Abnormality Flashcards

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1
Q

What are the three definitions of abnormality?

A
  1. Deviation from social norms
  2. Failure to function adequately
  3. Deviation from ideal of mental health
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2
Q

What are social norms?

A

Social norms are unwritten rules, created by society, to guide behaviour.

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3
Q

What are limitations to the definition of abnormality: Deviation from social norms?

A
  1. Social norms change over time eg. in the 1970s homosexuality was listed as a mental disorder, however now it is legal and acceptable in most Western cultures.
  2. Norms must be considered in context, eg. dress codes.
  3. Social norms change across different cultures.
  4. Breaking social norms is not necessarily a bad thing. In fact, it can be a good thing and stimulate social change eg. slavery.
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4
Q

Describe the defintion of abnormality ‘failure to function adequately’.

A

An individual who is failing to function adequately is engaging in behaviours that are maladaptive and not functional. For example they may have difficulty maintaining relationships, achieving their goals or living fullfilling lives. Day-to-day life is difficult for these people.

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5
Q

Define: maladaptive

A

Not providing adequate or appropriate adjustment to the environment or situation.

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6
Q

What is one of the most common methods used to assess if someone is failing to function adequately?

A

The Global Assessment of Functioning (GAF) Scale.

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7
Q

Who outlined the criteria for ‘failure to function adequatley’?

A

Rosenhan & Seligman (1989)

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8
Q

What are the 7 criteria for ‘failure to function adequately’?

A

Suffering: The patient may themselves may suffer as a result of their condition (e.g. depression) or may inflict suffering on others.

Maladaptiveness: Behaviour prevents the person reaching desired goals

Irrational: Behaviour seems to defy logical sense

Observer discomfort: Behaviour makes those around feel uncomfortable e.g. swearing

Vividness: Others find the behaviour odd e.g. all over tattoos

Violation of moral codes: Not behaving in accordance with societal norms e.g public nudity

Unpredictability: Behaviour is unexpected or unpredictable

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9
Q

What are some limitations to FFA?

A
  1. Many of the criteria are subjective eg. if you are ‘suffering’ it may be short-lived or due to circumstance.
  2. What is considered abormal change across different cultures eg. in the UK people tend to keep their emotions to themselves, however this is not the case in other countries, and in some very open displays of grief are common.
  3. Maladapative does not necessarily mean abnormal eg. Most would agree that murders are abnormal, however, for a murderer, murdering someone may not necessarily be maladapitve, as the behaviour may be rational and fulfilling in the context of their own lives eg. it may be their job/ something they enjoy.
  4. As with all forms of diagnosis, there is a danger with labelling. People who are labelled as failing to function, and therefore abnormal, may start to behave in ways that match that label.
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10
Q

Who created the criteria for ‘deviation from ideal mental health’?

A

Marie Jahoda (1958)

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11
Q

What are Jahoda’s 6 criteria?

A
  • Self attitudes – Having high self-esteem and a personally identity
  • Personal growth and self actualisation – The person must become the best they can possibly can.
  • Integration/ resistance to stress – Being able to cope with stressful situations
  • Autonomy – Being independent and able to look after yourself
  • An accurate perception of reality – seeing life as it really is, and not in a distorted way.
  • Mastery of the environment – being able to adjust to new environments, and change your behaviour accordingly.
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12
Q

What is your mnemonic for DIMH?

A
S-elf-attitudes
A-ctualisation
M-astery of environment
A-utonomy
R-esistance to stress
A-ccurate view of reality
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13
Q

What is your mnemonic for FFA?

A

M-aladaptiveness
U-npredictability
D-iscomfort (observer)

S-uffering
M-oral codes (violation of)
I-rrationality
V-ividness

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14
Q

What are some limitations to DIMH?

A
  1. Her criteria are too strict, and do not take contextual factors into consideration eg. self-actualisation may be more difficult for a person from a low-income household. This may lead to people feeling inadequate, as they cannot reach this unachievable ideal.
  2. Her criteria are highly westernised, and don’t necessarily apply to other cultures eg. she promotes individual fulfillment, however many other cultures put emphasis on collective responsibility.
  3. Some of her criteria are vague and unmeasurable eg. ‘accurate view of reality’ is diffucult to measure as that ‘reality’ is a product of each individuals’ mind. ‘Positive view of self’ is also open to interpretation, as a psychopath might be very happy and positive about himself.
  4. It is arguable there is no ‘ideal mental health’, as the ideal for one person may not be so for another.
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15
Q

In regards to the biological model, what is a disorder called that can’t be labelled precisely?

A

A ‘functional’ disorder.

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16
Q

In regards to the biological model, what is disorder called when the physical cause of the problem is identifiable? (Such as a brain tumour or a biochemical imbalance)

A

A ‘organic’ disorder.

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17
Q

What did Stone et al (1987) find about the immune system?

A

He found that the body’s immune system is affected by changes in mood-the immune system is less effective when people are in a negative mood.

ie. behaviour can affect your health. Another example is your mood can be improved by the physical act of smiling.

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18
Q

What are some example of infections that are thought to cause mental disorders?

A
  1. General Paresis-a very serious condition where the sufferer experiences a gradual mental decline, often leading to death. It results from the bacteria that cause syphilis entering the nervous system and infecting and damaging the cerebral contex of the brain.
  2. The British Musician Clive Wearing. suffered an infection from the herpes simplex virus which damaged some areas of his brain. This left him with severe memory problems.
  3. Research by Brown (2004) has found a link between scizophrenia and the influenza virus. It is claimed that women who have influenza during pregnancy run a greater risk of having children who develop scizophrenia in later life. This is because the virus may cause damage to the developing brain of the fetus.
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19
Q

What neurotransitter is thought to be excessive in the brains of scizophrenics?

A

Dopamine.

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20
Q

What are some examples of brain damage?

A
  1. Injury (a blow to the head perhaps).
  2. Tumours (abnormal growths in the brain).
  3. Strokes (loss of blood suply to certain parts of the brain).
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21
Q

Describe the Phineas Gage case study.

A
  • -It was one of the earliest recorded and famous cases of brain damage leading to abnormal behaviour.
  • -As a result of a metal rod passing through his head, experienced a major change in behaviour, turning from someone who was a reasonable and well-liked to a diificult and anti-social person.
22
Q

Describe Holland’s indentical twin study.

A

Holland et al (1988) found that closely related family members are more likely to suffer from anorexia nervosa. They found that identical twins were much more likely than non-indentical twins to both develop anorexia, suggesting a genetic component to the disorder. He found a concordance rate of 56%.

23
Q

What are the two types of medication?

A

Curative–it cures the problem
Palliative–the problem is still there but the symptoms are suppressed.
All drugs prescribed for mental health are palliative.

24
Q

What is the other name for identical/ non-indentical twins?

A

indentical: monozygotic (MZ)

non-identical: dizygotic (DZ)

25
Q

What did Holland find?

A

The results showed that 56% of the MZ twins both has anorexia (there was a concordance rate of 56%) whereas only 5% of the DZ twins both suffered.

26
Q

What are the three types of drug therapies?

A

Antipsychotics.
Antidepressants.
Anxiolytics.

27
Q

Describe classical conditioning.

A

According to classical conditioning we learn by forming new assosiations between something in the enviornment (a stimulus) and a physical reaction (a response). Pavlov demonstrated this with dogs.

28
Q

Describe operant conditioning.

A

According to Skinner (1957) operant conditioning is learning by reward and reinforement. A reinforcer is anything which increases the likelihood of a behaviour occuring again. Eg. Starvation in anoretics is reinforced by the compliments they recieve from people.

29
Q

Describe the social learning theory.

A

This theory suggests we learn by watching others behave. If people are rewarded for their behaviour then we are more likely to learn that if we behave in the same way we ourselves will be rewarded. This is called ‘vicarious reinforcement’. Bandura’s Bobo doll experiment is an example of this theory being investigated.

30
Q

Describe aversion therapy.

A

Aversion therapy is a form of psychological treatment in which the patient is exposed to a stimulus while simultaneously being subjected to some form of discomfort. This conditioning is intended to cause the patient to associate the stimulus with unpleasant sensations in order to stop the specific behavior.

31
Q

Name and describe of the most successful behavioural therapies for the treatment of phobias.

A

Systematic desensitisation–The therapy is based on classical conditioning and is designed to reduce the distressing levels of anxiety.

32
Q

Describe Watson and Raynor’s Little Albert Study (1920)

A

John Watson had the idea that children were afraid of loud noises because they had learned to fear them. The child he experimented on, Albert, showed no fear to any of the stimuli showed to him. Now Watson presented him with a rat, and again Alberty showed no fear. Then, Watson struck a metal bar with a hammer, behind Albert’s back. Albert became upset. After a few of these rat and hammer pairings, Albert became distressed only on the presentation of the rat. Interestingly, Albert transfered his fear to other things that resembled the rat. A rabbit, even though a different colour to the rat, presented 17 days after the rat-hammer trials brought the same fear response. The hammer blow had been paired with the rat stimulus, making the rat the conditioned stimulus and the fear response the conditioned response.

33
Q

What is reciprocal inhibition?

A

A method of behavior therapy based on the inhibition of one response by the occurrence of another response that is mutually incompatible with it; a relaxation response might be conditioned to a stimulus that previously evoked anxiety.

34
Q

A key component of systematic desensitisation is anxiety hierarchy, what is this?

A

Anxiety hierarchies are lists of situations that trigger anxiety from least to most anxiety-producing triggers. Patients create anxiety hierarchies as part of the behavioral therapy technique known as systematic desensitization.

For someone with social anxiety disorder (SAD), and specifically a fear of public speaking, an anxiety hierarchy may progress from speaking one-on-one with a family member all the way up to speaking in front of a large group in a business setting.

35
Q

What are the UCS, UCR, NS, CS, and CR in Pavlov’s dog experiment?

A

Food (UCS) = Salivation (UCR)
Food + Bell (NS) = Salivation
Bell (CS) = Salivation (CR)

36
Q

What is the main emphasis of the behavioural model?

A

Abnormality is seen as the result of learning from the environment. Because the person has been put in an abnormal environment, they learn to behave in abnormal ways.

37
Q

What does Szasz say about the biological approahc

A

Szasz claimed that, unlike physical illnesses, most mental disorders do not have a physical basis, there should not be treated in the same way.

38
Q

Describe the diathesis-stress model

A

The diathesis-stress model states that mental disorder are caused by a combination of biological and environmental factors, and that people can inherit a vulnerability to certain disorders which only develops under certain stressful conditions

39
Q

What is a physical sign of schizophrenia?

A

enlarged ventricles in the brain

40
Q

Explain the difference between the psychological and biological approaches to psychopathology

A
  • -physical factors vs. non-physical factors

- -outside the individuals control or within their control

41
Q

How effective is ECT selon Comer?

A

60%

42
Q

Discuss ECT as a treatment for mental illness

A

+ve–last resort, so can save lives/ 60% effective/ painless treatment and is less dangerous and has fewer side effects compared to some medication for mental illness.

-ve–adverse mental side effects e.g. memory loss/ medical complications, not protected from harm, not a permanent solution, must be done again for long-term benefits, high relapse rate of 85% after 6 months (Sackheim)

43
Q

Describe ECT

A
  • -patient restrained, given muscle relaxant and tongue guard to prevent injury
  • -two or three electrode for unilateral or bilateral
  • -patients temples, electricl current of 0.6 amps for 1/4 second
  • -this induced an epileptic fit, which is though to ‘re-boot’ the patient’s brain chemistry.
44
Q

How do anti-depressants work?

A

Help serotonin travel across neurons, as they stop it from being re-absorbed into the sending cells too early, and leads to a build up of serotonin in the synapse so it can be received by the receiving cells.

45
Q

Describe CBT

A

–created by Ellis
–based on ABC model..
A-Activating event
B-Belief (rational or irrational)
C-Consequence, healthy or unhealthy action
–challenges irrational beliefs about events, NATs (negative automatic thoughts)

Empirical: This type of dispute involves checking the irrational belief against the facts of the real world. “Where is the evidence that you need a man?”

Logical: Logical disputes are aimed at pointing out that needs do not follow from desire. “Just because you want a man, does it follow that you need a man?’

Pragmatic: Pragmatic disputes are aimed at showing the client that the irrational belief she holds is not helpful. “How does it help you to believe that you need a man?”

46
Q

What are the assumptions of the behavioural model?

A

–mental disorders are learned, through classical/ operant conditioning or social learning theory.
Skinner’s Box/ Watson’s Little Albert Study/ Bandura’s Bobo Dolls.

47
Q

Advantages of CBT

A
  • -Thase et al compared the effectiveness of CBT and anitdepressants, found CGT was not less effective and was better tolerated by PPs, suggests mental illness must be cognitive and biological.
  • -no side effects
  • -teaches skills, better for long-term, peeps aren’t reliant on doctors and medication
  • -Engels et al. completed a meta-analysis and concluded that CBT is an effective treatment for a number of different disorders such as OCD and social phobia.
48
Q

Disadvantages of CBT

A
  • -blames the patient and their thoughts
  • -doesn’t address the cause of the thoughts e.g. an abusive partner
  • -reductionist
  • -MAT, only benefit certain personalities
49
Q

Advantages of the psychodynamic model

A
  • -evidence of defense mechanisms such as denial, face validity
  • -influential, first model that states mental illness wasn’t just biological, helped create hypnosis and dream analysis.
50
Q

Disadvantages of the psychodynamic model

A
  • -unfalsifiable, lack of research, based on case studies
  • -the idea of fixation cannot account for all mental illnesses
  • -blames parents
  • -reductionnist
51
Q

Desrcibe the psychodynamic approach

A
  • -fixation at one of the psycho-sexual stages can cause mental illness. Fixation can be caused by a bad or traumatic experience in childhood. E.g. oral fixation can lead to eating disorders
  • -mind is like an iceburg, conscious and unconscious mind, reveal the unconscious
  • -ID, superego and ego, unbalanced ID and supergo/ conflict can lead to MIs.
52
Q

What are some example of psychoanalysis

A
  • -psychoanalysis, reveal unconscious
    1. Rorschach tests
    2. Dream analysis
    3. Free association, open talk about any topic, therapist will make note of pattern or avoided topics.
    4. Hypnosis
    6. Word Association