Final Flashcards
Hippocrates
Imbalance of 4 body fluids (black bile, yellow bile, phlegm, and blood)
Byzantine physicians rationalize etiologies of mental illness
4th-15th century
Demon possession timeframe
16th century onward
Vincenzo Chiarugi
Reformer from Italy
Phillippe Pinel
Reformer from France- moral therapy (cure them)
William Turke
Reformer from England- Philanthropist who donated to moral therapy
Benjamin Rush
Reformer from USA, Father of American Psych, Seal of APA, used blood letting
Dorothea Dix
Reformer from USA- brought moral therapy to England, lobbied Congress
Most recent Diagnostic & Statistical Manual of Mental Disorders
DSM-5
How many disorders are mentioned in DSM-5
over 300
What is a mental disorder?
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
Aspect of Abnormality: Distress/Disability
Egodystonia, disabled functioning, decreased autonomy
Aspect of Abnormality: Maladaptiveness
Actions hinder goal attainment, well-being
Aspect of Abnormality: Irrationality
Acts/talks in ways incomprehensible to others
Aspect of Abnormality: Unpredictability
Uncontrollable, erratic behavior
Aspect of Abnormality: Unconventionality/Statistical rarity
Behaviors violate standards of acceptability/desirability
Aspect of Abnormality: Observer discomfort
Others feel threatened/distressed because of behavior
Aspect of Abnormality: Violation of ideal/moral standards
Ex. Person is an atheist
Thomas Szasz
Book: The Myth of Mental Illness (1961)
Mental illness= a stigmatizing social construct
Once labelled “abnormal” the patient will conform to that label
David Rosenhan (1973)
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
Advantages of experimental designs
Cause-effect established, control of extraneous variables
Disadvantages of experimental designs
Artificial, may not be practical
Symbol for correlation method
r
When is correlation method used
When experimental method is not ethical/practical
Disadvantage of correlation method
Cannot establish cause-effect, strength of relationship (high= 0.7 - 1.0)
Name the 4 psychometrics
Reliability, Validity, Content, Construct
MMPI, BDI, EDI, RSES, STA
Standard Testing
Types of Structure
unstructured, semi-structured, structured
Case Study
1 person, stereotyping, in depth
Disadvantage of Case Study
Generalizing to others in population is ill-advised
Mental Status Exam
Appearance/behavior Orientation Thought content/language Affect/mood Perceptual experiences Sense of self Motivation Cognitive Functioning Insight/judgment
Reliability
Does the test yield consistent scores
Validity
Does the test measure what it says it measures
CAT scan
X-rays measure density of brain structures
MRI
Radio waves cause H atoms in the brain to release energy -> computer image of brain
fMRI (functional)
Measures blood and O2 flow
Both structural and functional info
PET (Positron Emission)
Radioactive glucose injected into bloodstream
Glucose metabolism measured -> indicates level of neural activity
Differential Diagnosis #1
Rule out a substance-related etiology (drug abuse, meds, toxins)
Differential Diagnosis #2
Rule out etiology related to general medical condition
Differential Diagnosis #3
Determine specific primary disorder (If comorbidity -> establish principal diagnosis
Differential Diagnosis #4
Determine if adjustment disorder present
Differential Diagnosis #5
Establish boundary between mental disorder and no mental disorder (gray area)
Differential Diagnosis #6
Rule out factitious disorder or malingering (faking it)
Egodystonia
Symptoms are distressing/troubling to patient
Comorbidity
2+ diagnoses simultaneously present in a patient
Insight
Patient’s knowledge/understanding of the problem
Prognosis
Projected course of an illness
Etiology
Apparent course of an illness
Insanity
A legal term; describes a person determined to have a mental illness and/or is not “mentally competent” to stand trial
John Hinckley
Attempted assassination of Reagan