L3&4 - Disorders Flashcards
Describe Social Anxiety/Phobias
- Exaggerated fear of 1+ situations, where the person is exposed to possible scrutiny and fears they will be embarrassed
- Conflict between internal representation and negative external indicators
- Evolutionary: fear of dominant stimuli through facial expressions
- Learnt directly or vicariously
- Have coping mechanisms
Study that looks at social anxiety
- When measuring eye contact on a screen, those with the phobia have increased attention to angry faces
- Unsure if this is cause/effect
Aetiology of Social Anxiety
- Preparedness Hypothesis: evolutionary bias to fearful stimulus
- Maintained by cognitions
- Temperament will affect development
- Previous life experience: learning and conditioning
- Genetics: Concordance rates in MZ twins
Treatment of Social Anxiety/Phobia
- Exposure therapy (flooding)
- VR
- Particpant modelling
Describe OCD
- 2-3%
- Worrying about what will happen
- Unwanted/Intrusive thoughts & images accompanied by compulsive behaviours
- Compulsions to neutralise thoughts
Describe Obsessions and Compulsions
O - Recurrent & Persistent thoughts and impulses, attempt to suppress
C - Repetitive behaviours or mental acts in response to obsessions to prevent anxiety or a situation occurring
OCD Aetiology
Psychosocial Factors:
- Behavioural: classical conditioning, avoidance. Neutral stimuli become anxiety inducing
Biological factors:
- Genetics: high conc rates in MZ twins, high prevalence in 1st degree relatives
- Abnormal Brain Functions: MRI show differences in brain regions involved in motor inhibition and response control
- Neurochemical differences
OCD Treatments
Psychosocial: CBT to restructure thought processes
Biological: SSRIs
What is the WCST?
- Card sorting test to do with inductive reasoning
- 3 rules: shape, number or colour
- DV is perseverative responses
WCST and schiz study
- Compared Schiz to controls and people with brain tumours in diff parts of the brain. (RF and NF)
- Schiz and RF differed from controls and NF
Schiz aetiology
- Genetics: also requires environmental aspect
- Neurochemical: dopamine hypothesis
- Neurological: brain structure & regions
- Neurodevelopmental - in utero
- Family: Expressed emotion
Describe Major Depressive Episode (MD)
- Most common 10-20%
- Shown by infants, in adolescence and in elderly
- Episodes lasting 6 mo. or longer is chronic
- Comorbid with anxiety
- Not all depression is MD
- Dysthemia is more mild
MD symptoms
- Lack of interest for most of the day for most days for 2 weeks
- Weight loss/gain
- Insomnia/hyper
- Loss of energy
- Guilt/worthlessness
- Thoughts of death
MD aetiology
- Cognitive: DIff outlook on life, self blame, pessimism due to distorted view of reality. Self inadequacies lead to state of life
- Neurochemical Imbalance: Reduction in noradrenaline and serotonin
- Genetics: increased risk in families, 40% concordance & candidate genes 5HTT
MD Treatment
- Cog therapy with Becks triad: neg thoughts about self, world, future. Evidence to contradict this to prove faulty logic
- CBT: corrects distorted thinking by discussing views
- Drugs: Tricyclics, MAOI, SSRIs