Chapter 14/15 - Mental Illness Flashcards
Trephining
“Cure” for mentally ill in ancient times
Drill hole in head to let evil spirits out
Before electricity, hammer sharp object into the skull
Hippocrates on Mental Illness
Explained mental illness using biology and imbalance in body’s 4 humors
Hippocrates’s body’s 4 humors
Blood
Phlegm
Yellow bile
Black bile
Middle ages and mental illness
Killed for being mentally ill
Renaissance (mid-1500s)
Treated as witches, burned at the stake
Psychopathology
Study of abnormal behavior
Psychotherapy
Regular therapy
Biomedical therapy
Medications, surgeries, etc.
Definition of abnormality
Pattern of behavior that cause significant distress, harm to self or others, or harms ability to function
Subjective discomfort
Person experiences emotional distress or pain
Maladaptive
Interferes with someone’s functioning
Insane
Legal criteria, mental illness interfered with moral compass
Biological (Medical) Model (Psychopathology)
Behavior is caused by biological changes or chemical reasons
E.g., depression, anxiety, schizophrenia
Cannot explain personality disorders or phobias
4 Psychological Models
Psychodynamic view (Freud)
Behaviorist view
Cognitive perspective
Sociocultural view
Psychodynamic view
Freudian
Used to treat anxiety and depression
Behaviorist view
Person is conditioned to have phobia
Cultural syndromes
Product of cultural influences
E.g., anorexia in the West
Biopsychosocial perspective
Interaction of all 4 views to explain/treat stuff
Psychoanalysis
Freud
Emphasis on revealing unconscious conflicts
Insight therapy
Get insight into what is happening
Dream interpretation (Freud therapy)
Latent content - analyze dream
Free association (Freud therapy)
Talk about whatever while back is to therapist
Resistance (Freud therapy)
Patient is reluctant to talk about topic, therapist focuses on it
Transference (Freud therapy)
Patient projects emotions of important people in their lives onto therapist
Behavioral therapy
A form of action therapy based on conditioning
Fixes specific behavioral issues (phobias, addictions)
Counterconditioning (aversion therapy)
Pair bad behavior with unpleasant stimulus to condition the bad behavior away
Cognitive therapy
Helps client recognize distortions in thinking and replace distorted beliefs with realistic, helpful ones
Beck’s CBT
Specific, repeated ways of negative thinking which become a habit and contribute to anxiety
4 cultural barriers
Differences in these between therapist/client can cause problems
Native language
Cultural values
Social class
Non-verbal communication
Biomedical therapy
Directly alter biological functioning of the brain
Psychopharmacology
Medicines
Ketamine
Experimental drug for depression
Psilocybin
Experimental drug for PTSD
SSRIs
Antidepressants
Electroconvulsive therapy (ECT)
Patient receives a shock that induces a seizure and instantly cures them
Psychosurgery
Surgery on brain to fix biology (like OCD)
Global assessment of functioning (GAF)
Test to assess level of independent functioning in the world
Generalized anxiety disorder (GAD)
Excessive worry
Physical symptoms of stress that last 6+ months (e.g., headaches, pain, no appetite, etc.)
Feeling of impending doom
Free-floating anxiety (ever-present anxiety unrelated to anything)
Social Anxiety Disorder (SAD)
Fear of negative evaluation by others in social situations
Only around new people
Performance-only specifier
Modifier to SAD
Individual only has SAD during stage fright (but excessive anxiety)
Agoraphobia
Fear of large spaces
Shut-in, scared to leave safe space
Coulrophobia
Fear of clowns
Nomophobia
Fear of being out of mobile phone service