Paper 1 - Psychopthaology Flashcards

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1
Q

A01: Deviations from ideal mental health

A

6 key criteria to reach:

. Autonomy

. Resistance to stress

. Mastery of the environment

. Self- Attitudes

.Self- Actualisation

. Reality

Failure to meet one or more criteria suggests abnormality

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2
Q

Strength: Deviations from ideal mental health

A

Takes a positive approach to abnormality as it focuses on the characteristics that make up “normal” behaviour rather than those characteristics that makes an individual abnormal (failure to function adequately). Therefore, more appropriate way to define abnormality.

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3
Q

Weakness: Deviations from ideal mental health

A

limited by cultural relativism as different cultures have different expectations about ideal mental health e.g. collectivist cultures self-acutalisation would be considered self-indulgent because the focus is on the individual not the community. Therefore, not appropriate to use beyond a specific culture (Western).

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4
Q

A01: Deviations from Social Norms

A
  • Standards of executable behaviour set by social group
  • Behaviour could e explicit
  • Anything that deviates from acceptable behavior deemed abnormal
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5
Q

Strength: Deviations from Social Norms

A

This definition differentiates between desirable + undesirable behavior based on social norms within a culture unlike statistical infrequency which suggests if your behavior is not rare you are abnormal even if the behaviour is desirable (high IQ). Appropriate definition of abnormality.

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6
Q

Weakness: Deviations from Social Norms

A

Deviation from social norms is limited by cultural relativism as different cultures have different expectations of behaviour e.g. messages from spirits could be a symptom of schizophrenia in Western cultures but is classed as a gist in other cultures. Therefore, not appropriate to define abnormality beyond specific cultures (Western).

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7
Q

A01: Failure to Function Adequately

A
  • Not being able to cope with the demands of everyday life
  • Looks at abnormal behaviour that interfere with everyday life e..g unable to maintain personal hygiene

. Signs of a personal failing to function adequately: maladaptive behaviour

. irrational behaviour

. severe personal distress

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8
Q

Weakness: Failure to Function Adequately

A

A weakness of failure to function adequately is that it is subjective. Because diagnosis relies on the individual’s or doctor’s opinion rather than taking an objective (factual) measure. Therefore, leading to an inaccuracy when diagnosing abnormality limiting the overall validity.

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9
Q

Weakness: Failure to Function Adequately

A

A weakness is that the failure to function adequately is limited by cultural relativism as different cultures have different views about what it failing to function. E.g. in Greece showing symptoms of depression in a widows life is not seen as abnormal or an inability to cope but in other cultures this would lead to depression diagnosis. Therefore, not appropriate to use beyond specific cultures (Western).

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10
Q

A01: Statistical Infrequency

A
  • Looks at behaviour which is typical (normal) in the general population
  • Bhevaiour which is rare (not shown by many) is abnormal
  • On the distribution curve behaviour 2 or more standard deviations from the mean is statistically rare.
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11
Q

Strength: Statistical Infrequency

A

The research uses scientific methods because it is based on objective (factual) measurements rather than subjective (opinion) based measurements. E.g. if any person behaves in a way that is 2 standard deviations away from the mean they are clearly abnormal. Therefore, statistical infrequent is a well respected definition of abnormality.

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12
Q

Weakness: Statistical Infrequency

A

Statistical infrequency is limited by cultural relativism as a given behaviour may be statistically rare in one culture but more common in another. E.g. Chippewa culture having visions is common however in Western cultures it is rare and would be seen as a possible symptom for schizophrenia. Therefore, not appropriate to use outside Western cultures.

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13
Q

Definition of Phobias:

A

Extreme fear or anxiety activated by an object, place or situation. The fear is irrational and often out of proportion to any real danger.

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14
Q

A01: Explaining Phobias (Behavioral + Cognitive + Emotional)

A

Behavioural - Avoidance (make a conscious effort to avoid contact with feared stimulus) + Panic (Screaming +. crying + freezing/fainting)

Cognitive - Irrational beliefs + Selective Attention (find it difficult to look away from feared stimulus)

Emotional - Anxiety (causes stress + worry) + Fear ( causes terror)

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15
Q

A01: Behavioural Approach to Explaining Phobias:

A
  • Approach = Phobias are a learned behaviour
  • Phobias are initially learnt through operant conditioning + classical conditioning = two - process model
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16
Q

A01: Classical conditioning + Study:

A
  • Learning though association
  • Initially NO fear (neutral stimulus) something triggers feared response (unconditioned stimulus) FEAR response triggered when in contact with stimulus.

LITTLE ALBERT STUDY: Noise = unconditioned stimulus causing the unconditioned response: FEAR

RAT = neutral stimulus presented with loud bang so Albert associated them TOGETHER

Rat now a CONDITIONED STIMULUS causing the conditioned response: FEAR (when see’s the rat).

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17
Q

A01: Operant conditioning:

A
  • Phobias are maintained through operant conditioning
  • By continuing to avoid feared stimulus - negatively reinforced (avoiding) reducing the anxiety
  • Explains why phobias are long lasting
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18
Q

Strength: Behavioural approach explaining PHOBIAS:

A

The behavioral approach has practical applications. Suggesting phobias are learnt through classical conditioning and therefore can be unlearnt through classical conditioning. The theory was used to create the treatment systematic desensitization where you teach a patient relaxation techniques + gradually expose them to phobic stimulus so they learn to associate it with relaxation rather than fear to extinguish the phobia. This helps to treat people in the real world therefore the two-process model is important for applied psychology.

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19
Q

Strength: Behavioural approach explaining PHOBIAS:

A

Resreach to support the behaviourist explanation come from a study by AD De Jongh who found 73% of people who fear dental treatment had a traumatic experience. This was compared to a control group with low dental anxiety only 21% had experienced a traumatic event this conforms the association between stimulus (dentistry) + unconditioned response (pain) leads to the development of the phobia. Therefore, supporting the behaviourist explanation.

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20
Q

Weakness: Behaviourist approach explaining PHOBIAS:

A

The behaviourist approach to explaining phobias can be criticised by environmental reductionism. Reduces the complex human behaviour of phobias down to simple basic units of learning phobias through stimulus response and maintaining a phobia through reinforcements neglecting a holistic approach that takes into account how a persons culture + social context would influence phobias. Therefore, the behavioral explanation may lack validity as it doesn’t allow us to understand behaviour in context.

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21
Q

Weakness: Behaviouist approach explaining PHOBIAS:

A

However, not all bad experiences lead to phobias. E.g. in AD De Jongh’s study 21% of people had a traumatic experience involving dentistry and didn’t develop a phobia. Some people have phobias of stimuli they have never encountered or had a bad experience with. Suggesting that explanations other than the behaviourist should be considered when understanding phobias.

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22
Q

A01: Treating Phobias - Systematic Desensitisation:

A

Aim - Use classical conditioning to unlearn a maladaptive behavioural response to a phobic stimulus

23
Q

A01: Systematic Desensitisation Hierarchy:

A
  1. RELAXATION - Patient taught how to relax using relaxation techniques + breathing exercises.
  2. HIERARCHY OF ANXIETY - Patient + therapist work to make a graded scale starting with stimuli scares them least to those that scare them the most.

3.GRADUAL EXPOSURE - Client gradually exposed to least feared situation (may feel anxious) but encouraged to put relaxation techniques to practice. Reciprocal inhabitation (two incompatible states of mind cannot co-exist at the same time E.g. Anxiety + Relaxation (this is a gradual process patient only moves one once relaxed).

  1. COMPLETE TREATMENT - Patient completes treatment when desensitised they move on without anxiety.
  2. VROOM VROOM - Treatment can be done in vivo (real life) or vitro (imagination) due to circumstances.
24
Q

Strength: Systematic Desensitisation:

A

Systematic Desensitisation could be a more appropriate therapy for patients due to high control as they create their own hierarchy of anxiety with the therapist and are gradually exposed an only move onto the next stage once fully relaxed. Unlike flooding which can be traumatic as patients are immediately exposed to most feared stimulus causing high anxiety. So patients prefer SD which is reflected in the low refusal rates + low attrition. Therefore, appropriate treatment for phobias.

25
Q

Strength: Systematic Desensitisation:

A

Systematic Desensitisation avoids the chemical straightjacket this then helps the individual unlearn the association that led to conditioned response of fear so they are in control of their own behaviour unlike drug therapy as drugs control the mind and the body controlling levels of neurotransmitters to reduce anxiety which could lead to dependence. Therefore, increasing appropriateness of SD.

26
Q

Weakness: Systematic Desensitisation:

A

Could be argued that systematic desensitisation may not be appropriate for all patients as it requires motivation and commitment patients must attend sessions over a period of time and be exposed which may make patients stop therapy. This is unlike drug therapy which requires little motivation and commitment (as they only have to take a tablet). Therefore, limiting the appropriateness of SD.

27
Q

A01: Treating Phobias - Flooding

A

Aim: Use classical conditioning to unlearn a maladaptive behavioural response to phobic stimulus

28
Q

A01: Treating Phobias - Flooding

A
  • Patient immediately exposed to most feared stimulus
  • Experience high levels of anxiety + panic (as unable to avoid stimulus)
  • Remain exposed until anxiety response is exhausted
  • Exposure lasts around 2-3 hours (Extinction).
29
Q

Strength: Treating Phobias - Flooding

A

Flooding is a highly cost effective way to treat phobias as flooding can work in as little as one session unlike SD which could take up to 10 sessions for the same result. Therefore, flooding is seen by some as the most appropriate behavioral treatment.

30
Q

A01: Explaining Depression (Behavioural + Cognitive + Emotional):

A

. Behavioural - change in activity levels (lack of energy) + disruption to sleep (insomnia or hypersonmia) + disruption to eating (increase or decrease appetite)

. Cognitive - poor levels of concentration + Negative schema (ignore positives) + Black and white thinking

. Emotional - Lowered mood (sad + numb + empty) + Anger (towards themselves and others)

30
Q

Weakness: Treating Phobias - Flooding:

A

Flooding can be seen as an unethical treatment because patients may experience extreme anxiety as exposed to feared stimulus for 2-3 hours. Although consent is gained SD is more ethical as they are gradually exposed to phobia. Also the traumatic nature of flooding means attrition rates are higher than for SD. Therefore, reducing the appropriateness + effectiveness of flooding as a behavioral treatment for a phobia.

31
Q

A01: Cognitive Approach to Explaining Depression:

A

Depression is caused by the way we think about information/situations/environment. If thoughts and perceptions are irrational + mainly negative more vulnerable to depression.

32
Q

A01: Beck’s Negative Triad -DEPRESSION:

A
  • Beck’s negative train (of negative thoughts) states - consistent negative thoughts make a person vulnerable to depression.
  1. Negative views about the world
  2. Negative views about the future
  3. Negative views about oneself
33
Q

A01: Ellis’s ABC Model - DEPRESSION:

A

Ellis’s ABC Model (of irrational thoughts) emphasises - the role of irrational thoughts that interfere with being happy

A - Activating event (external event e.g. job loss)

B - Beliefs (irrational beliefs triggered e.g. musterbation (Achieve perfection) + utopianism (life should be fair)

C - Consequence (depression)

34
Q

Strength: Cognitive Approach to Explaining Depression:

A

Research to support was conducted on 65 pregnant women and was found that those judged as high in cognitive vulnerability (display negative thinking) are more likely to suffer post-natal depression. Supporting the role of negative thoughts in the development of depression. Therefore, provides clear support for the cognitive approach as a way of explaining depression.

35
Q

Weakness: Cognitive Approach to Explaining Depression:

A

The cognitive approach in explaining depression is that cause and effect cannot be established within the research. As negative/irrational thoughts can be linked to depression but cannot be concluded whether negative/irrational thoughts cause it or are they a consequence. Therefore, the cognitive approach cannot be seen as a full explanation of depression.

36
Q

Cognitive Approach to Treating Depression: CBT

A

Aim - Therapist + patient will work together to identify irrational/ negative thoughts that cause depression these thoughts will be challenged to become rational/positive thinking.

37
Q

Weakness: Cognitive Approach to Explaining Depression:

A

The issue with establishing cause and effect suggests the importance of alternative explanations like the Biological approach. This would suggest depression is due to physical factors such as neurotransmitters e.g. low serotonin levels causing low mood, not faulty thought processing causing negative thoughts. Therefore, the cognitive explanation for depression is not the only explanation that should be considered.

38
Q

A01: Cognitive Approach to Treating Depression: DISPUTING

A
  1. Logical disputing: Therapist questions if irrational/negative thoughts make sense
  2. Empirical disputing: Therapist will ask for evidence. Client could complete a homework diary to then test the reliability
  3. Pragmatic disputing: Aim to show the client that their thoughts are not useful and are self-defeating
39
Q

Strength: Cognitive Approach to Treating DEPRESSION:

A

Research to support the effectiveness of CBT from March. He studied adolescents with depression and found that 81% of symptoms had significantly improved after CBT and 86% had improved if CBT was combined with anti-depresent. Which suggests challenging negative/irrational thoughts can provide a reduction in depression. Therefore, CBT is a popular choice of treatment for depression for the NHS.

DISCUSSION: However, CBT treatment would be costly for the NHS.

40
Q

Strength: Cognitive Approach to Treating DEPRESSION:

A

Some may prefer this therapy as it avoids the chemical straight-jacket. Because CBT encourages individuals to identify and challenge their negative/irrational thoughts independently, giving them control over their own behaviour unlike many drug therapies which the drugs control the levels of neurotransmitters (serotonin) which could cause dependence. Therefore, some may prefer CBT as a treatment for depression.

41
Q

Weakness: Cognitive Approach to Treating DEPRESSION:

A

CBT as a treatment for depression requires motivation and commitment from the patients to attend sessions over time and complete their homework e.g. keeping a diary + engaging in activities they once enjoyed. This is an issue as individuals with depression lack motivation so reduces the effectiveness of CBT as a treatment for depression.

42
Q

A01: Explaining OCD (Behavioural + Cognitive + Emotional):

A

Behavioural - Compulsions (External behaviors repeated to reduce anxiety e.g. washing hands) + Avoidance ( avoid germs by not shaking hands with people)

Cognitive - Obsessions (Internal/intrusive unwanted thoughts + recurring and unpleasant and cause anxiety) + Awareness (irrational, excessive and unreasonable) + Hypervigilance (maintain constant alter ness + keep attention on the potential hazard)

Emotional - Anxiety + distress (obsessions are unpleasant and frightening causing overwhelming anxiety) + Irrational guilt and disgust can also be shown

43
Q

A01: Biological Approach to explaining OCD:

A
  • OCD is due to physical factors in the body OCD tends to run in families suggests genetic predisposition to OCD so is inherited.
  • Specific genes are called ‘candidate genes’ make individuals more vulnerable to developing OCD.
  • OCD is due to the inheritance of one or more maladaptive (undesirable) genes E.g. SERT Gene.
  • SERT Gene involved in the transportation of serotonin. If SERT Gene is mutated it reduces serotonin levels, increasing anxiety + OCD symptoms.
  • Closer the genetic link greater the risk of inheriting OCD. Monozygotic (identical) twins found to have a concordance rate of 87% compared to 47% for dizygotic (non-identical) twins.
44
Q

A01: Neuroanatomy (Brain structure)

A
  • OCD is due to differences in shape, size or functioning of specific brain areas
  • OCD is linked to the ‘Basal Ganglia’
  • ‘Basal Ganglia’ is responsible foe psychomotor functions, hyper-sensitivity may result in repetitive movements (helps to explain compulsions experienced by people with OCD)
45
Q

A01: Neurochemical Approach to Explaining OCD:

A
  • OCD is due to an imbalance of neurotransmitters (low levels of serotonin activity)
  • Mutation of SERT Gene causes serotonin to be recycled too quickly back into the pre-synaptic neuron
  • Serotonin maintains a stable mood
  • Low levels of serotonin activity can lead to anxiety seen in the obsessions in OCD
46
Q

Weakness: Biological Approach to Explaining OCD:

A

The biological approach to explain OCD is reductionism. It reduces the complex behaviour of OCD down to simple basic units of genes (SERT) or neurotransmitter imbalance E.g. low serotonin levels neglecting a holistic approach taking into account a person’s culture and social context influencing OCD. Therefore, the biological approach may lack validity as we cannot understand behaviour in context.

47
Q

Strength: Biological Approach to Explaining OCD:

A

The biological approach has led to practical applications as OCD is due to a mutation in the SERT Gene and low serotonin activity levels has led to the development of drug treatment. SSRI’s increase the amount of serotonin available in the brain and this has been found to reduce anxiety and OCD symptoms. Therefore, the biological approach to explaining OCD is an important for the loves of those with the disorder.

48
Q

Strength: Biological Approach to Explaining OCD:

A

The biological approach of OCD uses scientific methods as the theory is based on objective and empirical techniques such as gene mapping and brain scans used to identify specific genes (SERT) or areas in the brain linked to OCD (Basal Ganglia). Therefore, increases the overall internal validity of the biological explanation.

49
Q

A01: Biological Approach to Treating OCD

A
  • Drug theory works by balancing levels of the neurotransmitters in the brain to relieve symptoms of OCD.
  • SSRI’s take 3-4 months to alleviate symptoms.
  • Selectie serotonin reuktake inhibitors (SSRI’s)
  • SSRI’s increase serotonin activity levels by blocking re-absorption or serotonin to the pre-synaptic neuron increasing serotonin levels in synapse so it continues to activate the post-synaptic neuron.
  • Drugs reduce anxiety associated with OCD
  • New drug SNRI’s have been used to treat OCD. increasing serotonin and noradrenaline activity
50
Q

Strength: Biological approach DRUG treatment

A

There is research to support the effectiveness of drug therapy as a treatment of OCD conducted by Soomoro. Soomoro reviewed 17 studies of the use of SSRI’s to treat OCD and found SSRI’s were more effective I reducing symptoms of OCD compared to placebos. Therefore, showing the effectiveness of drug therapy as a treatment for OCD.

51
Q

Strength: Biological approach DRUG treatment

A

Drug therapy is effective as they require little motivation form patients. As the patients only have to take their tablet in order to reduce their symptoms of OCD. This is better than CBT to treat OCD as requires motivation from the patients to attend sessions to chilled their irrational thoughts. Therefore, some patients prefer drug therapy as a treatment for OCD.

52
Q

Weakness: Biological approach DRUG treatment

A

As a person is taking a drug this is argued to impose the chemical straight jacket. Critics argued drugs may take control of the person’s mind + body by controlling levels of neurotransmitters E.g. serotonin. Unlike CNT which encourages patients to identify and challenge irrational thoughts so they control their own behaviour. Therefore, drug therapy may not be appropriate to treat OCD.