Module 7 Flashcards

1
Q

How was OCD classified in DSM 4 and how did it change to DSM 5?

A

DSM4; is classified as an anxiety disorder
DSM5; is classed into a new category called obsessive-compulsive and related disorders—this new category also includes hoarding disorder, trichotillomania and skin-picking disorder.

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2
Q

How are Fear and Anxiety defined?

A

Fear; response to a clear and imminent threat, regardless of whether that threat is real or perceived (increased heart rate, sweating, nausea)

Anxiety; oriented toward future threat, regardless of whether that threat is real or perceived (muscle tensions, stomachaches and headaches)

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3
Q

When feeling anxious, a person wants to avoid a situation. How can Avoidance be overt and covert?

A

Avoidance can be overt, like staying away from a situation completely.

Avoidance can also be covert—a person may enter an anxiety-provoking situation but might engage in safety behaviours to make the situation more bearable or to prevent something bad from happening.

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4
Q

what distinguishes adaptive fear and anxiety, from maladaptive fear and anxiety?

A

Heavy influence on person ability to perform as they expected and or at all. Perform referring to life in general, socially, work life, family, self-efficacy.

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5
Q

What is a specific phobia? Explain the diphasic/biphasic response.

A

specific phobia; intense fear or anxiety of specific objects, animals, or situation

Diphasic/biphasic response; for those with intense fears of seeing blood, getting their blood drawn, and receiving vaccines. in the initial phase, there is an increase in blood pressure, consistent with autonomic arousal. But then, there is a second phase characterized by a drop in heart rate and blood pressure, leading at times to fainting.

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6
Q

What kind of conditions do Specific Phobias develop out of?

A

specific phobias develop out of classical conditioning and are maintained via operant conditioning (negative reinforcement)
- Example Little Albert

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7
Q

Can you think of any problems with the conditioning theory of specific phobias? Can you think of ways in which phobias develop through a pathway other than classical conditioning?

A
  1. Most people exposed to unpleasant and even aversive events do not develop a classically conditioned response to cues/stimuli associated with these events.
  2. Rachman points out that many people cannot remember having an encounter that would have led to a classically conditioned fear.
  • vicarious acquisition of fear can occur when someone (like a parent) models a strong fear reaction to an object or situation
  • verbal information transmission such as frightening anecdotes, scary news reports, and fear-mongering campaigns.
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8
Q

How is Exposure Theory defined?

A

person confronts their feared situation or object in a series of “steps” that usually ranges from least scary to most scary

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9
Q

How are panic disorder and panic attack defined?

A

Panic Disorder; is characterized by recurrent panic attacks; these attacks may be experienced as “coming out of the blue.
- a fear of panic attacks and of the perceived consequences of having such attacks.

Panic Attack; can happen when one is already in a state of anxiety, in an emotionally neutral state, or even in a relaxed state. Symptoms are experienced as sudden and can include heart palpitations, shortness of breath, chest discomfort, nausea, dry mouth, trembling, and ringing in the ears.

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10
Q

What distinguishes panic attacks from panic disorders?

A

interpretation of the attacks

People who are at risk of developing panic disorder following the experience of panic attacks tend to interpret their initial experiences of panic in a more catastrophic way relative to those who do not go on to develop panic disorder. People who go onto develop panic disorder typically report fearing loss of contro

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11
Q

How is anxiety sensitivity defined?

A

a trait-like, individual difference characteristic that reflects a set of beliefs about the dangerousness of anxiety. Anxiety sensitivity is measured using a questionnaire called the Anxiety Sensitivity Index

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12
Q

What factors other than anxiety sensitivity could lead to Panic Disorder?

A

depression and other anxiety disorders

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13
Q

How is Social Anxiety Disorder (SAD) defined?

A

Intense fear or avoidance of situations in which social-interpersonal or scrutiny/negative evaluation might be possible.

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14
Q

How is Avoidance over/covert in (SAD)?

A

Avoidance can be overt (e.g., avoiding all courses that involve a class presentation) or it can be subtle.

Avoidance can be covert which is subtle and involves engaging in safety behaviours to make social-interpersonal situations more tolerable.

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15
Q

Can you think of examples of safety behaviours a person with SAD might engage in during social-interpersonal situations?

A

retreat to the kitchen and do the dishes at a house party to avoid conversation with others.

Or, perhaps a person with SAD will spend a lot of time rehearsing for routine team meetings at work or will avoid offering an opinion at such a meeting to prevent any possibility of criticism.

a person who is prone to blushing might routinely wear turtlenecks or scarves so others cannot see their neck turning red or blotchy.

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16
Q

What is Taijin kyofusho (TKS)? How does it differ from (SAD)?

A

Taijin kyofusho (TKS) appears to be specific to Japan and Korea. The main concern for those with this form of SAD is a fear of acting in a way that will offend others.

SAD, wherein the focus of concern is that one will do something that will bring embarrassment to the self.

17
Q

How is behavioural inhibition (BI), defined? WHat is its relation to the development of (SAD)?

A

A temperament called behavioural inhibition (BI). BI can be detected in people as young as infancy and is characterized by intense distress and avoidance in response to novel objects or situations. Children who are high in BI stick closely to familiar parental figures when encountering novelty, might also be silent

BI is a strong risk factor for (SAD)

18
Q

What is self-focused attention? How can Self-Focused attention negatively affect social experiences?

A

When engaging in this kind of “detailed self-observation,” a person becomes highly aware of their body, thoughts, and emotions.
Everyone engages in self-focused attention, but people with SAD do so at a higher frequency and inflexibly and become convinced that their self-observations are the same as those of the person with whom they are interacting.

Self-focused attention takes a person’s attention away from their social environment, which means missing out on potentially important social cues. High-quality social interactions depend partly on one’s ability to respond to cues.

19
Q

How is Generalized Anxiety Disorder (GAD) defined?

A

excessive and uncontrollable worry and anxiety that is accompanied by a range of other symptoms like irritability, a feeling of being restless or “on edge,” sleep disturbance

Worry is considered “excessive” when it is triggered very easily, when it lasts a very long time, or when it is out of proportion to the situation.

20
Q

How do psychological theories understand (GAD)?

A

individuals with GAD are deeply uncomfortable with, and afraid of a range of internal experiences. A need to control their thoughts, being uncomfortable when in a physically-relaxed state, fearing loss of control over their emotions, and being deeply intolerant of uncertaint

21
Q

What are some Safety behaviours for people with GAD?

A

When in the throes of worry, people with GAD might ask for reassurance repeatedly, seek out information excessively to alleviate a feeling of uncertainty, rehearse excessively before anxiety-provoking situations, avoid situations (even opportunities) that involve risk, and avoid taking action on things that need to get done.

22
Q

How has CBT been helpful for (GAD)?

A

Creating opportunities to expose oneself to anxiety-provoking situations while refraining from engaging in safety behaviours or any other attempts at controlling internal experiences, like anxiety and uncertainty.

regularly practice exposure, this leads to a sense of mastery and reduces the chronicity and intensity of worry.

23
Q

How is OCD defined?

A

obsessive-compulsive disorder (OCD) is characterized by obsessions or compulsions.
OCD is not just being “hyper-organized,”

24
Q

How are Obsessions and Compulsion defined?

A

Obessions ; intrusive thoughts that the person experiences as unbidden and unwanted. These are not daydreams or fantasies; these are thoughts or mental images that “pop” into the mind that a person experiences as highly distressing

Compulsions ; individuals feel compelled to perform in direct response to obsessions. Individuals with OCD engage in compulsions to prevent bad things from happening or to reduce the discomfort and anxious arousal that accompanies intrusive thoughts.