Mental Health Flashcards

1
Q

On a scale of 1 - 10, with 10 being infinite, how proud of we are of you, regardless of exams?

A

11

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2
Q

What is the “statistical infrequency” definition of abnormality?

A

Behaviour is considered abnormal if it is statistically rare/infrequent (more than 1 standard deviation above or below the mean)

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3
Q

What is the “deviation from social norms” definition of abnormality?

A

Behaviour is abnormal if it deviates from the rules in their society.

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4
Q

What is the “failure to function adequately” definition of abnormality?

A

Behaviour is abnormal if a person is not able to live independently and cope with everyday life (is counterproductive to the individual).

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5
Q

What is the “deviation from ideal mental health” definition of abnormality?

A

Behaviour is abnormal if it negatively affects their mental wellbeing (not having “ideal mental health”)

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6
Q

What were Marie Jahoda’s six criteria for “ideal mental health” (1958)?

A

Having:
*A positive attitude towards oneself.
*The opportunity to self-actualize
*The ability to resist stress
*Autonomy (independence)
*An accurate perception of reality
*The ability to adapt to one’s environment

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7
Q

What are the two main ways of categorising disorders?

A

*The Diagnostic and Statistical Manual of Mental Disorders (DSM)
*The International Classification of Disorders (ICD)

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8
Q

Who devised the DSM and ICD (difference)?

A

*DSM - American Psychiatric Association (APA)
*ICD - World Health Organisation (WHO)

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9
Q

What was the controversy surrounding the Approval Panel for the DSM5?

A

69% of the people on the panel were associated with pharmaceutical companies.

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10
Q

How many editions of the DSM and ICD are there (difference)?

A

*DSM - 6 editions (DSM5 currently used)
*ICD - 11 editions (ICD11 currently used)

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11
Q

What are the 3 aspects of Mental Health that the DSM5 looks at?

A

*Medical and Mental Health conditions
*Psychosocial and contextual factors (environment)
*Functioning and Disability.

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12
Q

Give an example of gender bias when diagnosing Personality Disorder.

A

*Men are more likely to be diagnosed with Antisocial Personality Disorder
*Women are more likely to be diagnosed with Histrionic Personality Disorder

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13
Q

What is Kappa?

A

A measure of agreement between two clinicians diagnosing the same patient. It measures how likely it is that the diagnosis happened by chance. It ranges from 0-1, with 1 being perfect agreement.

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14
Q
A
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15
Q

In Rosenhan’s study, describe the symptoms confederates gave to gain admission to psychiatric hospital. (3 exsmples)

A

*complained of hearing unclear voices saying “Empty, hollow, thud”
*Said the voice was unfamiliar but the same sex as themselves
*Simulated an existential crisis (“who am I? what’s it all for?)

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16
Q

Rosenhan - Ward staff misinterpreted normal behaviour in the confederates. Give two examples.

A

*writing notes was described as “the patient engaged in excessive writing behaviour “
*arriving early for lunch was described as “oral acquisitive syndrome “

18
Q

Rosenhan - How long did it take for confederates to convince staff that they were ane (how long did they stay in hospital)?

A

The shortest stay was 7 days. The longest stay was 52 days. The average stay was 19 days.

20
Q

Rosenhan - what happened when pseudo-patients approached nurses and attendants with simple requests?

A

*88% ignored them (walked away)
*10% made eye contact
*2% stopped to talk

21
Q

Rosenhan - what happened when pseudo-patients approached psychiatrists with simple requests?

A

*71% ignored them (walked away)
*23% made eye contact
*2% stopped to talk

22
Q

What is a Tyoe 2 error?

A

False negative (doctors were more likely to call a healthy person sick than vice versa)

24
Q

What did Rosenhan tell hospital staff in Experiment 2?

A

That some of the patients at the clinic for the next three months would be pseudo-patients and that they had to rate the likelihood of a patient being fake on a 10 point scale (there were no pseudo-patients).

25
Rosenhan, Experiment 2 - of the 193 patients assessed, how many were rated as pseudo-patients by staff and psychiatrists?
*41 rated as a pseudo-patient by staff *23 rated as a pseudo-patient by psychiatrists *19 rated as a pseudo-patient by both
26
What is a Type 1 error?
False positive (calling a sick person healthy).
27
What were Rosenhan's "sticky labels"?
The observation that when given a label of "insanity", all behaviour was interpreted in light of the diagnosis, and people were treated more negatively.
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