Lecture one Flashcards

1
Q

In 1908, what was the name of the author of the autobiography exploring mental ill-health named “A Mind That Found Itself”?

A

Clifford Beers.

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2
Q

Was Psychopathology of Everyday Life a book written by Freud?

A

Yes.

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3
Q

The line between mental health and mental ill-health is blurry. Where does one end and the other begin?

A

The approach we are exploring in this subject.

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4
Q

Did Darwin take a very biologically-oriented approach to mental health in the 1800s?

A

Yes.
Freud and Isaac Ray then came along and suggested that it is not just a matter biology and genes, but is influenced by matters outside the individual as well.

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5
Q

When was the idea of ‘mental hygiene’ first introduced?

A

in 1843 in ‘Mental Hygiene’ by William Sweetnser.
Other key figures were Adolf Myer, Clifford Beers, and Isaac Ray.

Clifford Beers is considered to be the founder of the Mental Hygiene Movement.

The Mental Hygiene Hypothesis states that there are factors external to ourselves that can help buffer us against the mental ill-health.
We see this line of thinking flowing through our culture today, especially during and after COVID-19 pandemic.

Adolf Meier was a founder of the APA.

William James is considered to be the American father of psychology.

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6
Q

How is Mental Health defined by WHO?

A

Mental health is a state of mental well-being that enables people to cope with the stresses of life, realize their abilities, learn well and work well, and contribute to their community. It is an integral component of health and well-being that underpins our individual and collective abilities to make decisions, build relationships and shape the world we live in. Mental health is a basic human right. And it is crucial to personal, community and socio-economic development.

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7
Q

How is Mental Illness defined by the Australian Government.

NB: “clinically diagnosable” - problematic.

A

“A CLINICALLY DIAGNOSABLE disorder that SIGNIFICANTLY INTERFERES with an individual’s cognitive, emotional or social abilities.”

Here we see some problems arise. Who defines what we ALLOW to be clinically diagnosable?
Who defines what SIGNIFICANTLY INTERFERING is?

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8
Q

How does the DSM-5-TR broadly define MENTAL DISORDERS?

A
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9
Q

How does the DSM-5-TR define what a mental disorder IS NOT?

A

“An expectable or culturally approved response to a common stressor or loss, such as the death of a loved one, is NOT a mental disorder.”

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10
Q

According to the National Study of Mental Health and Wellbeing, out of AMAB and AFAB, who is affected more by mental health disorders?

Do mental health disorders decrease or increase across age groups?

What disorders are higher in AMAB than AFAB and vice versa?

A

AFAB individuals are affected more than AMAD, and for anxiety disorder they are TWICE as likely to have them.

Prevalence of mental health disorders decrease across the life span.

Substance use disorders are one of the only mental health disorders that have a higher prevalence in AMAD individuals than AFAB.

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11
Q

What was the main finding from the Dunedin Cohort Study?

A

They found that by mid-life 86% of participants had experienced a mental health disorder at some point.

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12
Q

What are the three primary approaches to classification models of mental disorders?

A
  1. Categorical.
  2. Dimensional.
  3. Hybrid.
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13
Q

What are HEALTHY VOICE HEARERS?

A

Auditory verbal hallucinations are experienced, but there is no distress associated with them.

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14
Q

What are the benefits of categorical classification?
What are the limitations?

A

Categorical labels improves ease of communication between individuals and communities.

It is imprecise.

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15
Q

What are the benefits of dimensional categorisation?
What are the limitations?

A

Allows better resolution of measuring how severe and how frequent symptoms are.
Dimensional measuring allows for much greater ability to measure symptom change.

Communication between individuals, communities, and other health professionals is more difficult.

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16
Q

How do we define “clinical significant problem”?

This is particularly relevant for those who are given compulsory treatment.

This is not really answered in lecture, but is more of a question that guides psychology and psychiatry.

A

This is a major problem, as it determines who receives help and who doesn’t.

It determines what type of treatment will be administered/offered to individuals.

How do we determine who receives “compulsory treatment”.

17
Q

Why were schizophrenic subtypes done away with in DSM -5-TR?

A

Clinical utility was being affected…I don’t know why.
Individuals were moving across subtypes over time. It was a hindrance to practice….

18
Q

In the ideal approach as proposed by the DSM-5 to diagnose mental disorders, affect, behaviour and thinking due to other medical conditions would be ruled out. However, I do not see this in practice.

A

When do they do all the investigations to rule out medical conditions that may be underlying the mental health condition?
A key example would be how readily people are diagnosed with anxiety, depression, and ADHD and how quickly they are prescribed medications.

19
Q

What are the diagnostic criteria for Schizophrenic according to the DMS-5?

A
20
Q

What is a MENTAL STATE EXAM?

A

A semi-structured interview, that is used to assess current mental health state.
It is a form of assessment.

Some assessments are made based on how clients are dressed, how they address the clinician, way of speaking.

21
Q

What is the MINI-psychosis?

A

A small interview that helps with diagnosis of mental health disorders.
For the clinician, the questions often ask if client responses are BIZARRE.
Who decides what BIZARRE is?

22
Q

What three domains are taken into consideration in a biopsychosocial case formulation?

What are the 4 Ps?

A

Biological, psychological and social domains.

When examining a presenting problem, we consider the following factors:

Predisposing factors.
Precipitating factors.
Perpetuating factors.
Protective factors.

23
Q

Define the 4 Ps.

A
24
Q

Who was the “father of psychoanalytic” approaches to psychology?

A

Freud.

Freud thought that psychopathology is caused by unresolved childhood conflicts and repressed desires.

25
Q

Who was the “Father of behavioural” approaches to psychology?

A

B. F. Skinner and J. B. Watson.

Did not focus on cognition. Instead focused on stimulus and response.
Operant and classical conditioning.

26
Q

Who was the “father of cognitive” approaches to psychology?

A

Aaron T. Beck, leading to CBT.

Maladaptive ways of thinking makes FEEL distress etc, and influence us to BEHAVE in a maladaptive way.

27
Q

What are four models of psychopathology?

A

Psychoanalytic, behavioural, cognitive, and biopsychosocial paradigms.

28
Q

What is the HIERARCHICAL TAXONOMY OF PSYCHOPATHOLOGY?
Where did this transdiagnostic model of psychopathology come from?

A

This model is based on about 100,000 clinical cases.

An attempt to combine dimensional and categorical taxonomies for psychopatholgy.

29
Q

What is NORMATIVE STATISTICAL MODELLING?

A

Focuses on data-informed developmental trajectories.

The key question is then: Does a person deviate from statistical normative functioning?

30
Q

What is RESEARCH DOMAIN CRITERIA MODEL (RDoC) model?

How is this model used practically?

A

RDoC is more of a ‘precision’ psychiatric approach to psychopathology.

Data driven.

The focus of RDoC is very biological and behavioural.

The domains are:
Negative valence.
Positive valence.
Cognitive systems.
Systems of social process.
Arousal/modulatory systems.

31
Q

Can RDoC categories differ from DSM-5 categories of mental disorders?

A

Yes.

RDoC categories are based on what lies beneath signs and symptoms, such as biological factors.
DSM largely basis diagnosis on signs and symptoms.

RDoC, may allow for more precise and helpful categorisations of disorders that can improve treatment outcomes.

32
Q

What are two cultural models of Psychopathology discussed in this lecture?

A

Australian First Nations Model of Social and Emotional Wellbeing.

Mad Pride.

33
Q

Who determines what is “disorganised behaviour”?

A

This is one of the symptoms used when diagnosing mental health disorders, such as schizophrenia.