exam 4 Flashcards

1
Q

Defining “abnormal”

A

Cognitive model- abnormal thoughts or beliefs
Sociocultural model- violations of local social norms
Biological model-changes in biological functioning
Abnormality is inextricably attached to cultural norms, expectations, and laws

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2
Q

Thomas Szasz

A

The Myth of Mental Illness
-argued that the mental disorder classification system is an attempt by society to control those who are different, criticized the system of involuntary commitment
-criticized medical model as turning people into passive patients instead of active controllers of their own lives
-preferred the term “problems in living”

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3
Q

Diagnostic and Statistical Manual of Mental Disorders (DSM-5)

A

the standard reference manual for disorder diagnosis and classification
Advantages:
-can be useful when properly used for diagnosis and treatment of disorders
-provides systematic structure for future research and insurance reimbursement
Criticisms:
-number of disorders INCREASED with each new addition
-providing classifications may lead to OVERDIAGNOSIS (ADHD, MPD/DID), PD-NOS is most commonly diagnosed disorder-despite there being 400 defined disorders, particularly a concern with newer DIMENSIONAL approach and RISK SYNDROMES
-gives the illusion of OBJECTIVITY
still subject to individual judgement, cultural norms( homosexuality), circumvention (NOS diagnosis)

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4
Q

Phobias

A

an exaggerated, unrealistic fear of a specific situation, activity, or object

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5
Q

agoraphobia

A

a set of phobias, often set off by a panic attack involving the basic fear of being away from a safe place of person

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6
Q

Post Traumatic Stress Disorder

A

when a person who has experienced traumatic events has symptoms such as numbing, reliving or trauma, detachment, relationship challenges, self-destructive behaviors
-military service-sexual abuse-9/11-1st responders

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7
Q

Obsessive Compulsive Disorder

A

person feels trapped in repetitive, persistent thoughts (obsessions) and repetitive, ritualized behaviors (compulsions) designed to reduce anxiety
-person understands that the ritual behavior is senseless but guilt and anxiety increase if not performed- cleanliness v contamination

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8
Q

Biological theory of depression

A

genetics and brain chemistry

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9
Q

Social theory of depression

A

the stressful circumstances of people’s lives

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10
Q

Attachment theory of depression

A

problems with close relationships

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11
Q

Cognitive theory of depression

A

negative/maladaptive habits of thinking or interpreting events (learned helplessness)

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12
Q

Bipolar disorder

A

a mood disorder in which a person alternates between episodes of depression and mania (excessive euphoria)
-driven primarily by brain chemistry

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13
Q

Narcissistic

A

a personality disorder characterized by an exaggerated sense of self-importance and self-absorption

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14
Q

Paranoid

A

a personality disorder characterized by habitually unreasonable and excessive suspiciousness and jealousy

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15
Q

Borderline

A

intense but unstable relationships, fear of abandonment, unrealistic self-image, emotional volatility, self-destructive behavior

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16
Q

Antisocial

A

a personality disorder characterized by antisocial behavior such as lying, stealing, manipulating others, and sometimes violence; and a lack of guilt, shame, and empathy

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17
Q

Schizophrenia

A

group of psychotic disorders marked by positive and negative symptoms that indicate a distorted perceptive of reality

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18
Q

Positive symptoms of Schizophrenia

A

something abnormal is present
-delusions, hallucinations, incoherent speech, inappropriate behavior

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19
Q

Negative symptoms of Schizophrenia

A

something normal is absent
-lack of affect, loss of motivation, social withdrawal
- may be grouped to form an overall state of catatonia- lack of movement, communication or excessive activity and confusion

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20
Q

Delusions

A

false beliefs that often accompany schizophrenia and other psychotic disorders

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21
Q

Hallucinations

A

sensory experiences that occur in the absence of actual stimulation

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22
Q

Diathesis-stress model

A

-environmental stressors can trigger physical vulnerabilities
-vulnerability may be genetic
*strong correlations in twin studies
-vulnerability may be brain abnormality
*research suggests prenatal neural differences
*synaptic pruning in adolescence may trigger early episodes
-vulnerability in neurotransmitter levels
*dopamine, glutamate

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23
Q

dopamine

A

can affect movement and emotion

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24
Q

glutamate

A

major excitatory neurotransmitter

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25
Q

Biological treatments

A

involve the use of drugs, electroconvulsive therapy (ECT), brain surgery or other methods that affect body or brain chemistry
CONCERNS
-some effects overstated due to publication bias
-placebo effect
-increasing off label prescription
*side effect are possibly worse than disorder symptoms

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26
Q

Off label prescriptions

A

bad with lithium and antipsychotics, leading to high relapses and dropout rates
long term effects
-addiction-diabetes- tardive dyskinesia
tardive dyskinesia- disorder that results in involuntary repetitive body movements, which may include grimacing, sticking out the tongue or smacking the lips, which occurs following treatment with medication

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27
Q

frontal lobotamy

A

-destroys or separates parts of the frontal lobes
-stops strong emotional reactions, leads to flat affect- severely restricted or nonexistent expression of emotion
-also can interfere with other frontal lobe functions- planning, socially appropriate behavior

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28
Q

Antonio Moniz’s Electroconvulsive Therapy (ECT)

A

-used in cases of severe major depression
-ineffective for other conditions
-initiated by Ugo Cerletti in 1937
-produces retrograde amnesia for the procedure itself
-widely used today
-criticized as a tool more of control than treatment

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29
Q

Antipsychotic drugs

A

-block or reduce sensitivity or brain receptors that respond to dopamine
-some increase serotonin, a neurotransmitter that inhibits dopamine activity
-can relieve positive symptoms of schizophrenia but are ineffective or worsen negative symptoms
-side effects are weight gain, diabetes
-increasing prescribed off label

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30
Q

Monoamine oxidase inhibitors (Nardil, Parnate)

A

elevate norepinephrine/ serotonin in brain by blocking an enzyme that deactivates them

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31
Q

Tricyclic antidepressants (Elavil, Tofranil)

A

boost norepinephrine and serotonin in brain by preventing normal reuptake of these substances

32
Q

Gamma-aminobutyric acid (GABA)

A

an inhibitory neurotransmitter

33
Q

Anti- Anxiety (Tranquilizers)

A

-developed for the treatment of anxiety
-developed for shorter term use, with high relapse rate when people stop taking them
-over prescription and long term use can lead to addiction
Xanax, valium

34
Q

Psychodynamic therapy

A

-uses various techniques to explore the unconscious as a route to identifying and solving problems
-dream analysis

35
Q

Free association

A

a method of uncovering unconscious conflicts by saying freely whatever comes to mind

36
Q

Transference

A

client transfers unconscious emotions or reactions onto therapists (conflicts about prevents)

37
Q

Behavioral methods

A

apply principles and techniques of classical and operant conditioning to help people change self defeating or problematic behaviors
-systematic desensitization
-behavioral self-monitoring (via diaries)
-aversive conditioning- punishing undesirable behaviors

38
Q

Cognitive therapy

A

aim is to have people identify and understand maladaptive thought patterns, then change them to improve their life
-Albert Ellis’s Rational- Emotive Behavioral Therapy (REBT): therapist and client actively challenge existing beliefs
-Aaron Beck’s Cognitive Therapy examines interconnection of thoughts, feelings, and behaviors

39
Q

Cognitive-behavioral therapy

A

an integrative approach with a goal of using behavioral methods to change cognitions
-helps build self-efficacy
*Individual’s belief about their own ability to perform a task

40
Q

Humanistic therapy

A

-emphasizes people’s free will to change
-often is nondirective, with the goal that the client should solve the problems themselves

41
Q

self instructional methods

A

such as self-talk, can help restructure cognitive habits over time

42
Q

client/person-centered therapy (Carl Rogers)

A

emphasizes empathy with client, seeing the world as the client does, unconditional positive regard

43
Q

Reflective listening

A

-therapists will rephrase/ repeat back what the client is saying, to guide toward insight

44
Q

Family- system perspective

A

therapy with individuals or families that focuses on how each member forms part of a larger interacting system

45
Q

Group therapies

A

ADVANTAGES
-can be lead by a professional to show people that they are not alone in their problems-can learn from the growth of others-less expensive
DISADVANTAGES
-lacks confidentiality- requires a skilled facilitator to avoid social issues like groupthink

46
Q

Evaluating therapies

A

success hinges on
-client and therapist having a therapeutic alliance
-therapists being culturally competent for client population
-client being motivated to change
- improvements have to be monitored up to the point where it levels off

47
Q

Industrial psychology

A

studies job and applicant characteristics, and how to match them; also studies employee training and performance appraisal

47
Q

scientist practitioner gap

A

-a substantial, serious disconnect between scientist who research and those who practice
-practitioners often disregard scientific evidence as not relevant to their personalized approaches
-this leads to perpetuation of misdiagnosis and useless or harmful treatment methods
-scientists may undervalue the individual human elements of therapy, overemphasize one size fits all approach

48
Q

Organizational psychology

A

studies interactions between people working in organizations and effects of those interactions on productivity

49
Q

Human factors psychology

A

studies how workers interact with the tools of work and how to design those tools to optimize workers’ productivity, safety, and health

50
Q

Hawthorne Effect

A

an increase in productivity by employees who are being observed by a researcher or supervisor

51
Q

task oriented employee selection

A

lists in detail the tasks that will be performed for the job

52
Q

worker oriented employee selection

A

describes characteristics required of the worker to successfully perform the job (knowledge, skills, abilities)

53
Q

orientation employee training

A

to organizational policies, practices, culture

54
Q

mentoring employee training

A

informal or formal mentoring by an experienced employee can be beneficial to long term success, satisfaction, and productivity

55
Q

Performance appraisals

A

may focus on defines job responsibilities and specific goals agreed upon between employee and supervisor
employee eval is a challenging aspect of a workplace culture

56
Q

Organizational culture

A

the values, visions, hierarchies, norms, and interactions among its employees
- 3 layers

57
Q

observable artifacts

A

symbols of language (jargon, slang, humor), narratives (stories and legends), and practices (rituals) that represent the underlying cultural assumptions

58
Q

Espoused values

A

concepts/ beliefs that management or entire organization endorses

59
Q

basic assumptions

A

usually unobservable and unquestioned

60
Q

transactional leadership

A

focuses on supervision and organizational goals achieved through a system of rewards and punishments; maintenance of the organizational status quo

61
Q

transformational leadership

A

leaders are charismatic role models, inspirational (optimistic about goal attainment), intellectually stimulating, and seek to change the organization

62
Q

scientific management

A

research found 2 different managerial syles

63
Q

theory x

A

manager assumes workers are inherently lazy and unproductive; managers must have control and use punishments

64
Q

theory y

A

manager assumes workers are people who seek to work hard and productively; managers and workers can find creative solutions to problems; workers do not need to be controlled and punished

65
Q

team halo effect

A

teams get credited for team success, individuals within teams get blamed for team failures

66
Q

Panic disorder

A

an anxiety disorder in which a person experiences recurring panic attacks, feelings of impending doom or death, accompanies by physiological symptoms such as rapid breathing and dizziness

67
Q

major depressive disorder

A

a mood disorder involving
-disturbances in emotion (excessive sadness)
-behavior (loss of interest in usual activities
-cognition (thoughts of hopelessness)
-body function (fatigue and loss of appetites)
-affects more women than men

68
Q

persistent depressive disorder

A

more chronic than major depressive disorder, but may have lower severity of symptoms

69
Q

personality disorder

A

rigid, maladaptive patterns that cause personal distress or an inability to get along with others

70
Q

Dissociative Identity disorder

A

disorder marked by the appearance with one person of 2 or more distinct personalities, each with its own name and traits

71
Q

Sociocognitive explanation for DID

A

disorder is not an actual fragmenting of the identity or multiples personalities, but is simply an extreme manifestation of the different roles we all hold

72
Q

Selective serotonin reuptake inhibitors (SSRIs)

A

also inhibit reuptake of serotonin to boost levels- Prozac

73
Q

How ABILIFY is thought to work

A

by adjusting dopamine activity, instead of completely blocking it and by adjusting serotonin activity

74
Q

dopamine

A

can affect movement and emotion

75
Q

glutamate

A

major excitatory neurotransmitter