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