Chapter 16 - Psychological Disorders Flashcards

1
Q

What are the factors of a disorder?

A

It must be:
1. Distressing - Of concern to yourself or others.
2. Deviant - Rare to the rest of the common population.
3. Dysfunctional - It should interfere and occupy with your average day-to-day activities.

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2
Q

How should a disorder fit into the DSM-5?

A

The DSM-5 commonly explains that an example of a mental illness would be:
1. A depressed mood for most of the day
2. Remarkable little interest in many activities through the day
3. Weight loss

And so on. These are early precursors to more major symptoms of underlying mental disorder.

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3
Q

What is a categorical approach compared to a dimensional approach of diagnosis?

A

Categorical Approach:
To view disorders as a yes or no diagnosis. You either meet the threshold to have the disorder, or you do not have it.

Dimensional Approach:
To view disorders as a spectrum, the ability to be high or low in certain symptoms and to exist on a range.

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4
Q

What was the David Rosenhan study?

A

A study suggesting that patient treatment in psychiatric hospitals were unsatisfactory. Claiming to have schizophrenia before they got in, and quickly dropping their reported symptoms, the researchers were instead labeled as having “schizophrenia in remission” rather than being fully “cured”.

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5
Q

What is competency and insanity?

A

Competency relates to whether or not you are able to stand trial in a court setting. You will still be held until you are deemed competent enough.

Insanity is a legal defence term determining whether or not you can be held legally responsible for an illegal act committed by an individual. For this defence to apply, having any disorder is not a passable reason for insanity. The disorder must impair your ability to understand what you are doing in any way.

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6
Q

What is incidence and prevalence?

A

Incidence is # of new cases within a given time period. For example, the incidence of a disorder being 2% might indicate an increase of 200 new cases within a year. Of course, this can vary depending on base rate.

Prevalence is the number of total cases within a given time, including people who have developed the disorder prior to that time.

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7
Q

What are some anxiety disorders?

A
  1. Phobias, an irrational fear of something, or fears that cannot be easily understood by those who do not experience it.
  2. Generalized Anxiety Disorder, GAD, constant underlying anxiety that may impair one’s ability to function in day to day life.
  3. Panic Disorder, a susceptibility to panic attacks which are extreme bouts of anxiety.
  4. OCD, obsessions that are repetitive unwanted thoughts, like intrusive thoughts. These drive to compulsions, something you feel the need to do.
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8
Q

What is catastrophizing?

A

In beliefs and irrational thinking processes, one important one is catastrophizing. Something bad happens, and your mind immediately moves to the worst possible scenario. A type of thinking based off of irrational inference.

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9
Q

What is classical conditioning?

A

With the best example being Pavlov’s dog, it is an associative conditioning. Reaction driven by association and exposure.

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10
Q

What is operant conditioning?

A

Reward and punishment. When a voluntary behaviour is followed by something pleasant or unpleasant, that will cause that specific behaviour to increase or decrease in frequency.

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11
Q

What are some socio-cultural disorders?

A

Disorders that only last in specific cultures. Anorexia nervosa is more prevalent in western societies, with bulimia nervosa a related disorder symptomized with excessive overeating.

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12
Q

What are mood disorders?

A

Often exemplified with depression being the most commonly diagnosed disorder, mood disorders include bouts of depression and mania depending on the diagnosis. Bipolar disorder is split into two, where I involves mania and bipolar II involves hypomania.

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13
Q

What is the likelihood of relapse of mood disorders measured by the DSM-5?

A

It is said that the more factors you have from the DSM-5 list, the more likely you are to relapse of the illness.

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14
Q

What are some dissociative disorders?

A
  1. D. Amnesia
    An unpleasant memory that you don’t feel connected nor have conscious access to, memory disassociation.
  2. D. Fugue
    Having reported to lose all memories of your prior life after a major life change.
  3. DID
    People with multiple personalities. Names, memories, voices, ages and origin.
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15
Q

What is the trauma-disassociation theory?

A

Trauma-dissociation theory explains how this may emerge from a sort of coping resource. The personality might diverge into two where one will hold the traumatic memories while another is allowed to go on peacefully.

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16
Q

What does iatrogenic mean?

A

Iatrogenic means “caused by treatment”. Some people may present with this system, enter therapy, and the therapist may ask directive questions. These questions may cause the patient to act in a certain way.

17
Q

What is schizophrenia?

A

It falls under psychosis or psychotic disorders, meaning some kind of split from reality or some kind of irrational thinking based on perception that does not correspond with reality. Hearing voices, seeing things, etc. Schizophrenia is a particularly intense version of that. It is not a split of the mind but a break from reality.

18
Q

What does it mean to have positive or negative factors in the diagnosis of schizophrenia?

A

The disorders of schizophrenia are classified under different things. The splitting into positive and negative factors. Positive being something is added, negative being that something is taken away. Namely, added to or taken away from normal functioning.

19
Q

What are examples of positive symptoms in schizophrenia?

A
  1. Delusions
    Fixed and irrational false beliefs in extremes. Delusions of persecution, grandeur, etc. Where new beliefs are “added”.
  2. Hallucinations
    Perceptions of sensory experiences and sensations that the real world does not correspond to. Nonlogical word salad may also be involved.
20
Q

What are some negative symptoms correlated with schizophrenia?

A
  1. Flat Affect
    Very little emotional response, or none at all. To be emotionally blunted.
  2. Catatonia
    Where one’s body may become periodically locked for a time, though an outside force is able to manipulate the shape of their body. It will stay that way and the patient will not respond.
21
Q

What is type I and type II schizophrenia?

A

Type I:
This type of schizophrenia is more characterized by positive symptoms.
Type II:
This type of schizophrenia is more characterized by negative symptoms.

22
Q

What are some factors that may influence the likelihood of schizophrenia diagnosis?

A

Heritability. The rate is about 1%, but if you are with an identical twin who is diagnosed with schizophrenia, your likelihood increases to 50%.
Enlarged ventricles are correlated with schizophrenia, indicating that the brain matter has deteriorated, only now holding sacs of cerebrospinal fluid. This is called “brain atrophy”.

23
Q

What is the social drift and social causation hypothesis associated with schizophrenia?

A

The social correlation hypothesis debates how that may increase your risk of getting schizophrenia. The stresses of low income and poverty may increase your risk.
The social drift hypothesis goes the other way, where having schz itself may pose a risk to the climb up the social ladder, being to hold a job or to keep a certain position for an amount of time.

24
Q

What are the clusters of personality disorders and some examples?

A

Cluster A (odd or eccentric):
Paranoid, schizoid, schizotypal.
Cluster B (dramatic or erratic):
Antisocial, borderline, histrionic, narcissistic.
Cluster C (anxious or fearful):
Avoidant, dependent, obsessive-compulsive.

25
Q

What is antisocial personality disorder?

A

Low empathy, pathological lying, and lack of nervousness when performing these related situations. People who do not fear or experience nervousness around tense situations.

26
Q

What is splitting in BPD?

A

Borderline personality disorder does not mean on the verge of normality, but extreme levels of emotional instability or disregulation. People who will alternate between two extremes, may engage in self-harm to get what they want, etc. One thing thought to be related is “splitting”, a cognitive concept that describes the difficulty with bad experiences or unpleasant actions. Unable to integrate the good and bad features of a person.

27
Q

What is a developmental disorder?

A

Mental disorders that occur in specific developmental periods or occur at a specific age.

28
Q

What is ADHD?

A

“Attention Deficit Hyperactivity Disorder”, characterized by short attention spans such as difficulty paying attention in school or others, and heightened energy. More wild/energetic behaviour. 7-10% American children are diagnosed with this per the book.

29
Q

What is autism spectrum disorder?

A

A cluster of symptoms that tend to go together. Central ones being social difficulty, difficulty picking up on social cues, learning from other people, maintaining eye contact. Less interest in people, rather obsessing over their favourite thing when young and obsessing over a singular interest when they are older. They often engage in repetitive behaviour which can be associated with rigidity in following a schedule. Aspergers is involved in the Autism spectrum. Savant syndrome is relative, people who typically have autism and in addition, an extreme ability. They may be extremely good with memory, mathematical calculations.

30
Q

What is dementia?

A

It is said to be an umbrella term for a variety of memory disorders. Deterioration of cognitive capacities, especially memory. Alzheimer’s is one particular cause of dementia. Biomarkers of Alzheimer’s are amyloid plaques and neurofibrillary tangles.