Chapter 11 - Psychological Disorders Flashcards
Behaviour that makes it difficult to function, to adapt to the environment, and to meet everyday demands
Maladaptive behaviour
What are the advantages of labelling?
- common language
- presumed etiology (causes)
- treatment indicators
Manual published by the American Psychiatric Association (APA) for describing and classifying mental disorders
DSM-4, DSM-5
NORMAL BEHAVIOUR
-Scientific study of mental, emotional and behavioural disorders
Psychopathology
NORMAL BEHAVIOUR
- Feelings of discomfort, unhappiness or emotional distress dimension, such as intelligence, anxiety or depression
- Does not always cause a person anguish
- Can make someone feel “on top of the world”
Subjective Discomfort
NORMAL BEHAVIOUR
- Having extreme scores (high or low) on some dimension such as intelligence, anxiety or depression
- Statistics can’t tell us where to draw the line between normal and abnormal
Statistical abnormality
NORMAL BEHAVIOUR
- Disobeying societal standards for normal conduct; usually leads to destructive or self-destructive behaviour (think of a drug abuser)
- Does not automatically indicate psychopathology
Social nonconformity
NORMAL BEHAVIOUR
-Social situation, behaviour setting, or general circumstances in which an action takes place.
Situational context
NORMAL BEHAVIOUR
-Judgments are made relative to the values of one’s culture
Cultural relativity
ABNORMAL BEHAVIOUR
-Significant impairment in psychological functioning
Mental / psychological disorder
ABNORMAL BEHAVIOUR
-Severe psychiatric disorder characterized by hallucinations and delusions, social withdrawal, and move away from reality
Psychotic disorder
ABNORMAL BEHAVIOUR
-Mental or emotional problem caused by brain pathology (brain injuries or diseases)
Organic mental disorder (neurological)
ABNORMAL BEHAVIOUR
- Characterized by extreme and unwarranted disturbances in feelings or mood
- Major depression
- Bipolar disorder
Mood disorder
ABNORMAL BEHAVIOUR
- Generalized feeling of apprehension, fear, or tension that may be associated with a particular object or situation or may be free-floating, not associated with anything specific.
- Generalized Anxiety Disorder
- Panic Disorder
- Phobic Disorder
- Obsessive Compulsive Disorder
Anxiety Disorder
ABNORMAL BEHAVIOUR
- Physical symptoms that mimic disease or injury (blindness, anesthesia) for which there is no identifiable physical cause
- Hypochondriasis
- Conversion Disorder
Somatoform Disorder
ABNORMAL BEHAVIOUR
-A mental condition in which a person has blindness, paralysis or other nervous system (neurologic) symptoms that cannot be explained by medical evaluation
Conversion Disorder
ABNORMAL BEHAVIOUR
-Temporary amnesia, multiple personality, or depersonalization (being in a dream world, feeling like a robot, feeling like you’re outside of your body)
Dissociative disorder
ABNORMAL BEHAVIOUR
-Inability to remember information or events
Dissociative amnesia
ABNORMAL BEHAVIOUR
- Amnesia + adopting a new life identity
Dissociative Fugue
ABNORMAL BEHAVIOUR
-Multiple personality disorder
Dissociative identity disorder
ABNORMAL BEHAVIOUR
-Deeply ingrained, unhealthy, maladaptive personality patterns
Personality disorder
ABNORMAL BEHAVIOUR
-Pervasive suspiciousness
Paranoid
ABNORMAL BEHAVIOUR
-Pervasive disregarde for rights and welfare of others
Antisocial
ABNORMAL BEHAVIOUR
-Avoidance of relationships, over-sensitivity to criticism
Avoidant
ABNORMAL BEHAVIOUR
-Intense needs for reassurance and to be taken care of
Dependant
ABNORMAL BEHAVIOUR
-Inflexibility and desire for perfection
Obsessive-Compulsive
ABNORMAL BEHAVIOUR
-Problems with sexual identity, deviant sexual behaviour, or sexual adjustment
Sexual and gender identity disorder
RISK FACTOR
-Poverty, homelessness, overcrowding, stressful living conditions
Social conditions
RISK FACTOR
-Parents who are immature, mentally ill, abusive or criminal; poor child discipline; severe marital or relationship problems
Family factors
RISK FACTOR
-low intelligence, stress, learning disorders
Psychological factors
RISK FACTOR
-genetic defects or inherited vulnerabilities; poor parental care, head injuries, exposure to toxins, chronic physical illness or disability
Biological factors
A legal term; refers to an inability to manage one’s affairs or to be aware of the consequences of one’s actions
Insanity
- Person recognized by a court of law as being qualified to give expert testimony on a specific topic
- Can be a psychologist, psychiatrist etc.
Expert witness
PERSONALITY DISORDER
- a person who lacks a conscience; typically emotionally shallow, impulsive, selfish and manipulative if others
- often times called psychopaths or sociopaths
- many are delinquents or criminals, but many are not crazed murderers displayed on television (Ted Bundy)
- they create a good first impression and are often charming, also very intelligent
Antisocial personality disorder (APD)
What psychological disorder is represented by these causes and treatments?
- causes: childhood history of emotional deprivation, neglect, and psychical abuse, underarousal of the brain in certain areas, poor attachment to caregivers
Treatments: difficult to treat as the patient will lie and seem charming and manipulate
Antisocial personality disorder (APD)
Feelings of apprehension, dread or uneasiness
Anxiety
- When ongoing stressors cause emotional disturbance and push people beyond their ability to effectively cope
- Usually suffer sleep disturbances, irritability and depression
- Examples of stressors: grief reactions, lengthy physical illness, unemployment
Adjustment disorders
When stress seems greatly out of proportion to the situation at hand
Anxiety Disorders
- Chronic feeling of apprehension and worry about impending disaster
- unable to turn off the worry process
Generalized Anxiety Disorder
What psychological disorder do these symptoms represent
- physiological symptoms: palpitations, sweating, flushing, diarrhea, headaches, dizziness, nausea, muscle tension
- psychological: persistent nervousness and worry, restlessness, fatigue, insomnia, irritability, difficulty concentrating
GAD
What psychological disorder do these causes represent
- genetic factors: heritability about 30%
- more women than men
GAD
What psychological disorder do these treatments represent
- drugs: anti-anxiety, antidepressants
- therapy
GAD
Panic disorder
A chronic state of anxiety with brief moments of sudden, intense, unexpected panic
Panic disorder (without agoraphobia)
- feels like one is having a heart attack, going to die, or is going insane
- an acute (short-term) and sudden overwhelming state of terror and feeling of impending doom
- symptoms include vertigo, chest pains, choking, fear of losing control
Panic attack
Panic attacks and sudden anxiety still occur, but with agoraphobia
Panic disorder with agoraphobia
What psychological disorder do these symptoms represent
- physiological: heart palpitations, chest pain, feeling of choking, trembling, sweating, dizziness
- psychological: terror, fear of dying, feeling of going crazy, fear of losing control
Panic disorder
What psychological disorder do these causes represent
- genetic factors: heritability about 30%
- neurochemical abnormality: adrenergic receptors (noradrenaline or adrenaline)
- pet scans: increases blood flow to lambic system of brain
- high stress
- misinterpretation of bodily sensations
Panic disorder
An intense and unrealistic fear of some specific object or situation
Phobic disorder
What psychological disorder do these symptoms represent
- physiological: heightened SNS (sympathetic nervous system), to the point of shaking or screaming
- psychological: compelling desire to avoid of escape the object or situation and recognition that the fear is unrealistic
Phobic disorder
Fear of specific object or situation
Specific phobia
- Fear of public places
- Fear of leaving your house or entering unfamiliar situations
- Can be very crippling
Agoraphobia
- Fear presence of others
- Intense irrational fear of being observed, evaluated, humiliated or embarrassed by others
Social phobia
What psychological disorder do these causes represent
- Through learning: classical conditioning *establish a phobia, operant conditioning (negative reinforcement) *maintains the phobia, observational learning or modelling (vicarious conditioning)
Social phobia
What psychological disorder do these treatments represent
- therapy
- systematic desensitization: training in relaxation and developing an anxiety hierarchy of the feared stimulus
- flooding: exposure to the feared stimulus
Social phobia
Extreme preoccupation with certain thoughts and compulsive performance of certain behaviours
Obsessive-Compulsive Disorder