CHAPTER 15 Flashcards

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1
Q

What is a psychological disorder?

A

persitent deviant and dysfunctional behavipur pattern

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2
Q

describe the 2 models of mental illness

A

1) demonic model: view of mental illness during middle ages where odd behaviour was attributed to evil spirits.
- A manual called Malleus Maleficarum (witches hammer) was written to help identify witches thought possessed by the devil. they dunked you in water and if you survived, you were a witch and if you didnt then too bad lol you died for nothing

2) medical model: mental illness is a physical disorder needing treatment. they created asylums which many were overcrowded and understaffed warehouses. They believed mental illness was in the blood and would drain their pt’s blood

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3
Q

describe the modern era of psychiatric treatment

A

medication: in the early 1950s became popular. chlorpromazine for schizophrenia was able to give pt’s more independance which began deinstitutionalization(released from hospitalized psychiatric pt’’s into the community and closing mental hospitals)

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4
Q

what are some psychiatric diagnosis misconceptions?

A

1) diagnosis used as pigeonholing (sorting people into different boxed)
2) diagnosis are unreliable
3) diagnoses are invalid. they are informative.
4) diagnosis stigmatize people (only true one)

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5
Q

what does thomas szasz think about psychiatric diagnoses?

A

he believed are useless because they dont provide us withmuch other than being descriptive labels for behvaiours we dont like

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6
Q

what is the official system of classifying mental disorders?

A

diagnostic and statistical manual of mental disorder aka DSM-5

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7
Q

what is the rule of diagnostic for a mental disorder from the DSM-5?

A

MUST have atleast 1 of the 5 symptoms continually. If the problem has a medical condition then it is not diagnosed as mental.

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8
Q

what are some issues with DSM-5?

A

1) not all diagnosis meet criteria for validity
2) high level of comorbidity meaning people have more than one diagnosis
3) relies exclusively on a categorical model of psychopathology. with this model, mental disorder such as depression is etiher present or absent with no in-between.

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9
Q

what model does sceince suggest we use for mental illness?

A

dimensional model meaning they differ from noram functioning degree

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10
Q

what are some self-confirming diagnoses?

A

heavily biasing your questions so pt gives the answers that conform to your idea.

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11
Q

what can clinicians do to make sure they’re not bias when it comes to biases?

A

1) rely on notes rather than notes
2) recognize hindsight is seductive as it can lead you o feel overconfident
3) avoid questions that assume your preconceptions are correst. Consider opposing ideas and test them

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12
Q

is anxiety adaptive?

A

yes(normal one where your anxious about exam or medical procedure)

but it can be maladaptive when the anxiety level is so high and comes at times where its unexpected

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13
Q

what is generalized anxiety disorder

A

continuing feelings of worry, including the small things in life like anpcoming meeting

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14
Q

who mostly has generalized anxiety disorder (GAD))?

A

women more than men usually have anxiety disorders

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15
Q

define panic dosorder and what does it lead to?

whos at risk of panick attacks?

A

repeated unexpected panic attacks.

leads to agoraphobia

most at risk is smokers

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16
Q

what is a phobia?

A

irrational fear of something

17
Q

how are phobias diagnosed?

A

1) it must restrict our lives

2) create much distress

18
Q

what is agoraphobia?

A

a fear or avoidance of situations in which escape might be difficult when panic strikes so they start avoiding being outside the home, in a crowd or bus

19
Q

define social anxiety disorder

A

an intesne fear of being scrutinized by others . it is extreme shyness. their anxiety goes beyong the stage of frights that most of us feel occasionally

20
Q

define OCD

A

unwated repetitive thoughts (obsessions) and actions (compulsions) that are inappropriate and caused marked distress.

21
Q

what is the link of OCD and the brain?

A

OCD shows malfunction of the caudate nucleus (part of the basal ganglia) which initiates body control and movement.

22
Q

how long do people spend in their OCD a day?

A

1 hour a day

23
Q

define major depressive disorder

A

in the absence of drugs or a medical condition, two or more weeks of significantly depressed moods.

24
Q

define bipolar disorder

A

alteration between the hopelessness and lethargy of depression and the overexcited state of mania.

elevated mood, impulsivity, increased energy, inflated self-esteem

25
Q

define depressive realism

A

tendency of midly depressed people to make accurate rather than self serving judgments.

26
Q

what promotes depression?

A

a pessimistic explanatory style view of life

27
Q

how do depressed people chnage?

A

by changing their attributions

28
Q

define schizophernia

A

thought and emotion associated with a loss of contact with reality.

includes 3 disturbances
1) disturbance in the content of thought

2) disturbances in the form of thought
3) other delusions

29
Q

define personality disorders

A

marked by inflexible and enduring behaviour patterns that impair social functioning

  • paranoing disorder
  • antisocial disorder (impulsive, selfish)
  • historionic(seks attention, dramatic, shallow)
  • narcissistic(arrogant, entitlement)
  • borderline (unstable mood, self-image, fear of abandonment)
30
Q

define dissociative identity dsorder

A

used to be know as multiple personality disorder

  • there isnt much validty to this

occurs when 2 distinct personalty states exist within the person and disrupt the persons usual sense of identity

31
Q

is dissociative identity real?

A

no. difference could stem from chnages in mood or thoughts over time or from voluntarily bodily changes
- some even stating that its the person viewing themselves in different states and acting that way