Clinical perspective Flashcards
PTSD
Disorder characterised by memories (memories are very intrusive e.g. after car accident) distressing memories.
Can take u back in the memory. E.g. feel/ smell the petrol etc.
Responding to PTSD
Psychological debriefing
Counsellor will find you in 48 hrs and will make u tell them what’s happening –> your thoughts, what happened.
Intended to prevent PTSD
To test psychological debriefing
Use the scientific method: Standardized assessment needs to be done.
‘Blind’ assessment
not biased by knowing what treatment was given
Double blind studies
both patients and clinicians do not know what they are giving to have no biases at all.
Does debriefing work?
controlled trials have proven that debriefing does not prevent psychological disorder.
Assessment Bias
you could be bias consciously or unconsciously. Thus, randomisation is essential in the scientific method.
Classical conditioning
Learning that certain environmental stimuli predicts harmful events
Classical conditioning experiments with rats
Turn on a light which shocks the rat.
Next time- don’t shock it just turn the light on–> rat will still get scared. (heart rate, blood pressure, etc.)
Fear conditioning models (with rats)
Trauma= electric shock Fear = rat's fright Trauma reminders= light Distress= rats fear to the light (similar to PTSD from rape)
Extinction
new learning when stimuli are presented repeatedly without negative outcomes, teaches that stimuli can be safe.
Treatment for PTSD
Put the rat back into the chamber and turn on the light without shocking it. This leads to new learning that the chamber is safe
Called exposure therapy - expose the human to their trauma to show that the world is safe
Amygdala and MPFC
Amygdala associations of the trauma with the threat
If u have trauma then MPFC part of brain is not working properly.
Glutamate
The major excitatory neurotransmitter (agitates the system) Increases emotional learning.
Thus, through animal studies, they found that glutamate can increase extinction learning.
DCS drug
DCS drug (used to treat tuberculosis) increases glutton in the human brain.
Give DCS drug prior to exposure therapy. Will make patient feel safe and increase success rate.
This advance is a direct result of psych models tested by animal research.