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91 Cards in this Set

  • Front
  • Back

Psychological disorder

Cognitive, emotional, and/or behavioral dysfunction

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

Etiology

Cause/source of the disorder

Prognosis

Predicted development of disorder overtime

Prevelance

Number of cases of a disorder in the total population at any given time

Incident

Number of new cases of a disorder appearing during a specific period


Course

Pattern of development and change if disorder over time

Course-episodic

Happening in specific spread out times

Course-time limited?

Due to one thing that will be over soon? Work, school

Course- acute

Shorter time frame

Course-insidious

Going on for a long timeframe

The cause informs the...?

Treatment

Mass hysteria

St. Vitus dance: group of people that kept growing and dancing

Lunatic?

Paracelsus was a Swiss physician looking at the Moon and stars

History of abnormal behavior... 3?

Supernatural


Biological


Psychological

Supernatural 14th century view to abnormal behavior

Etiology: natural curable phenomenon- connected with sin


Treatment: humanistic-rest, positive environment, community based

Supernatural behavioral deviance started how?

Etiology: devil, witchcraft, sorcery- great Persian empire


Treatment: exorcism, torture...

Hippocrates?

Father of modern Western medicine start of the biological abnormal behavior

Biological abnormal behavior

Etiology: physical disease-head truama, genetics

Galen-biological

Etiology brain chemical imbalance.. 4 main humors

What are the 4 main humors?

Blood-sanguine (cheerful)


Black bile- depressed


Yellow bile- chloric (hot tempored)


Phlegm- phlegmatic (sluggish)


What is the treatment to the 4 humors?

Change in environmental levels

Consequences of if the biological tradition

Increased hospitalization with untreatable conditions.

Moral therapy

Philippe pinel started this humanistic practice where you treat patients normally then moved to William time, and finally Benjamin rush


Asyllum reform results...

Overcrowded hospitals made the treatment ineffective-mental hygiene movement

Early biological treatment?

Physically heating, drying, moisture, bloodletting, induced vomiting

Difference between one-dimension and two-dimension model approaches to practice

With two, dimension we use the bio, psycho, social model.

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

Gene- Environment correlation model

Repetition for issues causing disorder. After time the stressors recycle out

Epigenetics

Our environment can override out genetic predisposition

Medulla function(CNS)

Life functions: breathing, digestion, heart beating.

Pons(CNS)

Connects cerebral cortex and cerrabellum; fine motor movements are transported

Cerrabellum (CNS hind brain)

1)refines motor movements. 2) classically conditions memory; food poisoning, sick from it afterwards

CNS

Brain stem: transporter of sensory infi to movement. Forebrain, hind brain, and mid brain

Forebrain

Telecophalon- has limbic system

Limbic system houses what?

Hippocampus, amygdala, basic ganglia, cerebral cortex

Midbrain does what

Mesencephalon: sensory and motor info

Agonist medication

Increases desired neurotransmitter

Antagonist

Decreases desired neurotransmitter

Inverse agonist

Produces opposite effect of target neurotransmitter

Serotonin

Mood, emotion and perception (depression)

Dopamine

Reward center of brain- anxiety

GABA

Neuron firing in CNS: high- focus, low-anxiety

Norepinephrine

Increases heart rate and blood pressure. Fight or flight

Glutamate

Sends signals to other cells

Two parts of the autonomic nervous system

Involuntary movement


1) sympathetic nervous system


-fight or flight


2) Parasympathetic nervous system


-rest and digest

Operant conditioning

Rewards or punishment to get desired reaction.

Operant conditioning example

Martin Suliman electric floor and dog- make the dog " learn helplessness"

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

Prepared learning

Evolutionary learned things(fear of snakes)

Implicit learning

Fine motor movement memory(HM)

Feeling state that motivates our behavior

Emotions

Persistent period of emotion

Mood

Affect

Momentary emotional tone that colors what we say or do

Universality of psychological disorders

Cultural, social and interpersonal- all affect disorders around the world


Two parts of the Peripheral Nervous System

1) Somatic Nervous system


2) Autonomic Nervous system

What is a Clinical Assessment

Systematic evaluation and measurement of psychological, bio and social, factors in an individual presenting with a possible psychological disorder

What is a Diagnosis

Degree of fit between symptoms and diagnostic criteria in DSM-5

What are the three measures of assessing values

Reliability, validity and standardization

Types of reliability

Inter-rater: should get the same outcome independent of the test taker


Test-retest: Should get similar score longitudinally

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.

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.

What are standardization methods

Consistent use of techniques that provides normative population data. Same administration procedures and scoring techniques.

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

Mental Status Exam

Measures:


Appearance and behavior


Thought process


Mood and affect


Intellectual functioning


Sensorium(Where, When, Who)

Four whats to assessing psychological disorders

1. Behavioral


2. Psychological/Neuropsychological


3. Neuroimaging


4. Psychophysiological

Behavioral assessment

Observations, Analog models(simulating real-life situations), The ABC's (Antecedents(what's causing the behavior), behavior, consequences), self monitoring

What does a Neuropsychological Assesment look for?

Identify and localize neurological damage or disease



What is the difference between fixed and flexible batteries

Flexible has costume questions to the individual

Define confabulation

something in motion



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

Neuroimaging

Examines the structure and function of the brain

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

Psychophysiological assessment measures?

Emotional or psychological events reflected by changes in the nervous system

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

Diagnosing approaches?

Nomothetic: comparing to the population norms


Idiographic: specific characteristics of the individual

Define Taxonomy

Classification System

Nosology

Medical or Psychological Contex

Nomenclature

the specific diagnosis

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.

Civil Commitment

Legal declaration of mental illness

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

What is Parens Patriae

Where the government assigns a legal guardian to a mentally disabled individual to make adult decisions for them.

Criminal Commitment

Looks at nature of crime and are they competent to stand trial


Guild, guilty mentally ill, and NGRI

Insanity defense?

NGRI- must be able to prove insanity at the time of the crime

M'Naghten Rule (Mid 1800's)

At the time of the accusation he they were not in the right mind

Durham Rule

Accused not criminally responsible if the unlawful act was the product of mental disease.

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.

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

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.

Malingering

Pretending to have disability for self advantages