Lecture 2: Paradigms & Theoretical Perspectives Flashcards

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1
Q

What is a paradigm?

A
  • a set of basic assumptions, a general perspective, that
    defines how to: conceptualize and study a subject, gather and interpret relevant data and think about a particular subject
  • A model of reality: the way reality is or is supposed to be
  • A set of basic assumptions that outline the particular universe of scientific inquiry.
  • A paradigm is a framework, or perspective, that shapes the way we think about problems in the world (in our case, human behaviour).
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2
Q

What do paradigms help us do?

A
  • Paradigms/theories are conceptual devices that help us
    organize information & guide treatment decisions.
  • Researchers will differ in what they choose to emphasize
    and what they choose to ignore as they set out to explain a disorder or, more typically, some facet of a disorder.
  • Clinicians will often utilize one particular theoretical perspective which will inform their clinical practice.
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3
Q

What are the 5 paradigms in the study of mental disorder?

A
  • biological paradigm
  • cognitive behavioural paradigm
  • psychoanalytic paradigm
  • humanistic paradigm
  • Integrative paradigms (Diathesis stress model and biopsychosocial perspective)
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4
Q

What is etiology?

A

the cause or origin of a disease

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5
Q

What is Biogenic vs. Psychogenic?

A
  • “genic”: a suffix, meaning “formed from”
  • Biogenic: formed from (or caused by) biology
  • Psychogenic: originating from the mind
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6
Q

What does the term mental disorder imply and why might this implication be problematic?

A
  • The term “mental disorder” unfortunately implies a distinction between “mental disorders” and “physical disorders”
  • There can often be a physical component to mental disorders, and there can often be a mental component to physical disorders
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7
Q

What is symptomatology?

A

the study of, or the treatment of, the symptoms of a disease

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8
Q

What assumption is the basis of the biological paradigm?

A

Mental disorders caused by aberrant or defective biological processes

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9
Q

What does the biological paradigm focus on?

A
  • Genetic Heritability
  • Neurochemical Communication
  • Brain Structure
  • Focus on interaction between organic functioning (genetics, physiological & neurological systems) and behaviour (normal & abnormal).
  • Genes –> Physiology –> Behaviour
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10
Q

What is a genotype?

A
  • Genotype: unobservable genetic constitution
  • The total genetic makeup of an individual
  • Fixed at birth, but it should not be viewed as a static entity
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11
Q

What is a phenotype?

A
  • Phenotype – totality of observable, behavioural characteristics
  • Dynamic (i.e., it changes over time)
  • Product of an interaction between genotype and environment
  • Various clinical syndromes are disorders of the phenotype, not of the genotype.
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12
Q

What is the family method?

A
  • Can be used to study a genetic predisposition among members of a family b/c the average number of genes shared by two blood relatives is known
  • Index cases, or probands: Individuals who bear the diagnosis in question.
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13
Q

What is the twin method?

A
  • Concordance rates

- When the MZ concordance rate is higher than the DZ rate, the characteristic being studied is said to be heritable.

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14
Q

What is the adoptees method?

A

-Compare adopted children to biological parents (genetic connection) and adoptive parents ( environmental connection)

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15
Q

What are Molecular genetics studies?

A
  • Molecular genetic studies identify which genes are involved in behavioural disorders.
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16
Q

What is linkage analysis (molecular genetic method)

A

uses genetic markers as a clue in locating genes controlling disorders.

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17
Q

What is a genetic marker?

A
  • a gene for which we know the location and
    function.
  • Genes have a tendency to be passed along in clusters, so if we can find some characteristic that is generally inherited along with the disorder (and if we know the gene location for that characteristic), then we can look at nearby genes to find a gene for the disorder.
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18
Q

What is an example of molecular genetics?

A
  • Frontotemporal dementia: Which is the second most common type of dementia other than Alzheimer’s disease. Profound changes in personality and behaviour, ability to speak becomes compromised, emotionally withdrawn and; blunt or very emotionally disinhibited.
  • Mutations in the tau gene (codes for a protein called
    tau) on chromosome 17 was found to be linked to FTD But this did not explain all of the inherited cases of FTD
  • New gene discovered: Mutations in the progranulin gene (also on chromosome 17) also linked to FTD.The mutation knocks out one copy of the progranulin gene – causing the body to produce less progranulin (granulin). Discovery points toward a therapy for dementia – progranulin replacement therapy.
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19
Q

What is epigenetics?

A

heritable changes in gene activity that are caused by environmental experience

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20
Q

Describe the mouse epigenetics study (method, results) done by Dias & Ressler

A
  • Examined an inherited fear response
  • Trained male mice to fear the smell of acetophenone (a
    chemical scent comparable to cherries or almonds) by
    exposing them to the smell while being given a series of
    electric shocks
    -The mice eventually gave a fear response (shuddering) to the smell
  • The mice were then bred, and the offspring were tested with the smell (descendants had no contact with male parent)
  • Without any previous exposure to acetophenone, the offspring exhibited increased fear response (compared to
    controls with no history of conditioning, and compared to a control group of offspring who were the descendants of mice trained to fear a different smell)
    – This effect was also passed along to a third generation of mice
    – This effect was also achieved with descendants conceived through in vitro fertilization
    – This effect was also achieved using the mother (instead of the father)
  • These fearful descendants had altered brain structures in
    areas that process odours. More neurons for this type of odour in odour-detecting areas. Structures that receive signals from these neurons were also enlarged.
  • DNA methylation – a process that acts to stop the
    transcription of a gene. In the fearful descendants, there was less methylation, and hence these genes were over-expressed.
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21
Q

What is neuroscience? What are the different forms of Neuroscience?

A
  • The study of the brain and the nervous system.

- Forms of neuroscience: Cognitive developmental neuroscience, Molecular neuroscience and Cellular neuroscience

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22
Q

What are the 4 major parts of the neuron?

A

(1) the cell body
(2) several dendrites
(3) one or more axons of varying lengths
(4) terminal buttons

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23
Q

What is a nerve impulse?

A

A change in the electric potential of the cell that travels down the axon to the terminal endings

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24
Q

What is a neurotransmitter/synapse?

A

Chemical substances that allow a nerve impulse to cross the synapse.

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25
Q

What is a mental disorder from a neuroscience perspective?

A
  • Imbalance in levels of one or more neurotransmitters

- Receptors are the issue

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26
Q

How can Abnormal behaviour result from disturbances in

neurotransmitter systems?

A
  • Too much/little of the neurotransmitter produced or released
  • Too few/many receptors on the dendrites
  • Excess/deficit of the transmitter-deactivating substance in the synapse
  • Reuptake process may be too rapid/slow
  • In addition, the effects may change depending on the location of the disturbance.
    • Research has identified multiple different types of post-synaptic receptor sites for particular neurotransmitters (i.e. at least 5 different dopamine receptor types, and at least 15 different serotonin receptor types)
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27
Q

What are the biological approaches to treatment?

A
  • Prevention or treatment of mental disorders should be possible by altering bodily functioning
    • Psychoactive medications
    • Deep brain stimulation
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28
Q

what are the two main perspectives within the cognitive behavioural paradigm?

A
  • The Behavioural (Learning) Perspective

- The Cognitive Perspective

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29
Q

What is learning?

A

Learning is an adaptive process in which the tendency to perform a particular behaviour is changed by experience

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30
Q

What do behavioural theories attempt to do?

A
  • Behavioural theories attempt to relate units of behaviour, called responses, to units of the environment, called stimuli.
  • Focusing upon explaining the current behaviour and predicting future behaviour (relating future stimuli to future responses).
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31
Q

What is classical conditioning?

A

Pavlov’s Dog

  • Unconditioned stimulus (UCS) [meat/food]
  • Unconditioned response (UCR) [salivation]
  • Conditioned stimulus (CS) [bell]
  • Conditioned response (CR) [salivation]
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32
Q

What is extinction?

A

What happens to the CR when the repeated CS is not followed by UCS - fewer and fewer CRs are elicited and the CR gradually disappears.

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33
Q

How does the behavioural paradigm view maladaptive behaviour?

A
  • Behaviour is learned
  • This is true for normal behaviour as well as abnormal/ maladaptive behaviour
    -From this perspective, maladaptive behaviour patterns and maladaptive emotional responses are the result of
    learning
  • Therefore, we should be able to use principles of learning (conditioning) to extinguish maladaptive behaviour and condition normal behaviour.
34
Q

What is an example of a conditioned emotional response?

A
  • Many stimuli are able to arouse emotional responses
  • Phobias are probably an example of a conditioned emotional response
  • Watson & Rayner (1920) demonstrated the classical
    conditioning of a phobia in Little Albert
35
Q

What is a phobia?

A
  • Phobias are an unreasonable fear of specific objects or situations, learned through classical conditioning
  • Either through direct experience, or through observation of the experience of another (seeing, hearing about, reading)
36
Q

Why is classical conditioning not likley the only explanation for phobias?

A
  • However, classical conditioning is not likely the only explanation for the conditioning of responses such as phobias, because the removal of the fear-producing stimulus should lead to extinction.
  • In classical conditioning studies – the removal of the UCS (the CS is presented repeatedly without the UCS) leads to extinction of the CR.
    • Thus, phobias should extinguish over time. However, they display remarkable persistence.
37
Q

What is the two factor theory of Avoidance Learning in phobias?

A
  1. Classical conditioning establishes the aversive response to the neutral stimulus
  2. Thereafter, the organism avoids the CS in order to prevent feeling afraid. This removal/avoidance of the CS diminishes the fear response (which is rewarding the avoidant behaviour)
38
Q

What is thorndike’s law of effect?

A
  • Behaviour that is followed by + consequences will be repeated.
  • Behaviour that is followed by – consequences will be
    discouraged.
39
Q

What is positive and negative reinforcement?

A
  • Reinforcement – increases the likelihood that a response
    will be repeated
  • Positive reinforcement: Strengthening of a tendency to respond by virtue of the presentation of a pleasant event - Positive reinforcer
  • Negative reinforcement: Strengthens a response by the
    removal of aversive events
40
Q

What is behaviour modification (applied behaviour analysis)?

A
  • Uses extinction: Not giving the desired reaction to the problem behaviour
  • Combined with reinforcement: Giving some sort of reward, such as parental attention, when the individual is engaging in a desired behaviour
41
Q

What is the cognitive perspective?

A
  • Focuses on abnormal behavior as the product of dysfunctional or faulty beliefs
  • Many psychological disorders involve cognitive disturbances (hallucinations, disordered thinking, irrational thought patterns & beliefs)
  • Cognitive disturbances may be the cause of some disorders (maladaptive attributions, learned helplessness)
42
Q

What is cognitive behaviourism?

A
  • Early behavioural theories were modified to account for thought patterns and emotional responses
  • Reflects the view that both thinking and behaviour are learned and therefore can be changed
43
Q

Who was Aaron Beck?

A
  • Famous for his work on depression (and the development of the Beck Depression Inventory) and anxiety.
  • Disorders are often associated with specific patterns of
    faulty or disordered thinking: Magnification (placing too much significance on something), Overgeneralization (apply it to all aspects of your life) and Selective abstraction (see the trees not the forest)
  • Negative Cognitive Triad: Pessimistic view of the self, the world, and the future
44
Q

What is a cognitive appraisal?

A
  • Cognitive Appraisal – evaluating the stimulus and/or
    interpreting the situation
  • Everyone evaluates/interprets all situations
    – For most people, appraisals are adaptive but for others appraisals may be maladaptive or extreme
    – From a cognitive theorist perspective – the extreme thoughts/beliefs/feelings of people with psychological disorders are simply exaggerations of the thoughts/ feelings/disorders of people without disorders
45
Q

What is an attribution?

A
  • events happen
  • we attempt to explain “why” the event happened (search for a cause)
  • we come up with a “causal ascription” (an explanation of why the event occurred)
  • Causal Ascriptions can be classified according to several
    dimensions: Internal-External, Global-Specific, Stable-Unstable
  • Causal Ascriptions are related to outcome expectancies and self-efficacy expectancies
46
Q

What is learned helplessness?

A
  • When a person faces uncontrollable stress in their lives, they are at risk of becoming depressed
  • But not everyone responds to stress by becoming depressed. Only if the individual decides/thinks that they can’t do anything about the stress in their lives (even if it is clear to others that they could do something about it)
  • The individual makes an attribution that they have no
    control, and this leads to feeling depressed
  • Specifically, it is a pessimistic explanatory style
  • The negative event/stress is Internal (my fault), stable (it will never change), and global (everything will be bad like this)
47
Q

What is hoplessness theory?

A

HT predicts that a negative inferential style is about:
1. cause (the tendency to attribute negative events to stable and global causes, also called a negative attributional style),
2. consequences (the propensity to catastrophize the
consequences of negative events)
3. and the self (the likelihood of finding negative self-meaning and implications for one’s self following the occurrence of negative events)

48
Q

Desribe Hankins (2008) study on hopelessness theory

A
  • is hypothesized to interact with negative life events to
    contribute to prospective increases in depressive symptoms.
  • Assessed 350 youth (ages 11-17) in four waves over five
    months
  • Measured: cognitive style, anxious and depressive symptoms, mood state, general internalizing (emotional) and externalizing (conduct, hyperactivity-inattention) emotional and behavioural problems, and life events
  • Results using hierarchical linear modeling show that a
    negative inferential style interacted with negative events to predict prospective symptoms depression
49
Q

What is a cognitive model of anxiety?

A
  • triggering situation –> anxious thought/ appraisal –> anxious feeling
  • high anxiety: increase in threat probability/severity and a decrease in coping and safety
  • low anxiety: decrease in threat probability/severity and a increase in safety/ coping
  • moderate anxiety: a moderate amount of both
50
Q

What is rational emotive behavioural therapy (REBT)?

A
  • Irrational Beliefs: maladaptive behaviour is due to the individual’s response to events. Responses are based on irrational beliefs about the world.
  • A belief is irrational if: it distorts reality, it is illogical, it
    prevents you from reaching your goals, it leads to unhealthy emotions, it leads to self-defeating behaviours.
51
Q

What is the psychoanalytic paradigm?

A

Psychopathology results from unconscious conflicts

in the individual

52
Q

What is the structure of the mind according to the psychoanalytic paradigm?

A

Structure of the mind: Id (pleasure), Ego (reality) and Superego (perfection)

53
Q

What is objective anxiety?

A

When one’s life is in jeopardy, one feels objective (realistic) anxiety—the ego’s reaction, according to Freud, to danger in the external world.

54
Q

What is neurotic anxiety?

A

a feeling of fear that is not connected to reality or to any

real threat.

55
Q

What is moral anxiety?

A

arises when the impulses of the superego punish an individual for not meeting expectations and thereby satisfying the principle that drives the superego— namely, the perfection principle.

56
Q

What is psychoanalytic therapy?

A

An insight therapy that attempts to remove the earlier repression and help the client face the childhood conflict, gain insight into it, and resolve it in the light of adult reality.

57
Q

What is free association?

A

Free association is the expression of the content of consciousness without censorship as an aid in gaining access to unconscious processes. Resistances - blocks to free association where the client may suddenly become silent or change the topic.

58
Q

what is dream analysis?

A

Latent content (symbolic content)

59
Q

What are some key components of psychoanalytic therapy?

A
  • Transference (unconscious redirection of the feelings a person has about their parents, as one example, on to the therapist)
  • Countertransference (occurs when a therapist transfers emotions to a person in therapy, is often a reaction to transference)
  • Interpretation
60
Q

According to the psychoanalytic approach, where do misperceptions of reality stem from?

A

Misperception of reality stemming from disorganization in interpersonal relationship of childhood (primarily between child and parents)

61
Q

What is interpersonal psychotherapy?

A
  • Focus on current interpersonal difficulties and discuss with client ways of relating to others.
  • No free association, dream analysis, indefinite treatment,
    dissection of early childhood, or dependence on therapist /treatment.
62
Q

What are some contributions for the psychoanalytic paradigm?

A
  • Childhood experiences help shape adult personality.
  • There are unconscious influences on behaviour
  • People use defense mechanisms to control anxiety and stress.
  • Valid research shows the effectiveness of psychodynamic therapies.
63
Q

Why is the Psychoanalytic Paradigm still relevant?

A

Meta-analytic reviews indicate:
- Long-term psychoanalytic therapy has a moderate-to-high success rate
- Short-term psychodynamic therapy is better than waitlist,
TAU, and other comparable treatments

64
Q

What is the humanistic paradigm and what assumptions does it operate under?

A
  • Emphasis is on the conscious awareness of needs, choice, and personal responsibility
  • Human nature is positive and life-affirming
  • Human need for growth and realizing one’s full potential
  • Approach is a counter/response to psychoanalytic and behavioural traditions, both of which hold that people have little free will in determining their actions
65
Q

How do people form their sense of themselves and of the world in the humanistic paradigm?

A
  • Through experience
  • This sense of self guides, and is formed by, our perceptions of our experiences.
  • Therefore “life” is a continuous synthesis of experiences
    that progressively refine our sense of self and develops our values. Which then becomes the basis for our choices of action. These choices represent the expression of our free will.
66
Q

What is experience defined as according to the humanistic paradigm?

A
  • experience is not objective observation, but rather an accumulation of perceptions of the world. The way in which the world is perceived is the product of experiences that have produced our sense of self.
67
Q

What distorts a person’s perception of subsequent experiences according to the humanistic paradigm?

A
  • Distressing life events (or the perception of these events
    as distressing) distort the person’s perception of subsequent experiences, and lead to a lack of trust (not
    trusting our experiences) – and this then distorts our
    sense of self.
  • Distorted perceptions misshape the person’s sense of self – which is the basis for choices of action.
  • These poor choices then further distort the person’s
    sense of self – resulting in dysfunctional behaviour.
68
Q

What were the contributions of Carl rogers?

A
  • All individuals have an innate need for positive regard
    -Key to development of unconditional positive self-regard
    and moving toward self-actualization is the receipt of
    unconditional positive regard from parents and significant
    others
  • However, parents and significant others sometimes place
    conditions of worth on when one will receive positive regard (conditional positive regard)
    – This undermines the person’s ability to develop unconditional positive self-regard
    -Anxiety results when people get off track in pursuit of
    self-actualization
  • They feel constrained by circumstances, and feel that
    they are not free to pursue their authentic self
69
Q

What was type of therapy did Roger’s develop?

A

Rogers’ approach to therapy (Client-Centered Therapy)

is designed to get a person back on path toward self actualization

70
Q

What are the three basic premises that provide the foundation for therapy in the humanistic approach?

A
  • phenomenological Approach: Importance of understanding and entering into the patient’s subjective world
  • Positive Growth: The promise of human potential and
    its uniqueness
  • Free Will: The importance of authenticity and its relation to freedom and responsibility
71
Q

What is the diathesis-stress model?

A
  • Diathesis: some predisposition that increases the
    risk/susceptibility for developing a disorder
    – Diatheses can be either biological (genetic coding for the
    functioning of a particular neurotransmitter system; teratogens during gestation) or psychological (childhood
    abuse; cultural pressures; cognitive style)
  • Stress: the predisposition will not necessarily lead to the
    development of a disorder without some stress to act as
    a trigger
  • Stressors can be biological (a physical illness), psychological. (relationship stress, or mourning the loss of a loved one), or social (cultural pressure to meet certain standards)
72
Q

what is a stressor?

A

Any event that triggers coping adjustment

73
Q

what is a strain?

A

The physical and emotional wear and tear reaction of a person attempting to cope with a stressor

74
Q

what is stress?

A

The process by which we perceive and respond to events (stressors).

75
Q

What are the three research focuses of stress?

A
  1. The environment: stress as a stimulus (stressors)
  2. Reaction to stress: stress as a response (distress)
  3. Stress as a process that includes stressors and strains, but includes relationship between person and the environment (coping).
76
Q

What is the official definition of stress?

A

The circumstance in which transactions lead a person to perceive a discrepancy between the physical or psychological demands of a situation and the resources of his or her biological, psychological, or social systems.”

77
Q

What is the transactional model?

A
  1. Encounter a potentially stressful event or situation
  2. Cognitive appraisals:
    - Primary appraisal- is this event positive, neutral or negative (challenge or threat?); and if negative, how bad?
    - Secondary appraisal- do I have the resources to cope with this? If you have resources = moderate stress, if not = high stresss.
78
Q

What types of risk factors may influence the development of mental health disorders in individuals?

A
  • individual factors
  • Family/social factors
  • school context
  • life events and situations
  • community and cultural factors
79
Q

What are the 3 major musts associated with rational emotional behavioural theory?

A

The Three Major Musts:

1) I must do well and win others’ approval or else I am no good
2) Others must treat me fairly and kindly an in the same way I want them to treat me. If they don’t treat me this way, they are not good people and deserve to punished.
3) I must always get what I want, when I want it. Likewise, I must never get what I don’t want. If I don’t get what I want, then I am miserable

80
Q

When is interpersonal psychotherapy less effective?

A
  • Shown to be an efficacious treatment relative to other
    treatments
  • But less so for clients in treatment for depression and who experienced childhood abuse or maltreatment