chapter 16 Flashcards
What is abnormal?
Distress (self or others), dysfunction (person or society), deviance (violate social norms)
What are 9 major diagnostic categories?
Anxiety, dissociative, sexual and gender identity, mood, schizophrenic, eating, somatoform, substance abuse, personality disorders
Describe anxiety disorders
frequent, no loss of contact with reality (phobias panic, OCD, PTSD)
Describe dissociative disorders
problems with consciousness or self-identification (amnesia, multiple personalities)
Describe sexual and gender identity disorders
sexual dysfunction, desire to be opposite sex (molestation, fetishes)
Describe mood disorders
marked disturbances in mood (depression, mania)
Describe schizophrenic disorders
disorder of thinking, perception and emotion (loss contact with reality)
Describe eating disorders
anorexia and bulimia
What did ancient scientists think of mental illness?
caused by demons
What is trephination?
drill hole in skull to release the spirit
What does Pythagoras suggest about mental disorders?
disease of the mind
What was Rosenhan’s study
people got admitted into mental hospital by saying “I’m hearing voices” no one realized they were pretending, normal behaviour was taken as a symptom
What’s the vulnerability-stress model (diathesis-stress model)?
everyone has degree vulnerability for developing psychological disorder, given sufficient stress
Until the mid 70’s there was either…
neurosis or psychosis
What is neurosis?
anxiety like a phobia (in touch with reality)
What is psychosis?
thought disturbance like schizophrenia (lose touch with reality)
what are some facts about anxiety disorders?
onset when younger, most prevalent disorder in north America, most common in females, affects 25% of people
characteristics of anxiety disorders
subjective-emotional distress, avoidance-escape behaviour, interference in daily routine and social functioning
What is a phobia?
strong/irrational fear of certain objects or situations
Whats the biggest phobia in men?
heights
whats the biggest phobias in women?
animals
What is generalized anxiety disorder?
chronic “free-falling” anxiety not attached to specific situations or objects
What is a panic disorder?
sudden, unpredictable and intense panic attacks
When are panic disorders diagnosed
when patient has fear of future attacks
What are OCD obsessions and compulsions?
obsession- repetitive thoughts, images or impulses (cognitive)
compulsion- repetitive behavioural responses (behavioural)
What do compulsions prevent?
anxiety and panic attacks
What percent of OCD occurs in men and women?
2%
What does OCD have a genetic link to?
tourette’s
What are the 5 causes of anxiety disorders?
biological factors, psychodynamic view, cognitive view, behavioural view, sociocultural
What is the percent concordance for anxiety disorders in identical and fraternal twins?
40 and 4%
What’s the psychodynamic view of anxiety disorders?
impulses threatened overwhelm ego’s defence
What does the psychodynamic view think GAD and panic attacks are?
when defences aren’t strong enough to contain the anxiety
What does the cognitive view think of panic attacks?
triggered by exaggerated misinterpretation of normal anxiety symptoms
what is classical conditioning from the behavioural view?
develop phobia after being bitten by snake
What is observational learning from the behavioural view?
develop fear from watching tv
What is operant conditioning from the behavioural view?
avoidance/compulsions are negatively reinforced
What’s the personality of anorexics?
perfectionists, high standards, need control
What’s the personality of bulimics?
depressed, anxious, low impulse control
What are the physiological components of anorexics?
leptin levels rebound faster than weight so hard to gain weight
What are the physiological components of bulimics?
lose tastebuds making vomiting more tolerable
What are emotional high or lows called?
mania and depression
What are out of proportion to a person with depression life situation?
frequency, intensity and duration of depressive symptoms
What is dysthymia?
A version of depression with less dramatic effects on personal and occupational functioning
What are the 4 symptoms of depression?
mood, cognitive, motivational and somatic