Ch. 7 Lecs Flashcards

1
Q

when you first get a patient, typically do a …/…./…

A

intake interview;
diagnostic interview;
psych eval

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2
Q

intake interview/diagnostic interview/psych eval:

- assessing patient’s …, levels of …, …

A

symptoms;
maladjustment;
why they’re coming in

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3
Q

diagnosis: behavior is … (idek what this means)

A

abnormal

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4
Q

defining abnormality is a challenge:

  • abnormal is …
  • best way to define abnormality is … - will be different for everyone bc we all have different …
A

maladaptive;
4 Ds;
levels of functioning

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5
Q

best way to define abnormality is 4 ds:

  • deviance: behavior that isn’t normal in a … at a … –> looking at normal vs abnormal in our … and …
  • deviance …
A
specific society; 
specific time; 
time; 
culture; 
changes with time
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6
Q

best way to define abnormality is 4 ds:

- distress: behavior that’s distressing can … –> this is …

A

become abnormal;

what’s freaking you out

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7
Q

best way to define abnormality is 4 ds:

  • dysfunction: …
  • presence of any of these doesn’t necessarily mean …
A

preventing you from functioning in daily life;
danger;
you have a diagnosis

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8
Q

who defines abnormality?

  • typical but abnormal? –> something that …, but …
  • medical model of psychopathology
A

DSM;
everyone is doing;
isn’t necessarily normal

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9
Q

labeling a disorder helps facilitate more … and helps with developing …

A

research;

new treatment techniques

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10
Q

labeling increases … and helps professionals … (it’s a good …)

A

level of awareness;
communicate with one another;
universal form of language

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11
Q

labeling for clients has both good and bad aspects:
- … their experience, allows them to know that other people are …, acknowledges significance of the problem in that it’s …

A

demystifies;
suffering from the same thing;
common

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12
Q

labeling for clients has both good and bad aspects:
bad thing:
- can lead to …
- … –> …, …

A

stigmatization;
self-handicapping;
shirking of responsibility;
blaming diagnosis

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13
Q

insane asylums in …

  • more humane than …
  • aka …
A

19th century;
prisons;
“mad-houses”

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14
Q

DSM I and II were very similar:

  • not … based
  • … came up with the first two DSMs
  • had three broad categories: …, … and …
A
empirically; 
Freudian-based psychiatrists; 
neuroses; 
psychoses; 
character disorders
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15
Q
DSM I and II were very similar: 
three broad categories: 
- neuroses: ..., ..., ...
- psychoses: ...
- character disorders: ... 
- ... was considered a mental illness
A
depression; 
bipolar; 
anxiety; 
schizophrenia;
personality disorders; 
homosexuality
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16
Q

DSM III in …:

  • relied on …
  • helped …
  • broke down the three categories and made them …
A

1980;
empirical research;
define different disorders;
very specific;

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17
Q

DSM III in 1980:

- … - no specific …

A

atheoretical;

school of psychotherapeutic influence

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18
Q

DSM IV in … and IV-TR in ..

A

1994;

2000

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19
Q

DSM IV and IV-TR:

  • no differences in …, just revision of some … and …
  • included significant …
A

diagnoses;
symptoms;
criteria;
multiculturalism

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20
Q

DSM IV and IV-TR:

  • … of how different cultures express disorders
  • cultural concepts of …./…
A

cultural variations;
“distress”;
culture-bound symptoms

21
Q

DSM-5 in …:

- huge revision

22
Q

DSM-5:
changes that weren’t made:
- didn’t emphasize … and … of mental disorders because we can’t … for mental illness

A

neuropsychology;
biological roots;
biologically test;
mental illness

23
Q

DSM-5:
changes that weren’t made:
- … approach for mental illness wasn’t included: right now, it’s just that …

A

dimensional;

you either have it or you don’t

24
Q

DSM-5:
changes that weren’t made:
personality disorders: were almost taken out of DSM
- they’re not .., they can …
- known to be …
- potentially removing them and having them on a spectrum of …

A

black and white;
come and go;
long term;
personality characteristics

25
(DSM-5 new features) new disorders added: PMDD (premenstrual dysphoric disorder): - some females become ... when premenstrual - symptoms that last at least ... that are clinically significant, has to ..., causes any/all of ...
psychotic; a year; interfere with daily life; 4 Ds
26
(DSM-5 new features) new disorders added: - PMDD: controversies about ...
re-pathologizing women
27
``` (DSM-5 new features) new disorders added: - ... - ... disorder - ... disorder - ... disorder - ... disorder - ... disorder ```
``` PMDD; disruptive mood dysregulation disorder; binge eating disorder; mild neurocognitive disorder; somatic symptom disorder; hoarding disorder; ```
28
``` (DSM-5 new features) new disorders added: disruptive mood dysregulation disorder: - for ... - too many kids being diagnosed with ..., which is an adult diagnosis - kids having ... ```
kids; bipolar disorder; bipolar symptoms
29
(DSM-5 new features) new disorders added: disruptive mood dysregulation disorder: - at least .... a week for a ... in kids under 18 - differentiates from bioolar disorder in that it has to happen ...
3 temper tantrums; year; in two different settings
30
``` (DSM-5 new features) new disorders added: binge eating disorder: - similar to ..., but no ... - binges have to happen at least ... for ... ```
bulimia; compensatory mechanisms; once a week; three months
31
``` (DSM-5 new features) new disorders added: mild neurocognitive disorder: - soft version of ... - these people can still ... and can still ... ```
dementia; live alone; function
32
``` (DSM-5 new features) new disorders added: somatic symptom disorder: - somatic: ... - excessive focus on ... symptom - these symptoms are ... ```
bodily; bodily; real
33
(DSM-5 new features) new disorders added: somatic symptom disorder: - e.g. stomach issues, doctors can't find anything, ends up being ...
psychological
34
(DSM-5 new features) new disorders added: hoarding disorder: - people who can't ... --> falls under ... category (it's a ...)
throw away things; danger; fire hazard
35
current controversies-dsm: | - ... of the revision process --> most of the decisions made by ...
transparency; | members of the taskforce
36
current controversies-dsm: | - most of the people who write the book are ..., not ...
researchers; | clinicians
37
current controversies-dsm: - field trial problems - trials looking at ... and ... of new diagnoses were ... --> new research is ... - dsm is ...
reliability; validity; inconsistent; questionable; expensive
38
criticisms-dsm: | - breadth of coverage - same idea as ..., some disorders being considered ... (e.g. ...)
diagnostic overexpansion; mental disorders; learning disorders
39
criticisms-dsm: | - arbitrary cutoffs regarding ... --> what determines these?
time periods in order to be diagnosed
40
criticisms-dsm: | - cultural issues: still written mostly by ...
non-minority heterosexual white males
41
criticisms-dsm: | - gender bias - males/females tend to have ... (e.g. females having more .../..., males having more ....)
different diagnoses; mood/eating disorders; addiction disorders
42
criticisms-dsm: | - gender bias - males/females tend to have different diagnoses --> are we ... ?
over-pathologizing one gender over another
43
criticisms-dsm: - ... influences based on ... (e.g. homosexuality previously having been a mental illness) - limitations on ...
nonempirical; culture; objectivity
44
criticisms-dsm: | - limitations on objectivity --> those who wrote dsm are basing decisions/judgments on .../...
societal values; social contexts
45
alternate directions for dsm: - right now, it's very black and white - you either have it or you don't - we're doing a ... want to move towards a ... approach based on the ... - moving away from ... and treating clients based on the ... that they fall based on this model
``` categorical approach; dimensional; 5 factor model of personality; diagnoses; spectrum ```
46
medical model of psychopathology: | - in dsm, disorders are listed ... with ... just as they are in the ICD-10 which is what classifies ...
categorically; symptoms; medical conditions
47
DSM (first one) came out in ... | DSM II came out in ...
1952; | 1968
48
DSM III came out in ... | DSM-III-R came out in ...
1980; | 1987
49
DSM IV came out in ... DSM IV TR came out in ... DSM 5 came out in ...
1994; 2000; 2013