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
Gephyrophobia
Fear of crossing bridge over deep water
Hippopotomonstrosesquipedaliophobia
Fear of long words
Anatidaephobia
Fear of duck watching you somewhere in the world
Panic disorder
Regular, repeated panic attacks
Panic attack
Sudden onset of intense panic with extreme stress symtoms
Separation anxiety disorder
Individual gets anxious if attachment figure is not present (e.g., helicopter parent anxious if their child is away, dog gets anxious when owner leaves, etc.)
Psychoanalytic talk therapy
Freudian psychoanalyst
Cures phobias
Progressively desensitize to the phobia
Flooding
E.g., put a cat-phobe around 20 kittens with no escape
Magnification (Beck’s)
Everything is horrible, blow negative events out of proportion
All-or-nothing (Beck’s)
If it isn’t perfect, it is a total failure
Overgeneralization (Beck’s)
Extrapolate one failure into tons of failures
E.g., fail a test, therefore never going to go to med school and will die poor and alone
Minimization
E.g., ignore all success regardless of impressiveness, focus on negative
Arbitrary inference
E.g., assumptions without evidence
Selective thinking
Focus on one bad thing instead of all the good things
Personalization
Think everything is your fault
Body Dysmorphic Disorder
Body Dysmorphia
Hoarding
Thought is “Might need it later”
Behavior is “Keep all the stuff”
Trichotillomania
Hair-pulling
Compulsion to pull out hair
Excoriation
Skin-picking, often to the point of injury
Bilateral cingulotomy
Treatment for severe OCD
Electric wires destroy a connection in the brain that is overworked and causes the problems
Treatments for PTSD/ASD
CBTs + SSRIs
EMDR
Major Depressive Disorder
Episodic, severe
Sudden onset with no external cause, lasts days to weeks at a time
Persistent Depressive Disorder
Chronic Lasts 2+ years minimum Less severe on average People are sometimes unaware until it worsens Does not affect functioning
Pre-Menstrual Dysphoric Disorder
During per**d
Severe mood swings
Lack of motivation
Seasonal Affective Disorder
Depression caused by low sunlight
CBT
Talks to person, identifies ways of thinking that add to depression
Transcranial Magnetic Stimulation (TMS)
Series of appointments once a day for 12-15 days
Uncomfortable magnetic stimulation during visit
Causes temporary cure and headaches
Ketamine
Very effective for some
Approved for MDD (Major Depressive Disorder)
BP1
Mania + mild to major depressive cycles
Mania
Overly positive outlook on life
Unrealistic
E.g., go to Vegas because they couldn’t ever lose
BP2
Hypomania + major depressive cycles
Harder to convince them to seek treatment
Treated with Lithium
Hypomania
Extreme positive, productivity, and creativity, might not sleep very much
Entirely good thing
Pica
Desire to eat dirt/non-nutritive thing (e.g., car, mattress)
Anorexia Nervosa
Self-starvation because of fear of fat
Bulimia Nervosa
Binge-and-purge
Eat way too much, then self-induce a vomit or eat laxatives
Binge-eating Disorder
Bulimia without the purge
Grouping types
By disorder
By type of therapy
Family therapy
Improve communication within the entire family
Dissociative amnesia
Traumatic event induces temporary dissociative fugue
Dissociative fugue
Gets amnesia, forgets identity and other memories, and aimlessly wanders
Dissociative Identity Disorder (DID)
Shallan
Schizophrenia Positive Symptom
Excess of behavior
Schizophrenia Negative Symptom
Absence of behavior
Delusion (schizophrenia)
False belief
Hallucination (schizophrenia)
Imaginary sensory perception
Alogia (schizophrenia)
No speech (negative symptom)
Flat Affect (schizophrenia)
No emotion (negative symptom)
Bio-psychological model (schizophrenia)
C4 gene related to excessive synaptic pruning
Leads to schizophrenia
Stress-vulnerability model (schizophrenia)
Epigenetics, environment turns on the schizophrenia
Treatments (schizophrenia)
Anti-psychotics + psychotherapy
Use medications to make them interactable
Then permanently fix them with therapy
Personality Disorders
Persistent, rigid, and maladaptive pattern of behavior that interferes with normal social interactions
ODD/ECCENTRIC TYPE (Cluster A)
Paranoid Personality Disorder
Schizoid PD
Schizotypal PD
ODD/ECCENTRIC TYPE (Cluster A)
Paranoid Personality Disorder
Schizoid PD
Schizotypal PD
Paranoid Personality Disorder
Unwarranted suspiciousness, hypersensitive, easily offender, untrusting
In other words, super paranoid
Schizoid PD
E.g., extreme loner, emotionally cold and indifferent, prefer social isolation
Schizotypal PD
Like a witch that lives on the edge of reality
DRAMATIC/EMOTIONAL TYPE (Cluster B)
Antisocial PD
Borderline PD
Histrionic
Narcissistic PD
Antisocial PD
Against social norms and social roles No morals No empathy Usually males E.g., politicians
Borderline PD
Moody and unstable
No clear identity
Like bipolar, but instantaneous and more frequent mood swings
Usually females
Histrionic
Dramatizer and exaggerator
Attention-seeking
Narcissistic PD
Narcissist
Exploitative, no empathy
Related to Antisocial PD
ANXIOUS/FEARFUL TYPE (Cluster C)
Avoidant PD
Dependent PD
Obsessive-Compulsive PD
Avoidant PD
Avoid social interactions/relationships
Don’t want to be alone but too fearful of rejection
Similar to social anxiety disorder but fear of rejection is part of personality itself
Dependent PD
Total reliance on other people
No initiative
Inferiority complex
Obsessive-Compulsive PD
Conscientiousness to the extreme
Everything must be perfect
Rigid, controlled, exact
Roger’s Person-Centered Therapy (personality disorders)
Humanistic
- Unconditional positive regard
- Reflect (paraphrase their thoughts, value them)
- Empathy (put oneself in their shoes)
- Authenticity (seem authentic)