Ch 13: Psychological Disorders Flashcards

1
Q

What is the definition of a psychological disorder?

A

Psychological disorders are patterns of behavior or mental processes that cause emotional distress or significant impairment in functioning.

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2
Q

What criteria are used to classify behaviors as psychological disorders? (6)

A

The criteria include:
1) unusual behavior
2) perception of reality
- hallucination
- ideas of persecution
- false beliefs
3) emotional responses (inappropriate or excessive)
- flat affect
4) dysfunction (impairs life/relationships)
5) dangerousness (themselves or others)
6) social unacceptability (abnormal behaviour)

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3
Q

What is the vulnerability-stress model?

A

The vulnerability-stress model suggests that psychological disorders result from the interaction of genetic predispositions (vulnerability) and life stressors.

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4
Q

What is the cup analogy?

A

The “cup” analogy illustrates that people have different capacities to handle stress before disorders manifest.

Reducing life stress can help manage vulnerability.

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5
Q

What does the DSM-5 classify, and how has it changed over time?

A

The DSM-5 classifies mental disorders and has shifted from a categorical system to a dimensional system, considering the severity of disorders.

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6
Q

What is autism spectrum disorder?

A

a developmental disorder affecting social communication and interaction, restrictive/repetitive patterns of behaviour, and sensory issues, all ranging from mild to severe

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7
Q

What is predictive validity?

A

Means that if a diagnosis is valid, we should be able to predict what will happen to the person over time (that is, the course of the disorder) and what type of treatment may be of help.

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8
Q

True or false: about half of people will experience a psychological disorder in their lifetime, and over a quarter will experience one in a given year.

A

True

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9
Q

What is Schizophrenia?

A

a psychotic disorder characterized by delusions, hallucinations, and/or disorganized speech

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10
Q

What are positive and negative symptoms in schizophrenia?

A

Positive symptoms include delusions, hallucinations, and disorganized behavior (excessive or bizarre symptoms).

Negative symptoms include flat affect, social withdrawal, and lack of motivation (deficits in emotional expression and behavior).

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11
Q

What is disorganized thinking?

A

a disturbance in a person’s thought process characterized by a lack of coherence, clarity, and logical progression, often leading to difficulty in expressing thoughts and engaging in meaningful conversations.

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12
Q

What are delusions?

A

false, persistent beliefs that are unsubstantiated by sensory or objective evidence

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13
Q

Define affect

A

feeling or emotional response, particularly as suggested by facial expression and body language

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14
Q

What is stupor?

A

a condition in which the senses, thought, and movement are dulled

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15
Q

How does schizophrenia affect a person’s emotional response?

A

People with schizophrenia may have a flat affect, where their emotional expression is severely reduced, even when discussing serious matters.

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16
Q

What are the biological factors contributing to schizophrenia?

A

Structural brain differences (e.g., reduced grey matter, larger ventricles) and genetic factors (family history) play a role in schizophrenia.

Prenatal complications like stress or infections can also increase risk.

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17
Q

What are the Psychological Factors of schizophrenia?

A

Most learning theorists have explained schizophrenia in terms of conditioning and the social setting.

They have suggested that people engage in schizophrenic behaviour when it is more likely to be reinforced than normal behaviour.

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18
Q

What are the sociocultural/environmental factors contributing to schizophrenia?

A

Early family dynamics, discrimination, social isolation, and stressful life events may interact with genetic vulnerability to trigger or worsen schizophrenia.

Low socioeconomic status may also play a role, though it is debated whether it is a cause or a result of the disorder.

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19
Q

What is the treatment for schizophrenia?

A

Treatments are most effective when they address both the biological and psychosocial aspects of the condition.

Medication:
- Antipsychotic medications can help reduce positive symptoms, especially delusions and hallucinations, by regulating dopamine levels in the brain.
- Negative symptoms are harder to treat with medication alone.

Psychosocial Support:
- psychotherapy, social support, and rehabilitation programs to help individuals with the disorder manage daily life and cope with their symptoms.

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20
Q

What is the difference between Major Depressive Disorder (MDD) and Bipolar Disorder?

A

MDD involves persistent low mood, lack of energy, and suicidal thoughts, with no extreme highs.

Bipolar disorder alternates between manic episodes (elevated mood, impulsivity) and depressive episodes.

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21
Q

Incidence of MDD in Canada

A

MDD affects 3.6% of men and 5.8% of women annually in Canada.

The rate is higher among young people, especially women aged 15-24.

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22
Q

Causes & risk factors of MDD

A

Can be triggered by events like pregnancy, the birth of a child, or seasonal changes (seasonal affective disorder).

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23
Q

What is psychomotor impairment?

A

slowness in motor activity and in thought

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24
Q

What happens during a manic episode in someone that has bipolar?

A

Manic Episode = High energy, impulsiveness, poor judgment, rapid speech, and sometimes destructive behaviors.

Rapid flight of ideas: rapid speech and topic changes

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25
What happens during a depressive episode in someone that has bipolar?
Lethargy, social withdrawal, and irritability, which may lead to suicidal thoughts.
26
Incidence of bipolar in Canada
Affects more Canadian men than women. The lifetime rate is higher in men (4.5%) than in women (3.5%) for those aged 15-24.
27
How long do episodes last in someone with bipolar?
Episodes can last for months, with a varying duration between episodes. - Average length of depression = 4 months - Average time between episodes is six to nine months - Some individuals experience rapid cycling (four or more episodes per year).
28
True or false: some people with bipolar disorder attempt suicide when the mood shifts from the elated phase toward depression
True
29
Biological POV of mood disorders (MDD & bipolar)
The neurotransmitter serotonin plays a role, with lower levels being linked to depression. - Research shows that learned helplessness is connected with lower serotonin levels in rats’ brains Neuroticism: a personality trait characterized largely by persistent anxiety - Depression & anxiety is often associated w/ this trait, which is heritable
30
What cognitive (psychological) factors contribute to depression?
Depression can stem from irrational self-expectations, perfectionism, and a negative attribution style (e.g., attributing failures to internal, stable, and global causes). - People who ruminate on their depression are more likely to prolong it.
31
What is learned helplessness in the context of depression?
Learned helplessness is the belief that one has no control over their circumstances, leading to passivity and withdrawal, which can contribute to depression.
32
What is an attribution style?
the tendency to attribute one’s behaviour to internal or external factors, stable or unstable factors, and so on
33
What are the 6 types of attribution styles?
1) Internal attribution: - involves self-blame - "I really screwed it up." 2) External attribution: - places the blame elsewhere - “She was the wrong person for me” 3) Stable attribution: - suggests a problem that cannot be changed - “It’s my personality” 4) Unstable attribution: - suggests a temporary condition - “It was because I had a head cold” 5) Global attribution: - failure suggests that the problem is quite large - “I have no idea what to do when I’m with other people” 6) Specific attribution: - chops the problem down to a manageable size. - “I have problems making small talk at the beginning of a relationship”
34
What are the main risk factors for suicide?
Risk factors include a history of depression, family history of suicide, stressful life events (e.g., loss, failure), and certain personality traits (e.g., perfectionism).
35
True or false: Suicide is the second-leading cause of death among Canadian young people
T
36
Why is the suicide rate so high among adolescents? (5)
High-achieving perfectionists that have high expectations Depressed due to comparison Concerns over things like grades, sexuality, problems at home & substance abuse Attempts are more common after stressful life events (exit events) -> psychological pain, or “psychache” - Ex: death, divorce, etc Anxiety over being “found out” (ex: failing a course)
37
Suicidal adolescents experience 4 areas of psychological problems. What are they?
1) confusion about the self 2) impulsiveness 3) emotional instability 4) interpersonal problems
38
What are the key factors in anxiety disorders?
Anxiety disorders are influenced by biological factors (genetic predisposition, neurotransmitter imbalances), psychological factors (e.g., cognitive biases, conditioning) & social factors (e.g., childhood experiences)
39
What is the role of cognitive bias in anxiety disorders?
People with anxiety disorders often misinterpret situations as threatening, which increases anxiety and perpetuates the disorder (e.g., overreacting to physical sensations in panic disorder).
40
How can anxiety disorders be treated?
Treatment options include cognitive-behavioral therapy (CBT), exposure therapy, relaxation techniques, and medication (e.g., SSRIs).
41
What is a panic disorder and how is it different from generalized anxiety disorder (GAD)?
Panic disorder involves sudden, intense anxiety attacks without a clear external trigger. GAD involves chronic, excessive worry and physical symptoms like restlessness and muscle tension.
42
What are some common phobias?
Common phobias include claustrophobia (fear of small places), acrophobia (fear of heights), social phobia (fear of public scrutiny), and agoraphobia (fear of open or crowded places).
43
How can suicide be prevented?
Suicide prevention strategies include reducing stigma, offering social support, encouraging help-seeking behaviors, and addressing underlying mental health issues like depression and anxiety.
44
What is the impact of media portrayals on suicide rates?
Media portrayals, such as in shows like "13 Reasons Why," can increase suicide rates, especially among vulnerable youth, due to the phenomenon known as "suicide contagion."
45
How are biological, psychological, and social factors integrated in the treatment of psychological disorders?
The biopsychosocial model recognizes that psychological disorders result from the interaction of biological factors (e.g., genetic predispositions), psychological factors (e.g., cognitive patterns), and social factors (e.g., stressful life events). - Effective treatment addresses all three areas.
46
What is the relationship between stress and mental disorders?
Stress can trigger or exacerbate mental disorders, particularly for individuals with a genetic vulnerability. Stress management techniques and reducing life stress can help in managing vulnerability.
47
Anxiety Disorders - Biological Factors (3)
Genetic predisposition can increase susceptibility to anxiety. Neurotransmitters like serotonin, norepinephrine, and GABA play a role in anxiety regulation. - Faulty regulation of them may be the reason A predisposition toward anxiety—in the form of a highly reactive autonomic nervous system—can be inherited
48
Anxiety Disorders - Psychological & Social Factors (3)
People with panic attacks often overreact to physical sensations, and obsessions or compulsions may distract them from deeper anxieties, such as concerns about their future. When anxieties develop early in life, they can be seen as permanent traits, leading people to identify themselves with specific fears. T Believing that they can't handle a threat increases anxiety, while feeling in control reduces it
49
What is Obsessive-Compulsive Disorder (OCD)?
OCD involves recurring intrusive thoughts (obsessions) and repetitive behaviors (compulsions) aimed at reducing anxiety. People recognize that the obsessions are irrational but feel unable to stop them.
50
What are obsessions in OCD?
Obsessions are recurring, anxiety-inducing thoughts or images that feel irrational but can't be controlled. Ex: constantly worrying about whether doors are locked.
51
What are compulsions in OCD?
Compulsions are irresistible urges to repeat actions or engage in ritualistic behaviors to reduce the anxiety caused by obsessions Ex: repeatedly checking locks, hand-washing.
52
What is Hoarding Disorder?
Hoarding Disorder is characterized by excessive buying or collecting items with no removal, leading to a severely cluttered living space. People with this disorder struggle to discard items, even when they know the behavior is problematic.
53
How is Hoarding Disorder related to OCD?
While Hoarding Disorder was previously considered a part of OCD, it is now recognized as its own disorder in the DSM-5. It shares a genetic link with OCD but involves different behaviors and symptoms.
54
What is Body Dysmorphic Disorder (BDD)?
BDD is a somatoform disorder marked by an obsessive focus on a perceived physical flaw, even if it's minor or non-existent. People with BDD may engage in extreme behaviors like excessive grooming or seeking cosmetic surgery.
55
What biological factors are associated with OCD, Hoarding Disorder, and BDD?
They are linked to imbalances in serotonin, dopamine, and noradrenaline. Neuroimaging shows abnormalities in brain circuits involved in impulse control and focus, particularly the frontal cortex.
56
True or false: Hoarding Disorder has a 36% genetic basis.
True
57
How are OCD, Hoarding Disorder, and BDD treated?
Treatments often involve Cognitive Behavioral Therapy (CBT) and medications like SSRIs to manage compulsive behaviors and obsessive thoughts. For BDD, therapy also targets distorted perceptions of physical appearance.
58
What are somatoform disorders?
Somatoform disorders are conditions in which people experience physical symptoms without any identifiable medical cause. These symptoms are not intentionally produced.
59
What is Conversion Disorder?
Conversion Disorder involves a sudden loss of physical function (e.g., paralysis, blindness) without any medical explanation. Symptoms typically arise after stress or traumatic events.
60
What is "la belle indifference"?
La belle indifference refers to a lack of concern for serious medical symptoms in individuals with Conversion Disorder. Ex: someone with paralysis may show little worry about the condition.
61
What is Anxiety Illness Disorder (formerly Hypochondriasis)?
Anxiety Illness Disorder involves a persistent belief that one is seriously ill despite medical tests showing no evidence of disease. Individuals become overly preoccupied with minor bodily sensations
62
What factors contribute to Somatoform Disorders?
Biological: - Genetic predispositions - brain abnormalities - hyperactivity of the autonomic nervous system Psychological: - Cognitive biases, anxiety & stress lead to misinterpretation of normal sensations as signs of illness - Self-hypnosis Social: - Cultural influences and social support can reinforce the focus on physical symptoms - Observational learning - Social stressors
63
What are cognitive biases?
Individuals create their own "subjective reality" from their perception of the input. An individual's construction of reality, not the objective input, may dictate their behavior in the world. Ex: Tendency to catastrophize or ruminate on bodily sensations, interpreting them as signs of disease.
64
What are dissociative disorders?
Dissociative disorders are marked by sudden, temporary changes in consciousness or self-identity, often in response to trauma.
65
What is Dissociative Amnesia?
Dissociative Amnesia involves the sudden inability to recall important personal information, often following a stressful event. It can include dissociative fugue, where the person forgets their past and may travel to a new location.
66
What is Depersonalization/Derealization Disorder?
Depersonalization: A feeling that one's thoughts, feelings, and actions are coming from outside of oneself. Derealization: The environment feels distorted, lifeless, or unreal.
67
What is Dissociative Identity Disorder (DID)?
DID is characterized by the presence of 2 or more distinct personalities within a single individual. Each personality may have different traits, memories, and behaviors. Ex: William, who had multiple personalities, was diagnosed with DID after being linked to crimes
68
What are the causes of Dissociative Disorders?
Psychological - People may dissociate to avoid painful memories or disturbing impulses, such as trauma, anxiety, guilt, or shame. Biological - Trauma, especially childhood abuse, is believed to cause neurochemical and brain structural changes that affect memory and cognition, leading to dissociative disorders.
69
What are Personality Disorders?
Personality disorders involve enduring patterns of maladaptive behavior that cause distress to the individual or others. These behaviors are rigid, inflexible, and often affect relationships and social functioning.
70
What is Borderline Personality Disorder (BPD)?
BPD is characterized by instability in relationships, self-image, and mood, as well as impulsive behaviors. Common symptoms include extreme mood swings, fear of abandonment, and self-harming behaviors.
71
What is Antisocial Personality Disorder (ASPD)?
ASPD involves a pattern of disregard for others' rights, deceitfulness, impulsivity, and a lack of empathy. It is more common in men and often leads to legal problems and trouble with authority.
72
What is Avoidant Personality Disorder?
Individuals with Avoidant Personality Disorder are excessively sensitive to rejection or criticism. They avoid social situations due to feelings of inadequacy and fear of embarrassment, but they still desire close relationships.
73
What is Narcissistic Personality Disorder (NPD)?
NPD is characterized by a fragile sense of self-worth, a craving for admiration, and an inability to empathize with others. People with NPD often manipulate situations to maintain their self-esteem.
74
What is Obsessive-Compulsive Personality Disorder (OCPD)?
OCPD involves rigid perfectionism and inflexibility, often leading to poor relationships. Individuals set unrealistically high standards for themselves and others, causing frustration and interpersonal issues.
75
What is Schizotypal Personality Disorder?
Schizotypal Personality Disorder involves odd thoughts, behaviors, and perceptions, as well as difficulties in social interactions. However, individuals with this disorder do not experience the more severe symptoms of schizophrenia.
76
What factors contribute to Personality Disorders?
Biological: - Genetic influences - brain abnormalities (e.g., prefrontal cortex in ASPD). Psychological: - Childhood experiences - maladaptive coping mechanisms. Sociocultural: - Cultural influences - societal pressures - biases in diagnosis (e.g., gender differences in diagnoses)