Ch. 2 Lecs Flashcards

1
Q
  • Freud has nothing to do with clinical psych. He founded …
  • term clinical psych didn’t emerge till …
A

psychoanalysis;

mid 1900s

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2
Q

clinical psych is a subfield of psych: psych started out as a … field and predominantly still is …

clinical psychologists do …, …, etc. Not all psychs can do

A

research;
research-based;
psychotherapy;
diagnose;

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3
Q

Freud along with many other early psychologists were …

  • Freud is responsible for starting …
  • all the early psychs would have been labeled … bc they all went to …
A

physicians (i.e. MDs);
psychiatry;
psychiatrists;
med school

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4
Q

(William Tuke)

  • Died in 1822, from England
  • observed deplorable conditions of … (i.e. …) –> tried to improve those conditions
  • opened … - model for more …
A

insane asylums;
psychiatric hospitals;
York retreat;
humane treatment

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5
Q

(William Tuke)

  • prior to this it was believed that mental illness was caused by … Thus, mentally ill people were not treated kindly
  • Wasn’t until 1950s that … came out so psychiatric symptoms were more … and couldn’t be … Today’s meds help …
A
demonic possession; 
psychiatric meds; 
noticeable; 
controlled; 
quell symptoms
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6
Q

(Philipe Pinel)

  • French
  • Did to France what …
  • patients were being treated like …/…
  • convinced contemporaries that patients were not … and that these were people who needed …
A

Tuke did to England;
inmates/animals;
possessed;
treatment

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7
Q

(Philipe Pinel)

- advocated for his staff to do a … of the person, ongoing … (gave birth to what we do today - people do … today)

A

case study;
treatment notes;
case notes

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8
Q

(Eli Todd)

  • … physician
  • only 3 states then that had … bc most psychiatric patients lived with … and relied on them for care and support
  • using … model he opened … in the US
A
Connecticut; 
psychiatric hospitals; 
families; 
Philipe Pinel's; 
humane treatment facilities
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9
Q

(Dorothea Dix)

  • From …
  • worked in … system
  • observed that many inmates were actually … and that many mentally ill people were also …
A

Boston;
prison;
mentally ill;
homeless

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10
Q

(Dorothea Dix)

  • These mentally ill inmates were not being …
  • traveled to various cities to persuade politicians and leaders to build facilities for …
  • her efforts resulted in over … for the mentally ill
  • biggest contributor to …
A

treated;
humane treatment;
30 state institutions;
clinical psych

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11
Q

(How did clinical psych actually become clinical psych):
Named by …:
- started first … in US at … in 1896

A

Lightner Witmer;
psych clinic;
University of Pennsylvania

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12
Q

(How did clinical psych actually become clinical psych):
Named by Lightner Witmer:
- wasn’t very friendly. a bit belligerent, liked to argue, blunt to the point of being rude –> wasn’t liked by …, lashed out at …
- founded …

A

peers;
APA colleagues;
first clinical psych journal

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13
Q

(How did clinical psych actually become clinical psych):
Named by Lightner Witmer
- born in 1867, received … in 1892 under … (the …)
- back then psych was a field of …

A

doctorate;
Wilhelm Wundt;
father of psychology;
research

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14
Q

(How did clinical psych actually become clinical psych):
Named by Lightner Witmer
back then psych was a field of research
- measuring …, etc.
- wasn’t … as we know it today. … was not therapy and is not …

A

reaction times;
clinically practiced;
psychoanalysis;
clinical psych

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15
Q

(How did clinical psych actually become clinical psych):
Named by Lightner Witmer:
- by 1914, … clinics in US and by 1935, there were over …
- clinics started with … and with things like …

A

20;
150;
children;
speech impediments

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16
Q

(evolution of assessment - diagnostic issues)

- central to clinical psych is … of mental illness –> we currently do that through …

A

categorization;

DSM 5

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17
Q

(evolution of assessment - diagnostic issues)
central to clinical psych is categorization of mental illness
have to categorize bc there are different …
- … - break from …, …

A

mental illnesses;
psychosis;
reality; schizophrenia

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18
Q

(evolution of assessment - diagnostic issues)
have to categorize bc there are different mental illnesses:
- … - …, …, …
- psychosis and neurosis are terms that are no longer used
- in 1800s, these were the two broad categories

A

neurosis;
anxiety;
depression;
bipolar categories

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19
Q

(evolution of assessment - diagnostic issues)
… was pioneer of diagnosis:
- differentiated between disorders caused by … factors vs. … factors

A

Emil Kraepelin;
external;
internal

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20
Q

(evolution of assessment - diagnostic issues)
Emil Kraepelin was pioneer of diagnosis:
his terminology set the stage for …
- e.g. dementia praecox = …, manic-depressive psychosis = …
- throughout time these diagnoses …, take on different shapes/names bc more … is done on these disorders

A
DSM 5 diagnoses; 
schizophrenia; 
bipolar disorder; 
evolve; 
research
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21
Q

(evolution of assessment - diagnostic issues)
Emil Kraepelin was pioneer of diagnosis:
- he coined the term … which we now call … (…)

A

autistic personality;
ASD;
autism spectrum disorder

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22
Q

(evolution of assessment - diagnostic issues)
DSM originally came out in 1952 and back then was largely based on …/… premises on mental illness
- Most dramatic change we’ve ever had to DSM was in …
- DSM regularly updates
- DSM-IV-TR: TR is …

A

psychoanalysis/Freud’s;
1980s;
text revision

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23
Q

(evolution of assessment - diagnostic issues)
DSM:
- we switched from roman numerals to … so that we can do DSM 5.1, 5.2 etc
- most drastic change from … to … –> …., more …

A

arabic numerals;
DSM 2; DSM 3;
larger;
disorders

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24
Q

(evolution of assessment - diagnostic issues)
Most drastic change from DSM 2 to DSM 3
- larger, more disorders
- very …
- introduced …. –> used to diagnose along …, which the DSM 5 got rid of

A

specific criteria;
multi-axial system;
5 axes;

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25
``` (evolution of assessment - diagnostic issues) most drastic change from dsm 2 to dsm 3 introduced multi-axial system - axis 1 - ... disorders - axis 2 - .../.../... - axis 3 - ... disorders ```
clinical; personality/developmental/long-term; medical disorders
26
(evolution of assessment - diagnostic issues) Most drastic change from DSM 2 to DSM 3: introduced multi-axial system: - Axis 4 - ... that can lead to exacerbation of the disorder (e.g. work stress, divorce, job loss, deaths, etc) - Axis 5 - ... scale (...), 0 - 100 level of how client is ...
psychosocial stressors; global assessment functioning; GAF; functioning
27
(evolution of assessment - diagnostic issues) axis 5 - global assessment functioning scale, 0 - 100 level of how client is functioning - people who couldn't function would have ...
lower scores on GAF scale
28
(evolution of assessment - diagnostic issues) As DSM evolves, ... come out: proposed criteria sets for future DSMs (not yet ...): - ... - ... syndrome - ... - ...
``` more disorders; disorders; internet gaming disorder; attenuated (i.e. reduced) psychosis syndrome; persistent complex bereavement; nonsuicidal self-injury ```
29
(evolution of assessment - diagnostic issues) Proposed criteria sets for future DSMs: internet gaming disorder - people addicted to .../... - some people freak out about phone batteries dying - disorders happen with 4 Ds - distress, danger, dysfunction, deviance - people preoccupied with ... and are constantly ... such that it's out of control
technology/internet; internet gaming; gaming
30
(evolution of assessment - diagnostic issues) internet gaming disorder: people preoccupied with internet gaming and are constantly gaming such that it's out of control: - .... when not gaming - can cause ... problems - partner feeling ... (occurs with internet porn, as well - causes problems with ... life, as well)
withdrawal; relationship; neglected; sexual
31
(evolution of assessment - diagnostic issues) attenuated (i.e. reduced) psychosis syndrome: - not full on ... - a more reduced sense of that - .../... psychosis
schizophrenia; | mild/brief
32
(evolution of assessment - diagnostic issues) attenuated (i.e. reduced) psychosis syndrome: - mild/brief psychosis --> ..., ... that are not fully ..., more reduced - not as severe as ... but similar to it
hallucinations; delusions; florid; schizophrenia
33
(evolution of assessment - diagnostic issues) persistent complex bereavement: - some people are unable to get back to life - severe grief for at least ... - grieving is ongoing process throughout life but it is more ... and ... at the beginning - over time should move on
one year; | shocking; sadder
34
(evolution of assessment - diagnostic issues) persistent complex bereavement: - some people can't ... for 12 months due to ... --> could be due to ..., due to ..., etc
function; grief; guilt; unresolved issues
35
(evolution of assessment - diagnostic issues) persistent complex bereavement: - at least ... for children --> children typically ...
6. months; | don't grieve that long
36
(evolution of assessment - diagnostic issues) nonsuicidal self-injury: - self-injury without the intention to ... (e.g. cutting, burning, scratching, etc) for ... or more days in a one-year period - cutting oneself releases ... People emotionally hurting, that they cut themselves and it feels ... to them - can be caused by ..., ..., ...
``` kill oneself; 5; adrenaline; good; depression; anxiety; abuse ```
37
(evolution of assessment) can assess ... - one of the first forms of assessment that came out. But, this concept isn't a real thing - it's determined by the test we take to determine it - early debased focused on ...
intelligence; | what intelligence is
38
(evolution of assessment) early debased focused on what intelligence is: - is there ... (...) - are there ... (...)
general intelligence; "g"; | specific intelligences; "s"
39
(evolution of assessment) | ... came up with ... in 1905 (related to intelligence testing)
Alfred Binet; | IQ;
40
(evolution of assessment) Alfred Binet came up with IQ in 1905: - endorsed concept of a ... and yielded the IQ - revised in 1937 by ... and was called the ... which is still widely used
general intelligence; Turman; Stanford-Binet intelligence scale
41
(evolution of assessment) Alfred Binet came up with IQ in 1905: - originally used for ... But David ... designed one for ..., as well as for children. Used more over Binet today
children; Wechsler; adults;
42
(evolution of assessment) Alfred Binet came up with IQ in 1905: - part of controversy of these tests is that they were written so long ago that they weren't ...
culturally sensitive
43
(evolution of assessment - assessment of personality) projective tests: - based on assumption that clients project their personality on ... - ... method or ... test
ambiguous stimuli; Rorscharch inkblot method; thematic apperception
44
(evolution of assessment - assessment of personality) projective tests - Rorschach: - ten ... - 5 in ..., 5 in .../..., all ...
inkblots; color; black/white; symmetrical
45
(evolution of assessment - assessment of personality) projective tests - Rorschach: ten inkblots: - nothing that makes sense that are in there, they don't ... It's what the client sees - Therapist would ask what that image ... - seeing bodily structures would relate to ... things, maybe being ..., esp with children
represent anything; means to the client; sexual; abused
46
(evolution of assessment - assessment of personality) projective tests - Rorschach: - trick is to find ... in responses after going through all 10 bc that is where they're projecting their personality ~ thematic apperception test - ...
patterns; | interpersonal ambiguous stimuli
47
(evolution of assessment - assessment of personality) projective tests - thematic apperception test - would show client ... at a time - it's important to note when a client sees something ... - not only looking at ..., but also looking for ..., as well
one picture; repetitively; pattern; inconsistencies;
48
(evolution of assessment - assessment of personality) objective tests - more ... - no ... behind projective tests - can't ... what client says, interpretation is based on ...
scientifically sound; science; scientifically validate; clinical judgment
49
(evolution of assessment - assessment of personality) objective tests - scoring and interpretation are very ... for these - no ... needed - most common is ... (....)
straight forward; interpretation; Minnesota multiphasic personality inventory; MMPI
50
(evolution of assessment - assessment of personality) objective tests: Most common is MMPI: first came out in 1943, consists of 550 ... or ... statements: - ... of responses are compared to a ...
true/false; cannot say; patterns; standardized sample of responses
51
(evolution of assessment - assessment of personality) objective tests - MMPI: - even with these objective tests, ... are very important - back in 1943, was standardized based on ... between ages of ... and ... - very outdated
patterns; white heterosexual males; 18; 35
52
(evolution of assessment - assessment of personality) - back in 1943, was standardized based on white heterosexual males between ages of 18 and 35 - very outdated - was revised in 1989, ... and ..., account for ... factors - mmpi-a for ...
restandardized; modernized; multicultural; adolescents
53
(evolution of psychotherapy) - ... is most common activity of clinical psychologists today - rise in ... after ww2 requiring treatment --> increased demand for ... and then it took off
psychotherapy; PTSD; psychotherapy
54
(evolution of psychotherapy) rise in PTSD after ww2 requiring treatment - increased demand for psychotherapy and then it took off - different ... came out and many psychologists became ...
schools of therapy; | therapists
55
(evolution of psychotherapy) | - ... was most common form of psychotherapy initially but in 1950s, other approaches arose: ..., ...., ...
Freudian psychoanalysis; behaviorism; humanism; family therapy
56
(evolution of psychotherapy) - relatively young field - ... came out recently --> looking at how ... and ... are intertwined, most endorsed, model that many therapists are trained on now
cognitive behavioral therapy; | thoughts; behaviors;
57
(evolution of psychotherapy) therapy approaches proliferated (i.e more came out) in 50s, 60s, 70s: - more ... entered the field. Field is now ... dominated - psych started as a ... science - all the people in the field were initially ...
minorities; female; Jewish; Jewish
58
(evolution of psychotherapy) Psych started as a Jewish science - all the people in the field initially were Jewish - hitler burned psych books and Freud retorted with "..." - then ... came out in 1970s bc many psychologists didn't want to do ...
at least he didn't burn me; psy. d; research
59
(evolution of psychotherapy) psychotherapy took off in ... - now ... dictates pay - back in 80s, therapists would ... and then ....
1980s; insurance; set their rate; insurance would pay it
60
(evolution of psychotherapy) psychotherapy took off in 1980s: back in 80s, therapists would set their rate and then insurance would pay it - now insurance has ... - there really is no negotiation though - increased respect from ... --> psychological conditions are ... - number of ... increased
"negotiated" rates; medical community medical conditions; training programs
61
(evolution of psychotherapy) ... and ... of field continues to expand in 90s and 2000s: - more ... (i.e. ...) for clinical techniques - some psychologists in some states have ... even though they don't have MDs
size; scope; empirical support; scientific research; prescription privileges