Clinical Psychology - Lecture 1: Introduction to clinical psychology Flashcards

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1
Q

What is clinical psychology?`

A

Applied branch of psychology which focuses on mental health problems (‘abnormal behaviour’)

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2
Q

Difference between psychiatrists and psychologists

A

Psychiatrists are doctors and their main way of treating patients is through prescribing medication whereas psychologists use talking therapies

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3
Q

Training to becoming a psychologist

A

3 years UG with psychology major + 4 years PG training in clinical psychology

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4
Q

Definition of a mental health problem

A

“…psychological disorder is signalled by a constellation of cognitive, emotional and behavioural symptoms that create significant distress; impair work, school, family, relationships or daily living; or lead to significant risk of harm”

  • > cognitive, emotional, behavioural
  • > Distress, impairment, significant risk of harm
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5
Q

Identifying distress

A

Most of the time we experience it and manage it well but it can stay
-> anxiety, panic attacks, disruption in sleep patterns, withdrawal (also impairment) -> get in the way of functioning, relations, work
Often don’t recognise ppl experiencing distress

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6
Q

Identifying impairment

A

More obvious/observable -> not doing job set out to do - withdrawing from these activities

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7
Q

What are the 2 core parts of a psychological disorder?

A

Distress and impairment

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8
Q

Identifying significant risk of harm

A

Being of danger to oneself and/or others

  • > avoiding food, constant feeling of being judged
  • > exhausted, isolating themself
  • > risk of suicide (key risk of harm)
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9
Q

How many people will experience a mental health problem in their lifetime?

A

1 in 4

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10
Q

MH as a failure

A

Not a personal failure, if anything more to do with how we as a society respond to MH problems

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11
Q

DSM-5

A

Main classification system to diagnose MH problems

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12
Q

DSM-5 controversy

A

Diagnostic inflation - “The fact that the DSM-5 has lowered the threshold for some diagnoses and added a
number of additional diagnoses raises the risk of
giving a mental health diagnosis to someone who
may simply be experiencing normal problems of
living” (Coleman and Gibson, 2013).

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13
Q

What does the DSM-5 recognise?

A

Many people will experience symptoms similar of MH problems but not to the extent which will mean it causes MH problems

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14
Q

Do all MH disorders apply to everyone?

A

Some disorders only in adults or children or some more prominent in either

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15
Q

DSM diagnosis pros (3)

A
  • Communication amongst clinicians & researchers
  • Relief through appearance of explanation; awareness -> patients knowing they’re not alone and psychologists knowing about it -> treatment options
  • Helpful to policy makers & managers -> able to draw line with diagnoses so can allocate resources in sensible manner for most at risk - being able to allocate resources with limited funding
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16
Q

DSM diagnosis cons (7)

A
  • Locates problem in individual, minimal attention
    to social causes
  • May underestimate capacity for change
  • Stigma from labelling
  • Categories vs. dimensions (not normal/abnormal
    but extensions of normal behaviour/problems)
  • Problems with reliability - different clinicians may have different conclusions
  • Problems with validity - prognosis (what it means for someone to have certain condition and how symptoms will differ over time + what treatment should be used?)
  • Comorbidity (most have two, three, four or more
    disorders)
17
Q

Classifications of MH disorders

A

Wide range of MH disorders that fit into different classifications

18
Q

Diagnostic inflation

A

Lowering threshold in previous editions couldn’t be diagnosed with depression if had just lost loved one - this is now removed

19
Q

How has stigma changed overtime?

A

Decreased - now able to talk more about the characteristics instead of labeling MH problems