Essay plans Flashcards

1
Q

definitions AO1

A

Statistical infrequency - individual has a less common characteristic according to statistics eg IQ - 100 - below 70 2%

Deviation from social norms - when behaviour is different from the acceptable standards of behaviour in a community or society eg antisocial personality disorder - absence of prosocial internal standards associated with failure to conform to normative behaviour

Failure to functional adequately - when someone is unable to cope with ordinary demands of day-to-day living - eg Rosenhan and Seligman - severe personal distress, irrational or dangerous to themselves or others eg intellectual disability disorder - low IQ so unable to function adequately

Deprivation from ideal mental health - when someone does not meet a set criteria for good mental health - Jahoda - no symptoms or distress, good self-esteem, successfully work, love and enjoy leisure

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2
Q

definitions AO3

A

Real world applications
Statistical - unusual characteristics can be positive
Statistical - benefits versus problems

Real world application
Cultural and situational relativism
Human rights abuses

Represents threshold for help
Discrimination and social control
May not be abnormal

A comprehensive definition
May be culture bound
Extremely high standards

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3
Q

characteristics of OCD

A

OCD - obsessions or compulsions - diagnosed likely with both

Behavioural:
Compulsions are repetitive - feel compelled to repeat a behaviour eg hand washing

Compulsions reduce anxiety - 10% show compulsive behaviour alone, no obsessions - instead irrational anxiety - manage anxiety produces by obsessions

Avoidance - attempt to reduce anxiety by keeping away from situations that trigger it eg germs

Emotional:
Anxiety and distress - unpleasant emotional experience - powerful anxiety - obsessive thoughts which are unpleasant and frightening

Accompanying depression - OCD often accompanied by depression - compulsions only temporary relief

Guilt and disgust - irrational guilt, disgust over minor moral issues

Cognitive:
Obsessive thoughts 90% obsessive thoughts - vary from person to person but always unpleasant

Cognitive coping strategies - obsessions - major aspect - respond by adopting cognitive coping strategies to cope with obsessions - help manage anxiety but make the person appear abnormal to others and can distract from everyday tasks

Insight into excessive anxiety - aware their obsessions and compulsions are not rations - people with OCD experience catastrophic thoughts about worst case scenarios - tend to hypervigilant - maintain constant alertness

Cycle - temporary relief, obsessive thought, anxiety, compulsive behaviour

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4
Q

biological explanations of OCD AO1

A

Orbitofrontal cortex -lateral frontal lobes - obsessive focus on negative / repetitive thoughts - part of brain involved in cognitive processing of decision making

Basal ganglia - increased activity may be source of compulsions as this part of brain initiates motor functions

Parahippocampal gyrus - associated with processing unpleasant emotions, functions abnormally in OCD

Candidate genes - genes involved in producing symptoms of OCD - 5HT1-D beta

Poly genetic - Taylor - different combinations of up to 230 genetic variations

Aetiologically heterogenous - causes are different for different individuals

Concordance rates - Nestalt - 68% MZ 31% DZ - 4 times more likely to develop OCD if family member diagnosed 37% parents, 21% siblings

Diathesis stress - vulnerability triggers by a stressor
Role of serotonin - affects mood regulation - low levels = low moods

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5
Q

biological explanations of OCD AO3

A

Research support

Environmental risks

Animal studies

Research support

No unique neural system

Correlation and causality

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6
Q

drug therapy for OCD AO1

A

SSRIs are an antidepressant, and SSRI stands for selective serotonin reuptake inhibitor

The serotonin is reabsorbed by the presynaptic neuron where it is broken down and reused
SSRIs prevent reabsorption and breakdown, increasing the levels of serotonin in the synapse thus continuing to stimulate the post synaptic neuron - compensates whatever is wrong with serotonin system in OCD

The drugs reduce a person’s emotional symptoms, such as feeling anxious or depressed - engage more effectively with CBT

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7
Q

drug therapy for OCD AO3

A

Effectiveness

Accessible

Side effects

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8
Q

characteristics of phobias

A

Phobia -An irrational fear of an object or a situation
Excessive fear and anxiety triggered by an object, place or situation. Fear is out of proportion to any real danger presented by the phobic stimulus
Specific -Phobia of an object, such as an animal or body part, or a situation such as flying or having an injection
Social - Phobia of a social situation such as public speaking or using a public toilet
Agoraphobia - Phobia of being outside or in a public place

Behavioural
Panic - May involve a range of behaviours including crying, screaming or running away
Children may react differently eg freezing, clinging or having a tantrum
Avoidance -A lot of effort to prevent coming into contact with the phobic stimulus
Endurance -Person chooses to remain in the presence of the phobic stimulus

Emotional:
Anxiety - unpleasant state of high arousal
Fear - immediate unpleasant response and we encounter a phobic stimulus - intense but shorter lived than anxiety
Emotional response is unreasonable

Cognitive:
Selective attention to the phobic stimulus - cannot look away from it
Irrational beliefs - unfounded thoughts in relation to phobic stimulus
Cognitive distortions - inaccurate and unrealistic

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9
Q

behavioural explanations of phobias AO1

A

Behavioural approach -Way of explaining behaviour in terms of what is observable and in terms of learning

Two process model - Explanation for the onset and persistence of disorders that create anxiety, such as phobias

The two processes are ‘acquisition by classical conditioning’ and ‘maintenance by operant conditioning’

Classical conditioning -Learning to associate something which we initially have no fear (NS) with something that triggers fear (UCS)

Watson and Rayner -Little Albert - no unusual anxiety at start of study - when white rat present - research made loud frightening noise

Operant conditioning - Phobias often long lasting
Behaviour is reinforced or punished - reinforcement increases frequency of behaviour

Mowrer - when we avoid phobic stimulus we escape fear and anxiety which reinforces the avoidance behaviour so the phobia is maintained

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10
Q

behavioural explanations of phobias AO3

A

Application

Cognitive aspects

Phobias and traumatic experience
+ counterpoint

Learning and evolution

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11
Q

Treatment of phobias AO1

A

Systematic desensitisation - A behavioural therapy designed to reduce an unwanted response, such as anxiety
Classical conditioning - counterconditioning
3 processes - SD - The anxiety hierarchy - list of situations related to the phobic stimulus that provoke anxiety - from least to most
Relaxation - reciprocal inhibition - breathing exercises - taught relaxation techniques or introduced to anti-anxiety drugs - meditation
Gradual exposure - exposed to phobic stimulus - works up the anxiety hierarchy, maintaining relaxation at each level
How does SD work - Counterconditioning - the phobia stimulus is paired with a relaxing stimulus until it triggers relaxation not anxiety

Flooding - Exposed to extreme form of a phobic stimulus in order to reduce anxiety triggered by that stimulus
Fast process -Small number of long sessions, sometimes just one session of three hours
Preparing the client -Flooding is a traumatic experience so the client needs to be well prepared for the exposure
How does it work -Stops phobic response very quickly - extinction - the conditioned stimulus is presented without the unconditioned stimulus until it no longer triggers a response

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12
Q

treatment of phobias AO3

A

Evidence of effectiveness

People with learning disabilities

SD in virtual reality

Ethical safeguards

Cost effective

Traumatic

Symptom substitution

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13
Q

characteristics of depression

A

Depression - A mental disorder characterised by low mood and low energy levels
Different forms:
All recognised by DSM
- Major depressive disorder - severe but often short-term depression
- Persistent depressive disorder - long-term or recurring depression
- Disruptive mood dysregulation disorder - childhood temper tantrums
Premenstrual dysphoric disorder - disruption to mood prior to or during menstruation

Behavioural:
Activity levels - Changes to usual activity levels
Often reduced energy levels making them lethargic
Some have opposite effect - psychomotor agitation - struggle to relax
Disruption to sleep and eating behaviour - Changes to sleep behaviour eg insomnia or hypersomnia - Appetite and eating may increase or decrease
Aggression and self harm -Irritable and sometimes verbally or physically abusive
- Physical aggressive towards self eg self-harm

Emotional:
Lowered mood - Emotional element of depression - More pronounced than in the daily kind of experience - Feelings of worthlessness and emptiness
Anger - frequent experiences of anger - directed towards self and others
Lowered self esteem - reduced self-esteem, can be quite extreme eg self-loathing

Cognitive:
Poor concentration - hard to stick to a task they usually would, hard to make decisions, interfere with work
Attending to and dwelling on the negative - pay more attention to negative aspects of a situation - bias towards recalling unhappy events rather than happy ones
Absolutist thinking - black and white thinking, absolute disaster

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14
Q

cognitive explanations of depression AO1

A

Cognitive approach - focuses on how our mental processes affect behaviour

Beck - negative triad - negative view of world, self, future - three kinds of negative thinking that contribute to being depressed
Faulty information processing - tend to focus of negative aspects of situation and ignore positives - black and white thinking
Negative self-schema - package of information people have about themselves - interpret all information about themselves in a negative way
- World - impression there is no hope anywhere
- Self - thoughts enhance any existing depressive feelings, confirm the existing emotions of low self-esteem
- Future - reduce any hopefulness and enhance depression

Elllis - ABC model - Conditions like anxiety and depression result from irrational thoughts
A - activating event - a negative life event eg failing an important test
B - beliefs - Irrational interpretations of A make us overreact to the life event
- Musturbation - feeling we always need to succeed
- I-cant-stand-it-itis major disaster when something doesn’t go smoothly
- Utopianism - life is always meant to be fair
C - consequences - emotional and behavioural outcome is depression

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15
Q

cognitive explanation of depression AO3

A

Research support

Application

Partial explanation

Application

Partial explanation

Ethics

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16
Q

treatment of depression AO1

A

CBT - a psychological therapy for treating mental disorders - both cognitive and behavioural techniques

Cognitive element - client undergoes assessment - identify goals for therapy and put together a plan - helps identify negative or irrational thoughts
Irrational thoughts- Dysfunctional thoughts
- Defined as thoughts that likely interfere with happiness - lead to mental disorders such as depression

Behaviour element - Working to change negative and irrational thoughts and put more effective behaviours into place

Beck’s cognitive therapy -
Challenges negative triad
- Aims to help client test reality of negative beliefs - set homework - can use to help patient in future
Homework - Record positive experiences to use in therapy to demonstrate reality

Ellis’ rational emotive behaviour therapy -
Rational emotive behaviour therapy - ABCDE - identify and dispute irrational thoughts
- Identify causes such as utopianism - vigorous argument
- Different methods of disputing
D + E -Disputing of irrational beliefs (empirical and logical disputing) produces effect

Behavioural activation -
As become depressed - avoid difficult situations and become isolated - maintains or worsen symptoms

Behavioural activation - gradually decrease avoidance and isolation - increase engagement - aims to reinforce this activity

17
Q

treatment of depression AO3

A

Effectiveness

Suitability for diverse clients
+ counterpoint

Relapse rate

Client preference