Clinical Flashcards

0
Q

Define abnormality (statistical definition)

A

About statistical infrequency. Behaviour that is statistically rare is said to be abnormal eg. IQ
It uses the normal distribution curve with the middle regions being normal
It has an arbitrary cut off point

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
1
Q

Define abnormality (social norm definition)

A

Behaviour which conforms to social norms is ‘normal’ and behaviour that does not is ‘abnormal’.

There are aspects which need to be taken into account when making a judgment about someone being 'abnormal', these are....
Culture 
Age
Gender
The situation 
Historical context
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Define primary data

A

Gathered first hand from source, directly by the researcher using methods such as experiments, interviews and questionnaires. An example is Milgram who collected primary data when he studied obedience in a lab

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Define secondary data

A

Data that has already been gathered by someone and is used by someone else for further research. For example, government statistics from a census can inform researchers about the number of females living alone. A meta-analysis, in which researchers pool data on a particular topic, uses secondary data because the data studied is not gathered first hand

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Define reliability

A

Is found when what was done in one study is repeated and the same results are found

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Define validity

A

Is found in studies where what is measured is what is claimed to be measured

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is clinical psychology

A

It is about the study of mental health and mental disorders. It is about diagnosing, explaining and treating mental illness. It also includes abnormality, which includes determining which is classed as ‘normal’

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Possible causes suggested for mental disorders include….

A

Genetics

Brain injury

Substance abuse

Family history (inherited)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Some of the possible treatments for mental disorders include…

A

Anti-schizophrenic drugs, ECT ( electroconvulsive therapy), psychotherapy - CBT (cognitive-behavioural therapy) is a popular treatment for depression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Strengths of primary data

A

Operationalisation is done with the research aim in mind, so there is likely to be validity with regard to the aim. Can gather quan or qual data so can be analysed in different ways

More credible than secondary data as it is gathered for the purpose of the chosen research method

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Weaknesses of primary data

A

Limited to time, place and number of participants whereas secondary data can come from different sources to give more range and detail. Can be small same size so hard to draw conclusions compared to range of data from secondary data

Data has to be gathered from scratch. Costly and time consuming. Can be personal bias from researcher, which could affect data collection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Strengths of secondary data

A

Saves time and expense in collecting data

Can be from different sources so there is a possibility of comparing data to check for reliability and validity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Weaknesses of secondary data

A

When analysed to be presented as results, there may have been subjectivity

Data may be out of date, therefore not suitable for current research-lacks validity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are twin studies

A

Twins studies involve comparing monozygotic (MZ) and dizygotic twins (DZ) to see what differences there are in the incidence of a certain characteristic. MZ twins are identical twins, come from the same egg and share 100% of genes. Dizygotic twins are non-identical twins, come from 2 different eggs and share 50% of genes, same as other brothers and sisters. If one twin has schiz and the condition is inherited it would be expected that with MZ twins the other twin is more likely to have schiz too, but with DZ twins this is less likely. MZ twins show genetic factors, DZ show environmental factors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is schizophrenia

A

Mental illness that can affect the way someone thinks, speaks or feels to such a degree that they lose focus on reality. Diagnosis requires 2 or more positive symptoms for a period of at least a month. Can only be done by psychiatrist, as yet no physical way to diagnose, current research looking at blood test or eye tracking

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are the 2 types of symptoms of schizophrenia

A

Positive and negative

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are positive symptoms of schizophrenia, examples and evaluation

A

Distortion of normal functions

Delusions, hallucinations, disorganised speech

Can be affected by cultural differences, tend to have greater weight when diagnosing, hard to measure objectively

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What are negative symptoms of schizophrenia, examples and evaluation

A

Lack of normal functions

Apathy, social withdrawal , a logia (lack of speech)

Start before positive symptoms, sometimes start years before diagnosis, less affected by cultural factors, more objectively measured

18
Q

5 subtypes of schizophrenia

A

Paranoid- delusions, hallucinations

Catatonic - immobile, catatonic stupors

Disorganised - giggling, pulling faces

Residual - low level of positive symptoms but psychotic symptoms

Undifferentiated - does not fit into any of above

19
Q

What is neurosis

A

Mental health issues that fall just outside normal functional but the individual is in touch with reality and knows they are ill

20
Q

What is psychoses

A

Mental health issues where the individual has lost touch with reality and is not on a continuum with normal mental health

21
Q

Evaluate the different subtypes of schizophrenia

A

Lacks precision

People don’t fit neatly into one or other subtype

Categorising people gives little or no indication of:
Cause
How it might develop
Effective treatment

22
Q

Strengths of twin studies

A

There is no other way to study genetic influences so clearly, as no other humans share 100% of their DNA

Although the amount they share their DNA differs, both MZ and DZ twins share their environments, so there is a natural control over environmental effects

23
Q

Weaknesses of twin studies

A

MZ twins share their DNA but even in the womb they may experience different environments, which may lead them to develop differently

MZ twins may be treated more alike than DZ twins because they are identical and share their gender too, so their environments may not be as controlled as might be thought

Rare so sample size is small

24
What are animal studies
Studies which involve the use of animals to gain a result. They are used in situations where it would not be ethical to use humans. Evidence to support their use includes their reliability from studies such as Castner and Skinner
25
Strengths of animal studies
Short life span, can be measured over whole lifetime Reproduce quickly
26
Weaknesses of animal studies
Not ethical as they don't have consent, don't know if they are in pain They are not the same as humans, not generalisable
27
Strengths of the statistical definition of abnormality
It uses an arbitrary cut off point with no gradation eg the DSM determines the presence or absence of a disorder through the ticking of boxes Gives quantitative measure that is objective, makes it more reliable and suitable, someone else administering the test is likely to get the same result and draw same conclusion Some areas of functioning such as IQ, highlight abnormality as lack of normal functioning. Can be useful evidence
28
Weaknesses of the statistical definition of abnormality
'Abnormal' in both a stats and mental health sense may not be undesirable. An IQ of over 130 is likely to be desirable. 'Undesirability' is not a valid measure of what is thought of in society as abnormality Abnormal behaviour isn't rare. Most people are likely to show abnormal behaviour at some time
29
Strengths of social norms definition
The idea of abnormality as behaviour that goes against social norms matches what is expected in daily life when talking about abnormality. Eg takes into account that someone highly intelligent is not considered abnormal in sense of being mentally ill Definition explains why different cultures have alternative ideas of what is normal, takes into account no universal rule about what is normal It allows the global nature of behaviour to be assessed rather then relying on specific symptom
30
Weaknesses of the social norms definition of abnormality
If culture, age, gender, situation, historical context have to be considered then it is hard to have a reliable idea of what is abnormal. So diagnosis is difficult as not set symptoms to rely on Any definition of abnormality would lack validity except in one particular culture at one time with one gender and one age group in a particular situation. Lacks Validity
31
What are positive symptoms of schiz
Additions to behaviour and actual symptoms that can be noted. They include first-rank symptoms
32
What are negative symptoms of schiz
Where normal functioning isn't present
33
What is depression
A mood disorder. The individual has intense feelings of sadness, a lack of enjoyment in activities they used to enjoy, difficulties sleeping, lack of motivation and lethargy. The feelings can be intense and last a long time
34
Studies which found the DSM to be reliable
Goldstein Brown et al Stinchfield Kirk and kutchins
35
Study that found the DSM to be valid
Kim-Cohen et al
36
What is axis 1 of the DSM
Clinical disorders, eg depression, schiz
37
What is axis 2 of the DSM
Personality disorders eg paranoid personality disorder, ant-social personality disorder
38
What is axis 3 of the DSM
Medical and physical conditions eg brain injuries
39
What is axis 4 of the DSM
Pyschosocial and environmental factors eg poverty, dysfunctional families
40
What is axis 5 of the DSM
Assessment of global functioning Overall rating scale of ability to cope with normal life ``` 100= superior functioning 50= serious symptoms 10= persistent danger of hurting self ```
41
Describe dream analysis
Client asked to recount dreams in as much detail as possible Therapist listens to the manifest content Therapist able to uncover latent content of dream and explain this to client Now know what is troubling client so can resolve issues Understanding the symbols is vital
42
Evaluate dream analysis
Strengths... Access the cause of disorder unlike drugs which just mask it Valuable in treating egPTSD compared to drug treatment which only helps with the anxiety side of the disorder Weaknesses... The client is dependent on the interpretation from the therapist Symbol interpretation can be very specific so a different therapist may interpret dream content differently
43
Research methods used to investigate schizophrenia
Animal studies Twin studies Case studies Interviews