Chapter 13 Flashcards
what is a psychological disorder/ mental illness?
a persistent disruption or disturbance of thought, emotion or behavior that causes significant distress or impairment in functioning
how can you tell if your feels are normal sadness versus diagnosed depression?
after a breakup if youre sad and lonely for a couple weeks it is not diagnosable, if you are so sad that you stop spending time with friends, lose interest in your hobbies and become overwhelmed with being sad for yourself then you might meet criteria for a disorder
what is the international classification of diseases ond related health problems (ICD)?
it was published by WHO and is broader than the DSM-5 as it includes not just psychological but also medical illnesses
what are internalizing disorders?
combines anxiety and depression disorders together into one group, symptoms are directed inward, toward the self
what are externalizing disorders?
combines antisocial, substance use and impulsivity- related disorders into one group, symptoms are directed outward toward others
what is the transdiagnostic approach?
approach that assumes that most psychological disorders are actually different manifestations of a few core, underlying dimensions
ex. rather than viewing depression and anxiety disorders as separate conditions, this approach views them as different versions of the same heritable tendency
what is an internalizing disorder?
when the sufferer experiences symptoms privately and expresses disturbance largely by blaming and punishing the self (more common in women =-0.23 (small))
what are examples of internalizing disorders?
low self- esteem, social withdrawal, anxiety, restrained eating, nonsuicidal self- injury (cutting wrists)
what is an externalizing disorder?
involves either victimizing others or altering ones consciousness in a manner that impairs judgment and reduces inhibitions against harm (more common in men =0.52 (medium))
what are examples of externalizing disorders?
aggression
impulsivity
interpersonal manipulation
drug and alcohol abuse
how were transgender people represented in the DSM throughout the different versions?
the first two editions didnt include them at all (considered delusional)
DSM-3 included two diagnoses of gender identity disorder (GID)
DSM-4 included cross sex identification among children and adults
DSM-5 replaced GID with gender dysphoria because gender identity is NOT a disorder
what were the two diagnoses of gender identity disorder (GID) in the DSM 3?
- adolescents and adults (transsexualism)
2.children (GID in childhood)
what is gender dysphoria?
when an individual experiences clinically significant distress because of a difference between the individuals experienced gender and the gender others would assign him or her
(emphasizes feelings of distress rather than a mismatch between assigned sex and psychological gender)
what psychological disorder does not show a consistent sex difference?
bipolar disorder
what is the gender intensification hypothesis?
proposes that the pressure to adopt sex- typed traits and behavior intensifies during adolescence and this contributes to sex differences in depression (young people face increasing pressure to adopt traditional gender roles as they enter puberty and prepare for adulthood)
ex. for girls this means adopting stereotypically feminine tendencies (emotionality, self sacrifice) but these traits can foster a helpless coping style that increases depressive tendencies
what is the response styles theory?
focuses on a coping style called rumination, which involves passively and persistently focusing attention on ones negative mood
ex. a person who has a ruminative style might think repetitively about how upset they feel after an unsuccessful job interview, dwelling on their flaws and judging themselves for feeling badly
who ruminates more when distressed, men or women?
women
what does rumination correlate with?
depression, social phobia, PTSD, generalized anxiety disorder
why do men not develop internalizing disorders as much?
cope more actively with negative emotions by distracting themselves or doing physical activities
what does benevolent sexism consist of?
flattering but condescending beliefs about women as morally pure, vulnerable and needful of protection by men
what is an example of how benevolent sexism is correlated with rumination?
when women receive benevolently sexist messages implying that they need special treatment or assistance in work contexts they exhibit increases in rumination. occurs because benevolent sexism is both flattering and insulting at the same time, this leads women to ruminate about their competence
does female type labor (childcare, housework) contribute to women’s high rates of depression?
no, if it were the case we would see smaller sex differences in depression in cultures that place more value on typical female labor
ex. amish communities honor the homemaker role as a position of great importance and those women arent depressed
do sex differences in depression get larger or smaller as gender equality increases within cultures over time?
smaller
so gender equality is correlated with decreases in the size of sex differences in depression
girls and women are more likely to report sexual abuse, does exposure to sexual violence contribute to sex differences in internalizing disorders?
to some degree, yes
sex differences in childhood sexual abuse can explain up to 35% of the sex difference in adult depression but sexual abuse in childhood predicts adult depression regardless of victims sex
what dramatically increases womens risk of sexual violence?
having a physical or cognitive disability
what is neuroticism?
tendency to experience high levels of negative emotions (worry easily and are moody)
laurel
who scores higher in neuroticism, men or women?
women as it it correlates with internalizing disorders
when looking at biological factors, why do women have higher levels of depressive and anxious symptoms?
women respond to stress with more extreme nervous system activity
estrogens increase in puberty which enhance the sensitivity of the stress response
genes partly (depression is partly heritable)
what is epigenetics?
teh study of how environmental factors can influence the expression of genes in ways that are heritable
why do boys and men display externalizing disorders?
boys learn from an early age to avoid displaying vulnerable emotions (sadness, anxiety), thus they use angry outbursts instead of sadness
parents yell at boys when disciplining
boys personalities
coping strategies (distracting themselves, not seeking help from others)
women ruminate when distressed, what do men do?
distract themselves from stress via alcohol or drugs
to address the harmful consequences of men turning to drinking to cope, the american psychological association proposed a set of therapeutic guidelines for psychologists who treat men and boys, what are they?
therapists must increase their understanding of mens gender related problems and strengths
adopt more intersectional approaches when treating men and boys
assist male clients in reducing gender related behaviors (aggression)
better advocate on behalf of boys and mens mental health
what is the difference between impulsivity and effortful control?
impulsivity consists of traits such as sensation- seeking, novelty- seeking and risk- taking, while effortful control consists of persistence, focus and impulse control
who more commonly shows effortful control, boys or girls?
girls (=-1.01)
how much does sensation- seeking and risk- taking favor men?
sensation- seeking: d=0.41
risk taking: d=0.36
both medium effect sizes
what is callous- unemotional traits (CU traits)?
personality factor consisting of low levels of empathy, guilt and warmth. these tendencies underlie the aggression, criminal behavior and lack of remorse present in conduct and antisocial disorders