Clinical Psychology Flashcards
What are the 4D’s in Clinical Psychology
- A tool used to assess traits, symptoms and conditions
- Can help with identifying people seeking diagnosis
What is Deviance and examples
- Behaviours that are views as unacceptable but do not break the law
- In some cultures people hearing voices is a gift from god however others its views as insane
- Homosexuality used to be a mental health condition and now it isn’t
- Example of deviance causing disorders is pedophillia
What is Dysfunction and example
- Abnormal behaviour significantly interfering everyday tasks
- One part of Depression is dysfunction
What is Distress and example
- An abnormal amount of happiness
- Negative emotions: anxiety, isolation
- measured by K10
- Hypochondriasis is where distress is prevalent in
What is Danger and example
- Putting oneself or other around the individual in danger
- Nicotine Dependence is a disorder which danger is prevalent in
What is Duration
- Suggested by T Davis 2000
- Schizophrenia diagnosis change depending on the duration of the symptoms
What is a Classification System
- Creates a common language between clinical psychologists
- DSM published by the APA
- ICD published by WHO
What are the features of the DSM-I
- 102 Conditions
- Based on Freudian Psychology
- Hysteria was used to strengthen hierarchy
What are the features of the DSM-IV
- 410 Conditions
- 5 Axis
1) Mental Health
2) Personality Disorders
3) Medical Conditions
4) Psychological Factors
5) Daily Functioning - More culturally dependent
What are the features of the DSM-5
- Axis removed
- 157 Conditions
- Introduced spectrums
- 3 Sections
1) Instructs reader how to use DSM and how to handle self report data
2) Disorders and diagnosis criteria
3) Disorders still being researched
What are the features of the ICD
- Free
- Contains all known diseases
- Codes disorders into families types and subtypes
- Section 5 is for mental health
- contains descriptions, symptoms and statistics
Classic Study: Aim
- To see whether psychiatrist can accurately tell the difference between people who are sane and insane
Classic Study: Procedure
- 8 Pseudo Patients were admitted to psychiatric hospitals
- 12 Hospitals across 5 states of all types some overstaffed, some understaffed, state hospitals and privately owned
- All researchers reported to hear ‘Thud’, ‘Hollow’ and ‘Empty’
- Researchers were completely sane in the wards
- Had to find their own way out
Classic Study: Results
- Found patients have only 6 mins with the doctors daily
- Nurses were in the offices 90% of the time
- Normal behaviour were seen as insane such as writing notes
- Staff found to abuse participants
Classic Study: Conclusion
- Rosenhan states “it is clear we cannot distinguish the difference between sane and insane”
- All researchers disliked being in the asylums and said to make them feel ‘powerless’
- Leads to the DSM-II to be reformed
Classic Study: Second Study
- One institute found out about the study and said that it wouldn’t happen
- Rosenhan told them he will send psuedo patients in the next 5 months
- Staff were told to rate 1-10 how likely a patient is a fake
- 139 PP were sent which 19 of were assumed to be fake by the hospital
- Rosenhan sent 0
Classic Study: Generalisability
- 12 Hospitals is a small sample in a country as big as America
- Time Locked
Classic Study: Reliability
- Was a standardised procedure whilst the pseudo patient were being trained however many of the procedures weren’t follow with even one researcher falling in love with one of the nurses
Classic Study: Application
- Huge impact on mental health care with hospitals reviewing admissions and training staff
- Lead to the DSM being reformed
Classic Study: Validity
- High ecological validity as it is a fiend experiment
Classic Study: Ethics
- Hospital staff did not know about the study and therefore could not consent or no possibility to widthdraw
- Did protect confidentiality
What are Symptoms
- A physical or mental issue that a person experiences which could indicate a condition
What are Features
- Information about who could get the condition
What is Schizophrenia
- Described as a break from reality
- Characterised by delusions, emotional disturbance and hallucinations
- A patient must have 2 of these symptoms for more than 6 months
What are the Positive Symptoms
- Symptoms that adds to a person’s reality
- Delusions - the false ideas you believe despite evidence
- Hallucinations - seeing or hearing things that are not real
- Disorganised Speech - saying illogical things or speech that is unable to be understood
- Thought Insertion - thoughts are not their own but belong to someone else
What are the Negative Symptoms
- Symptoms that takes away from a person’s reality and are the first symptoms to appear
- Anhedonia - reduced pleasure
- Avolition - reduced motivation
- Flattern effect
- Reduced speech
What are the Cognitive Deficits
- Impairments of cognition
- Effects meta cognition such as reasoning, planning and abstract thinking
- Reduces processing speeds and attention
What are the Features of Schizophrenia
- 1% of the worlds population suffers Sz
- 25% Recover fully
- 25% Will improve
- 25% Need intensive support
- 15% Hospitalised
- 10% Die
- Women 25-35
- Men 18-25