Adult Psychopathology Flashcards

1
Q

What are the three defining features of a psychological disorder?

A

Psychological Dysfunction
Distress or Impairment
Atypical Response

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2
Q

The scientific study of psychological disorders

A

psychopathology

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3
Q

Clinical psychologists and counseling psychologists

A

receive the Ph.D., doctor of philosophy, degree
(or sometimes an Ed.D., doctor of education, or Psy.D., doctor of psychology) and follow a course have worked on a
of graduate-level study lasting approximately 5 years, which prepares them to conduct research into
the causes and treatment of psychological disorders and to diagnose, assess, and treat these disorders

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4
Q

clinical psychologists usually concentrate on more severe psychological disorders.

A

Clinical psychologist

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5
Q

tend to study and treat adjustment and vocational

issues encountered by relatively healthy individuals

A

counseling psychologist

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6
Q

investigate the nature and causes of
psychological disorders, often from a biological point of view; make diagnoses; and offer treatments.
earn an M.D. degree in medical school & residency training for 3-4 years

A

psychiatrist

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7
Q

collecting information relevant to the social and family situation of the individual with a psychological
disorder.
also treat disorders, often concentrating on family problems
associated with them.

A

psychiatric social worker

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8
Q

typically spend 1 to 2 years earning a master’s
degree and are employed to provide clinical services by hospitals or clinics, usually under the
supervision of a doctoral-level clinician.

A

marriage and family therapists & mental health counselors

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9
Q

What is the difference between a clinical psychologist with a PhD versus a PsyD?

A

PhD: Clinical and counseling psychologist, cannot prescribe meds, Clinical scientist
PsyD: Clinical, counseling Dr. of psychology, practitioner-scholar

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10
Q

A scientist-practitioner engages in what three activities?

A

The consumer of science,
evaluate its own services, &
creator/ contributor to the field.

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11
Q

number of people displaying disorder in the population at any given time

A

prevalence

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12
Q

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

A

incidence

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13
Q

suspected outcome of a disorder over time

A

prognosis

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14
Q

Cause or surface of the disorder

A

etiology

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15
Q

From the biological tradition, what explanations of psychological disorders were offered by Galen?

A

One of the more interesting and influential legacies of the Hippocratic-Galenic approach is the
humoral theory of disorders. Hippocrates assumed that normal brain functioning was related to
four bodily fluids or humors: blood, black bile, yellow bile, and phlegm.

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16
Q

Who is Howard Dully and what biological “treatment” did he have?

A

Howard Dully was a child who suffered child abuse

He had a lobotomy at 12 yrs old.

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17
Q

What is “moral therapy” and who is most

associated with this movement?

A

Psychosocial approach in the 19th century that involved treating patients as normally as possible
in normal environments. DOROTHEA DIX is the most associated.

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18
Q

Who was Dorothy Dix, and what were the unforeseen consequence of her mental
hygiene movement?

A

Elizabeth Meriwether Gilmer (Dorothy Dix) was an American journalist and columnist.
The consequence of her movement was the disproportionate increase in hospitalized patients.

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19
Q

Mid-19th-century effort to improve care of the mentally disordered
by informing the public of their mistreatment.

A

Mental hygiene movement

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20
Q

In psychoanalytic psychotherapy, what are the major treatment techniques to make
the unconscious conscious?

A

free association, dream analysis and transference

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21
Q

Psychoanalytic therapy technique intended to explore threatening material
repressed into the unconscious. The patient is instructed to say whatever comes to mind without
censoring.

A

Free association

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22
Q

Psychoanalytic therapy method in which dream contents are examined
as symbolic of id impulses and intrapsychic conflicts.

A

Dream analysis

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23
Q

Psychoanalytic concept suggesting that clients may seek to relate to the therapist as they
do to important authority figures, particularly their parents.

A

Transference

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24
Q

How is psychodynamic psychotherapy different than traditional Psychoanalytic
Psychotherapy?

A

Psychodynamic therapy tends to be briefer and less intensive
than traditional psychoanalysis. Psychodynamic therapy uses free association and
focuses on unconscious conflicts, defense mechanisms, transference, and current symptoms.

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25
Q

In humanistic, person-centered therapy, what is meant by unconditional positive
regard and empathy?

A

therapists must be empathetic and non-judgmental to convey their feelings of
understanding, trust, and confidence that encourage their clients to make their own
decisions and choices.

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26
Q

What did the following people contribute to a behavioral model of psychopathology:
John Watson/Rosalie Rayner, Mary Cover-Jones, and Joseph Wolpe?

A

John Watson: Child Development
Rosalie Rayner: Little Albert experiment. Tested on his response to stimuli at 9 mo. old showing empirical evidence of classical conditioning
Mary Cover-Jones: “the mother of behavior therapy” because of her early work on the unconditioning of the fear reaction in infants
Joseph Wolpe: Systematic desensitization is known to help people recover from phobias, fear and panic disorders

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27
Q

What historical treatments were depicted in the movie, One Flew Over the Cuckoo’s
Nest?

A
Electroshock
Lobotomy 
hydrotherapy 
Medication management 
Group therapy 
Rec  therapy
Music therapy
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28
Q

What is the current approach to understanding and treating psychopathology?

A

To treat it as a multi-dimensional integrative perspective, it is not linear. Use evidenced based multi-
dimensional models. To treat, we must look at behavioral factors, biological factors, emotional
influences and social factors.

29
Q

In the case of Judy’s blood/injury phobia, what caused her phobia? In other words,
what were the biological, behavioral, emotional, and even social influences?

A

Behavioral Factors: conditioned response to sight of blood
Biological Factors: Genetics (inherited tendencies) & physiology (ex. lightheadedness)
Emotional Influences: Fear and anxiety, distress
Social Factors: attention from students/teachers

30
Q

Who is Eric Kandel?

A

Nobel Prize in Medicine
Learning effects genetic structure of cells
Environment can activate dormant genes
Brain has greater elasticity/plasticity than thought
All about Gene X Environment interactions

31
Q

Hypothesis that both an inherited tendency (a vulnerability) and specific
stressful conditions are required to produce a disorder.

A

diathesis-stress model

32
Q

people with a genetic predisposition for a disorder may also have a genetic tendency to
create environmental risk factors that promote the disorder.
For example, people with a genetic vulnerability to develop a certain disorder, such as
blood-injection-injury phobia, may also have a personality trait (impulsiveness)
that makes them more likely to be involved in minor accidents that would result in their seeing
of blood. (Accident prone because they are continually rushing to complete things or to get to
places without regard for their physical safety)

A

Gene-Environment Correlation model

33
Q

The study of factors other than inherited DNA sequence, such as new learning or stress,
that alter the phenotypic expression of genes.
able to be turned on or off

A

epigenetics

34
Q

What are two psychological diathesis or vulnerabilities?

A

Life events

Genetic vulnerabilities

35
Q

What are the five neurotransmitters most studied and implicated in psychopathology?

A
  1. Glutamate
  2. GABA
  3. Serotonin
  4. Norepinephrine
  5. Dopamine
36
Q

excitatory: turns on neurons
Treatment for anxiety, insomnia, anger, convulsions
chemical brothers with GABA

A

Glutamate

37
Q

inhibitory - serve a regulatory function

Treatment for anxiety, insomnia, anger, convulsions

A

GABA

38
Q

regulates behavior, mood, thought process

Treatment of depression and anxiety

A

Serotonin (5HT)

39
Q

stimulates alpha and beta adrenergic receptors; added to SSRI
Treatment of social phobia

A

Norepinephrine

40
Q

interacts with other NT - brain circuits

Implicated in schizophrenia, addiction, Parkinson’s

A

Dopamine

41
Q

What (two) areas of the brain are most studied for clues to psychopathology?

A
  1. Cerebral cortex (front cortex) - executive functioning, inhibition
  2. Limbic system - emotions
42
Q

What is learned helplessness and what is the opposite of learned helplessness?

A

Martin Seligman’s theory that people become anxious and depressed when they make an attribution that they have no control over the stress in their lives (whether or not they do in reality).

The opposite of learned helplessness is learned mastery, learned optimism, and hardiness. (control)

43
Q

What attribution style regarding negative events is predictive of depression? Be able
to apply this attributional style to an example.

A

Attributions for negative events: Failing a Test
Internal versus external attribution: me vs not me
Global versus specific attribution: across situations versus specific situation
Stable versus unstable attribution: across time versus just this once

44
Q

What are the three response components of all emotions?

A

Physiology (feel)
Cognitive (think)
Behavioral (do)

45
Q

Sociocultural factors also play a role in psychopathology. For example, why might
there be gender differences in eating disorders or anxiety disorders?

A
Cultural pressures that idealize a particular body type place undue pressure on people to 
achieve unrealistic standards. Popular culture and media images often tie thinness (for women)
 or muscularity (for men) to popularity, success, beauty and happiness.
46
Q

Measurement consistency/agreement

Several types: Test-retest, Inter-rater

A

Reliability

47
Q

Does the test measure what it’s supposed to measure?

Several types: Content validity, Concurrent and discriminant validity, Predictive validity

A

Validity

48
Q

Consistency in: Administration of test & Scoring and evaluation of test results
Often includes normative data

A

Standardization

49
Q

What are the major components of a mental status exam?

A
  1. Appearance and Behavior/Activity
  2. Mood and affect
  3. Speech/Language
  4. Thought processes
  5. Thought content
  6. Perception
50
Q
  1. Why is a physical exam so important to a comprehensive clinical assessment?
A
  • Diagnose or rule out physical etiologies
  • Toxicology report
  • Medication side effects
  • Allergic reactions
  • Metabolic conditions
51
Q

Why is behavioral assessment so important for a comprehensive clinical
Assessment?

A
Identification and observation of target behaviors
“Here and now” focus 
 Direct observations:
  Formal vs. informal – coding system  
Self-monitoring vs. others observing  
Reactivity  
Minimally inferential
52
Q

Psychoanalytically based measures that present ambiguous stimuli to clients on the assumption that their responses will reveal their unconscious conflicts. Such tests are inferential and lack high reliability and validity.

A

projective tests

53
Q

What are the strengths and criticisms of projective tests like the Rorschach and TAT?

A

Criticisms: too subjective and unreliable, motivational barriers, depends upon non verbal communication, results in spontaneous outcomes, maintains concious and unconcious
constraints.
Strengths: allow psychologists to assess unconcious aspects of personality, not transparent:
subjects cannot figure out how their responses will be interpreted (can’t easily dake personality traits).

54
Q

What are the defining features of objective personality inventories?

A
Empirically-based  
No ambiguous stimuli 
 Minimal inference  
Standardized Scoring  
Interpretation
55
Q

What information is provided when clients complete the MMPI-2?

A

10 Major categories of abnormal human behavior are being assessed. What information is provided
After administering the test is whether a person answered the test items in a truthful and accurate
manner.

56
Q

What neuroimaging techniques are used to examine the structure of the brain?

A

1 .Computerized axial tomography (CAT/CT)

  • X-rays of brain
  • Pictures in slices
    2. Magnetic resonance imaging (MRI)
  • Strong magnetic field
  • Improved resolution
  • Utility: locating tumors, injuries, structural or anatomical abnormalities
57
Q

founded on the assumption of clear-cut differences

among disorders, each with a different known cause.

A

Classical approach

58
Q

Method of categorizing characteristics on a continuum rather than on a
binary, either-or, or all-or-none basis.

A

Dimensional approach

59
Q

ystem for categorizing disorders using both essential, defining
characteristics and a range of variation on other characteristics. This approach is a mix of the
categorical approach and the dimensional approach and it is currently used today.

A

Prototypical approach

60
Q

How are categorical approaches to classification different than dimensional
approaches and a prototypical approach?

A

The differences between the categorical approach versus the dimensional and protoypical approach is that the dimensional and protoypical approaches group disorders based on similar characteristics. The categorical approach assumes each personality disorder is a separate and distinct category; i.e., separate from other personality disorders, and distinct from “normal” personalities.

61
Q

What type of approach to classification is used in the DSM5?

A

Introduces an integration of a dimensional approach to diagnosis and classification with
the current categorical approach.

62
Q

What are the major criticisms of the DSM-5?

A

*Comorbidity: refers to more than one disorders or diseases that exist alongside a primary diagnosis, which is the reason a patient gets referred and/or treated. *Emphasize relaliability, sometimes at the expense of validity
*Complexity of categorizing psychopathology
Card deck example

63
Q

How is the DSM-5 different from the ICD-10?

A

ICD-10 does not cover mental disorders in depth.

64
Q

What are the most notable changes from the DSM-IV to the DSM-5?

A

-removal of the multiaxial system
-is the addition of dimensional
estimates of the severity of specific disorders in DSM-5
-DSM-5 introduces cross-cutting dimensional symptom measures as well as disorder specific measures
-Social and cultural considerations in the DSM-5

65
Q

How did Rosenhan challenge the validity and reliability of psychiatric diagnosis?

A

The study concluded “it is clear that we cannot distinguish the sane from the insane in
psychiatric hospitals” and also illustrated the dangers of dehumanization and labeling in psychiatric
institutions.

66
Q

What was the primary diagnosis upon admission and discharge for the pseudopatients in
Rosenhan’s study?

A

Out of 8, all but one were diagnosed and discharged with schezophrenia “in remission”
-Rosenhan considered as evidence that mental illness is perceived as an irreversible condition creating a lifelong stigma rather than a curable illness.

67
Q

How long did it take (on average) before patients were discharged?

A

19 days

68
Q

How did Spitzer respond to Rosenhan’s study (what was his rebuttal)?

A

psychiatrists should not necessarily be expected to assume that a patient is pretending to have mental illness, thus the study lacked realism