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
hynotism/mesmerism aim
to create a trance like state
26
franz mesmer argued..?
there are magnetic fields in body, which you can use to put people in trances
27
charcot observation and subsequent theory?
can induce hysteria during hypnosis - thus it can be treated with a similar method
28
breuer used the ... method
cathartic talk therapy during hypnosis
29
FREUD - psychoanalytic theory underlies?
the mind has conscious and unconscious states
30
what is the superego for
how we reflect on the world and how we should be behaving
31
disagreement in superego...?
leads to psychological difficulty, which is then addressed in therapy
32
freud - how does therapy work
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
behaviourism? and stems from?
important for how we treat psych today stems from pavlovs classical conditioning
34
classical conditioning
automatic responses are learned through experience
35
how is conditioning applied to psych disorders
maybe they are learned through reinforcement
36
positive reinforcement
actions that produce rewarding events are repeated
37
negative reinforcment
actions that avoid noxious events are repeated
38
behaviour shaping by reward approximations?
if get reinforcement from a behaviour, continue to repeat similar behaviours, develop behaviours from slight approximations using feedback
39
modelling behvaiour
learnt passively, without experience of reinforcement or punishment, based on observations
40
what is the goal of behaviour therapy
to create new associations by practicing new forms of behaviour and/or reinforcing adaptive behaviours with positive consequences
41
how is exposure therapy strong specific evidence for behaviour therapies for psych disorders
excessive exposure to fear stimulus, over time automatic fear response declines, when there are not negative outcomes
42
why does behavioural therapy work
if we acquire disorders through learning, we can use the same techniques to improve them
43
what is the most widely used and effective treatment
CBT
44
what does CBT use
idea of changing thoughts and behaviours