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91 Cards in this Set
- Front
- Back
Psychological disorder |
Cognitive, emotional, and/or behavioral dysfunction |
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Scientific practitioner framework if psychopathology 3 stages |
Interaction of clinical work and science. 1) consumer science: enhanced the practice 2) evaluator of practice: determines effectiveness of practice 3) creator of science: conducting research for useful procedures in practice |
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Etiology |
Cause/source of the disorder |
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Prognosis |
Predicted development of disorder overtime |
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Prevelance |
Number of cases of a disorder in the total population at any given time |
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Incident |
Number of new cases of a disorder appearing during a specific period |
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Course |
Pattern of development and change if disorder over time |
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Course-episodic |
Happening in specific spread out times |
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Course-time limited? |
Due to one thing that will be over soon? Work, school |
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Course- acute |
Shorter time frame |
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Course-insidious |
Going on for a long timeframe |
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The cause informs the...? |
Treatment |
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Mass hysteria |
St. Vitus dance: group of people that kept growing and dancing |
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Lunatic? |
Paracelsus was a Swiss physician looking at the Moon and stars |
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History of abnormal behavior... 3? |
Supernatural Biological Psychological |
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Supernatural 14th century view to abnormal behavior |
Etiology: natural curable phenomenon- connected with sin Treatment: humanistic-rest, positive environment, community based |
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Supernatural behavioral deviance started how? |
Etiology: devil, witchcraft, sorcery- great Persian empire Treatment: exorcism, torture... |
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Hippocrates? |
Father of modern Western medicine start of the biological abnormal behavior |
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Biological abnormal behavior |
Etiology: physical disease-head truama, genetics |
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Galen-biological |
Etiology brain chemical imbalance.. 4 main humors |
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What are the 4 main humors? |
Blood-sanguine (cheerful) Black bile- depressed Yellow bile- chloric (hot tempored) Phlegm- phlegmatic (sluggish) |
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What is the treatment to the 4 humors? |
Change in environmental levels |
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Consequences of if the biological tradition |
Increased hospitalization with untreatable conditions. |
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Moral therapy |
Philippe pinel started this humanistic practice where you treat patients normally then moved to William time, and finally Benjamin rush |
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Asyllum reform results... |
Overcrowded hospitals made the treatment ineffective-mental hygiene movement |
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Early biological treatment? |
Physically heating, drying, moisture, bloodletting, induced vomiting |
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Difference between one-dimension and two-dimension model approaches to practice |
With two, dimension we use the bio, psycho, social model. |
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Diathesis stress model |
We are born with more or less likelyhood if a disorder and depending on if we are born with more of it, it takes less to get disorder |
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Gene- Environment correlation model |
Repetition for issues causing disorder. After time the stressors recycle out |
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Epigenetics |
Our environment can override out genetic predisposition |
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Medulla function(CNS) |
Life functions: breathing, digestion, heart beating. |
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Pons(CNS) |
Connects cerebral cortex and cerrabellum; fine motor movements are transported |
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Cerrabellum (CNS hind brain) |
1)refines motor movements. 2) classically conditions memory; food poisoning, sick from it afterwards |
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CNS |
Brain stem: transporter of sensory infi to movement. Forebrain, hind brain, and mid brain |
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Forebrain |
Telecophalon- has limbic system |
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Limbic system houses what? |
Hippocampus, amygdala, basic ganglia, cerebral cortex |
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Midbrain does what |
Mesencephalon: sensory and motor info |
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Agonist medication |
Increases desired neurotransmitter |
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Antagonist |
Decreases desired neurotransmitter |
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Inverse agonist |
Produces opposite effect of target neurotransmitter |
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Serotonin |
Mood, emotion and perception (depression) |
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Dopamine |
Reward center of brain- anxiety |
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GABA |
Neuron firing in CNS: high- focus, low-anxiety |
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Norepinephrine |
Increases heart rate and blood pressure. Fight or flight |
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Glutamate |
Sends signals to other cells |
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Two parts of the autonomic nervous system |
Involuntary movement 1) sympathetic nervous system -fight or flight 2) Parasympathetic nervous system -rest and digest |
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Operant conditioning |
Rewards or punishment to get desired reaction. |
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Operant conditioning example |
Martin Suliman electric floor and dog- make the dog " learn helplessness" |
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3 differences between learned helplessness and opportunist |
1) Permance: time limited/ perminant 2) Pervaciceness: only impacting one area of live/all areas of life 3) personalization: looking at all the factors of the situation/it's because of them it happened |
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Prepared learning |
Evolutionary learned things(fear of snakes) |
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Implicit learning |
Fine motor movement memory(HM) |
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Feeling state that motivates our behavior |
Emotions |
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Persistent period of emotion |
Mood |
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Affect |
Momentary emotional tone that colors what we say or do |
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Universality of psychological disorders |
Cultural, social and interpersonal- all affect disorders around the world |
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Two parts of the Peripheral Nervous System |
1) Somatic Nervous system 2) Autonomic Nervous system |
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What is a Clinical Assessment |
Systematic evaluation and measurement of psychological, bio and social, factors in an individual presenting with a possible psychological disorder |
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What is a Diagnosis |
Degree of fit between symptoms and diagnostic criteria in DSM-5 |
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What are the three measures of assessing values |
Reliability, validity and standardization |
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Types of reliability |
Inter-rater: should get the same outcome independent of the test taker Test-retest: Should get similar score longitudinally |
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Types of Validity |
Construct: measuring something you cannot directly observe Face: the ability to figure out what the test is measuring Predictive validity: do results from test predict future behavior. |
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How to test if a test is valid? |
Concurrent: taking a gold standard test and comparing the correlation between scores of the two test Discriminant: Taking a test of a different measure and getting low correlation. |
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What are standardization methods |
Consistent use of techniques that provides normative population data. Same administration procedures and scoring techniques. |
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Types of clinical interviews. what they are assessing |
Structure, semi-structured and unstructured assessments. Assessing; current and past behavior Attitudes emotions detailed history presenting problem |
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Mental Status Exam |
Measures: Appearance and behavior Thought process Mood and affect Intellectual functioning Sensorium(Where, When, Who) |
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Four whats to assessing psychological disorders |
1. Behavioral 2. Psychological/Neuropsychological 3. Neuroimaging 4. Psychophysiological |
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Behavioral assessment |
Observations, Analog models(simulating real-life situations), The ABC's (Antecedents(what's causing the behavior), behavior, consequences), self monitoring |
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What does a Neuropsychological Assesment look for? |
Identify and localize neurological damage or disease |
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What is the difference between fixed and flexible batteries |
Flexible has costume questions to the individual |
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Define confabulation |
something in motion |
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Difference between subjective and objective personality assessments |
Projective is making unconscious conscious; Rochchahc, TAT. Objective would be personality inventories that are y/n questionnaires; MMPI |
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Neuroimaging |
Examines the structure and function of the brain |
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Difference between structure and function in neuroimaging context. |
The structure would be CT scans that localize tumors, injuries, and structural abnormalities. Functioning detects changes in oxygen/blood/glucose levels during certain tasks |
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Psychophysiological assessment measures? |
Emotional or psychological events reflected by changes in the nervous system |
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Types of changes in the nervous system that would be reflected in a psychophysiological assessment |
Brain Waive activity via EEG Cardiorespiratory; heart and respiration rate Electrodermal; galvanic sking response (Measures skin perspiration) Electromyography; muscle tension |
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Diagnosing approaches? |
Nomothetic: comparing to the population norms Idiographic: specific characteristics of the individual |
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Define Taxonomy |
Classification System |
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Nosology |
Medical or Psychological Contex |
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Nomenclature |
the specific diagnosis |
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Three classification approaches |
Classical category: Each diagnosis has a unique set of systems that you must meet all for diagnosis Dimensional: Scale of disorders that slides, don't need all features to have the diagnosis Prototypical: Allows for overlap between disorders. |
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Civil Commitment |
Legal declaration of mental illness |
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Criteria for Civil Commitment |
1. mentally ill and need treatment 2. need to show danger to self/others 3. Gravely disable/cannot care for self |
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What is Parens Patriae |
Where the government assigns a legal guardian to a mentally disabled individual to make adult decisions for them. |
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Criminal Commitment |
Looks at nature of crime and are they competent to stand trial Guild, guilty mentally ill, and NGRI |
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Insanity defense? |
NGRI- must be able to prove insanity at the time of the crime |
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M'Naghten Rule (Mid 1800's) |
At the time of the accusation he they were not in the right mind |
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Durham Rule |
Accused not criminally responsible if the unlawful act was the product of mental disease. |
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The insanity defense reform act |
The person charged w/ offense should be found NGRI if he was unable to appreciate the wrongfulness of his conduct at the time of offense. |
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Competence to stand trial |
the ability of legal defendant ot participate in their own defense and understand the charges and the roles of the trial participants |
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Duty to warn |
Mental health professionals obligation to warn if the person is harmful to themselves or others. Must give intended victim knowledge of the threat. |
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Malingering |
Pretending to have disability for self advantages |