Exam 1 Flashcards
What are the 4 D’s of psychological disorders?
Deviance, Distress, Dysfunction, and Danger
Different/unusual/extreme
Deviance
Upset; unpleasant emotional reaction
Distress
Impairment; interference (ex. work, relationships)
Dysfunction
Suicidal ideation; harmful/hurtful ideation
Danger
How have ancient times viewed psychopathology?
Evil spirits, witchcraft (treatment: exorcism)
How have greeks & romans viewed psychopathology?
Imbalance of bodily humors, ex. melancholia = too much “black bile” (treatment: baths, massage, bloodletting)
How have the middle ages viewed psychopathology?
Demonology (treatment: exorcism)
How have the renaissance viewed psychopathology?
Problems in mind (treatment: asylums (warehouse); ex. Bethlehem Hospital (Bedlam), Lunatics’ Tower in Vienna)
How have the 19th century viewed psychopathology?
Problems in mind (treatment: moral and humane long-term hospitalization)
How have the 20th century viewed psychopathology?
Physical causes & psych causes; 2 new perspectives: somatogenic and psychogenic (treatment: inpatient/outpatient therapy + psychotropic medications)
Emphasizes moral guidance and humane and respectful techniques
Moral treatment
Psychopathology that has physical/bio causes (ex. decrease of serotonin causes depression, so the treatment is SSRIs)
Somatogenic Perspective
Psychopathology that has psych causes (ex. environmental loss causes depression, so the treatment is therapy to challenge negative thinking; think, feel, behave)
Psychogenic Perspective
What are the models of psychopathology?
Biological, psychodynamic, behavioral, cognitive, humanistic, and sociocultural
I. Definition
II. Neurons
III. Chemical problems: Abnormal neurotransmitter activity
IV. Structural problems: Brain abnormalities
V. Treatment
– Drug therapy
Biological Model
I. Freud (1842-1939)
II. Unconscious motivation
III. Childhood experiences
IV. Id, Ego, Superego
V. Treatment
– Interpret unconscious conflicts
– Free association
– Dream analysis
Psychodynamic Model
Seeking gratification; repository of our sex. and aggressive wishes; PLEASURE PRINCIPLE
Id
Seeks to have your needs met, but in accordance; REALITY PRINCIPLE
Ego
Internalized ideals/values/conscience; parents’ value system
Superego
I. Definition
II. Mechanisms for explaining psychopathology:
A. Classical conditioning
B. Operant conditioning
C. Modeling (Bandura)
III. Treatment
A. Exposure (e.g., systematic desensitization)
B. Increase rewards
Behavioral Model
US –> UR
US + neutral stim –> UR
CS –> CR
Classical Conditioning
Positive & negative reinforcement (increased behavior)
Extinction and punishment (decreased behavior)
Operant Conditioning
I. Definition
II. Key Terms:
A. Assumptions/Attributions
B. Illogical/Irrational thinking
III. Therapy – Beck’s Cognitive Therapy
“Thoughts, behaviors, feelings (triangle)”
Cognitive Behavioral Therapy Model
I. Key Player: Carl Rogers
II. Positive view of human behavior
III. We’re driven toward self-actualization
Tenants of Therapy:
Empathy, Genuineness, Positive regard –> Strong Therapeutic Relationship
Humanistic Model
I. Definition
II. Explanation for psychopathology?
A. Family structure and communication
B. Role of culture
C. Role of social networks/support
D. Societal conditions/roles
Sociocultural Model
Face-to-face interview, often 1st contact with patient
Unstructured or structured
Clinical Interviews
Open-ended (ex. “Tell me more about yourself”; “what brings you in today”)
Psychodynamic & Humanistic
Unstructured Clinical Interview
Specific questions, often with response options (ex. “Have you ever had a period of time where you felt high or hyper most of the time?”)
Cognitive, Behavioral, & CBT
Structured Clinical Interview
Common steps to follow
Standardized
Consistency of assessment measures. Same score/result over time
Reliability
Accuracy of assessment measures. Measures what you think it measures
Validity
Two categories of assessment
Clinical Interviews and Clinical Tests
Projective Tests, Personality Inventories, Response Inventories, Psychophysiological Tests, Neurological Tests, Intelligence Tests
Different Types of Clinical Tests
- Patient “projects” elements of personality onto vague stimuli
- Ex.:
- Rorschach
- Thematic Apperception Test (TAT)
- Sentence Completion Test
- Draw-a-Person Test
Projective Tests
Self administered tests (ex. MMPI, has 500+ T/F questions)
Personality Inventories
AKA.. Paper & Pencil Measures, Self-Report Measures
Response Inventories