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90 Cards in this Set

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What is statistical deviation?

Behaviours that are considered rare are abnormal

Uses distribution curves

A limitation of the Statistical deviation definition of abnormality

Some unusual characteristics can be positive.


Makes the definition lack validity.

E.g High IQ

What is another limitation of the Statistical deviation definition?

Some common behaviours are actually abnormal.

E.g Depression being common

What is a strength of the Statistical deviation definition?

Good real world application, useful in psychiatric settings

Definition 2: Deviation from social norms

Behaviour that goes against what society views as acceptable


Going against the unwritten rules of society

E.g Queuing

Why is Definition 2 of abnormality unreliable?

Social norms change in context


Makes it less consistently effective

Shouting at a stranger vs shouting at a football match

Another limitation of Definition 2 for abnormality

Sometimes breaking social norms can be good


Therefore not all social deviance is abnormal

E.g Not discriminating against Jewish People in Nazi Germany

3rd limitation of Definition 2 of abnormality

If the definition is taken too literally then we would all be abnormal.


Difficult to know which social norms have to be broken for them to be abnormal.

E.g returning books to the library late

Definition 3: Failure to Function

Abnormality through not being able to cope with everyday life

What are the 7 signs of the failure to function definition

- Observer discomfort


- Violation of moral and ideal standards


- Vividness and unconventionality


- Loss of control over emotion


- Irrationality


- Suffering


- Maladaptiveness

Maladaptiveness - failing to adjust to new situations

What is a limitation of of the Failure to Function definition?

Subjective interpretation of the criteria makes in unreliable due to lack of consistence

E.g.: Burping in public would cause observers discomfort but not all people

What's a positive of the Failure to Function definition?
Takes into account the patient's point of view, not all definitions do this


What's another limitation of the Failure to Function definition?

Proposes a negative view of abnormality as it points out all the negative things - shows a more unhealthy view of mental illness

Definition 4: Deviation from ideal mental health

The more you stray away from perfect mental health, the more abnormal you are

What are the signs of ideal mental health?

- High self-esteem


- Self-Actualisation


- Adapting to the environment


- Accurate perception of reality


- Resistance to stress

Self-Actualisation - achieving your potential in life
What's a strength of the Ideal Mental Health definition?

It is a comprehensive definition, makes it more reliable

What's one limitation of the Ideal Mental Health definition?

It is affected by cultural relativism, therefore is not affective across different cultures

Being autonomous in our society is expected, but less common in collectivist countries like Japan

What is another limitation of the Ideal Mental Health definition?

If taken literally, we would all be abnormal

Very few would meet all 6 criteria

What are the behavioural characteristics of phobias?

- Panic


- Avoidance

- Crying, screaming, running away


- Not facing the object of your fear

Emotional characteristics of phobias?

- Anxiety


- Unreasonable emotional responses

- Unpleasant state of high arousal


- Disproportionate response to the threat

Cognitive characteristics of phobias?

- Selective attention


- Irrational beliefs

- Ignoring other aspects of the situation and only focusing on their source of fear


- Believing that the cause of fear is more dangerous than it actually is

Who proposed the two-process model of phobias?

Mowrer (1960)

What is the two-process model of phobias?

- They are acquired by classical conditioning and maintained by operant conditioning (avoidance)

What is classical conditioning?

We learn things through association between two things.

What was the study done with the small child and rat on classical conditioning?

Little Albert Study



He became scared of rats and all fluffy things by association

:)

What is a strength of the two-process model for phobias?

+ Good Practical Applications


- Effective in therapy

What is a limitation of the two-process model for phobias?

- Fails to take into account evolutionary basis of phobias



(genes)

What is another limitation of the two-process model for phobias?



- Phobias do not always follow trauma

(trauma)

What is another limitation of the two-process model for phobias?



- Fails to account for the cognitive aspects of phobias


- Catastrophising

(cognitive)

What is another limitation of the two-process model for phobias?

- Avoidance behaviour is not just motivated by a reduction in anxiety

(avoidance)

What is systematic desensitisation?

A therapy based on classical conditioning that gradually exposes the sufferer to their fear

What are the three main processes of systematic desensitisation?
1. Anxiety Hierarchy

2. Relaxation Techniques


3. Exposure to fear

What is a strength of the systematic desensitisation technique?

+ Gilroy et al

- Arachnophobia patients being less fearful after 33 months compared to a group that just started


- Effective long term

(study)

What is a strength of the SD technique for phobias?

It is more suitable for a wider range of patients

(accessibility)



What is a strength of the SD technique for phobias?

It is popular with patients as it does not traumatise them and is more enjoyable, less likely to drop out

(popularity)

What is a limitation of the SD technique for phobias?

More expensive for therapy sessions compared to flooding

(price)



What is the flooding therapy technique?

Immediately exposing the sufferer to the object of their fear for a long period of time - following ethical safeguards


What is a strength of the flooding technique?



+ It is cheap, therefore more affordable

(price)

What is a limitation of the flooding technique?

- Not effective for all types of phobias

(types of phobias)



What is a limitation of the flooding technique?

- Flooding can be traumatic to patients, may drop out of the therapy

(psychological harm)

Behavioural characteristics of depression?
- Reduced activity levels

- Disruption to sleep (insomnia or hypersomnia)


Emotional characteristics of depression?

- Lowered mood


- Anger




Cognitive characteristics of depression?

- Poor concentration


- Absolutist thinking

- Black & white thinking

What is Beck's negative triad?

- Faulty information processing


- Negative self-schemas


- Negative views of themselves, the world, and the future


What is Ellis's ABC model of depression?

A - Activating Event


B - Belief


C - Consequence

- e.g (you fail an exam)


- ("I will fail every exam in the future)


- (You lose motivation and don't revise on other exams, then drop out of college).

What does the cognitive approach about depression suggest?

It suggests that theperspective you take on life determines your abnormality


What is a strength of the cognitive approach of depression?

+ CBT therapy is effective at treating depression

(therapy)

What is a strength of the cognitive approach of depression?

+ Both of the cognitive explanations are supported by research into attachment

(childhood relationships)

What is a limitation of the cognitive approach of depression?

- Both of the explanations cannot explain all types of depression

(variation of depression)

What is a limitation of the cognitive approach of depression?

- Puts blame on the patient as it assumes it was their faulty thinking that made them mentally ill

(blame)

What is the Rational Emotive Behavioural Therapy (REBT)?

A form of CBT that gets us to change our underlying thoughts and behaviours that are contributing to the depression


What are the three different ways of challenging irrational thoughts?

- Logical disputing


- Empirically disputing


- Pragmatically disputing




What is logical disputing?

Working out why the thoughts don't make sense


What is empirical disputing?

Finding factual evidence against the negative thoughts


Pragmatic disputing

Working out the consequence if you keep thinking irrationally


Strength of Cognitive therapy?

March et al (2007) study

(study)



What was the March et al study? (2007)

The study found that CBT was just as effective as medication in terms of improving depressive symptoms, and even more effective when both are used.


Limitation of Cognitive therapy?

- Success is dependent on the therapist rather than CBT itself

(therapist)

Limitation of Cognitive therapy?

- It requires a high level of motivation

(homework assignments)



Limitation of Cognitive therapy?

- Negative thoughts may not be the thing that causes the mental illness

(e.g. unpleasant home situation)



Limitation of Cognitive therapy?

- CBT is not suitable for everyone, especially those who can't articulate their feelings

(suitability)

Behavioural characteristics of OCD?

- Compulsions


- Avoidance

- Repetitive behaviours to reduce anxiety


- Avoiding situations that may trigger anxiety

Emotional characteristics of OCD?

- Anxiety


- Guilt

- Distress from obsessive thoughts


- in relation to preforming immoral behaviour

Cognitive characteristics of OCD?

- Obsessive thoughts


- Cognitive strategies to deal with obsessions

- Repetitive thoughts


- Constantly thinking about evidence that may challenge those thoughts

What is the genetic explanation for OCD?

OCD having a hereditary basis




What did the study by Lewis (1937) find about OCD?

37% of patients had parents with OCD and 21% had siblings who also had it




What is the diathesis stress model?

People inherit genetic vulnerability for OCD


What is genetic vulnerability?

If you inherit it or develop it, then you are more likely to develop the disorder if you experience stressful life events


What is the candidate gene for OCD?

5HT1-D Beta


What does the candidate gene for OCD do?

It affects the transmission of serotonin across synapses which disrupts serotonin activity


OCD is polygenic, what does that mean?

It is caused by several genes as opposed as to just one

230 different genes that effect both serotonin and dopamine

OCD is aetiologically heterogenous, what does that mean?

It means that it can be caused by different combinations of genes in different people.


Strength of the biological approach to OCD?

+ Nesdadt et al (2010)


- 68% of identical twins share OCD


- 31% of non-identical twins share OCD

(study)

Limitation of the biological approach to OCD?

- Twin studies fail to account the shared environment

(environment)



Strength of the biological approach to OCD?

+ Support for the diathesis stress model


+ Cromer et al (2007)


Half of his patients experienced a traumatic event

(study for diathesis stress model)

Limitation of the biological approach to OCD?

- Too many candidate genes, not useful for predicting whenever someone will get OCD

(genes)

What are the neural explanations for OCD?

- Disruption in serotonin levels


- Poor functioning of the lateral frontal lobes


- Abnormal functioning in the left parahippocampal gyrus (unpleasant emotions)

- Brain chemical go brrr


- frontal lobe problems


- very hard to pronounce word



Strength of neural explanations for OCD?

+ research on SSRI antidepressants as they boost serotonin levels

(SSRI)

Strength of neural explanations for OCD?

+ Parkinson's patients also have OCD symptoms, and it has been linked to dopamine transmission

(Parkinson's)

Limitation of neural explanations for OCD?

- It oversimplifies the causes of OCD, lacks validity

(linked to other brain areas or no areas at all)



Limitation of neural explanations for OCD?

- Disruption in the brain could be a symptom of OCD rather than a cause

(cause?)

Treating OCD: drug therapy

- SSRIs


- Tricylics


- Clomipramine

- Prevent the re-uptake of serotonin


- Used when not responsive to SSRI


- has more severe side effects

Strength of drug therapy for OCD?

+ Soomro et al (2009) study, reviewed 17 studies and showed that the real drug is more effective than the placebo

(placebo drugs study)

Strength of drug therapy for OCD?

+ Drugs are less expensive than psychological therapies like CBT

(price)

Limitation of drug therapy for OCD?

- Side effects


- E.g. Clomipramine - erection problems, tremors, and weight gain


- can cause demotivation

(side effects)

Limitation of drug therapy for OCD?



- Unreliable evidence for effectiveness


- Due to drug manufacturers who might be biased to sell their product

(selling drugs)

Limitation of drug therapy for OCD?

- Drugs may not be a completely suitable treatment as not all OCD is biological in origin

(cause of OCD)

What are the side effects of Clomipramine?

- erection problems,


- tremors,


- weight gain

What is the really difficult word to pronounce and remember?

theleft parahippocampal gyrus
(brain part responsible for unpleasant emotions)