Defining AB, Historical/Contemporary Perspectives, Research Methods Flashcards
Who is David Rosenhan?
psychologist who sent normal people to mental institutes. 1st time most people were diagnosed with schizophrenia upon release. 2nd time he also sent all normal people and asked nurses to tell him who they thought we’re abnormal. Nurses thought about 40 of the patients were abnormal
What was the common model in the 1800s?
Medical Model- people thought psychological disorders were sicknesses of the mind and had physiological causes.
What is the main approach used today?
Bio-pyscho-social model- a broad, holistic view
What does DSM stand for, what’s the latest version and when did it come out?
diagnostic and statistical manual of mental disorders, 5th edition, 2013
What % of people in the US show behaviors consistent with diagnosis at some point throughout life? And how many adults in any given year?
46%, 26%
What country has the highest % of people with diagnosable behaviors?
United States
what age group is the most likely to show AB symptoms? And this group is how many times more likely to show symptoms compared to people over 50?
18-25, twice as likely
what is the Walmart test?
if something just feels off
Culture plays a major role in providing context. What is a difference between the East and the West when it comes to depression?
people in the west feel a range of emotions from guilt and sadness to hopelessness/helplessness. In the east, people tend to experience somatic symptoms such as weakness and headaches
What model was used 11-9000 BC, what was the cause of the AB and what was the treatment?
demonological, spirits in the head, trefination (put a hole in the skull to let the spirit out)
What model was used in Ancient Greece 600-400BC
Medical model
who was the founder of the medical model?
Hippocrates
Hippocrates founded what model and what was the basis of that model?
medical model. fluids flow through the body. If one is healthy, these fluids are in balance.. a chemical imbalance causes illness
what is the chemical imbalance theory and who posited it?
if fluids flowing through the body are out of balance, illness will occur, Hippocrates
What are the 4 humors? and what does each have to deal with?
- Black bile- spleen, depression
- Yellow- liver, mania/anger
- Flem- lethargy
- Blood- cheerfulness/optimissm
What was a healing modality used in ancient Greece? and why was it used?
Bloodletting- the body will produce more blood if we draw some out and the humors will be balanced… Hippocrates thought the body would naturally heal itself this way
How long was the practice of bloodletting utilized?
common in the US though 1800s into early 1900s
when were the Medieval times and what was going on during this period?
800-1500.. In Europe the church ruled- it was the source of education, government and spirituality
What was thought to cause AB in Medieval Europe?
THE DEVIL
What was done to people for treatment during Medieval times?
exorcisms, flogging, waving a cross at them crazy fools
When was the Renaissance Period roughly? and what came after the floggings and exorcisms?
1400s-17/1800s- witchcraft!!!
What was the Malias Malifacium? When was it created?
“the witches hammer” 1846
What were the sections of “the witches hammer” and what did they say?
- why we need to investigate witchcraft
- how witches operate so we know who is one
- how they should be dealt with
How did the Malias Malifacium say that witches should be dealt with?
they were tortured to death- “if we keep going they’ll fess up” If they died their name was cleared. It was very important to have a clean name in those times.
What was going on in the Mediterranean area in the 1500s?
Asylums for the clinically insane became a thing.
what’s the famous asylum located in London that was founded in the early 1500s? What was its nickname?
St Marys of Bethlem.. “Bedlam”
Why were asylums so prominent in the 1500s and on?
isolate the crazy people form society to keep it safe
Were asylums nice places to chill?
No- they were filled with disease and there were many assaults leading to many deaths
What began to happen in the 1800s?
Reform- moral therapy
who was the French psychologist that advocated for fair treatment of patients and said to talk with them?
Philipe Pinel
What two psychologists in the US advocated to the moral treatment approach?
Dorthea Dix and Benjamin Rush
What was going on in the US in the 19th and 20th century?
relapse into asylums
During the time when asylums were very common, what was the belief about mental illness?
It was incurable, but medication could help. People were kept in asylums until the “right” meds were found for them
what drugs were developed in the mid 20th century? (1950) and what did they do?
Neuroleptic meds- Thorazine- treat sever mental illness, reduced aggression and agitation
What’s the main problem with the community health movement?
not enough funding to be fully effective
how many people were in asylums in the 1950s?
600k
how many people are in mental health institutions today?
40k
in the world of psychology, what does reinstitutionalization mean?
go from a psychological institution to prison
what are some of the main factors within the DSM5?
- clinically significant disturbance
- disfunction
- significant distress or disability
- unexpected/not culturally approved behavior
- deviance from the norm
- faulty social perceptions and interpretations of reality
- maladaptive/self defeating behavior
- dangerousness
how many areas of disturbance are there and what are they?
3
- cognition- how you think about things
- emotional regulation
- behavior regulation
which medical field uses the medical model?
psychiatry
what are we mainly looking at under the medical model?
biological influences- we treat it like any other biological disease
who is the DSM published by?
the American Psychiatric Association
what is a critique of the DSM?
it overemphasizes the medical model
The DSM is _____ not ______
descriptive not explanatory- it describes symptoms of abnormal behaviors
the DSM is based on a ______ model of classification… what is the significance of this?
categorical- clinicians need to make a categorical yes or no judgement about if a disorder is present… the drawback of this that it doesn’t give a means of evaluating the severity of each symptom
The DSM focuses on _____ of behaviors common to people with disorders
clusters
what are some common biological influences of AB
genetics (can increase the likelihood of disorder), chemical imbalances, neurological damage
what are SSRIs used for?
reuptake serotonin for depression
What are the psychological factors that influence AB?
- unconscious processes
- stress/trauma
- learned behaviors
- cognitive processes- how we think
What are social cultural factors that influence AB?
poverty, no access to child care, urban vs rural, family of origin, peers, unemployment, social injustice, social roles such as gender or just one’s role in society
Why is the Bio-Psycho-Social Model the best?
there’s usually a lot of interplay between factors causing the AB
why is research in abnormal psychology important?
it helps to answer important questions and gives us confidence in our findings of how things work.. also so we can ethically treat people
what does research NOT do? and why?
explain why an INDIVIDUAL develops a certain disorder- there are too many factors and it’s also unethical
How many steps are there in the scientific method and what are they?
5 steps
- devise a specific/answerable question
- come up with a hypothesis based on this question/theory
- test the hypothesis by collecting data
- draw conclusions
- peer reviews, publication, presentations for critiques
in the scientific method, what do you do after coming up with a specific question?
form a hypothesis that would explain the question/theory
in the scientific method, what do you do after forming a hypothesis?
test it by collecting data
what does the experimental method of research accomplish?
shows legitimate causality (cause/effect) - can see the effectiveness of different treatments
which approach to research allows you to see the effectiveness of different treatments?
experimental methodology
What is the other approach to research somewhat similar to the experimental method?
correlation method
what is the drawback of the correlation method of research?
it does not necessarily prove causality
Which form of research looks at the role of someones environment and heredity?
kinship
what does epidemiological research look at?
looks for patterns in large groups of similar situations
what are some examples that epidemiological research might look at?
- if people go to medical doctors before psychologist
- do we see this going on more in inpatient or outpatient people?
- how prevalent diseases are in different clusters of people (region, culture)
studying twins and adoption is what kind of research?
kinship
monozygotic twins are what? How does this occur? what is the outcome
identical- 1 fertilized egg split- share 100% of DNA
a kinship study might look at how much ____ and ____ natal environment twins share.. why is this important?
pre & post… regular siblings were probably parented very differently
what do concordance rates show?
heritability: how monozygotic twins develop the same disorders
what is the evidence that genetics are a big factor in developing schizophrenia?
48% of monozygotic twins are diagnosed with schizophrenia, 17% in dizygotic, 9% in regular sibling… dizygotic and regular sibs share less DNA than monozygotic twins… the jump from 48% to 17% is much larger than the jump from 17 to 9… so there are other factors besides genetics but it’s a big factor
what is the main difference between dizygotic twins and regular siblings?
the environment they grow up in… dizygotic twins are likely cared for very similarly, whereas regular siblings born at different times probably have a different up-bringing
why is hard to study adopted children?
screenings- families that are able to adopt are likely fairly similar.. good peeps
what factor of the DSM can lead to the other factors of distress?
dysfunction- stress, anxiety, trauma
What does it mean that the DSM is hierarchical?
if you dont have clinically significant disturbance, you cannot be diagnosed
what is a theory?
explanation of observed patterns or relationships
what is a synapse?
where the axon terminal and dendrite meet
whats the synaptic cleft?
gap between axon terminal and dendrite where neurotransmitters travel from AT to receptor site
what are the 4 main neurotransmitters?
- Acetylcholine
- Dopamine
- Norepinephrine
- serotonin
which neurotransmitter makes muscles contract?
acetylcholine
what roles does acetylcholine play?
muscle contraction, formation of memories, excitatory role
Which NT is important for fine motor skills, learning/memories, emotions?
Dopamine
What are the functions of dopamine
fine motor skills, learning, memories, emotional processing
an over-utilization of which NT is associated with schizophrenia?
Dopamine
low levels of which NT is associated with parkinsons?
Dopamine
low levels of dopamine are associated with?
parkinsons
high levels of dopamine are associated with?
schizophrenia
What are the functions of norepinephrine?
learning, memories, stimulation
serotonin is associated with?
mood, satiation, sleep
low levels of serotonin are associated with?
aggression, anxiety, depression