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Clinical Psych > Ch. 7 Lecs > Flashcards

Ch. 7 Lecs Flashcards

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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

A

2013

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
Q

(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 …

A

psychotic;
a year;
interfere with daily life;
4 Ds

26
Q

(DSM-5 new features)
new disorders added:
- PMDD: controversies about …

A

re-pathologizing women

27
Q 
(DSM-5 new features) 
new disorders added: 
- ...
- ... disorder
- ... disorder
- ... disorder
- ... disorder
- ... disorder
A 
PMDD;
 disruptive mood dysregulation disorder; 
binge eating disorder; 
mild neurocognitive disorder; 
somatic symptom disorder; 
hoarding disorder;
28
Q 
(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 ...
A

kids;
bipolar disorder;
bipolar symptoms

29
Q

(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 …

A

3 temper tantrums;
year;
in two different settings

30
Q 
(DSM-5 new features) 
new disorders added: 
binge eating disorder: 
- similar to ..., but no ... 
- binges have to happen at least ... for ...
A

bulimia;
compensatory mechanisms;
once a week;
three months

31
Q 
(DSM-5 new features) 
new disorders added: 
mild neurocognitive disorder: 
- soft version of ... 
- these people can still ... and can still ...
A

dementia;
live alone;
function

32
Q 
(DSM-5 new features) 
new disorders added: 
somatic symptom disorder: 
- somatic: ... 
- excessive focus on ... symptom 
- these symptoms are ...
A

bodily;
bodily;
real

33
Q

(DSM-5 new features)
new disorders added:
somatic symptom disorder:
- e.g. stomach issues, doctors can’t find anything, ends up being …

A

psychological

34
Q

(DSM-5 new features)
new disorders added:
hoarding disorder:
- people who can’t … –> falls under … category (it’s a …)

A

throw away things;
danger;
fire hazard

35
Q

current controversies-dsm:

- … of the revision process –> most of the decisions made by …

A

transparency;

members of the taskforce

36
Q

current controversies-dsm:

- most of the people who write the book are …, not …

A

researchers;

clinicians

37
Q

current controversies-dsm:

  • field trial problems - trials looking at … and … of new diagnoses were … –> new research is …
  • dsm is …
A

reliability; validity;
inconsistent;
questionable;
expensive

38
Q

criticisms-dsm:

- breadth of coverage - same idea as …, some disorders being considered … (e.g. …)

A

diagnostic overexpansion;
mental disorders;
learning disorders

39
Q

criticisms-dsm:

- arbitrary cutoffs regarding … –> what determines these?

A

time periods in order to be diagnosed

40
Q

criticisms-dsm:

- cultural issues: still written mostly by …

A

non-minority heterosexual white males

41
Q

criticisms-dsm:

- gender bias - males/females tend to have … (e.g. females having more …/…, males having more ….)

A

different diagnoses;
mood/eating disorders;
addiction disorders

42
Q

criticisms-dsm:

- gender bias - males/females tend to have different diagnoses –> are we … ?

A

over-pathologizing one gender over another

43
Q

criticisms-dsm:

  • … influences based on … (e.g. homosexuality previously having been a mental illness)
  • limitations on …
A

nonempirical;
culture;
objectivity

44
Q

criticisms-dsm:

- limitations on objectivity –> those who wrote dsm are basing decisions/judgments on …/…

A

societal values; social contexts

45
Q

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
A 
categorical approach; 
dimensional; 
5 factor model of personality; 
diagnoses; 
spectrum
46
Q

medical model of psychopathology:

- in dsm, disorders are listed … with … just as they are in the ICD-10 which is what classifies …

A

categorically;
symptoms;
medical conditions

47
Q

DSM (first one) came out in …

DSM II came out in …

A

1952;

1968

48
Q

DSM III came out in …

DSM-III-R came out in …

A

1980;

1987

49
Q

DSM IV came out in …
DSM IV TR came out in …
DSM 5 came out in …

A

1994;
2000;
2013

Clinical Psych (35 decks)

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