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145 Cards in this Set

  • Front
  • Back
Name the 3 aspects that coorelate with the definition of psychological disorders
-Atypical response element
-Distress element
-Impairment in functioning
Atypical response element
states that a deviation from normal behavior is evidence of a psychological disorder
Distress element
personal discomfort signals the presence of a psychological disorder
Impairment in funcitoning element
defines a psychological disorder based on a disruption in ability to carry out normal tasks
The scientist-practitioner model of psychology focuses on:
the psychologist's use of scientific principles to study which treatments are most effective and to decide which treatment to use
The Oedipus complex, which, according to Freud, occurs during the ______ stage of psychosexual development is characterized by ___________ ___________.
phallic, castration anxiety
The elements of person-centered therapy include:
unconditional positive regard and empathy
The part of the nervous system that is activated in times of stress is the ________________ nervous system.
sympathetic
Obsessive compulsive disorder appears to be linked to the area of the brain called the _____________. The implications of this finding are that _________________________.
orbital frontal cortex; althought he disorder is related to a particular brain circut, the causes of the disorder are not necessarily completely biological
Research indicates that the relationship between psychological treatment and brain circuits is such that:
psychological treatment can alter brain circuts.
According to the principle of prepared learning, humans
inherit a capcity to learn certain things that are beneficial to the survival of the species.
Which part of the brain gives humans the capacity to think, plan, and reason?
cerebral cortex
Being in a stressful situation one cannot control could result in:
learned helplessness
Equifinality refers to the idea that:
different paths may lead to the same outcome.
An advantage of formal observation:
formal observations are more reliable due to the focus on behaviors that are both observable and measurable
On the MMPI results are assessed according to:
how the pattern of answers corresponds to that of people diagnosed with a specific disorder
The CAT scan neuroimaging technique uses _____ to portray ______ structures.
X-rays, brain
The instrument meausers brain wave activity by recording the electrical activity of the brain
EEG
The classical approach to nosology diagnoses based on the presence of ______ and the dimensional approach notes the ___________ of ___________.
symptoms, severity of symptoms
When developing a hypothesis, one important consideration is
testability
Confounds, or factors that make it difficult to interpret accurately the results of a study, directly affect:
internal validity
3 strategies to improve internal validity are
-repeated measurement
-withdrawal
-multiple baselines
Epidemiological research is useful because it:
tells the extent of a disorder in the population
Define abnormal
a psychological dysfunction associated with distress or impairment in functioning that is not typically or culturally expected
The field of pyschopathology defines:
psychological disorders
Deviance
behavior that is highly unusual
Define personal suffering or distress:
Individual suffers as a result of the behavior and wishes to be rid of it
Statistical infrequency measures:
if the behavior is rare or not
clinical description
details of the combination of behaviors, thoughts, and feelings of an individual that make up a particular disorder
prevalence
# of people displaying a disorder in the total population at any given time
incidence
# of new cases of a disorder appering during a specific period
Course:
pattern of development and change over a period of time
chronic course =
long lasting
episodic course=
recover within a few months then relapse
time-limited=
improve without treatment in a short period of time
prognosis
predicted development of a disorder over time
psychosocial treatment
treatment practices that focus on social and cultural factors as well as psychological influences. Approaches include cognitive, behavioral, and interpersonal methods
define psychiatry
branch of medicine that is concerned with the study and treatment of mental disorders
psychiatrists:
are licensed to practice medicine and can perscribe it as well
Clinical psychologists~couseling psychology
concerned wiht the application of psychological science to the assessment and treatment of mental disorders
-Ph.D
-trained in treating thru therapy
-can't perscribe medication
social workers
concerned with helping peole to achieve and effective level of psychosocial functioning
-Master's degree
-case management to help with proper placement of children
-trained in therapy
professional counselors
-training in therapy and assessment
-can't see patients individually
-work in diff settings ranging from gov't agencies to mental health centers and private practice
-Master's degree
Marriage and family therapy (MFT)
multidisciplinary field in which professionals are trained to provide psychotherapy
-Master's degree
-may need supervision
psychiatric nurses
some have master's degree in nursing and can prescribe medication under supervision of psychiatrist
psychosocial rehabilitation proffessional
specific training in working with severe forms of disorders
Scientist-practioner approach
-Consumer of science=enhancing the practice
-Evaluator of science=determining the effectiveness of the practice
-Creator of science=conducting research that leads to new procedures useful in practice
insidious
gradual onset
prognosis
how we think the disorder will change over time, includes course and severity
treatment development
certain type of treatment that is more effetive with specific disorder
Supernatural theory
causes due to: divine intervention, curses, demonic possession, and personal sin
Biological theories:
symtoms based on what is happening in the body
**psychological theories
mental disorders as a result of trauma(s)
Supernatural Tradition in the Stone Age and in Ancinet China
Stone age: spirit possession, trephination (drill hole in person's head to release evil spirit)
Ancient China:Yin and Yang (opposite energy forces that cause disease if forces unbalanced)
Psychiatrist Wilhelm Griesinger proposed that:
disorders are caused by brain disorders
Psychoanalytic perspective (who invented and what it is)
-Franz Anton Mesmer
-we all have magnetic flued that flows w/in and when we get sick the magnetic balance is off. He had people touch metal rods to even out the charges
-He was the first to realize that people have different states of consciousness b/c his methods were hyptnotizing
Freudian Theory:
-Conscious: what we are aware of at a specific moment
-preconscious:just outside of aware, not thinking about right now but can be brough into awareness (what we ate for dinner last night)
**-unconscious:underlying desires we can't bring into awareness
Id
-primitive part of personality that is driven by pleausre and the need to get urges satisfied
Ego
Reality principle, aware of consequences and rules, tries to use rules to satisfy Id within contstraints of reality
Superego
Morality principle that lies partially in concious and inconscious
Defense mechanisims (5)
:when the superego isn't doing what it is supposed to
-repression
-denial
-projection
-reaction formation
-sublimation
Repression
keep uncomfortable thoughts and feelings out of awareness
denial
refusing to believe that an event is taking place when you are overwhelmed with reality
projection
when we have a quality our superego wouldn't be comfortable with we blame someone else for having that quality
reaction formation
we have impule supergo is unconfortable with so we act in totally opposite way
sublimation
transform an inapropriate impule into an acceptable form (liking guts and blood so become surgeon)
Four stages of psychoanalytic though with meaning of term (early on in life)
-undifferentiated (newborns feel as tho they are not seperate from others)
-symbiosis (one with others but start to distinguish b/t good & bad)
-seperation-individuation (learn diff b/t self and others, things are either good or bad, not both)
-integration (can start to integrate good and bad together)
object relations
emphasizes how we encorporate the views we have of others and ourselves
psychosexual stages of development
-Development stage (grat. with putting things in mouth)
:Anal (learn demands of society)
:Phallic (learn diff b/t girls and boys)
-Latency (repress sexual desires)
-Genital (learn to deal maturely with opp. sex)
Psychoanalytic theory
-therapy is often long term
-techniques include free association (dark room, laying) and dream analysis
behaviorism
your personality consists of what you observe
classical conditioning
learning to associate one thing with another
unconditioned stiumulus
unlearned stimulus, brings about response with out any training (dog's food)
unconditioned response
response to the unconditioned stimulus (dogs salivation)
conditioned stimulus
stimulus that gets paried with US (bell and people entering room)
Conditioned response
response to conditioned stimulus (ususally same as UR) but in response to CS (hearing bell and salivating although no food is present
operant conditioning
how consequences affect behavior
positive reinforcement
when something is added after behavior has occured (sticker for going potty on toilet)
negative reinforcment
behavior happens and causes something unpleasant to be removed (dinging sound in car disappears when you buckle up)
reinforcement
behavior increases in the future
punishment
behavior decreases in future
positive punishment
behavior decreased by adding something (spanking, wash mouth with soap)
negative punishment
behavior decrease in frequency bc we remove something enjoyable ("time-out")
systematic desensitization
someone is afraid of something and you slowly introduce/expose them to their fear (classical technique)
token economy
(operant conditioning) reward system for good behavior and earn something for reward, also a punishment component
biopsychosocial model's 3 components:
-biological (genetics, biology)
-social (interpersonal relationships)
-psychological(early childhood experiences)
biological theories of abnormality
genetic theories (disordered genes)
structural theories (abnormalities in structure of brain)
biochemical theories (imbalances in levels of neurtransmitters or hormones)
cerebral cortex
processes most complex information
corpus callosum
allows infor to pass b/t both hemispheres
thalamus
sensory way-lay center, thalamus sense sensory infor where it needs to go in the brain to be processed
hypothalamus
controls "drives" , 5F's
5 F's of the hypothalamus
-fight/flight
-feeding
-falling asleep
-fever
-f**king
Amygdala
emotion control "fear"
hippocampus
memory, helps short therm memory turn to long term memory
Limbic system (what it consists of and what it does)
-regulates emotional experience and expression
-made up of hippocampus, cingulate gyrus, amygdala, thalamus, hypthalamus
frontal lobe
responsible for personality, planning, and memory
temporal lobe
hearing primarily
occipital lobe
touch recognition, part of brain that senses where body parts are without looking
dendrites
recieve information
axon terminals
send out information
ACh malfuntion
Alzheimer's disease, ACh producint neurons deteriorate and muscle action, learning, and memory is inhibited
Dopamine linked with
excess linked with schizophrenia
too little results in tremors and decreased mobility of Parkinson's disease
Serotonin linked with
undersupply linked to depression
mood, hunger, sleep and arousal is affected
Norepinephrine linked with
undersupply can depress mood
GABA
major inhibitory neurotransmitter
undersupply linked to seizures, tremors, and insomnia
Glutamate
exitatory neurotransmitter involved in memory
oversupply can overstimulate brain causing migranes or seizures (which is why some poeple avoid MSG in foods)
Effects of Medications on Neurotransmitters
-agonists (increase activity)
-antagonists (decrease or block neurotrans)
-inverse agonists (produce effects that are opposite of neurotransmitters)
*most drugs are agonists or antagonists
SSRI: Selective Seritonin Reuptake Inhibitor
SSRI acts as agonist and increase seritonin/blocks reabsorption of seritonin
Psychological theories of abnormality
-psychodynamic
-behavioral
-cognitive
-humanist/existential theories
Cognitive theories of abnormality created by
Aaron Beck and Albert Ellis
they think that thoughts and beliefs shape our behaviors and emotions
Humanistic theories of abnormality
suggests that all humans strive to fulfill their potential for good and self-actualize
-if society tries to get us to act a certain way we can be unhappy
scripts
expectations of interactions with others
Harry Stack Sullivan developed prototypes or images of self:
-bad me: negative, we don't like, criticism from others
-good me: good qualities, get praise for
-not me: denial, neg qualities we don't want to admit we have
family systems theory
roots of disorder are within the family, not the individual
social structural theories
some cultures may support the development of certain disorders (anxiety=US, choro erectile invertion=Africa)
unstructured clinical interview
not used very often, open-ended questions with no goals
structured clinical intervie
clinician asks a very specific list of detailed questions in order, most typically used for research
semi-structured clinical interview
most commonly used, not specific list of questions but do have goal topics to cover
ask about symptoms and history because:
try to find out what may have triggered symptoms or made them worse, if have a history of something how long ago and was it treated?, family history
physiological and neruophyiscal factors in clinical interview
-any physical medical condition?
-Drug and alcohol use
-intellectual and cognitive functioning
sociocultural factors w/in clinical interviews
-social resources (relationships with others)
-sociocultural background
acculturation (what culture do they identify with vs. mainstream culture)
Mental Status Exam includes
-Appearance and behavior
-thought process
-mood and affect (mood is how typically feeling and affect is how feeling right not)
-intellectual functioning (clinicians sense of patients ability to process info)
-sensorium (orientation and awareness of surroundings and time)
assessment tools
anything clinician does to gather info about patient
Types of Validity
-Face
-Content
-Concurrent
-Predictive
-Construct
face validity
test appears to measure what it is supposed to
content validity
test assesses all important aspects of phenomenon
concurrent validity
thest yeilds the same results as other measures of the same behavior, thoughts, and feelings
predictive validity
test predicts the behavior it is supposed to measure, want to see if test really predicts if patients hae depression or not
construct validity
test measures what it is supposed to measure and not something else or overlap with other disorder, test for anger matches other angers tests and doesn't overlap with anxiety tests
Tests of Reliability
-test-retest
-alternate form
-internal
-interrater or interjudge
Test-Restest reliability
test produces similar results when given at two different points in time
Alternate form reliability
two versions of the same test produce similar results
internal reliablity
different parts of the same test produce similar results
interrater or interjudge reliability
two or more raters or judges who administer a test to an individual and scores it come to a similar conclusion
Neuropsychological test
Intelligence tests
-Wechsler Adult Inteligence Scale
:tests performance IQ, verbal IQ, and General IQ
questionaires
most commonly used, easy to administer, assess peoples typical ways of thinking, feeling, and behaving
Behavior observation
watch a child ineract with another child so you can see what provokes him or her
Diagnosis
Final goal is to have accurate idea of what is going on with patient
DSM-IV-TR System
multiaxial classification system that refers to the way we set up diagnosis
Axis I
Clinical disorders, patient can have more than one listed on their chart
Axis II
Personality disorders and mental retardation, (resistance to treatment, long lasting)
Axis III
General medical conditions, physical/medical condition that may be affecting the psychologically (lady with Thyroid cancer and problem not feeling her leg)
Axis IV
psychosocial and environmental problems, issues that the patient is experienceing in environment/relationships
Axis V
global assessment of functioning, most debated, assign patients # 0-100 that assess their function on a scale in the DSM
Changes in the DSM 5
-removed multiaxial system
-clinicians now list diagnosis
Being sane in insane places
Rosehan study of sane people in mental hospitals to test for clinician interpretation of sane vs. insane