Introduction Flashcards
Define the relativist view of concepts of abnormality
Symptoms and causes vary across cultures.
Define the absolutist view of concepts of abnormality
Disorder caused by some biological factors
4 parts of DSM-V
Clinical presentation
Developmental Stage
Eitiology (causes)
Functional impairment
What is drapetomonia?
Black slaves attempting to escape
What is epidemiology
Study of the frequency and distribution of disorders within a population
What is incidence?
Number of new cases in population in a time frame
What is prevalence?
Number of active cases in a population within a time frame
What is comorbidity?
More than one condition existing simultaneously
History of Psychopathology: Ancient world?
Hippocrates - Mania, Melancholia Phrenitis (brain fever). All caused an imbalance in fluids (blood, phlegm, yellow bile and black bile.
History of Psychopathology: Middle Ages?
Mental health the result of supernatural forces eg witches, devils
History of Psychopathology: Renaissance?
Paracelsus: stars and planets affected the brain
Weyer: First to specialise in treatment. London’s Bethlehem Hospital (bedlam) established and treatment included confinement, torture and medical (blood letting)
History of Psychopathology: 19th century Pinel?
Classification system: Melancholia Mania Mania with delirium Dementia Idiotism
History of Psychopathology: 19th century Kraepelin?
Dementia Praecox (Schizophrenia) Manic Depression with psychosis
History of Psychopathology: 19th century syphilis
Discover of biological causes
History of Psychopathology: 19th century somatic treatments
1920’s/1930’s:
Fever therapy - injecting with malaria blood
Insulin coma - insulin injected to induce coma
Labotomy - severed frontal lobe
History of Psychopathology: psychoanalytic revolution
Mesmer: identified and treated hysteria with hypnosis
Breuer: Hypnosis and catharsis (talking)
Freud: Free association (no hypnosis)
History of Psychopathology: Biopsychosocial
Combines biological, psychological, social and environmental factors eg diathesis - stress framework
What is a symptom?
Manifestation of a pathological condition usually subjective
What is a syndrome?
A group of symptoms that constitute a condition
Describe the Rosenhan experiment
- 8 pseudopatients faked symptoms and were not released for up to 6 months.
- Of 193 patients presented, 41 declared pseudo but none were.
Types of assessment
Projective: Rorsenach Test (inkblots), Thematic Apperception Tests (link pictures)
Personality Inventories: Minnesota MMPT (500 items), California Psych Inventory, Eysenck Personality
IQ
Neurological: Catscan
Behavioural: Observational
Self-report
Physiological: skin conductance, blood pressure
Biomedical Model: Genetics as aetiology
- Pedigree model: family history
- The classical twin study: If MZ>DZ genetic. If MZ=DZ then environmental
- Adoption studies
- Molecular genetics: studies of candidate genes (common alleles) and genome wide association stidies
Biomedical Model: Biochemistry as aeitilogy
- Serotonin - regulates behaviour, mood and thought. Reduced serotonin leads to aggression, suicide, impulse overeating and hyper sexual behaviour. Drug: Tricyclic antidepressants and serotonin specific uptake inhibitors eg prozac
- Gamma Aminobutyric Acid (GAMA) - inhibits behaviours and emotions, reduced overall arousal. Drug:Benzodiazepines cause increased attachment of GABA to receptors.
- Noradrenalin - secreted by adrenal glans and circulates in CNS: Hindbrain controls basic bodily functions eg respiration ad activates alarm response
- Dopamine - merge and cross with seratonin circuits relaying messge to control movements and thought processes eg in Parkinsons dopamine cells are damaged
What does serotonin affect?
Regulates behaviour, mood and thought
What does reduced serotonin cause?
aggression, suicide, impulse overeating and hyper sexual behaviour.
What drugs affect serotonin?
Tricyclic antidepressants and serotonin specific uptake inhibitors eg prozac
What does GAMA affect?
Gamma Aminobutyric Acid (GAMA) - inhibits behaviours and emotions, reduced overall arousal.
What drugs affect GAMA?
Benzodiazepines cause increased attachment of GABA to receptors.
What does Noradrenalin affect?
Secreted by adrenal glans and circulates in CNS: Hindbrain controls basic bodily functions eg respiration ad activates alarm response
What does Dopamine affect ?
Dopamine - merge and cross with seratonin circuits relaying messge to control movements and thought processes eg in Parkinsons dopamine cells are damaged
Biomedical Model: Neuroanatamy as aetiology
Hindbrain: bodily functions in sustaining life and sleep regulation
Midbrain: Regulation of motor activities (fighting and sex) and sleep
Forebrain: Sensory emotional and cognitive functioning and limbic system
Biomedical Model: Endocrine system as aetiology
Organs produce hormones to regulate physiological processes and coordinate internal process with external events. Prolonged stress caused dysfunction.
HYPAC Axis: hypothalamus and endocrine interact to control stress reactions.
Pituitary gland: Increase in adrenaline or cortisol (stress hormone).
Describe Psychodynamic Model formation
Traumatic experience leads to defense mechanisms and symptoms
Describe Psychodynamic Model treatment
Free association leads to recovery of material and awareness and interpretation.
Describe Psychodynamic Oral stage including year, cause and symptoms
0 - 1.5 years
Mouth
Deprivation and force feeding
Leads to smoking and aggression
Describe Psychodynamic Anal stage including year, cause and symptoms
1 to 3 years
Anus - feces
Too harsh or too lax toilet training
Leads to obsessiveness, tidiness and meanness
Describe Psychodynamic Phalic stage including year, cause and symptoms
2 to 6 years
Penis - masturbation
Abnormal family set up
Leads to vanity, sexual anxiety, envy
Describe Psychodynamic Latent stage including year, cause and symptoms
5 to 12 years
No sexual motivation
Describe Psychodynamic Genital stage including year, cause and symptoms
11 to 20 years
Penis and vagina intercourse
According to Psychodynamic what are the 3 parts of personality
- ID: Motivated by biological needs
- EGO: Motivated by reality - keeps us safe
- SUPEREGO: conscience (right from wrong) and ego ideal is the perfect view of ourselves
Who are Neo Fruedians and beliefs
Jung: Less biological needs, but spiritual
Erikson: children and development is a result of us being social beings and interaction
Describe Humanistic Model
Carl Rogers developed client centres therapy based on Acceptance, Congruence and Understanding. Abnormal behaviour is caused by a basic need for positive regard from significant others and without this we distress.
Describe 3 Behavioural Models
- Classical conditioning: Pavlov - systematic desensitization, aversion therapy and exposure therapy.
- Operant conditioning: Skinner - positive reinforcement, extinctions, token economies, behavioural activation, reengagement with rewards.
- Observational learning: Bandura - social skills training (role play).
Cognitive Theories
Event->Belief->Consequence
Ellis 10 irrational beliefs “I must be loved by everyone”
Beck’s Automatic Negative Thoughts eg arbitrary inference and overgeneralising
What is Acceptance and Commitment Therapy?
Goal psychological flexibility, functional contextualism, relational frame theory, Post sknnerian contextual theory.
Describe Diathese-Stress Model
Diathese: Genes, Biological characteristics and psychological traits.
Stressors: Environmental trauma, economic adversity, loss of loved ones, harsh family background
Results in mental disorders.