Mental Illness (11.15 Lecture) Flashcards
continuum of psychological symptoms
<–healthy<–>reacting<–>injured<–>ill–>
(still express distress but normal), (limited)(ex. time before an exam), (ex. grief), (pervasive, chronic)
how pervasive are mental health issues?
1 in 4 adults experience mental illness every year, great during COVID (especially among college students)
what group has the highest rates of anxiety?
millennials and Gen Z
anxiety
feeling of fear, dread, uneasiness, vague sense of being in danger (fear of a specific thing vs. anxiety from sensing smth bad will happen)
1. cognitive. subjecting
2. psychological (ex. body sweats, tensed fists, etc.)
3. behavioral (general avoidance, ex. just falling asleep)
benefits of anxiety
discomfort/ distress that excites action
harms of anxiety
severe/ frequent, lasts too long, triggered too easily, impairs daily function
specific phobia
(type of anxiety disorder)
persistent and disproportionate (doesn’t pose a real threat) fear leads to extreme avoidance
types of specific phobias
animal/ insects, heights, enclosed spaces, thunderstorms, blood/ needles
how do phobias develop
classical conditioning (2 events occurring close together become associated in someone’s mind) (ex. bad experiences with dog makes someone scared of all dogs, not just that specific one)
leads to stimulus generation (generalized to all similar things, a persistent response to one stimulus and all other similar stimuli)
social anxiety disorder
(type of anxiety disorder)
extreme fear of being scrutinized/ judged by others in similar situations
- 6 + months
- fear of being negatively evaluated by others
- avoidance
- significant distress or impairment
cultural differences in social anxiety
collectivist cultures: fear of embarrassing others increases social anxiety
individualist cultures: fear of embarrassing ourselves
behavioral perspective of social anxiety disorder
individuals with SAD anticipate social disasters will occur and avoid them/ perform safety behaviors to decrease their anxiety (ex. drinking)
vicious cycle of SAD
anxiety –>
scanning for danger –>
escape/ avoidance –>
short-term: relief –>
long term: greater physical symptoms of anxiety, greater worry, less confidence, more safety behaviors –>
generalized anxiety disorder (GAD)
uncontrollable worry/ anxiety for most days for at least 6 months, pervasive across multiple situations
- need at least 3 physical symptoms: restlessness, fatigue, difficulty concentrating, irritability, muscle tension, difficulty sleeping
how GAD plays out psychologically
maladaptive beliefs about worry (think worrying about it would make you more prepared and able to prevent it)
anxiety disorders and avoidance
operant conditioning –> avoidance (negative reinforcement)
avoidance prevents learning
Schizophrenia Spectrum Disorder
Characterized by hallucinations, delusions, and extremely disordered thinking and behavior
positive symptoms of schizophrenia
- delusions
(undesirable additions to normal life)
false, illogical beliefs:
- illusions of grandeur (ex. thought in CIA)
- illusions of broadcasting (think people can hear your thoughts)
- thought insertion (feeling like someone planted a thought in your mind)
- persecution (people watching/ targeting you)
- reference (secret message in TV, etc.)
positive symptoms of schizophrenia
- hallucinations
(undesirable additions to normal life)
false perception without sensation
- auditory (voices/ noises)
- visual
- tactile
- smell/ taste
positive symptoms of schizophrenia
- disorganized speech
(undesirable additions to normal life)
incoherent, confusing speech, ideas shifting rapidly
- circumstantial thought (extra details not related to event, but eventually gets back to the topic at hand)
- tangential thought (leaps between ideas and doesn’t return to the original thought)
- loose thoughts/ associations (little link between thoughts)
positive symptoms of schizophrenia
- disorganized behavior
(undesirable additions to normal life)
- unusually active/ barely moving
- unusual grimaces/ gestures
- catatonia (maintain awkward body positions for hours at a time)
negative symptoms of schizophrenia
(subtractions from normal life)
- affective deficits (lacking facial expressions)
- relational deficits (lack of interest in socializing)
- community deficits (lacking in speech)
- abolition (lack of motivation)
DSM criteria for anxiety disorders
(at least 2 occurring for 1 month)
*consider all with significant impairment after disturbance with effects lasting at least 6 months
1. delusions
2. hallucinations
3. disorganized speech
(at least 1 symptom from 1-3)
4. disorganized/ catatonic behavior
5. negative symptoms
stigma around schizophrenia
people with schizophrenia are more likely to be victims of violence than perpetrators
tropes of people with schizophrenia
Criminal, dangerous, supernatural, magical (stigmatizing/ objectifying disability)