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44 Cards in this Set

  • Front
  • Back

Psychological dysfunction

Psychological dysfunction within an individual involves distress or impairment

Mental Health Professions

Psychiatry- med school


Clinical psychology: emphasis on research

Moral Treatment movement

Benjamin Rush: 1745- 1815 American psychiatry founder Dorothy Dix: advocated for mentally ill patients to be treated humane and economical

Syphilis

STD advance effects include delusions of persecution and grandeur, appeared similar to a psychosis

Theoretical models for Abnormal Behavior

Psychological Model- psychoanalysis focuses on the unconscious mind and defense mechanisms (Freudian Approach)


Supernatural Model- Demons in the mind

Theoretical models

Biological Model- revelancy to one's bio and history

Genes and ab behavior

Heritability est. 30-60%, adverse life events can trump the influence of genes

Genes and ab behavior

Genes count for less than 50% of pyschopathology

Diathesis stress model

Diathesis: inherited tendency predisposition


Stress: life event

Neurotransmitters

Chemical messangers

Limbic system

Base of forebrain involved in emotional processing, thalamus: receives and intergrates sensory info.


Hypothalamus: eating, drinking, aggression and sexual activity

Serotonin

5-HT; influences information processing, behavior thoughts or mood


Low serotonin linked to instability and impulsivity

Diagnosis

Degree of fit between symptoms and diagnostic criteria

Clinical Interview

Assessment: Presenting problems, current and past behavior, detailed history , attitudes and emotions

Projective Test

Project aspects of personality onto ambiguous test stimuli


Examples: Rorschach inkblot test, thematic appereception test

MMPI 2

Minnesota multiphasic personality test true/ false personality test. Extensive reliability, validity, and normative database

DSM 5 changes

Removes the axial system, clear inclusion and exclusion criteria for disorders, categorized under broad headings, prototypic approach classification

Hypothesis

Testable educated guess

Experimental variables

Independent: causes, changes, or influences behavior


Dependent: behavior influenced by independent variable

Structured interview

No variety same questions same order

Semi structured interview

Outline of questions, but flexibility in asking

Clinical significance

Results matter. Treatment meaningful to those affected?

Nature of correlation

Statistical relation between 2 or more variables; no independent variable is manipulated. Negative vs. positive correlation imply a relationship

Causation

Action or occurrence that causes another. The result is always predictable providing a clear relationship

Placebo

Inactive pill/ treatment

Placebo effect

Something happens after taking a placebo because participant expects change

Fear

Immediately, sympathetic nervous system action

Anxiety

Future oriented, irrational. Somatic systems: muscle tension, restlessness, elevated heart rate

Panic Control Treatment

Relaxation/ Breathing. Cognitive therapy. Exposure to interoceptive cue- creating mini panic attacks to develop alternative attitude towards fears situation

Phobias
Extreme and irrational fear of a specific object or situation,Feared situation almost always provokes anxietySignificant impairment or distress
Obsessive-Compulsive Disorder (OCD)
Obsessions: Intrusive and nonsensical Thoughts, images, or urgesAttempts to resist or eliminate.Compulsions/Rituals:Thoughts or actions Provide relief from obsessive thoughts.
Somatic symptom disorders
excessive or maladaptive response to physical symptoms or health concerns. Preoccupation with health or symptoms.Physical complaints Usually no identifiable medical condition
Illness Anxiety Disorder
Severe anxiety about the possibility of having or acquiring a serious disease.Actual symptoms are either very mild or absent.Strong disease conviction.Medical reassurance does not seem to help.
Conversion Disorder (Functional Neurological Symptom Disorder)
Altered motor or sensory function that is inconsistent with neural/medical conditions and not better explained by another disorder.Often suggestive of neurological problem, but no such problem is detected.
Factitious Disorders
Purposely faking physical symptoms May actually induce physical symptoms or just pretend to have themNo obvious external gains
Malingering
which physical symptoms are faked for the purpose of achieving a concrete objective (e.g., getting paid time off, avoiding military service)
Dissociative Disorders
Severe alterations or detachments from realityAffect identity, memory, or consciousness
Two key depressive symptoms

Extremely depressed mood and/or loss of pleasure (anhedonia) Lasts most of the day, nearly every day for at least two weeks .




At least 4 additional physical or cognitive symptoms: E.g., indecisiveness, feelings of worthlessness, fatigue, appetite change, restlessness or feeling slowed down, sleep disturbance

• Mania Symptoms

Elevated, expansive mood for at least one week




Inflated self-esteem, decreased need for sleep, excessive talkativeness, flight of ideas or sense that thoughts are racing, easy distractibility, increase in goal-directed activity or psychomotor agitation, excessive involvement in pleasurable but risky behaviors

• Persistent Depressive Disorder
Depressed mood most of the day on more than 50% of days.No more than two months symptom free.Symptoms can persist unchanged over long periods (≥ 20 years).May include periods of more severe major depressive symptoms
• Grief & bereavement

Acute grief: Occurs immediately after loss.


Integrated grief: Eventual coming to terms with meaning of the loss.Complicated grief: Persistent acute grief and inability to come to terms with loss

• Beck’s cognitive triad
Think negatively about oneself,Think negatively about the world,Think negatively about the future
• Mood Disorder Treatment

Antidepressants:Selective serotonin reuptake inhibitors.


Lithium carbonate = a common salt


Electroconvulsive Therapy


Transcranial Magnetic Stimulation


Cognitive-behavioral therapyAddresses cognitive errors in thinkingAlso includes behavioral components including behavioral activation (scheduling valued activities)

• Suicide risk factors

Suicide in the family Low serotonin levelsPreexisting psychological disorderAlcohol use and abuseStressful life event, especially humiliationPast suicidal behaviorPlan and access to lethal methods