history - psych dis Flashcards

1
Q

what are the standards for defining a psych disorder

A
  • assumed some dysfunction in mental process which causes a problem
  • distress or suffering
  • disability (impairment in daily life functioning)
  • violation of social norms
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2
Q

what are the core premises of distress

A

PTSD, anxiety, depression, anguish

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3
Q

what do we rely on to define violation of social norms

A
  • widely held standards of thought, behaviour, action
  • cultural relativism
    aspects of society change over time
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4
Q

how do you define disability

A
  • behaviour, thoughts, feelings which impair ability to function in work, relaitonships, leisure
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5
Q

how do you define dysfunction

A

internal mechanisms in brain which deviate from that of the original function of that brain part

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6
Q

generally, how do psych disorders arise

A

from complex, and dynamic interaction of biological, psychosocial factors, not a single gene or disease process

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7
Q

defining disorders - hard why?

A

normal and abnormal behaviour lie on a continuum
definitions of abnormal are relative and change over time

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8
Q

why are definitions continuously revised

A

because definitions and symptoms are constantly changing based on culture, gender, age, context etc

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9
Q

wha was the first thought of odd behvaiour

A

was a consequence of the presence of a demon in the body

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10
Q

what is demonology

A

the doctrine that an evil being/spirit can dwell within a persona and control the mind/body

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11
Q

what was the treatment for demonology

A

to make the body uninhabitable
- made them old, hot, methods of abuse, starvations etc

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12
Q

who was hippocrates and what was his proposition of disordered thinking

A

father of modern medicine
- disordered thinking was linked to brain pathology, psych symptoms caused by physical illness

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13
Q

what were the 4 humours that mental health symptoms were a result of

A

blood
phelgm
bile
black bile

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14
Q

what was thought to cause hysteria

A

psych symptoms were due to the uterus moving around the body

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15
Q

treatments for melancholia

A

tranquility, sobreity, exercise, diet, no sex

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16
Q

treatment for hysteria

A

apply pleasant smells to vagina to attract uterus back into position
be constantly pregnant to keep womb occupied

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17
Q

who took care of the mentally ill in the dark ages and what were the treatments

A

christian monasteries
- prayer and relic based, return of supernatural beliefs and witch trials

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18
Q

what was bedlam

A

asylum where people could pay tickets to come and view the mentally ill as entertainment

19
Q

who ended the system of asylums

A

phillipe pinel

20
Q

what is the modern biological approach and its most influential observation

A

the study of general paresis (deteriorating mental and eventual paralysis)

21
Q

syphillis and mental health

A

a causal link was established from infection, caused changes in brain functioning, altered states of consciousness and state of mental health

22
Q

who was francis galton and what were his theories

A

first to study genetics (families and twins)
mental conditions run in the family

23
Q

who pioneered the eugenics movement

A

francis galton

24
Q

what is the eugenics movement

A

traits are heritable so we should eliminate undesirable traits from the populations
forced sterilisation of those with psych disorders

25
Q

hynotism/mesmerism aim

A

to create a trance like state

26
Q

franz mesmer argued..?

A

there are magnetic fields in body, which you can use to put people in trances

27
Q

charcot observation and subsequent theory?

A

can induce hysteria during hypnosis - thus it can be treated with a similar method

28
Q

breuer used the … method

A

cathartic
talk therapy during hypnosis

29
Q

FREUD - psychoanalytic theory underlies?

A

the mind has conscious and unconscious states

30
Q

what is the superego for

A

how we reflect on the world and how we should be behaving

31
Q

disagreement in superego…?

A

leads to psychological difficulty, which is then addressed in therapy

32
Q

freud - how does therapy work

A

it is important to study memories and feelings which are usually inaccessible and the person has not control over these - so are unlocked during therapy

33
Q

behaviourism? and stems from?

A

important for how we treat psych today
stems from pavlovs classical conditioning

34
Q

classical conditioning

A

automatic responses are learned through experience

35
Q

how is conditioning applied to psych disorders

A

maybe they are learned through reinforcement

36
Q

positive reinforcement

A

actions that produce rewarding events are repeated

37
Q

negative reinforcment

A

actions that avoid noxious events are repeated

38
Q

behaviour shaping by reward approximations?

A

if get reinforcement from a behaviour, continue to repeat similar behaviours, develop behaviours from slight approximations using feedback

39
Q

modelling behvaiour

A

learnt passively, without experience of reinforcement or punishment, based on observations

40
Q

what is the goal of behaviour therapy

A

to create new associations by practicing new forms of behaviour and/or reinforcing adaptive behaviours with positive consequences

41
Q

how is exposure therapy strong specific evidence for behaviour therapies for psych disorders

A

excessive exposure to fear stimulus, over time automatic fear response declines, when there are not negative outcomes

42
Q

why does behavioural therapy work

A

if we acquire disorders through learning, we can use the same techniques to improve them

43
Q

what is the most widely used and effective treatment

A

CBT

44
Q

what does CBT use

A

idea of changing thoughts and behaviours