that is present in either a long or short form.
17% of individuals with the long form become severely depressed.
43% of individuals with 2 copies of the short form become depressed.

Genetics may also influence levels of serotonin and other neurotransmitters.

Biomedical therapy is common for depression.
Major depression: Antidepressant medication
Bipolar disorder: Lithium (also antidepressants, antipsychotics)
Genetic factors in depression
_____________ emphasize the stressful circumstances in people’s lives.
Loss of or problems with important relationships
Women are less satisfied with work and family and more likely to live in poverty.
A health psychologist might emphasize stress reduction
Social explanations
________________ emphasize habits of thinking and ways of interpreting events.

Depressed people believe their situation is permanent, uncontrollable.
Cognitive explanations
Brooding about negative aspects of one’s life
Rumination
__________is often effective in treating depression
Cognitive therapy
Continuous state of anxiety marked by feelings of worry and dread, apprehension, difficulties in concentration, and signs of motor tension
Generalized anxiety disorder
An anxiety disorder in which a person who has experienced a traumatic or life-threatening event has symptoms such as psychic numbing, reliving the trauma, and increased physiological arousal

Diagnosed only if symptoms persist for six months or longer

May immediately follow event or occur later
Posttraumatic stress disorder
An anxiety disorder in which a person experiences recurring panic attacks
Panic disorder
A feeling of impending doom or death, accompanied by physiological symptoms such as rapid breathing and dizziness
Panic attack
An exaggerated, unrealistic fear of a specific situation, activity, or object
Phobia
A set of phobias, often set off by a panic attack, involving the basic fear of being away from a safe place or person.
Agoraphobia
An anxiety disorder in which a person feels trapped in repetitive, persistent thoughts (obsessions) and repetitive, ritualized behaviors (compulsions) designed to reduce anxiety
Obsessive-compulsive disorder
Treatment of anxiety disorders includes:
-Biomedical therapy (antidepressant
and antianxiety medication)
-Cognitive therapy
-Behavior therapy
____________ involves memory loss caused by extensive psychological stress
Dissociative amnesia
A controversial disorder marked by the appearance within one person of two or more distinct personalities, each with its own name and traits
Commonly known as Multiple Personality Disorder
Dissociative identity disorder
The MPD controversy;

MPD is common but often unrecognized as such.
Starts in childhood as a means of coping
Trauma produced a mental splitting.
First view
The MPD controversy;

Created through pressure and
suggestion by clinicians
Handfuls to 10,000 since 1980
Second view
MPD is an extreme form of our ability to present many aspects of our personalities to others.

MPD is a socially acceptable way for some troubled people to make sense of their problems.

Therapists looking for MPD may reward patients with attention and praise for revealing more and more personalities.
Sociocognitive explanation
Rigid, maladaptive patterns that cause personal distress or an inability to get along with others
Personality disorder
Characterized by an exaggerated sense of self-importance and self-absorption
Narcissistic personality disorder
Characterized by a lifelong pattern of irresponsible, antisocial behavior such as lawbreaking, violence, and other impulsive, restless acts
Antisocial personality disorder
A psychotic disorder marked by:
Delusions
Hallucinations
Disorganized, incoherent speech
Inappropriate behavior
Impaired cognitive abilities
Typical onset: adolescence to early adulthood
Schizophrenia
False beliefs that often accompany schizophrenia and other psychotic disorders
Delusions
Sensory experiences that occur in the absence of actual stimulation
Hallucinations
The risk of developing schizophrenia increases as the genetic relatedness with a diagnosed schizophrenic increases.
Genetic vulnerability
In Schizophrenic patients:

-Decreased brain weight
-Decreased volume in temporal
lobe or hippocampus

About 25% do not have these observable brain deficiencies.
-Enlargement of ventricles
Structural brain abnormalities
Many schizophrenics have high levels of brain activity in areas served by dopamine, and greater numbers of dopamine receptors.

Abnormalities may also involve serotonin, glutamate
Neurotransmitter abnormalities
Biomedical therapy treating schizophrenia involves:
antipsychotic medication
Damage to the fetal brain increases chances of schizophrenia and other mental disorders.

Damage may occur as a function of:
Prenatal or birth complications.

-maternal malnutrition
-maternal illness
-brain injury
-oxygen deprivation at birth
Symptoms or mental disorders that are specific to particular cultural contexts and practices.
culture-bound syndromes