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139 Cards in this Set

  • Front
  • Back
definition of mental illness according to DSM-V
-disorder occurs within individual

-significant difficulties in thinking, feeling, or behaving

-dysfunction is processes that support mental functioning

-not a culturally specific reaction to a disorder

-not result of social deviance
4 characteristics of stigma
1) distinguishing label is applied
2) label refers to undesirable attributes
3) people with label are seen as different
4) people with label are discriminated against
Characteristics of mental disorder
-personal distress
-violation of social norms
-disability
-dysfunction
general paresis
(disease)
steady deterioration of mental and physical abilities, progressive paralysis
electroconvulsive therapy
(ECT)
electric shocks to the head to induce seizures experimentally
id
-basic urges
-present at birth
-unconscious/out of control
-wants immediate gratification (pleasure principle)
libido
energy of id
ego
-mediates between id and superego
-present at 6 months
-primarily conscious
-deals with reality
superego
-moral standards
-develops through childhood
-person's conscious
-incorporate parental values as their own to receive pleasure from approval and avoid pain from disapproval (e.g. bed-wetting)
defense mechanism
used by ego to protect itself from anxiety
(e.g. repression, denial, projection, displacement, reaction formation, regression, rationalization, sublimation)
free association
sit on couch facing away from therapist and have free rein of speech
transference
unconscious redirection of repressed feelings (usually from childhood) from one person to another (therapist)
interpretation
-analyst points out to the patient the meanings of certain of the patient's behaviors

-defense mechanisms are principle focus
Freud's Stages of Psychosexual Development
-oral stage
-anal stage
-phallic stage
-latency period
-genital stage

(under or over gratification at any stage may result in fixation with that stage - results in maladaptive behavior)
oral stage
-birth to 18 months

-id is satisfied via feeding, sucking, and biting
anal stage
-18 months to 3 years

-pleasure through anus via bladder and bowel control
phallic stage
-3 years to 5/6 years

-id is gratified via genital stimulation

-person becomes aware of sexuality
latency period
-7 years to 13 years

-id impulses do not play a major role in motivation behavior
genital stage
-adulthood

-heterosexual interests predominate
systematic desensitization
-behavior therapy used to treat phobias

-deep muscle relaxation and gradual exposure to feared situations
rational-emotive behavior therapy
(REBT)
elimination self-defeating beliefs
paradigm
set of basic assumptions which scientists work with
heritability
-extent to which variability in a particular behavior or disorder in a population can be accounted for by genetic factors

-ranges from 0.0-1.0 (1.0 is greater heritability)
-ONLY relevant for large population of people
genotype
-total make up of an individual
-consists of inherited genes
-UNOBSERVABLE
phenotype
-total OBSERVABLE behavioral characteristics
e.g. level of anxiety

-expressed genetic material

-depends on interaction between genotype and environment
epidemiology
scientific study of the frequency and distribution of a disorder in a population during a specific period of time and possible correlates
prevalence
total number of ACTIVE cases (old and new) that are present in a population during a period of time
incidence
number of NEW cases that are present in a population during a period of time
comorbidity
-the presence of more than one condition within the same period of time

-norm, not the exception
what percentage of people who meet the criteria for atleast one DSM diagnosis meet the criteria for atleast one more?
45%
what fraction of adults will experience a mental disorder at some point in their life?
1/4
The Depth Hypothesis
almost all mental activity takes place outside of conscious awareness
Psychoanalytic Model
(associated psychologist(s) and key concepts)
-Freud
-id, ego, superego
-5 psychosexual stages
-The Depth Hypothesis
-goal: make unconscious, conscious
Neo-Freudians
(associated psychologist(s)
-Jung
-Adler
-Erikson
Carl Jung
-founded analytical psychology
analytical psychology
(key concept)
-individualism
Alfred Adler
-founder of "Individual Psychology

-fulfillment derived from working for the social good
Erik Erikson
-psychodynamic perspective

-psychosocial theory

-8 stages of psychosocial development
8 stages of psychosocial development
1) infancy
2) early childhood
3) 3-5 years
4) 6 years-puberty
5) adolescence
6) early adulthood
7) middle adulthood
8) old age
infancy (Erikson's stage)
trust vs mistrust
early childhood (Erikson's stage)
autonomy vs shame/doubt
3-5 years (Erikson's stage)
initiative vs guilt
6 years-puberty (Erikson's stage)
industry vs inferiority
adolescence (Erikson's stage)
identity vs confustion
early adulthood (Erikson's stage)
intimacy vs isolation
middle adulthood (Erikson's stage)
generativity vs stagnation
old age (Erikson's stage)
integrity vs despair
humanistic psychology
(associated psychologist(s) and key concepts)
-Rogers
-Maslow

-freedom to choose one's fate
-emphasis on human capacity for growth

-self-actualization
self-actualization
-fulfillment of one's capacity

-to be "all that you can be"
Maslow's Theory
-all humans are good

-hierarchy of needs: off basic but grow more complicated through development
_________________________
/ self-actualization \
/ esteem \
/ love/belonging \
/ safety \
/ psychiological/basic needs \
________________________________________
behavioral model
(associated psychologist(s) and key concepts)
-Watson
-Skinner

-learning... everything constitues a behavior
radical behaviorism
-Skinner

-includes all a person does, says, and feels

-disturbed behavior can be established by or removed by experience (via punishment or reward)

-disturbed behavior is the problem
Law of Effect
-behavior that is favorable is encouraged
-behavior that is unfavorable is discouraged
cognitive model
(associated psychologist(s) and key concepts)
-Beck
-Ellis

-distorted thinking, irrational beliefs
Beck's cognitive perspective
-automatic thoughts
(I am worthless, everyone hates me, etc)
-lead to depression

-errors in logic
-arbitrary inference
-selective abstraction
-over generalization
-magnification or minimization
-personalization
arbitrary inference
(Beck's errors in logic)
drawing unwanted conclusions on the basis of little to no evidence
selective abstraction
(Beck's errors in logic)
drawing conclusions on a single piece of data, ignoring contradictory data
over generalization
(Beck's errors in logic)
drawing conclusions on a single, insignificant, uneventful event
magnification or minimization
(Beck's errors in logic)
overestimating/underestimation the importance of events
personalization
(Beck's errors in logic)
taking blame for something that is clearly not one's fault
Ellis's irrational assumptions
-I must always do well
-I must be approved by important people
-I can't stand it when life is unfair
-I must be loved by everybody
physiological perspective
-medical model
-neuroscience perspective
-biological emphasis
-focus on brain anatomy and brain functioning
-reliance upon medication
soma
cell body
dendrites
receive messages from neuron
axon
-trunk of neuron
-covered by myelin sheath
axon terminals
-end of axons
-where messages are sent from
synapses
the space between two neurons

parts of synapse:
-axon terminal of transmitting neuron
-synapse
-dendrite of receiving neuron
neurotransmitters
transmit signals from a neuron to a target cell across a synapse
acetylcholine

(functions and associations with abnormal behavior)
-controls muscle contractions

-reduced levels in Alzheimers
dopamine

(functions and associations with abnormal behavior)
-regulation of reward-related behavior
-involved in emotion

-schizophrenia and parkinson's disease
enkephalins

(functions and associations with abnormal behavior)
-regulation of pain, mood, motivation

-addiction
GABA (gamma amin buteric acid)

(functions and associations with abnormal behavior)
-inhibits neurons from firing

-anxiety disorders
norepinephrine

(functions and associations with abnormal behavior)
-mental process involved in learning and memory
-activation alertness to danger

-mood disorders
-panic disorders
serotonin

(functions and associations with abnormal behavior)
-regulates mood states, constraint, sleep

-depression
-eating disorders
-OCD
shared environment
events and experiences that family members have in common
nonshared environment
events and experiences that are unique to each family member
allele
one or a number of different forms of the same gene
knockout studies
removing specific genes in animals to observe the effect on behavior
gene-environment interaction (GxE)
one's response to a specific environment event is influenced by genes
epigenetics
study of how environment can alter gene expression or function
biological reductionism
-belief that one can thoroughly understand human behavior just by understanding the biological mechanisms that underlie it

-the main problem of the physiological perspective
systems perspective
-feedback loops between biological, social, and psychological factors

biological
/ factors \
/ \
social psychological
factors ________________________ factors
diathesis
-stress paradigm

-higher stress, higher illness
-lower stress, lower illness

-don't inherit disorder, inherit risk for disorder
averse therapy
-behavioral treatment technique

-creates unpleasant response to undesired behavior
-unsuccessful in short term, successful in long run

-used to treat alcohol abuse
contingency management
-behavioral treatment technique

-replacing maladaptive behavior with more adoptive behaviors
-effective but results don't generalize

-e.g. token system in hospitals
biological treatment
-medication

-5 categories of psychotropic drugs:
-antianxiety agents
-sedative-hypnotics
-antipsychotics
-antidepressants
-antimanic/mood stabilizer drugs
behavioral assessment
-observation and role playing
-predict future behavior
-watching and recording key aspects of a person's behavior
psychological assessment
-structured interview: SCID

-personality inventory: MMPI

-projective tests: Rorschach Ink Blot
Thematic Apperception

-neuropsychological test: Boston naming test
(measures detailed functioning)
-intelligence: WAIS-IV

-interviews - most frequently used
theory
-framework for explaining various events of processes

-MUST be falsifiable
hypothesis
-testable prediction that arises form a therory

-MUST be falsifiable
case studies
intensive exploration of a single or a couple individuals who have a unique behavior or psychopathology
correlational research
-is there a relation between variable A and variable B?

-correlation coefficient: r (ranges form -1.00 to +1.00)

*correlation is NOT causation*
family method

(behavior and molecular genetics)
looking for genetic contribution in a disorder by looking at genes of relatives in the family tree
twin method

(behavior and molecular genetics)
-identical twins vs non-identical twins

-identical twin should have greater risk than non-identical twins if one of them has a disorder
adoptions studies

(behavior and molecular genetics)
nature vs nurture
association studies

(behavior and molecular genetics)
-look at genetic materials of individuals with and without disorder and seeing the difference


-genome-wide association studies (GWAS)
double-blind procedures
-patients (and sometimes researchers) don't know who has placebo or real drug
analogue studies
studying something similar to a disorder
biological assessment
-brain imaging (CT and MRI scans)

-neurotransmitter assessment
-analyze neutransmitters and receptors

-neuropsychological assessment
-assess behaviors such as motor speed

-psychophysiological assessment
-measures of electric activity in autonomic
nervous system
event related potentials (ERPs)
measured brain response that is the direct result of a specific sensory, cognitive, or motor event
dynamic brain imaing
images highlight brain functioning

e.g. functional MRI (fMRI) , PET scan
reliability
consistency in measurement

e.g. ruler provides same value every time
interrator reliability
-degree to which two independent observers agree on what they have observed

e.g. two umpires may/may not agree on a call
test-retest reliability
-extent to which people being observed twice, independent of time, receive similar scores

-does the test yield the same results when administered to the same person at different times?
alternate-form reliability
-aka: split half reliability

-extent to which scores on two forms of a test are consistent
validity
the extent to which the test measures what it is supposed to measure
how to measure validity (3 ways)
-analyze content of the test
-relate test scores to specific criteria
-examine the psychological constructs measured by the test
content validity
-whether a measure adequately samples the domain of interest

-most important with achievement tests
face validity
-compare the questions on the test to the subject matter

- if it looks like a measure of the skill or knowledge it is supposed to measure, it has face validity
criterion-related validity
evaluated by determining whether a measure is associated in an expected way with some other measure (the criterion)

e.g. validate tests against school marks, supervisor ratings, or dollar value of productive work
concurrent validity
-when both variables are measured at the same time

-criterion is available at time of teasting
predictive validity
-evaluated by the ability of the measure to predict some other variable that is measured at some point in the future

-concerned with how well test scores predict future performance
construct validity
the extent to which a test measures the construct it claims to measure
categorial classification
-does patient have disorder, yes or no?
-no inbetween or scales
-defines threshold for treatment

-DSM-V uses categorial approach to diagnosis
dimensional classification
-describes the degree of an entity that is present

e.g. 1-10 on a scale of anxiety
clinical interview

(psychological assessment)
-doctor will be attentive to emotion
-close doctor-patient relationship
-doctor empathize with patient
structured interview

(psychological assessment)
-collect standardized information
-usually to diagnose based off of DSM
-patients response determines next question
psychological tests
-used to further structure the process of assessment
-most common types:
-personality tests
-intelligence tests
personality inventory
person is asked to complete a self-report questionnaire indication whether statements assessing habitual tendencies apply to him/her
standardization
establishing statistical norms
projective personality test
set of standard stimuli that are ambiguous are presented

e.g. ink blots
projective hypothesis
-because stimuli is ambiguous, response will be determined by unconscious
-reveal true attitudes, motivations, and behavior
intelligence test
-aka: IQ test
-assesses persons current mental ability
-used to predict school performance
-used to identify cognitive strengths and weaknesses
self-monitoring
-patient tracks their own behavior and responses
-cognitive-behavior therapists use this method
ecological momentary assessment (EMA)
collection of data in real time rather than reflecting back on a period of time
reactivity
behavior changes because its being observed
direct observation
doctors identify problem behaviors
brain imaging
evaluating images of brain to check for damages/irregularities
CT or CAT scan
helps assess structural abnormalities
MRI
produces higher quality scan than CT scan
fMRI
-measures brain structure AND function
-provides picture of brain at work, not structure alone
-measures blood flow to brain (BOLD image)
PET scan
-expensive and invasive
-measures structure AND function
-not as precise as MRI and fMRI
neutransmitter assessment
-commonly analyze the metabolites of neurotransmitters that have been broken down by enzymes

--metabolites are produced when a neurotransmitter (usually an acid) is deactivated
neuropsychological assessment
-neuropsychological tests are used with brain imaging techniques
-detect dysfunction and help pinpoint specific areas in behavior that are impacted by the brain
tactile performance test- TIME
-while blindfolded and while being timed, patient fits various shaped blocks into corresponding shaped holes on a board using dominant hand first, then non-dominant hand

-can't complete if there is damage in the right parietal lobe
tactile performance test- MEMORY
-after finishing time test, patient is asked to draw board with shaped holes from memory

-can't complete if there is damage in the right parietal lobe
speech sounds perception test
-participants listen to a series of nonsense words then selects the "word" they heard from a set of alternatives

-measures left-hemisphere function, especially in temporal and parietal areas
psychophysiological assessment
-concerned with the bodily changes that are associated with psychological events

-EKG graphs signals conveyed by electrodes placed on the chest

-electrodermal responding

-EEG measures brain activity by electrodes placed on the scalp
electrodermal responding
measures currents that flow through the skin via sweat glands in the hand