Abnormal Psychology Exam 1 Flashcards
Psychological disorder
psychological dysfunction with an individual associated with distress or impairment in functioning and a response that diverges from what is typical or culturally anticipated
Psychological Dysfunction
A breakdown in cognitive, emotional, or behavioral functioning
-The more dysfunctional behaviors and feelings are, the more likely they are to be considered abnormal
-Every type of dysfunction does not lead to a disorder
Dysfunctional distress
When a person is much more distressed than others would be
-Distress is a normal reaction in some situations
Impairment
must be pervasive and/or significant
Statistical infrequency
how unusual the behavior must be?
Cultural Norms
consider “normalcy” relative to behavior of others in same cultural context
-cultural perspective remains a crucial reference point
-different with genders
-different with generations
Psychopathology
Scientific study of psychological dysfunction
Ph.D. Clinical and counseling psychologist
trained in research and delivering treatment
Psy. D Clinical and counseling “Doctor of Psychology
trained in delivering treatment
M.D. Psychiatrist
investigate the nature and causes of psychological disorders
-biological point of view -> diagnosis -> treatment
-First earn MD then specialize psychiatry in Residency Training (3-4 years)
Psychiatric nurses
specialize in psychological disorders
-MD or PhD
-Hospitals; treatment team
Licensed clinical social worker
trained in delivering treatment
-MD
-treat after focus on family problems
Marriage & family therapists and mental health counselors
employed for clinical services by hospitals or clinics
-under supervision of a doctoral-level clinician
1-2 years MD
Scientist Practioner
scientific approach to clinical work by mental health professional
Mental health professional functioning as a scientist-practitioner (hint: CEC of science)
Consumer of science, Evaluator of science, and Creator of science
Mental health professional functioning as a scientist-practitioner: Consumer of science
-enhancing the practice
-use the most current diagnosis & treatment
Mental health professional functioning as a scientist-practitioner: Evaluator of sciece
-determining the effectiveness of the practice
-accountability to patients, government agencies, and insurance companies bring obligation to demonstrate effectivity of treatments
Mental health professional functioning as a scientist-practitioner: Creator of sciece
-conducting research that leads to new procedures useful in practice
-clinics or hospitals
Three categories make up the study of Psychological disorders (hint: CCT)
Clinical description, Causation (etiology), Treatment and outcome
Clinical description
details of the combination of behaviors, thoughts, and feelings of an individual that make up a disorder
-begins with a presenting problem
-aim: distinguish clinically significant dysfunction from common human experience
Presenting problem
specific issue and reason person came in for
Prevalence
the number in the population with the disorder
Incidence
the number of new cases during a given period of time
Set ratio
the percetage of women to men with the disorder
Onset of disorders include (vs.)
Acute vs. Insidious onset
Acute onset
when a disorder occurs suddenly
Insidious onset
when a disorder occurs gradually over an extended period of time
Course
the individual pattern followed by a disorder
Course of disorders include (3)
episodic, time-limited, or chronic course
Episodic course
recover and reoccurrence, may repeat throughout a lifetime
Time-limited course
improve without treatment in a relatively short period with little to no risk of reoccurrence
Chronic course
long-time, sometimes lifetime
Prognosis
the anticipated course of a disorder
2 types of Prognosis (hint: GG)
Good and Guarded
Good prognosis
probably recover
Guarded prognosis
probable outcome doesn’t look good
Developmental psychology
study of changes in behavior overtime
Developmental psycopathology
study of changes in abnormal behavior
Etiology
the study of origins; why a disorder begins
-biological, psychological, and social dimensions
Treatment development includes
how can we help alleviate psychological suffering
-pharmacological, psychosocial, and combined treatments
-the effectiveness of certain drugs may help lead to understanding the Etiology
Three dominant traditions have existed in the past to explain abnormal behavior
Supernatural, Biological, and Psychological
Supernatural explanation of abnormal behavior
the supposed agents outside our bodies and in the environment that influence our behavior, thinking, and emotions
-ex: divinities, demons, spirits
-Battles of “good” vs “evil”
-Treatments included exorcism, torturer, and religious rituals
Since what era was the Biological and Psychological explanations brought
Since the era of Ancient Greece, the mind (“soul”) considered separate from the body
-mind can influence the body and vice versa
Exorcism
various religious rituals were performed
Competing view that coexisted with supernatural tradition was
“Insanity”
-caused by emotional stress, not supernatural forces
-Depression and Anxiety recognized mental illness
-treatments: rest, sleep, healthy environment, baths, potions
Saint Vitus’s Dance/Tarantism
-example of mass hysteria in the past
-Middle ages in Europe
-Groups of people simulataneously compelled to run out to streets, dance, shout, rave, and jump in patterns
Mob Psychology
the type of shared response
-Moder mass hysteria
Emotion contagion
the experience of an emotion seems to spread to those around us
-Modern mass hysteria
What did Paracelsus suggest?
suggested that mental health problems are affected by pull of moon and stars
-led to the term of “lunatic”
Who was Hippocrates (460-377 BC)?
father of modern Western medicine
-Mental disorders understood as physical disease
-Hysteria “the wandering uterus”
Linked abnormality with brain chemical imbalances
Foreshadowed modern views
Hysteria “the wandering uterus”
psychological symptoms were a result of the uterus moving around in the body
Who extended Hippocrates’ work?
Galen (129-198 AD)
Humoral theory of disorders
functioning is related to having too much or too little of four key bodily fluids (humors)
-Blood (heart), Phlegm (brain), Black bile (spleen), Yellow bile (liver)
-ex: Depression caused by too much black bile
-treatment: changing environmental conditions (e.g. reducing heat) or bloodletting/vomiting
General paresis (late stage syphilis) and the biological link with madness
-psychological and behavioral symptoms
-caused by a bacterium
-bolstered the view that mental illness = physical illness
Who was John P. Grey and the reformers?
psychiatrist who believed mental illness had physical roots
-emphasis on rest, diet, and proper room temperature and ventilation
-championed biological tradition in the U.S
-led to reforms of hospitals to give psychiatric patients better care
The development of biological treatments included
Insulin shock therapy, Electric shock, Crude surgery, and Medications (ex: tranquilizers)
Insulin shock therapy
occassionally given to stimulate appetite in psychotic patients who were not eating, but also calmed them down
-abandoned due to often resulting in prolonged coma or even death
Electric shock
mild & modest electric shock to the head produced a brief convulsion and memory loss (amnesia) but otherwise did little harm
Crude surgery
surgery of the brain (removing a piece)
Medication increased in availability in the mid-20th century
Neuropletics and minor tranquilizers
Neuropletics
-major tranquilizers
-now called antipsychotics
-used to treat anxiety
-used less due to many side effects
Minor tranquilizers were prescribed for
anxiety and related disorders
Consequences of the Biological Tradition
-overall, mental illness understood to have physical roots
-increased hospitalization
-mental illness often seen as “untreatable” condition
-improved diagnosis and classification
-increased role of science in psychopathology
Who was the father of classification?
Emil Kraepelin
Moral therapy
-treated institutionalized patients as normally as possible in a setting that encouraged and reinforced normal social interaction
-many opportunities for appropriate interactions and behavior
-restraint and seclusion were eliminated
-declined in use due to the size and composition of the institutionalized population
Issue between Moral therapy and immigrants
-large numbers of people were immigrating to the U.S.
-if institutionalized, thought not to “deserve” moral therapy
-not given moral treatments even when they were sufficient hospital personnel
Mental hygiene movement
focused on providing care to everyone who needed it, causing a large influx in patients
-Dorothea Dix (1802-1887) campaigned endlessly to reform treatment of insanity
(she informed American public of these abuses)
Psychoanalytic theory
constructed on the development and structure of our personalities
Information on Franz Anton Mesmer & Hypnosis
Animal magnetism/Mesmerism
= identify and tap various areas of body where it was “blocked”, suggesting strongly they were cured
Who tested and concluded that Mesmerism/Animal magnetism was just strong suggestion
Benjamin Franklin
The emergence of psychoanalysis was brough by
Freud and Breur
-believed to have discovered the unconscious mind and its apparent influence on the production of psychological disorders
-later found many of Freud’s beliefs were incorrect
Catharsis
release of emotional material
Insight
a fuller understanding of current emotions and earlier events
Psychoanalytic Theory: Superego
-type of thinking: Conscience
-driven by: Moral principles
-purpose is to counteract the potentially dangerous aggressive & sexual drives
Psychoanalytic Theory: Ego (mediator)
-type of thinking: Logical; rational
-driven by: reality principle (act realistically)
-logic and reason
-secondary process
Psychoanalytic Theory: Id
-type of thinking: illogical; emotional; irrational
-driven by: pleasure principle (max pleasure, eliminating conflict/tension)
-sexual and aggressive feelings or energies
-primary process
(own way of processing information)
(emotional, irrational, illogical)
(preoccupied with sex, aggression, and envy)
-Libido= energy or drive
-Thanatos= death instinct
Defense mechanisms
Ego’s(logic) attempt to manage anxiety resulting from id(emotional) and superego(morals) conflict
-include Denial, Displacement, Projection, Rationalization, Reaction formation, Repression, and Sublimation
Denial
refusing to acknowledge aspects of reality apparent to others
Displacement
transferring discomfort-inducing feelings or responses from one object or person to another less threatening one
Projection
false attributions of one’s unaccetable feelings, impulses, or thoughts to another individual or obejct
Rationalization
concealing true motivations through elaborate, reassuring or self-serving yet incorrect explanations
Reaction formation
substituting behavior, thoughts, or feelings totally opposite to unacceptable ones
Repression
blocking disturbing wishes, thoughts, or experiences from conscious awareness
Sublimation
redirecting potentially maladaptive feelings or impulses into socially acceptable behavior
Psychosexual stages of development
-satisfying drive for physical pleasure
-theory: conflicts arise at each stage and must be resolved
-include Oral, Anal, Phallic, Latency, and Genital stages
-ex: Oral 0-2 ages need for food
Controversial genital stage from Psychosexual stages of development
-boys conflict -> Oedipus Rex & Castration anxiety
-girls conflict -> Electra complex
-not based on fact
Ego psychology (Anna Freud)
defensive reactions of the ego determine behavior
-Abnormal behavior develops when the ego is deficient in regulating such functions as delaying & controlling impulses or marshalling appropriate normal defenses to strong internal conflicts
Self-psychology (Heinz Kohut)
focused on the formation of self-concept and the crucial attributes of the self that allow an individual to progress toward health or neurosis
Neurosis
a psychological disorder thought to result from unconscious conflicts & the anxiety they cause
What did Carl Jung do?
-rejected focus on sexual drives (Freud)
-emphasized spiritual and religious drives
-introduced collective unconscious
Collective unconscious
wisdom accumulated by society and culture that is stored deep in individual memories & passed down from generation to generation
-emphasized enduring personality traits
What did Alfred Adler focus on?
feelings of inferiority and the striving for superiority
Both Carl Jung and Alfred Adler
-strong drive towards actualization
-basic quality of human nature is positiveA
Actualization
realizing one’s full potential
Object relations
the study of how children incorporate the images, the memories, and sometimes the values of a person who was important to them and to whom they were emotionally attached
-important people
Introjection
process of incorporation
Psychoanalytic psychotherapy
-Free association, Dream analysis, and Analysis of transference
-very time consuming
-little evidence of effectiveness
Free association
patients say whatever comes to mind without the usual socially required censoring
-reveal emotionally charged material that may be repressed (painful or threatening to consciousness)
Dream Analysis
therapist interprets the content of dreams, reflecting primary-process thinking of the id and symbolic aspects of unconscious conflicts
-help patient gain insight into the nature of conflicts
Transference
patients come to relate to the therapist like they did to important figures in their childhood, particularly their parents
Countertranference
therapist project own personal issues & feelings, usually positive, onto patient
Psychodynamic Psychotherapy
derived from psychoanalytic approach
-focus on affect and the expression of emotions
-exploration of attempts to avoid topics or engage in activities that hinger the progress of therapy
-identification of patterns in actions, thoughts, feelings, experiences, and relationships
-emphasis on past experiences
-focus on interpersonal experiences
-emphasis on therapeutic relationship
-exploration of wishes, dreams, or fantasies
Humanistic theory: Abraham Maslow
hierarchy of needs, beginning with our most basic physical needs and ranging upward to needs for self-actualization, love, and self-esteem
Humanistic theory: Carl Rogers
humanistic therapy emphasizing unconditional postiive regard, empathy, and innate tendency towards growth
-Person-centered therapy
Person-centered therapy
therapist takes a passive role, few interpretations as possible
-give individual a chance to develop during course of therapy, unfettered by threats of self
Self-actualizing
process emphasized in humanistic psychology in which people strive to achieve their highest potential against difficult life experiences
Unconditional positive regard
acceptance by the counselor of the client’s feelings and actions without judgment or condemnation
Empathy
sympathetic understanding of an individual’s point of view
Pavlov and Classical Conditioning
learning in which a neutral stimulus is paired with a response until it elicits that response
-Any person or object associated with the unconditioned response (UCS) acquires the power to elicit the same response, when elicited by conditional stimulus (CS) it becomes a conditioned response (CR)
Stimulus generalization
the response generalizes to similar stimuli
Watson and the rise of Behaviorism
psychology is a purely objective experimental branch of natural science with goals of prediction and control of behavior
Behavior therapy
therapy methods based on the principles of learning as applied to clinical problems
-it consists specific behaviors rather than interferred conflicts as legitimate targets for change
-Joseph Wolpe
Systematic desensitization
individuals were gradually introduced to the objects or sitituations they feared, so their fear could decline
-nothing bad would happen in the prescence of the fear
Operant conditioning
behavior operates on the environment
-Learning in which behavior changes as a function of what follows the behavior (reinforcement with reward or punishment)
-influenced by Watson and Thordike (LAw of effect)
Law of effect
behavior is either strengthened (likely to be repeated more frquently) or weakened (likely to occur less frequently) depending on the consequences of behavior
Shaping
a process of reinforcing successive approximations to a final behavior or a set of behaviors
Behavioral model’s impact
+greatly contributed to the understanding and treatment of psychopathology
-incomplete and inadequate to account for what we now know about psychopathology
(fails to account for development of psychopathology across the lifespan)
One-dimension models
-explain behavior in terms of a single type of cause
-could mean a paradigm, schoool, or conceptual approach
-tend to ignore information from other areas
-Ex: explaining a disorder as the result of family history alone
Multidimensional integrative approach
approach to the study of psychopathology that holds psychological disorders as always being the products of multiple interacting causal factors
-interdisciplinary, eclectic, and integrative system
-influences: biological, behavioral, emotional, social & cultural, developmental, and environmental
Each person has how many chromosomes and pairs
46 chromosomes in 23 pairs
Abnormalities in chromosomes contribute to what sydrome?
Down syndrome
Autosomes
first 22 chromosomes that provide programs/directions for body/brain development
Sex chromosomes
the 23rd pair of chromosome
-female: XX
-male: XY
Genes
long deoxyribonucleic acid (DNA) molecules, the basic physical units of heredity that appear as locations on chromosomes. A single gene is a subunit of DNA that determines inherited traits in living things.
Genome
the complete set of genetic instructions/genes; DNA contains this
Coding DNA
the DNA sequence that defines a gene
Genetic locus
the specific location on a chromosome that codes for a gene
Alleles
alternative or variant forms of genes
Polymorphism
different forms of alleles
-SNP: when one nucleotide replaces another
Dominant allele
one pair of genes that strongly influences a particular trait