Exam 1 Flashcards

1
Q

Cultural Relativism

A

Cultural Relativism is the idea that an individual’s beliefs, values, and practices should be understood based on that person’s own culture, rather than judged against the criteria of another. It emphasizes understanding and tolerance of cultural differences and suggests that there is no universal standard of right or wrong

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2
Q

Harmful Dysfunction Perspective

A

Harmful Dysfunction Perspective is a framework used in psychology and psychiatry to assess mental disorders. According to this perspective, a mental disorder exists when there is a failure of a mental mechanism to perform a natural function for which it was designed by evolution, and this failure results in harm to the individual as judged by cultural standards

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3
Q

Cultural Relativism Pros and Cons

A

Cultural Relativism: This approach emphasizes understanding mental disorders in the context of cultural norms and values.

Ignores relevant scientific info about mind & brain….close mindedness

Pros: Promotes tolerance and respect for cultural diversity; helps avoid ethnocentrism.

Cons: May overlook harmful practices; difficult to establish universal standards for diagnosing disorders.

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4
Q

Harmful Dysfunction Pros and Cons

A

Harmful Dysfunction Perspective: This approach defines mental disorders as a failure of mental mechanisms to function naturally, causing harm.

Pros: Provides a clear framework for diagnosis; integrates both biological and cultural factors.

Cons: May pathologize natural variations; relies heavily on cultural judgments of harm.

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5
Q

Culture-Bound Syndromes

A

These are mental disorders or behaviors that are specific to certain cultural groups. Examples:

Koro: A condition in Southeast Asia where individuals believe their genitals are retracting and will disappear, leading to death.

Bulimia: An eating disorder characterized by binge eating followed by purging, more common in Western cultures.

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6
Q

Importance of Pinker

A

Steven Pinker argues that cultures can be compared scientifically, showing a trend of declining violence and improved treatment of out-groups over time.

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7
Q

In-group and Out-group Tendencies

A

Humans have a universal tendency to divide the social world into in-groups (us) and out-groups (them). This division is deeply rooted in our evolutionary history and social behavior.

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8
Q

Human Nature and Genetic Relatedness

A

All humans are genetically related and distant cousins, which forms the basis of our shared human nature and relatedness

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9
Q

Peter Singer’s Moral Philosophy

Other Peter info

A

Singer argues that with effort, we can expand our in-groups to include more people, leading to greater empathy and ethical behavior

  • Says to compare current culture with past culture
  • Talked about how France used to burn cats for entertainment
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10
Q

5 Shades of Disorder Vignettes

A
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11
Q

Huntington’s Disease

A

An inherited condition in which nerve cells in the brain break down over time

Genetic Disease - no cure

Results in progressive movement, thinking (cognitive), and psychiatric symptoms

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12
Q

What are two disorders that ~80% can be told on the basis of genetics

A

Bipolar disorder and Schizophrenia

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13
Q

Empathy (2 types)

A

Cognitive: tell what they’re thinking and feeling (Psychopaths are usually good at cognitive empathy

Emotional: moves someone emotionally

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14
Q

Yanomamo

A

“human being”

Lives in groups of ~100
Classified animals the same as outcast humans

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15
Q

Who is Franz Boas

A

One of the key founders of the modern theories of anthropology

Said everything is culturally relative and socially constructed, no absolutes

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16
Q

What is Koro

A

Occurs with young men who develop a pathological obsessive fear that their genitalia will adopt a different cavity in the body

CULTURE-BOUND SYNDROME

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17
Q

Importance of Donald Brown

A

1991 published a book - found several hundred things common to every known society

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18
Q

Peter Singer

A

says we have a moral obligation to expand our “in” group

Contributed to the Schachter-Singer Theory (aka two-factor theory of emotion)

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19
Q

Harmful Dysfunction Model

A

A disorder involved dysfunction
- We can scientifically determine what’s a dysfunction and we know what the circuit’s supposed to be doing

  • What is harmful is reflected by cultural values
  • Something is a disorder if we can scientifically determine that there’s something in the brain/body that’s not doing its designated role
    -Culturally we say it’s harmful
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20
Q

Describe psychiatrists

A

MDs who prescribe meds

Make more money than other mental health professionals

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21
Q

PhD vs. PsyD

A

PhD - research degree

PsyD - professional doctorate (e.g., Dr. of Optometry) and NO research

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22
Q

Clinical vs Counseling Psychologist

A

Clinical: diagnosis and psychotherapy with severe mental illness (PhD/PsyD or Master’s)

Counseling: original emphasis on problems of adjustment (marriage, career, etc.)

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23
Q

MSW (social worker)

A

2 year master’s, often meh training in therapy but still licensed and marketable

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24
Q

Nurse Practitioner

A

3 year doctoral degree, mostly do meds & function like psychiatrist, lucrative

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25
History of DSM System
Initally: vague & unreliable Gradually more scientific Though DSM-5 looks like step backwards
26
What are the versions of DSM called
DSM DSM-II DSM-III DSM-IV DSM-5
27
Info about DSM5
Wanted everyone who helped sign an NDA - Allen Frances came out of retirement to advocate for proper writers who genuinely care about people Most of everyone in the field with genuine intentions pulled out - they kept missing deadlines for publications - People who stuck around were not great Finally the publisher stepped in and said they had to turn in something by May 2013. They rushed to get it done, so they skipped field testing
28
What DSM are we on now?
DSM-5-TR Changing some wording but basically the same thing Makes them more money
29
What is co-morbidity
When a disease has another common disease linked with it anxiety disorders co-incur with mood disorders
30
What are the controversies and concerns surrounding the DSM 5
Poor inter-rater reliability - If a test does not give the same answer every time, it isn't valid and you can't trust the results = low reliablity Ineptitude and financial conflicts of interest - Allen Francis retired at his peak to take care of his dying wife, but he wanted to hire the best people around the world Expansion of diagnoses - prescribing grief, ADHD, psychotic risk - after two weeks, doctors could prescribe medicine for 'depression' even if someone was grieving a loved one - they made autism MORE difficult to diagnose Protests - many people moving to alternate systems like ICD-11 and RDoC The ICD-11 is just like the DSM
31
Syndrome vs Disease
Diagnosis: medical model term, implies presence of disease In medicine, when applying the disease lable, it implies: - a definitive set of symptoms (syndrome) - underlying mechanism(s) of disease process - treatments that target disease mechanisms, not just symptoms
32
Biological/medical model
- Most influential model in entire mental healthcare field - Focus on medical causes of psychological disorders, early success with general paresis - “Brain damaging therapeutics” (lobotomy, electroshock, insulin coma) - Accidental discovery of many psychiatric medications in the 1950s - Pivot in 1970s to MDs doing mostly medication management (more lucrative) - ~80% of psychiatric medications are prescribed by primary care/general practice doctors (non-psychiatrists)
33
Behavior/ CBT
- Early focus on principles of conditioning, applied to humans with anxiety & developmental disorders - Cognitive revolution led to the development of various CBT interventions - CBT is now the “gold standard” of scientifically supported psychotherapies, the most widely used therapy
34
Psychoanalysis/Psychodynamic
- Freudian therapy, dominant form of psychiatric treatment from the 1920s to 1960s - Eventually abandoned by psychiatrists in favor of medications - Transformed into psychodynamic therapies (e.g., based on attachment theory, Jungian psychology)
35
Sociocultural
Newer perspective; emphasizes social/cultural factors and largely ignores the rest
36
Biopsychosocial
Acknowledges the importance of all relevant factors, but doesn't explain how they interact Very broad approach but doesn't highlight specific points and how things connect not very illuminating
37
Cognitive Neuroscience
“The mind is what the brain does.” Explores how scientific processes interact/influence each other at different levels (from molecular/genetic to neurochemical to neural circuits to mental events to social) Anything that changes your brain will change what's happening in your mind
38
What are the major brain regions involved in anxiety
Prefrontal cortex: conscious appraisal of threat Amygdala: hub of emotion-processing circuits, quick-and-dirty threat appraisal Hypothalamus: regulates the "4 Fs" (fight, flight, feeding, fornication/fuck) Locus Coeruleus: Directly controls the Sympathetic Nervous System (SNS)
39
Describe the nervous systems involved in anxiety
Sympathetic Nervous System (SNS) effects: Increased heart rate and blood pressure , dilated pupils, reduced digestive activity, increased sweat production, release of adrenaline and noradrenaline, increased blood glucose levels, and muscle tension Parasympathetic nervous system: puts brakes on SNS ("rest and digest"), vagus nerve is the major parasympathetic conduit
40
Describe General Paresis (cerebral syphilis)
Large subset of adults would exhibit erratic behavior, decreased impulse control - often depressed and often lose touch with reality (psychotic) - had symptoms of syphilis 20-30 before general paresis diagnosis - Malaria parasite can out-compete the syphilis parasite - Syphilis is also easily killed by heavy metals
41
What are examples of brain-damaging therapeutics?
Lobotomy, electroshock, and insulin coma
42
The cognitive revolution in psychology
Field going from a narrow, ideological behaviorism to a broad, complex view - CBT takes off - let's look at how people are thinking about the world and their lives that are leading to suffering - Stoicism: we are not moved by what happened to us but rather by the views of how we take of them. We have control of how we react to life circumstances - Zen mindfulness: ultimately what happens to us is less important than whether we are attached to a particular view of what happened to us CBT is the most heavily researched psychotherapy
43
What are some major anxiety disorders: DSM-5
Panic disorder Agoraphobia Specific phobia Social phobia Generalized anxiety disorder (GAD)
44
What are some anxiety-adjacent disorders?
Obsessive-compulsive disorder (OCD) Post-traumatic stress disorder (PTSD)
45
T/F: High levels of cortisol all the time is safe
FALSE
46
What is Rumination
attentional bias for threat detection
47
Fear vs anxiety
Fear - threat is happening right now Anxiety - threat may occur in future
48
What does cortisol suppress?
BDNF
49
What does BDNF do?
helps grow new memories and repair damaged brain tissue
50
What does cortisol do?
Suppresses BDNF, elevates blood sugar, and is a steroid and anti inflammatory can be toxic after months b/e it doesn't repair brain
50
What is SNS regulated by?
Prefrontal cortex - conscious perception of threat Amygdala - central hub of fear/anxiety circuits Hypothalamus - "fight, flight, freeze, fuck/fornication Locus Coeruleus - (brainstem) directly controls SNS
51
Anxiety Cognitively vs Behaviorally
Cognitively: perception of threat, narrowing of attention, interpretive bias, rumination (dwelling on negative thoughts) Behaviorally: motor agitation, harm/risk avoidance
52
DSM-5 Diagnostic Criteria
- Marked fear or anxiety about a specific object or situation - Phobic object or situation almost always provokes immediate fear or anxiety - Phobic object or situation is actively avoided or endured with intense fear or anxiety - Fear or anxiety is out of proportion to the actual danger posed - lasts for 6 months or more - Causes significant distress or impairment in social, occupational, or other important areas of functioning
53
Specific Phobia: Basic Fact
Prevalence: roughly 1 in 8 people
54
Theories of Etiology
- Heritability/Genes: Genetic component (h=.30-.50) - Evolutionary Preparedness Hypothesis: Certain fears are more easily learned due to evolutionary factors - Psychodynamic: Phobia as symbolic of deeper psychological conflict - Classical Conditioning: Example: Dog bite leading to dog phobia - Cognitive: Phobias developed through observation and learning
55
Describe Vasovagal Reflex
Relevant to blood-injury-needle phobias, causing fainting or lightheadedness due to a drop in heart rate and blood pressure
56
Specific phobia treatment
- Exposure Therapy: Most effective treatment (up to 90% success rate) - Exposure → Habituation: Repeated exposure to the phobic object or situation leads to a reduction in fear response over time
57
Impact of Exposure vs Avoidance with specific phobia
- Exposure: Leads to habituation and reduced fear response - Avoidance: Reinforces and maintains the phobia
58
What are the types of empathy types
- Cognitive Empathy: Ability to understand another person's perspective (low in individuals with autism) - Emotional Empathy: Ability to share the feelings of another person (low in individuals with psychopathy)
59
What is the med student syndrome?
A phenomenon where medical students perceive themselves to be experiencing the symptoms of the diseases they are studying.
60
Trends in Medication Use and Mental Health
- Huge Increase in Medication Use: In recent decades, there has been a significant rise in the use of medications. - Social Burden of Anxiety & Depression: Despite the increase in medication use, the social burden of anxiety and depression is still climbing.
61
Describe the anxiety disorder prevalence
Biggest Spike in Anxiety Disorder Prevalence: Especially among teens and young adults.
62
What is the evolutionary preparedness hypothesis (Mineka)
Mineka – maybe we are evolutionary wired to be scared of things are ancestors are afraid of (monsters under the bed = predators in the wild)
63
What is emetophobia
Fear of vomit and it's common
64
What are the most common specific phobias?
blood, needles, and injuries