Chapters 12 13 14 Flashcards
Defining Psychological disorder Culture and Time
Diagnosis of specific disorders has varied from culture to culture and overtime in the same culture
Understanding Psychological Disorders - Middle Ages
Wide variety of therapies (often cruel or barbaric) used to drive out demons or modify madness
Understanding Psychological Disorders - Philippe Pinel
Opposed brutal treatment and proposed moral treament
Viewed madness as a sickness of mind caused by severe stress and inhumane treatment
Sponsored patient dances “lunatic balls”
Understanding Psychological Disorders - The medical Model
1800s: search for physical causes of mental disorders and for curative treatment
mental illness is diagnosed on the basis of symptoms and cured through therapy, including treatment
Understanding Psychological Disorders - The biopsychosocial Model
General approach positing that biological, psychological, and social-cultural factors, all play a significant role in human functioning in the context of disease or illness
Classification in psychiatry and psychology
Provides name and description
Attempts to predict the future of a disorder
Suggests treatment
DSM - 5
American Psychiatric Association’s 2013 Diagnositc and Statistical Manual of Mental Disorders (DSM-5)
A widely used system for classifying psychological disorders
Personality disorder
o Inflexible and enduring behavior pattern that impairs social functioning
o May include withdrawal or avoidance of social contact, insecurity, instability, or manipulative behaviors
Insanity
o mental illness of such a severe nature that a person cannot distinguish fantasy from reality, cannot conduct her/his affairs due to psychosis, or is subject to uncontrollable impulsive behavior.
Hallucination
o perceiving things in the absence of stimulation
o perceiving things that are not really there.
o Can be false or distorted, but seem very real and vivid to the person experiencing it
o can involve any of the senses including vision, hearing, smell, touch, taste and movement
o different things that may cause hallucinations including substance abuse and schizophrenia.
Delusions
o False beliefs, often of persecution or grandeur, that may accompany schizophrenia and other disorders
Obsessions
o Unwanted repetitive thoughts (OCD)
Compulsions
o Unwanted repetitive actions (OCD)
Comorbidity
- the presence of one or more additional disorders (or diseases) co-occurring with a primary disease or disorder
- or the effect of such additional disorders or diseases
- The additional disorder may also be a behavioral or mental disorder.
Autism spectrum Disorder
o a serious neurodevelopmental disorder that impairs a child’s ability to communicate and interact with others
o includes restricted repetitive behaviors, interests and activities.
o These issues cause significant impairment in social, occupational and other areas of functioning.
o Autism spectrum disorder (ASD) is now defined by the American Psychiatric Association’s Diagnosis and Statistical Manual of Mental Disorders (DSM-5) as a single disorder that includes disorders that were previously considered separate — autism, Asperger’s syndrome, childhood disintegrative disorder and pervasive developmental disord
NSSI
o Nonsuicidal self-injury
o Includes cutting, burning, and hitting oneself, pulling out hair, inserting objects under the nails or skin and self-administered tattooing
o People engange in NSSI to
Gain relief from intense negative thoughts through the distraction of pain
Ask for help and gain attention
Relieve guilt by self-punishment
Get others to change their negative behavior (bullying, criticism)
Fit in with a peer group
Positive symptoms of schizophrenia
o Positive in a sense that inappropriate behaviors are present
o May laugh or cry or las out in rage at inappropriate times
Negative symptoms of schizophrenia
o Toneless voices, expressionless faces, or mute and rigid bodies
o Negative in a the sense that actions or feelings are absent when you might expect them to be present
Symptoms of Schizophrenia
o Disorganized speech
o Disturbed perceptions
o Diminished and inappropriate emotions and actions
Tardive dyskinesia
o A neurological syndrome characterized by repetitive, involuntary, purposeless movements caused by the long-term use of certain drugs called neuroleptics used for psychiatric, gastrointestinal, and neurological disorders.
Resilience
o an individual’s ability to properly adapt to stress and adversity
o Stress and adversity can come in the shape of family or relationship problems, health problems, or workplace and financial stressors, among others.
Eclectic therapeutic approach
o Selecting a mixture of what appears to be best of various doctrines, methods or styles.
o therapist chooses interventions because they work, without looking for a theoretical basis for using the technique.
o Eclectic practitioners are not bound by the theories or methodology of any one particular school
o use what they believe or feel or experience tells them will work best, either in general, or to suit the immediate needs of individual clients
Continuity Hypothesis
???
“A warm continuous relationship with the mother or permanant mother substitute is essential for healthy attachment to occur, as it gives individuals a ‘working model’ about how relationships function”
ADHD
- Attention-deficit/Hyperactivity disorder
- 11% of american 4 – 17 yrs old diagnosed
- extreme inattention, heperactivity and impulsivity
- 2.5% have ADHD sympstoms
How can symptoms of ADHD be treated?
- With medication and other theraphies
Anxiety Disorders
- Marked by distressing persistent anxiety or maladaptive behaviors that reduce anxiety
Generalized anxiety disorder
- Person Is constantly tense and uneasy for no apparent reason
Generalize anxiety disorder symptoms
- Continual worrying, often jittery, sleep deprived, concentration difficulties, often expereienced with depression
- 2/3 are women; decreases with age in many
Panic Disorder
- Person experiences sudden episodes of intense dread and often lives in fear of when the next attack might strike
Panic disorder symptoms
- Irregular heartbeat, chest pains, shortness of breath, choking, dizzeness, trembling
- Smoking increases the risk for attacks
Phobias
- Person feels irrationally and intensely afraid of a specific object or situation
Obsessive-compulsive disorder
- Person is troubled by repetitive thoughts or actions
- Occurs when obsessive thoughts and compulsive behaviors interfere with everyday life and cause distress
Post traumatic stress disorder
- Person has lingering memories, nightmares, and other symptoms for weeks after a severely threatening, uncontrollable event
PTSD usually involves
- Battle-scarred veterans and survivors of accidents, disasters, and violent and sexual assualts (2/3rd prostitutes)
- Women are at higher risks
Major depressive disorder
- Persistent state of hopeless depression
- Occurs when signs of depression last two or more weeks and are not caused by drugs or a medical condition
Bipolar disorder
- An alternation between depression and overexcited hyperactivity; less common
- May include seasonal patterns; involves a surge in diagnosis
Anorexia Nervosa
- Person (usually an adolescent female) maintains a starvation diet despite being significantly underweight
Bulimia Nervosa
- Person alternates binge eating (usually of high-calorie foods) with purging (by vomiting or laxative use), fasting or excessive exercise
Binge-eating disorder
- Significant binge eating, followed by distress, disgust, or guilt, but without the purging, fasting, or excessive exercise that marks bulimia nervosa
Dissociative disorder
- Conscious awareness becomes separated (dissociated) from previous memories, thoughts, and feelings
Dissociative identity disorder (DID)
- Rare dissociative disorder in which a person exhibits two or more distinct and alternating personalities (multiple personality disorder)
Antisocial personality disorder
- Lack of conscience for wrongdoing, even toward friend and family members
- Impulsive, fearless, irresponsible
- Some genetic tendencies, including low arousal
- Typically male; emerges before age 15; influenced by nature and nurture
DSM-5 Criticsm (Problems of diagnostic labeling of psychological disorders)
- Antisocial personality disorder and generalized anxiety disorder did poorly on field trials
- DSM-5 contributes to pathologizing of everyday life
- System labels are society’s value judgements (Rosenhan 1973)
DSM-5 Benefits
- System helps mental health professionals comnmunicate and is useful in research
Are people with psychological disorders dangerous?
- The majority of violent crimes are committed by those with no diagnosed disorders
- There is little risk of violence or harm to a stranger from casual contact with an individual who has a mental disorder
- Alcohol or drugs, previous violence, and gun available are better predictors of violence
How do anxious feelings arise - Conditioning?
Classical Conditioning helps explain?
- classical conditioning helps explain
1. How panic-prone people associate anxiety with certain cues
How do anxious feelings feelings arise - conditioning
Stimulus generalization research demonstrates
How a fearful event can later become a fear of similar events
How do anxious feelings arise - conditioning
Operant conditioning can help?
maintain a developed and generalized phobia
How do anxious feelings arise - cognition
- Observing others can contribute to the development of some fears
- Interpretations and expectations shape reactions
Schizophrenia
o Psychological disorder characterized by delusions, hallucinations, disorganized speech, and/or diminished, inappropriate emotional expression
Onset and development of schizophrenia
o Sudden appearance for some; slow-developing for others
o Recovery is more difficult for slow-developing onset
o Men are stuck earlier, more severely, and slightly more often
Prenatal environment and risk – schizophrenia
o Low birth weight
o Lack of oxygen during delivery
o Maternal prenatal nutrition
o Mid pregnancy viral infection (flu, dense population, season of birth)
Bipolar is treated with?
o Lithium
Natural salt
Monitor carefully
Deadly and fatal
Psychoanalysis
o Therapy in which a trained therapist uses psychological techniques to assist someone seeking to overcome difficulties or achieve personal growth
Psychoanalysis : Goals
o To bring patients’ repressed feelings into conscious awareness
o To help patients release energy devoted to id-ego-superego conflicts
Psychoanalysis: Techniques
o Historical reconstruction, initially through hypnosis and later through free association
o Interpretation of resistance, transference
Psychodynamic therapy
o is a view that explains personality in terms of conscious and unconscious forces, such as unconscious desires and beliefs.
o also known as insight-oriented therapy, focuses on unconscious processes as they are manifested in a person’s present behavior.
Psychodynamic Therapy Goals
o To help people understand current symptoms
o a client’s self-awareness and understanding of the influence of the past on present behavior.
o To explore and gain perspective on defended-against thoughts and feelings
Psychodynamic Therapy Techniques
o Client-centered face-to-face meetings
o Exploration of past relationship troubles to understand the orgiins of current difficulties
Humanistic Therapy Theme
Emphasis on people’s potential for self-fullfillment
To give people new insights
Humanistic Therapies Goals
To reduce inner conflicts that interfere with natural development and growth
Humanistic Therapies Techniques
Client-centered therapy
Focus on taking responsibility for feelings and actions and on present and future rather than past
Client-centered Therapy
o Carl Rogers
o Person-centered therapy focuses on a person’s conscious self-perceptions
- Most people possess resources for growth
Terms associated with client-centered therapy
Non-directive
Active listening
Unconditional positive regard
What does therapists do during person(client)-centered therapy
Foster growth by exhibiting genuineness, acceptance, and empathy
During Carl Rogers Humanistic Therapy…How is communication strengthened?
Summarize
Invite clarification
Reflect feelings
Behavior Therapies - Classical Conditioning Techniques
Counterconditioning
Exposure therapies
Systematic desensitization
Counterconditioning
Uses classical conditioning to evoke new responses to stimuli that are triggering unwanted behaviors
Exposure Therapies
o Treat anxieties by exposing people (in imagination or actual situations) to the things they fear and avoid
Systematic desensitization
o Associates a pleasant, relaxed state with gradually increasing, anxiety-triggering stimuli