Chapter 14: Phycological Disorders Flashcards

1
Q

Explain why the DSM has become a more credible diagnostic tool over the course of revisions to each edition

A

DSM, last revised in 2013, gives info on prevalence, causes, and expected outcomes

Criticisms:
1. Reinforces the disease model
2. Everyday problems become mental problems
3. Overly responsive to political issues
4. Power of the label (everything we do becomes a reflection of our disorder, Rosenhan Study (faked schizophrenia)

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2
Q

Identify the fundamental ideas behind the medical model, the biopsychosocial perspective, and the diathesis–stress model.

A

Medical Model: mental problems stem from biological problems
Biopsychosocial: combination of biological, psychological, and social factors combine to cause disorders
Diathesis-Stress Model: you are born with a predisposition to a disorder that will remain unexpressed until triggered by stimulus

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3
Q

Relate how the RDoC expands on the DSM.

A

Research Domain Criteria Project: guide classification and understanding of mental disorder by revealing basics processes that cause them

emphasis on symptoms rather than disorders
shift to understanding underlaying processes

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4
Q

Explain the negative consequences of labeling someone with a disorder

A

When you label someone with a disorder, all of their actions become associated with that disorder, they can feel that they are defined by their disorder and treated the same way

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5
Q

Explain the major symptoms of anxiety disorders, including phobias, panic disorder, and GAD.

A
  1. Jittery
  2. Upset Stomach
  3. Problems Sleeping
  4. Problems Concentrating
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6
Q

Describe factors that contribute to phobias, panic disorder, and GAD

A

More common in Women
PHOBIAS:
- evolutionary: we are predisposed to fear things that were dangerous in history
-psychodynamic: displaced anxiety
-behavioral: phobias are learned (feal is classically conditioned and maintained by relief we feel from escaping)
-cognitive: exaggerated beliefs about harm

PANIC DISORDER:
-biological: brain activation on right side is higher, genetic
-cognitive: misattributed bodily sensations (overly sensitive to changes in body)

GENERALIZED ANXIETY:
- genetic components

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7
Q

Describe the symptoms and potential causes of OCD

A

persistent thoughts or actions, no gender differences, obsession = thoughts, compulsion = behavior to reduce anxiety

causes: high brain activity in habitual behavior circuits

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8
Q

Describe the symptoms and potential causes of PTSD

A

4 Symptom Clusters:
1. Intrusion
2. Avoidance
3. Negative Alterations in thought and mood
4. Increased emotional reactivity

biological factors:
- genetic (twins)
- epigenetic changes
- overly active fight or flight
- differences in the size of the hippocampus
(small hippocampus = risk, stress can shrink the size of the hippocampus)

psychological factors:
- prior trauma increase likelihood of future trauma
- coping style impact (optimistic = less likely)
-supportive community will reduce chances (Vietnam)

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9
Q

Describe the symptoms of mood disorders, including depressive and bipolar disorders

A

MAJOR DEPRESSIVE DISORDER:
- depressed mood
- loss of interest, energy, motivation
- disturbances in sleep, eating, weight, concentration
- feeling of guilt, worthlessness, suicide attempts

BIPOLAR DISORDER:
- Mania (elevated, expansive, irritable mood, hyper activity, decreased need for sleep, grandiosity, racing thoughts, pressured speech, reckless)
-depressive symptoms are the same

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10
Q

Identify biological, genetic, and environmental factors that may influence mood disorders.

A

More common in women

Biological:
- genetics (twins are more likely)
- neurotransmitters ( depression = increase serotonin and decreases NE, Manis = decreased serotonin and increased NE)
- decreased brain function in left frontal lobe

Behavioral:
- social reinforcement (social interaction do not give reinforce to behaviors of depressed people)

Cognitive:
-Learned Helplessness (internal (them), global (all encompassing), stable( will not change))
-Cognitive Triad: negative view of self world and others

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11
Q

Compare the negative, positive, and cognitive symptoms of schizophrenia

A

Negative: loss of interest, emotional responding, poverty of speech, social withdrawal

Positive: hallucinations (auditory normally, delusions (impossible beliefs), incoherent speech (tangential speech)

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12
Q

Describe the biological factors contributing to schizophrenia

A
  1. Abnormalities in brain function + structure
  2. Larger Ventricles in brains = less tissue
  3. Smaller brain volume of amygdala and hippocampus (related to negative symptoms)
  4. Decreased frontal lobe activity
  5. Abnormalities in Dopamine
    - dopamine hypothesis: schizophrenia is due to excess dopamine in brain, wrong
    - revised dopamine hypothesis: area with increased dopamine = positive symptoms, area with decreased dopamine= negative symptoms
  6. Risk if born in December months (second trimester during flu season)
  7. Older father increase risk (more genetic mutations)
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13
Q

Explain the evidence for the influence of environmental factors

A

huh?

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14
Q

Define personality disorders

A

thinking, feeling, or relating to others or controlling impulses that deviate from cultural expectations and cause distress or impaired functioning

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15
Q

Explain the diagnostic signs of antisocial personality disorder

A

disregard for and violation of the rights of others that begins in childhood and continues to adulthood

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16
Q

Explain the factors that increase the risk of suicide

A

-women have more attempts, men have more success
-ALCOHOL: lowers inhibition against itself slaughter
-FIRE ARMS: 1/2 all suicided involve a gun

17
Q

Biological Explanation

A

disorders arise from some physical dysfunction

18
Q

Psychological Explanation

A

disorder is result of past experience
1. Psychodynamic (intrapsychic conflict)
2. Behaviors
3. Cognitive

19
Q

Sociocultural Approach

A

disorder in context of society, some societies have different emotional expressions, different types of social anxiety (embarrass ourselves, embarrass others)

20
Q

Thomas Szaz

A

said the term “illness” removes accountability and diagnosis makes us powerless and need professional help