Exam 1 Flashcards
actions that are unexpected and often evaluated negatively because they differ from typical or usual behavior
abnormal behavior
describe the start of psychiatric hospitals
???
John P. Grey was a psychiatrist stated that causes of insanity were physical so all mentally ill patients should be treated as physically ill
He caused conditions in hospitals to improve but they became so large that individual attention was impossible.
Mental hospitals
describe the mental hygiene movement
Dorothea Dix campaigned for reform in the treatment of the insane and made it her life work to inform the American public and their leaders about the abuse
This work became known as the mental hygiene movement
Worked to make sure everyone who needed care received it and humane treatment became more widely available in the US institutions
mid 19th century effort to improve care of the mentally disordered by informing the public of their mistreatment
mental hygiene movement
assessment and therapy pioneered by Sigmund freud that emphasizes exploration of, and insight into, unconscious processes and conflicts
psychoanalysis
explanation of human behavior including dysfunction, based on principles of learning and adaptation derived from experimental psychology
behaviorism
in the 14th century, bizarre behavior of people afflicted with psychological disorders was seen as what?
work of devil and witches
individuals were “possessed by evil spirits
treatment was exorcism
how was stress and melancholy viewed in the 14th century?
mental depression and anxiety were recognized as illnesses but symptoms like despair and lethargy were identified by the church as sin
describe mass hysteria
large scale outbreaks of bizarre behavior
emotional contagion: experience of an emotion spreads to those around us
mob psychology
treatment practices that focus on social and cultural factors, as well as psychological influences. these approaches include cognitive, behavioral, and interpersonal methods
psychosocial treatment
psychosocial approach in the 19th century that involved treating patients as normally as possible in normal environments
moral therapy
causes for the decline in moral therapy?
- after the civil war, immigrants came in and increased the number of patients in hospitals and there were not enough workers to give individual treatment
- Dorothea Dix campaigned for the reform in the treatment of insanity - mental hygiene movement
the psychological theory made by frued and describes the unconscious, anger, aggression, sex, and death
psychoanalytical theory
the psychological theory dealing with Maslow’s hierarchy of needs, treating people as individuals, conditions of worth, and unconditional positive regard
humanistic theory
the psychological theory dealing with humans as a blank slate, being shaped by environment and experiences, classical condition and operant conditioning, believes positive outcomes make you more likely to do something again, and punishment has limitations
behavioral theory
the psychological theory that you learn from the people around you, the “bobo doll experiment” also called the social learning theory, and we act like people we admire
cognitive behavioral theory
what do the different parts of the mind do according to frued?
superego: conscious thinking and driven by moral principles
ego (mediator): logical and rational thinking and driven by reality principle
Id: illogical, emotional, irrational thinking, driven by pleasure principle
what was the process used to induce fear in little Albert?
conditioned stimulus
he was not afraid of rats, but a loud sound was paired with a rat to create a correlation between those 2 things
the model that explains how individuals inherit tendencies to express certain traits or behaviors which may then be activated under conditions of stress
diathesis-stress model
the model that explains that people with a genetic predisposition for a disorder may also have a genetic tendency to create environmental risk factors that promote the disorder
gene-environment correlation model
why is the limbic system important for mental health?
it regulates our emotional experiences and expressions and our ability to learn and control our impulses
what is the GABA neurotransmitter?
it reduces the activity across the synaptic cleft and thus inhibits a range of behaviors and emotions, especially generalized anxiety
what is the serotonin neurotransmitter?
involved in processing of information and coordination of movement as well as inhibition and restraint
also assists in the regulation of eating, sexual, and aggressive behaviors, all of which may be involved in different psychological disorders
interaction with dopamine is present in schizophrenia
what is the norepinephrine neurotransmitter?
active in the central and peripheral nervous systems, controlling heart rate, blood pressure, and respiration.
may also contribute generally and indirectly to panic attacks
what is the dopamine neurotransmitter?
generalized function is to activate other neurotransmitters and to aid in exploratory and pleasure-seeking behaviors (balance serotonin)
what is the theory that people become anxious and depressed when they make an attribution that they have no control over the stress in their lives
learned helplessness
what system controls fight or flight?
sympathetic
what is comorbidity ?
presence of 2 or more disorders in an individual at the same time
variations over time, in one or more characteristic, among groups of individuals defined by some shared experience such as year or decade of birth, or years of a specific experience
cohort effect
how does the DSM -5 measure disorders?
dimensional axes for rating severity, intensity, frequency, and duration of specific disorders
these are added on to categorical disagnoses in order to provide clinicians with additional information for assessment, treatment planning, and treatment monitoring
correlation vs experimental studies
correlational:
degree to which 2 variables are associated
in a positive correlation, 2 variables increase or decrease together
in a negative correlation, one increases while the other decreases
naturally occurring
experimental:
can establish causation by manipulating the variables in question and controlling fro alternative explanations if any observed affects
what is the control group?
group of individuals in a study that are similar experimental subjects in every way but are not exposed to the treatment received by the experimental group
what is an analogue model?
approach to research that employs subjects who are similar to clinical clients, allowing replication of a clinical problem under controlled conditions
independent vs dependent variable
independent:
manipulated
dependent:
what is being studied
a mood state characterized by negative affects and bodily symptoms of tension where a person anticipated danger or misfortune
anxiety
present oriented mood state
fear
abrupt experience of intense fear even though nothing “real” to be afraid of
panic attack
who is anxiety most prevalent in?
early adulthood-elderly
treatment for anxiety?
CBT
Benzodiazapines - has risk
Antidepressants
causes of phobias?
direct experience
traumatic conditioning
biological and evolutionary vulnerability
preparedness
cultural
treatment for phobias?
CBT
- exposure based exercises
extremely fear or discomfort in social or performance situations
social anxiety disorder
causes of social anxiety disorder?
biological and evolutionary vulnerability
adaptive to fear rejection
treatment for social anxiety disorder?
CBT
rare childhood disorder characterized by a lack of speech
selective mutism
how long does selective mutism usually occur?
more than one month
treatment for selective mutism?
CBT
disorder characterized by unrealistic and persistent worry that something will happen to self or loved ones when apart as well as anxiety about leaving loved ones?
separation anxiety disorder
what are the most common traumas of PTSD?
combat and sexual assault
what is often diagnosed before PTSD?
acute stress disorder
causes of PTSD?
intensity of trauma and ones reaction to it
learned alarms - direct conditioning/observational learning
biological vulnerability
uncontrollability and unpredictability
difference between obsession and compulsions?
obsession: intrusive and nonsensical thoughts, images, or urges
compulsions: thoughts or actions to neutralize anxious thoughts
who most likely has OCD?
early adolescents and young adults
treatment for OCD?
clompramine and other SSRIs
psychosurgery in extreme cases
CBT
exposure and response prevention
what is exposure and response prevention?
exposure to anxious cues and prevention of ritualized response
ex: touching a door knob and not washing hands after
used for OCD
disease characterized by excessively collecting or keeping items regardless of value and difficulty discarding item, usually due to a fear that they will need the item later
hoarding disorder
the urge to pull out one’s own hair from anywhere on the body
trichotillomania
receptive and compulsive picking of the skin, leading to tissue damage
excoriation
disease characterized by a preoccupation with some imagined defect in appearance
body dysmorphic disorder
treatment of body dysmorphia?
CBT
exposure to anxiety (ex: not wearing makeup)
plastic surgery (don’t recommend!)
conversion disorder is a ______ disorder
somatic symptom
factitious disorder is a _____ disorder
somatic symptom
illness anxiety disorder is a _____ disorder
somatic symptom
dissociative identity disorder is a _____ disorder
dissociative
a psychological disorder where physical malfunctioning of sensory or motor functioning occurs
conversion disorder
a psychological disorder where physical symptoms are faked for no obvious external gain
factitious disorder
what is the difference between factitious disorder and malingering?
factitious: purposely faking physical symptoms for no obvious external gain
malingering: physical symptoms are faked for the purpose of achieving a concrete object
- a legal term, not DSM diagnosis
what was previously known as Muchausen syndrome by proxy?
factitious disorder imposed on another
a family of disorders that share a common core of symptoms ranging from amnesia to alternate identities
dissociative disorders
a psychological disorder where one adopts several new identities.
dissociative identity disorder
an altered state of consciousness in which people firmly believe they are possessed by spirits; considered a disorder only where there is distress
dissociative trance
what is an alter(s)?
a shorthand tern for alter ego, one of the different personalities or identities in dissociative identity disorder
loss of memory of all personal information, including identity
general amnesia
memory loss limited to specific times and events, particularly traumatic events
localized or selective amnesia
what is dissociative fugue dissociative disorder?
featuring sudden, unexpected travel away from home, along with an inability to recall the past, sometimes with assumption of a new identity
what is derealization?
situation in which the individual loses a sense of the reality of the external world
what is depersonalization-derealization disorder?
type of dissociative disorder
feelings of depersonalization are so severe they dominate the client’s life and prevent normal functioning
what is dissociative amnesia?
the inability to recall personal information; usually of a stressful or traumatic nature
what is a somatic symptom disorder?
a disorder involving extreme and long-lasting focus on multiple physical symptoms for which no medical cause os evident
what is a dissociative disorder?
a disorder in which individuals feel detached from themselves or their surroundings and feel reality, experience, and identity may disintegrate
clinically significant emotional or behavioral symptoms in response to one or more specific stressors
adjustment disorder
an attachment disorder in which a child with disturbed behavior neither seeks out a caregiver nor responds to offers of help from one; fearfulness and sadness are often evident
reactive attachment disorder
what is a disinhibited social engagement disorder?
condition in which a child shows no inhibitions whatsoever in approaching adults
what is acute severe reaction immediately following a terrifying event, often including amnesia about the event, emotional numbing, and derealization. many victims later develop posttramatic stress disorder
acute stress disorder
what are trauma and stressor-related disorders?
a group of mental disorders distinguished by their origin in stressful events