Mental Health Topic 1 Flashcards

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1
Q

What is the supernatural explanation for MI?

A

One of the earliest explanations for MI which was the supernatural phenomena. Abnormal behavior was attributed to witchcraft, religion and demonic possession. People also believed that mental illness was a punishment for wrongdoing.

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2
Q

What was a treatment used for the supernatural explanation of MI?

A

Saying prayers and immersing an individual in holy water, undergoing good deeds and having positive thoughts. Exorcisms were also used as a treatment to rid the individual of demonic possession. Involved trepanning, starving etc.

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3
Q

What was the humoral theory?

A

Hippocrates argued that MI was caused by physiology. He believed that excess or deficiency of one of the four essential bodily fluids was responsible for physical and mental illness. He placed MI into four categories: epilepsy, mania, melancholia and brain fever.

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4
Q

What was the treatment for the humoral theory?

A

Purging the patient (using laxatives or emetics). Bloodletting. Changes to lifestyle. Cared for at home by families.

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5
Q

What was the psychogenic approach?

A

Focus on psychological factors. Freud suggests MI was a result of unconscious processes.

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6
Q

What was the treatment for the psychogenic approach?

A

psychoanalysis- accessing the unconscious by free association and dream analysis.

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7
Q

What was the somatogenic approach?

A

Physical explanation- explained in terms of abnormal braain structure, abnormal levels of neurotransmitters and inherited genes- ‘Medical Model’

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8
Q

What was the treatment for the somatogenic approach?

A

Physical treatments such as ECT and psycho surgery. Most common is drug treatments.

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9
Q

What was the anti-psychiatry movement?

A

In the 1960s, a strong movement started that was against the medical model/ biological treatment of MI. Key researchers are Rosenhan and Szasz, who argue that unusual problems should be seen as what they are ‘problems in living’

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10
Q

What are 3 ways that a psychologist may define abnormality?

A

-Statistical infrequency.
-Deviation from Social Norms
-Maladaptiveness (failure to function adequately.)

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11
Q

What is statistical infrequency?

A

Numerically based- some psychologists suggest that behavior is normally distributed. For example approx 1% of the population have SZ. This is infrequent enough to be considered statistically rare and therefore abnormal.

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12
Q

What are some strengths of statistical infrequency?

A

Psych as a science/reliability- can be regarded as ‘objective’. Can create a “cut off point”
Less socially sensitive- doesn’t make judgements (it is rare not wrong.)
less ethnocentric: Based on mathematical criteria and doesn’t take cultural views/ opinions into account.

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13
Q

What is a weakness of statistical infrequency?

A

Validity-Cut off points can be arbitrary and could change and be determined differently at different times. Subjective to where to draw the line.
Usefulness- Some abnormal behaviors are not statistically rare e.g depression may affect up to 27% which is not statistically rare.

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14
Q

What does deviation from social norms mean?

A

Social norms are the rules that a society has about how people should think and behave. These rules may be explicit or implicit. Abnormal behavior can therefore be regarded as anything that deviates significantly from these social norms.

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15
Q

What is a strength of deviation from social norms.

A

usefulness- Aids social interaction

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16
Q

What are some weaknesses of deviation from social norms.

A

validity- Not all behavior deviates from social norms indicates a psychological abnormality.
Social norms are era dependent as attitudes change over time.
Ethnocentrism: Deviation is bound by culture/ influenced by cultural factors.
Reliability- Based on opinion.
Unethical-As of the sense that ‘judgements are made about an individual.’

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17
Q

What is the definition of failure to function adequately?

A

Views abnormality as the failure to experience the normal range of emotions or to engage in the normal range of behavior. E.G a person is considered abnormal if they are unable to cope with the demand of everyday life. they may be unable to perform the behaviors necessary for day-to-day living.

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18
Q

What are some indicators for failure to function adequately?

A

-dysfunctional (maladaptive) behavior- prevents an individual from achieving life goals.
-observer discomfort- where another behavior causes discomfort and distress to the observer.
-Unpredictable behavior.
-Irrational behavior.

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19
Q

What are some strengths of the failure to function adequately evaluation?

A

Usefulness- easy to assess
Psychology as a science- Has an objective measuring scale.

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20
Q

What are some weaknesses of the failure to function adequately evaluation?

A

Validity- It does not consider the social context of behavior- reductionist.
Validity- Cultural relativism (ethnocentric)
Validity- Some psychological disorder so not prevent a person from functioning adequately.
Psych as a science/reliability- Involve making subjective judgements.

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21
Q

What is the purpose of classification?

A

To identify a group/pattern of behaviors/ symptoms that consistently occur to form a ‘type’ of disorder.

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22
Q

What are the 2 main types of classification systems used?

A

DSM- Diagnostic and statistical manual (5th edition)
ISD- International classification of disorders (10th edition)

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23
Q

What are some strengths of classification?

A

Lifts blame
Reassuring/comforting
Valid diagnosis
Can get the right treatment

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24
Q

What are some weaknesses of classification?

A

Stereotyping
Stigma
Reduced validity due to reliance of self-reporting

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24
Q

What are some weaknesses of classification?

A

Stereotyping
Stigma
Reduced validity due to reliance of self-reporting

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25
Q

How many sections are in the DSM?

A

3

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26
Q

What is the first section of the DSM?

A

Clinical syndromes/ disorders- This is an extensive list of clinical syndromes that cause significant impairments.

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27
Q

What are 3 clinical syndromes labelled in the DSM?

A
  1. Mood disorder
  2. Anxiety disorders
  3. Sleep disorders.
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28
Q

What is Section 2 of the DSM?

A

Psychological and Environmental stressors- All stressful life events that have occurred over the past year are assessed on a 7 point scale 1=not stressful, 7=catastrophic.

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29
Q

What is section 3 of the DSM?

A

Global assessment of functioning- Rates the level of social, occupational and psychological functioning and engagement of a scale of 1(persistent danger) to 100 (excellent in all areas

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30
Q

What was the aim of Rosenhan’s study 1?

A

To see weather a group of sane people presenting themselves as having a disorder would be diagnosed by insane by hospital staff a a psychiatric hospital.

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31
Q

What was the sample used in Rosenhan’s 1st study?

A

The ps were patients and staff at 12 psychiatric hospitals in five different states across America in the early 1960s. Rosenhan asked 8 pseudo-patients to pretend to be suffering from a mental disorder and present themselves at the hospital for admission.

32
Q

What research method was used in Rosenhan’s first study?

A

Participant observation

33
Q

What is an overview of the procedure used in Rosenhan’s 1st study?

A

The pseudo-patients telephoned the hospital to ask for an appointment. When they arrived they complained of hearing voices (particular words used=’empty’, ‘hollow’ and ‘thud’). All other details given were true though all gave false names and those who worked in the health profession gave false occupations.
After being admitted they said they no longer experienced symptoms and displayed exemplary behaviour. they wrote notes about their observations.

34
Q

What were the diagnosis’ given to the pseudo-patients in Rosenhan’s first study?

A

All admitted and all but one given a diagnosis of schizophrenia and were eventually discharged with a diagnosis of ‘schizophrenia in remission’.
No pseudo-patients were suspected by staff, but 35 of a total of 118 patients on the admissions ward suspected they were not real patients saying things like, ‘You’re not crazy. You’re a journalist, or a professor’.

35
Q

How long did pseudo-patients remain in the hospital for?

A

7-52 days (mean 19 days)

36
Q

What was the aim of Rosenhan’s mini-experiment?

A

To see if staff behaved differently towards patients comapred with an individual asking similar questions in the non-clinical environment of the Stanford university Campus.

37
Q

What was the procedure of Rosenhan’s mini-experiment?

A

The pseudo-patients approached a staff member on the hospital grounds and asked a question such as ‘Excuse me Mr/Mrs/ Dr.X, could you tell me when ill be presented at a staff meeting?”
In the second condition a confederate approached busy staff members on a university campus and asked a similarly simple question such as ‘Do you know where…is?’

38
Q

What were the results for Rosenhan’s mini-experiment?

A

Only 4% of pseudo-patients received an answer from a psychiatrist out of 185 occasions. Only 0.5% received an answer from a nurse. On 88% of the occasions, the nurse moved on completely ignoring the patient.
On the other hand all 14 requests at the uni were acknowledged and responded to. Although when the student asked where she could find a psychiatrist the response dropped to 78%.

39
Q

What was the aim of Rosenhan’s second study?

A

To see if psychiatrists and other mental health workers would be under cautious rather than overcautious because they had been told about the mistaken diagnosis in the first study.

40
Q

What was the sample of Rosenhan’s second study?

A

The staff in one psychiatric hospital were informed of the results of the first study.

41
Q

What was the research method of Rosenhan’s second study?

A

Data was collected using questionairre.

42
Q

What was the results of Rosenhan’s second study?

A

Over the 3 month period 193 patients were admitted for treatment. The number judged to be pseudo patients was:
41 by at least one staff member.
23 by one psychiatrist
19 by one psychiatrist and one other staff member.

43
Q

What were some conclusions of Rosenhan’s first study?

A

-Diagnosis not valid as failed to distinguish sane from insane.
-Diagnosis reliable as all but one diagnosed with the same disorder.
-the over diagnosis shows that psychiatrists are more inclined to call a healthy person sick

44
Q

What is comorbidity?

A

Refers to the presence of one or more psychiatric illness occurring in a patient at the same time.

45
Q

How could comorbidity decrease the validity of diagnoses?

A

A patients illness won’t fit into one singular category meaning it will make it harder to diagnose and more mistakes will arise making it less valid.

46
Q

What are some symptoms of anti-social personality disorder?

A

lack of concern, behave irresponsibly, unable to control anger.

47
Q

What are some symptoms of histrionic personality disorder?

A

Needs to be center of attention, seductive or provocative behavior, shifting and shallow emotions etc.

48
Q

What does reliability of diagnosis mean?

A

The extent to which psychiatrists agree on the same diagnoses when independently assessing patients.

49
Q

What was the results of beck et al study?

A

Found that agreement on diagnosis for 153 patients was only 54%

50
Q

What is the affective disorder?

A

Major depressive disorder

51
Q

What is the psychotic disorder?

A

schizophrenia

52
Q

What is the anxiety disorder?

A

phobia.

53
Q

What are the two main symptoms of MDD?

A

Depressed mood or the loss of interest in pleasurable activities.

54
Q

How often do symptoms have to be present for over what period of time to be diagnosed for MDD?

A

Must be present every day or nearly every day and over the course of at least 2 consecutive weeks.

55
Q

What is a behavioral manifestation?

A

How a person acts when in a depressed state. Typically their behavior changes and the individual experiences reduced energy levels.

56
Q

What is a emotional manifestation?

A

How a person feels when in a depressed state. Patients often describe themselves as feeling ‘worthless’ and ‘empty’.

57
Q

What is a cognitive manifestation?

A

How a person thinks when in a depressed state. In particular, the tendency to focus on the negative aspects of a situation.

58
Q

What dose the term psychotic mean?

A

Disorders where the patient loses touch with reality, patients perceive things very differently from other people.

59
Q

Explain the distinction between positive and negative symptoms

A

Positive-Are added to your personality such as hallucinations etc.
negative- Include removal or loss of function e.g alogia.

60
Q

What is the criteria for schizophrenia in the DSM?

A

Characteristics of symptoms
Social/occupational dysfunction.
Duration
Exclusion criteria

61
Q

Define phobia

A

An intense, severe and irrational fear that produces a psychological response such as sweating, shaking and increased respiratory rate.

62
Q

What did Ford and Widiger (1989) find?

A

Found that presenting the same case notes to the psychiatrist but changing the gender of the patient resulted in difference diagnoses. Females were more likely to get a diagnosis of histrionic personality whereas males wee more likely to be given a diagnosis of anti-social personality disorder.

63
Q

What are the cognitive symptoms of uni-polar depression?

A

Thoughts of worthlessness/ guilt/ possible suicide/ impaired concentration.

64
Q

What are some cognitive symptoms of schizophrenia?

A

Cognitive distraction (unable to maintain consistent train of thought)/attentional deficits (focusing on irrelevant stimuli0, thought passivity (where they think that other inset, block or withdraw thoughts from their head) thought content-delusions e.g. persecution, control or grandeur.

65
Q

What are some cognitive symptoms of phobia?

A

Expectation of impending doom

66
Q

What are somatic symptoms of uni-polar depression?

A

Changes in appetite, lack of energy, sleep disturbance and general aches and pains.

67
Q

What are some somatic changes in schizophrenia?

A

Possible changes in appetite and sleep.

68
Q

What are some somatic changes in someone with a phobia?

A

Sympathetic nervous system releases Adrenalin (preparing body for flight/fight)

69
Q

What are some some emotional symptoms for depression?

A

Depressed mood.

70
Q

What are some emotional symptoms for schizophrenia?

A

Flat unresponsive or insensitive OR inappropriate/changeable.

71
Q

What are some emotional symptoms of phobia?

A

Feelings of dread, terror, panic.

72
Q

What are some behavioural symptoms of depression?

A

Agitation

73
Q

What are some behavioural symptoms of schizophrenia?

A

Fixed repetitive gestures (psychomotor agitation) OR catatonic stupor

74
Q

What are some behavioural symptoms of phobia?

A

Fleeing and/or freezing.

75
Q

What are the DSM requirements for diagnosing depression?

A

5 or more of 9 symtoms (including at least 1 of depressed mood and loos of interest or pleasure) in the same 2-week period; each of these symptoms represnts a change from previous functioning
E.g:
Loss of energy or fatigue
Change in weight or appetite
Insomnia or hypersonic etc.

76
Q

What are the DSM requirements of diagnosis for schizophrenia?

A

Two or more of the following required for a sig period of time for one-month period- delusions/ hallucinations/ disorganised speech etc.
Symptoms produced marked deterioration in functioning and symptoms present for at least 6 months.

77
Q

What is the DSM diagnosis for phobia?

A

Marked fear or anxiety about a specific object or situation. The phobia almost always provokes immediate fear or anxiety.
Actively avoided or endured with intense fear and anxiety
The fear, anxiety or avoidance is persistant, typically lasting for 6 months or more.
The disturbance is not better explained by the symptoms of another mental disorder.