Final Flashcards

You may prefer our related Brainscape-certified flashcards:
1
Q

Hippocrates

A

Imbalance of 4 body fluids (black bile, yellow bile, phlegm, and blood)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Byzantine physicians rationalize etiologies of mental illness

A

4th-15th century

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Demon possession timeframe

A

16th century onward

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Vincenzo Chiarugi

A

Reformer from Italy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Phillippe Pinel

A

Reformer from France- moral therapy (cure them)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

William Turke

A

Reformer from England- Philanthropist who donated to moral therapy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Benjamin Rush

A

Reformer from USA, Father of American Psych, Seal of APA, used blood letting

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Dorothea Dix

A

Reformer from USA- brought moral therapy to England, lobbied Congress

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Most recent Diagnostic & Statistical Manual of Mental Disorders

A

DSM-5

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

How many disorders are mentioned in DSM-5

A

over 300

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is a mental disorder?

A

A syndrome characterized by clinically significant disturbance in an individual’s cognition, emotion regulation, or behavior that reflects a dysfunction in the psychological, biological, or developmental processes underlying mental functioning

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Aspect of Abnormality: Distress/Disability

A

Egodystonia, disabled functioning, decreased autonomy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Aspect of Abnormality: Maladaptiveness

A

Actions hinder goal attainment, well-being

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Aspect of Abnormality: Irrationality

A

Acts/talks in ways incomprehensible to others

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Aspect of Abnormality: Unpredictability

A

Uncontrollable, erratic behavior

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Aspect of Abnormality: Unconventionality/Statistical rarity

A

Behaviors violate standards of acceptability/desirability

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Aspect of Abnormality: Observer discomfort

A

Others feel threatened/distressed because of behavior

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Aspect of Abnormality: Violation of ideal/moral standards

A

Ex. Person is an atheist

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Thomas Szasz

A

Book: The Myth of Mental Illness (1961)
Mental illness= a stigmatizing social construct
Once labelled “abnormal” the patient will conform to that label

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

David Rosenhan (1973)

A

8 pseudo patients faked being delusional to get into a psych hospital.
None were detected by staff as being “normal”
Range of stay 7-52 days. Avg=19 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Advantages of experimental designs

A

Cause-effect established, control of extraneous variables

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Disadvantages of experimental designs

A

Artificial, may not be practical

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Symbol for correlation method

A

r

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

When is correlation method used

A

When experimental method is not ethical/practical

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Disadvantage of correlation method

A

Cannot establish cause-effect, strength of relationship (high= 0.7 - 1.0)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Name the 4 psychometrics

A

Reliability, Validity, Content, Construct

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

MMPI, BDI, EDI, RSES, STA

A

Standard Testing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Types of Structure

A

unstructured, semi-structured, structured

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Case Study

A

1 person, stereotyping, in depth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Disadvantage of Case Study

A

Generalizing to others in population is ill-advised

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Mental Status Exam

A
Appearance/behavior
Orientation
Thought content/language
Affect/mood
Perceptual experiences
Sense of self
Motivation
Cognitive Functioning
Insight/judgment
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

Reliability

A

Does the test yield consistent scores

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

Validity

A

Does the test measure what it says it measures

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

CAT scan

A

X-rays measure density of brain structures

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

MRI

A

Radio waves cause H atoms in the brain to release energy -> computer image of brain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

fMRI (functional)

A

Measures blood and O2 flow

Both structural and functional info

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

PET (Positron Emission)

A

Radioactive glucose injected into bloodstream

Glucose metabolism measured -> indicates level of neural activity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

Differential Diagnosis #1

A

Rule out a substance-related etiology (drug abuse, meds, toxins)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

Differential Diagnosis #2

A

Rule out etiology related to general medical condition

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

Differential Diagnosis #3

A

Determine specific primary disorder (If comorbidity -> establish principal diagnosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

Differential Diagnosis #4

A

Determine if adjustment disorder present

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

Differential Diagnosis #5

A

Establish boundary between mental disorder and no mental disorder (gray area)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

Differential Diagnosis #6

A

Rule out factitious disorder or malingering (faking it)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
44
Q

Egodystonia

A

Symptoms are distressing/troubling to patient

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
45
Q

Comorbidity

A

2+ diagnoses simultaneously present in a patient

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
46
Q

Insight

A

Patient’s knowledge/understanding of the problem

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
47
Q

Prognosis

A

Projected course of an illness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
48
Q

Etiology

A

Apparent course of an illness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
49
Q

Insanity

A

A legal term; describes a person determined to have a mental illness and/or is not “mentally competent” to stand trial

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
50
Q

John Hinckley

A

Attempted assassination of Reagan

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
51
Q

Dan Sickles

A

Congressmen who Shot and killed his wife’s lover in 1859. Acquitted because he claimed insanity. Rose to Major General, lost right leg, received medal of honor

52
Q

Biopsychosocial Theory

A

Physical/mental wellness is a function of three interconnected factors:

Biological factors
Genetics, NS, diseases, viruses, tumors

Psychological factors
Coping styles, locus of control, cognitive appraisal

Social factors
Support networks (e.g., family, friends), occupational settings, church
53
Q

Psychoanalytic Theory

A

Sigmund Freud.
“The Unconscious”- Reservoir of instinctual drives,
storehouse of thoughts & wishes that are concealed from conscious awareness

54
Q

Id

A

The Pleasure Principle- immediate gratification of needs; wish fulfillment. Biological drives

55
Q

Ego

A

The Reality Principle- Mediates between Id’s demands and reality’s constraints. Conscious, rational, decision-making aspect.

56
Q

Superego

A

The Conscience- Represents ideals, moral standards of society as conveyed to the child by his/her parents

57
Q

Behavioral Theory

A

Operant Conditoning: Learning by way of reinforcement and punishment
Classical Cond: Forming associations between reflexive response and unrelated stiumuls

58
Q

Modeling

A

Imitating the behavior of another

59
Q

Cognitive-Behavioral Approach

A

Maladaptive behavior/illness stems from faulty belief sets/automatic thoughts -> poor decision-making -> dysfunctional behavior

60
Q

Humanistic Approach

A

Abraham Maslow and Carl Rogers.
People are basically good, disorders arise from environmental stimulus that interfere w/ personal growth and fulfillment, conditions of worth, and unconditional positive regard

61
Q

What is anxiety?

A

Increased arousal associated w/ generalized feelings of apprehension or fear

62
Q

How many people experience symptoms of anxiety?

A

1 in 4

63
Q

Generalized Anxiety Disorder

A

6+ months of persistent anxiety

More common in women (60%)

64
Q

Panic Disorder

A

Moderate anxiety and recurrent unexpected panic attacks
More common in women (2:1 ratio)
ABC Reporter Dan Harris

65
Q

Meds for panic disorder

A

benzodiazepines and antidepressants

66
Q

Agoraphobia

A

Fear/anxiety in public transportation, being in open spaces, enclosed spaces, standing in line or being in a crowd, being outside the home alone; escape may be difficult/embarrassing. Females 2x more likely

67
Q

Monophobia

A

Being outside the home alone

68
Q

Specific Phobia

A

Fear persists for 6+ months.
TX: cognitive, behavioral
women 2x more likely

69
Q

Obsessive-Compulsive Disorder

A

Characterized by seemingly unpreventable repetitious behaviors and/or recurrent modes of thought

70
Q

Characteristics of Obsessions

A

Recurrent/persistent thoughts, urges, and/or images that are intrusive & unwanted
Other thoughts/actions adopted to suppress, ignore, or neutralize the thoughts
Person recognizes thoughts as coming from his/her mind

71
Q

Characteristics of Compulsion

A

Repetitive behaviors/mental acts performed as a result of obsession or according to rigidly-applied rules
Aimed at reducing/preventing distress or some dreaded situation/event
Behaviors are clearly excessive and may not realistically be connected to what they’re designed to prevent

72
Q

Treatment of OCD

A

Meds, cognitive, behavioral

73
Q

Greg Valentino

A

Muscle Dysmorphia

74
Q

PTSD is diagnosable after how many months of symptoms

A

For 1+ month

75
Q

mTBI

A

mild Traumatic Brain Injury

76
Q

Anhedonia

A

Can’t experience pleasure

77
Q

Treatment of PTSD

A

meds, behavioral, CBT-type approach (exposure therapy)

78
Q

Dissociative Disorders

A

Disruption in consiousness, identity, memory, emotion, or sensory/motor behavior. Recurrent gaps in recall of everyday events, important personal info, or traumatic events
SYX onset usually trauma

79
Q

Dissociative fugues

A

Leaving normal locations

80
Q

Treatment of Dissociative Disorder

A

Hypnosis and long-term supportive treatment

81
Q

William Milligan

A

Arrested in 1977 for rape, two suicidal attempts

Found 10 personalities, pleaded insanity (not guilty)

82
Q

Percentage of M&F Eating Disorders

A

90% women for anorexia and bulimia nervosa

2:1 female to male ratio for Binge-eating disorder

83
Q

Highest mortality rate in DSM

A

Anorexia nervosa

84
Q

Anorexia Nervosa

A

Restricting and binge/purge

85
Q

Health consequences of anorexia

A
slow heart rate and low BP
Osteoporosis
Muscle loss
Dehydration
Lanugo (peach fuzz hair growth over the body)
Dry hair and skin
86
Q

Health consequences of bulimia

A
Frequent weight change
Lethargy
Sore throat, tooth decay
Poor skin
Abdominal pain from laxative use
87
Q

Dysphoria

A

Gloominess, sadness, despair

88
Q

Major Depressive Disorder criteria needs

A

Criteria must be present for 2+ week period

89
Q

MDD must contain 1 of these 2

A

Depressed mode more often than not OR Anhedonia

90
Q

Persistent Depressive Disorder

A

Dysthymia- Depressed mood for minimum of 2 years. Criteria haven’t left in 2+ month period

91
Q

Biological Etiology of Depressive Dis

A

Low levels of 5-HT, NE
Decreased volume of PFC, hippocampus
Strong genetic link (67%)

92
Q

Psychodynamic Etiology of Depressive Dis

A

Depression stems from unresolved unconscious conflicts/hostilities held over from childhood

93
Q

Behavioral Etiology of Depressive Dis

A

Insufficient positive reinforcers, and too many punishers

94
Q

Cognitive Etiology of Depressive Dis

A
Cognitive Triad (Aaron Beck)
Negative views of self, ongoing experiences, and future.

Explanatory Style (Martin Seligman)- learned helplessness

95
Q

Tx of Depressive Disorders

A

CBT, antidepressants (Tricyclics, MAOIs, SSRIs), ketamine, ECT (last resort for severe depression/mania

96
Q

Side effects of ECT

A

Short-term confusion, temporary memory loss

97
Q

Bipolar Disorder I- Manic episode criteria

A

Abnormally elevated/expansive/irritable mood OR increased goal-directed activity atleast 1+ week

98
Q

Bipolar I

A

Manic episodes are pleasurable, may believe they have super powers, may become hostile
Age onset 18-25

99
Q

Bipolar II

A

Either currently having, or have had, either a Major Dep Episode or a Hypomanic Episode

100
Q

Cyclothymic Disorder

A

Numerous periods over 2 years of hypomanic symptoms with depressive symptoms

101
Q

Word for Cycling in Bipolar Dis

A

Lability

102
Q

Biological Etiology of Bipolar Dis

A
Manic state = increased levels of 5-HT, NE
Genetic Link (twin studies = 74%)
103
Q

Psychodynamic Etiology of Bipolar Dis

A

Mania= Buffers person from depression/gloom that would arise from perceived inadequacy/helplessness

104
Q

Behavioral Etiology of Bipolar Dis

A

No comprehensive theories

Bipolar disorder may be exacerbated by negative life events

105
Q

Cognitive Etiology of Bipolar Dis

A

Inability to effectively regulate emotions, solve daily problems

106
Q

Pharmacological Tx of Bipolar

A

Mood stabilizers (lithium, depakote, topamax)

107
Q

Neurocognitive Disorder

A

Refers to Delirium and a host of illnesses that cause mild or major cognitive deficits

108
Q

6 Cognitive Domains (mild or major) of NCDs

A

Complex attention (sustained/divided attention)
Executive Function (Planning/decision-making)
Learning and memory (Recent memory, very LTM)
Language (Expressive/receptive language)
Perceptual-motor (praxis, gnosis)
Social Cognition (Recognizing emotions)

109
Q

Praxis

A

Gestures

110
Q

Gnosis

A

Inability to recognize things

111
Q

Aphasia

A

ability to recall words

112
Q

Major NCD and Minor NCD

A

Major- does interfere with capacity for independence. Minor does not interfere

113
Q

Alzheimer’s Disease markers

A

cortical atrophy/ enlarged ventricles

Beta-amyloid plaques and Neurofibrillary tangles

114
Q

Autism Spectrum Dis

A

Persistent deficits in:

  • social-emotional reciprocity
  • nonverbal communicative behaviors used for social interaction
  • developing, maintaining, and/or understanding relationships
115
Q

General characteristics of Autism

A
Comorbid intellectual/language impairment
Motor deficits common
Self-injurious behavior
Odd responses to sensory Stimulus
Abnormalities in eating, sleeping, mood
116
Q

Autism

A

Prevalence- 4x more likely in males
SYX evident by age 2
37-90% genetic

117
Q

Treatment for Autism

A

Behavior Therapy, start before age 4. long-term needs

118
Q

Cluster A

A

Odd or eccentric behavior

Paranoid, schizoid, schizotypal PD

119
Q

Cluster B

A

Dramatic, emotional, or erratic behavior

Antisocial, borderline, histrionic, narcissistic PD

120
Q

Cluster C

A

Anxious or fearfulness

Avoidant, dependent, OCPD

121
Q

Paranoid PD

A

Unwarranted feelings of persecution
Mistrust almost everyone
Hypersensitive to criticism
Strong fear of being exploited, losing control or autonomy

122
Q

Borderline PD

A

Unstabable personal relationships, mood swings, often impulsive, sometimes suicidal, frantic efforts to avoid abandonment

123
Q

Narcissistic PD

A

Grandiosity, sense of being entitled, special, need for power/status/success/admiration
Exploitation of others for personal benefit
Humiliated/hurt/ashamed/enraged when exposed to small slights

124
Q

Antisocial

A

Deceitfulness, repeated law-breaking, basic disregard for rights of others
Impulsive, aggressive, lack of remorse for mistreatment of others
Superficially charming

125
Q

Schizoid

A

Detachment from social relationships; loner
Restricted range of emotional expression
No desire for close friendships, relationships
Prefer solitary activities
No interest in sexual relationships