PSYCH 405 CH 5 Flashcards

1
Q

the stats of immediate alarm

A

fear

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2
Q

vague sense of being in danger (features include: increases in breathing, muscular tension, perspiration, fear)

A

anxiety

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3
Q

what is the most common mental disorder in the US?

A

anxiety disorders

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4
Q

people with this disorder experience general and persistent feelings of worry and anxiety

A

generalized anxiety disorder

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5
Q

people with this phobia have a persistent and irrational fear of a particular object, activity, or situation

A

specific phobia

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6
Q

people with this phobia fear traveling to public places

A

agoraphobia

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7
Q

people with this phobia are intensely afraid of social/performance situations in which they may become embarrassed

A

social anxiety disorder

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8
Q

people with this disorder had recurrent attacks of terror

A

panic disorder

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9
Q

this group of disorders causes people to feel overrun by recurrent thoughts that cause anxiety or by the need to perform certain repetitive actions to reduce anxiety

A

obsessive-compulsive and related disorders

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10
Q

what is another name for generalized anxiety disorder?

A

free-floating anxiety

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11
Q

How do sociocultural theorists view the likelihood of developing generalized anxiety disorder?

A

people who face ongoing societal conditions that are dangerous are more likely to develop generalized anxiety disorder

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12
Q

what is one of the most powerful forms of societal stress?

A

poverty

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13
Q

What is the psychodynamic perspective on anxiety? (Freud)

A

freud believed that all children experience some degree of anxiety as part of growing up and use all ego defense mechanisms to help control such anxiety. Those who have high anxiety develop disorders

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14
Q

Modern psychodynamic theorists view on generalized anxiety disorder:

A
  • disorder can be traced to inadequacies in the early relationships of children and parents
  • extreme protectiveness by parents may lead to high levels of anxiety in children
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15
Q

what is the general technique that psychodynamic theorists use to treat all psychological problems:

A

free association
interpretations of transference, resistance, dreams

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16
Q

What do Freudian psychodynamic therapists use psychodynamic techniques for?

A

help patients become less afraid of their id impulses and more successful in controlling them

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17
Q

what do object-relations therapists use psychodynamic techniques for?

A

help clients identify and settle childhood problems that continue to produce anxiety in adulthood

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18
Q

are psychodynamic treatments effective for GAD?

A

only moderatly for generalized anxiety disorder

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19
Q

What do humanist theorists propose about generalized anxiety disorder?

A

that it arises b/c people stop looking at themselves honestly and acceptingly. Repeated denials of thoughts, emotions, and behavior, make people anxious and unable to fulfill their potential

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20
Q

Carl Roger’s explanation for generalized anxiety disorder

A

people who fail to receive unconditional positive regard from others become overly critical of themselves and develop harsh self-standards

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21
Q

humanistic therapy developed by Rogers in which clinicians try to help clients by conveying acceptance, accurate empathy, and genuiness

A

client-centered therapy

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22
Q

What is the research standpoint on humanistic therapy?

A
  • controlled studies have failed to offer strong support for this approach
  • client centered therapy is only sometimes superior to placebo therapy
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23
Q

What is the cognitive-behavioral view on psych disorders?

A

caused by problematic behaviors and dysfunctional ways of thinking

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24
Q

The inaccurate and inappropriate beliefs held by people with various psych problems, according to Albert Ellis

A

basic irrational assumptions, maladaptive assumptions

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25
Adrian Wells's theory that people with generalized anxiety disorder implicitly hold both positive and negative beliefs about worrying
metacognitive theory
26
theory where certain individuals cannot tolerate the knowledge that negative events may occur, even if the possibility of the occurrence is very small. Makes them vulnerable to generalized anxiety disorder
intolerance of uncertainty theory
27
Can the intolerance of uncertainty be be biologically based?
yes, it can be passed from parent to child
28
Thomas Borkovec's theory that people with generalized anxiety disorder have greater bodily arousal than others and that worrying reduces arousal, distracting them from their unpleasant physical feelings
avoidance theory
29
a cognitive therapy that helps clients identify and change the irrational assumptions and thinking that cause their disorder
rational-emotive therapy
30
what are some goals of new-wave cognitive behavioral therapists?
clients are expected to see the world as less threatening and less arousing, find more constructive ways of dealing with stress
31
What do biological theorists believe about generalized anxiety disorder?
that it is caused by biological factors, for exmaple how many of your relative have it
32
a research design in which investigators determine how many and which relative of a person with a disorder have the same disorder
family pedigree studies
33
the most common group of anti-anxiety drugs ;includes Valium and Xanax
benzodiazepines
34
How do benzodiazepines reduce anxiety?
dupe card just pass
35
a neurotransmitter whose low activity in the brain's fear circuit has been linked to anxiety
gamma-aminobutyric acid (GABA)
36
How does GABA work?
it carries a inhibitory message and causes neurons to stop firing
37
a network of particular brain structures that work together to trigger a reaction
brain circuit
38
What brain structures does the fear circuit contain?
prefrontal cortex anterior cingulate cortex insula amygdala
39
What did studies reveal about the fear circuit and people with generalized anxiety disorder?
people with the disorder have an hyperactive fear circuit, low GABA
40
drugs that help calm people in low doses and help them fall asleep in higher doses
sedative-hypnotic drugs
41
How do benzodiazepines work to reduce anxiety?
by traveling to receptor sites in the brain circuit--amygdala and bind to these sites and increase the ability of GABA to bind to the sites and stop neurons from firing
42
What are some disadvantages of benzodiazepines?
1. the effects are short lived 2. people who take them in large doses may become dependent on them 3. can produce undesirable results like drowsiness, lack of coordination, memory loss, depression 4. if mixed with other drugs/substances it can become dangerous
43
drugs that are usually used to lift the moods of depressed persons
antidepressant medications
44
drugs commonly given to people with schizophrenia and other forms of psychosis
antipsychotic meds
45
a persistent and unreasonable fear of a particular object
phobia
46
what is difference between fear and phobia according to DSM-5?
phobias are more intense and persistent and may interfere dramatically with lives
47
examples of specific phobias:
animals, heights, close spaces, blood
48
extreme and sudden expressions of fear
panic attacks
49
which model for phobias has the most support?
cognitive-behavioral model
50
What are some ways cognitive-behavioral theorists propose phobias develop?
1. classical conditioning 2. modeling (research does not support this, phobias are not normally acquired this way)
51
a predisposition to developed certain fears. explains why some fears are more common than others
prepardness
52
Where might such predispositions to fear come from?
- maybe transmitted genetically through and evolutionary process
53
What is the most widely used model to treating phobias?
cognitive-behavioral; very effective for specific phobias
54
treatment in which person is exposed to the objects/situation they dread
exposure treatment
55
an exposure treatment that uses relaxation training and fear hierarchy to help clients with phobias react calmly to things they dread
systematic desensitization
56
therapist has client confront something at the bottom of their fear hierarchy
in vivo desensitization
57
imagined fear confrontation
covert desensitization
58
exposure therapy treatment in which clients are exposed repeatedly and intensively to a fear object made to see that it is actually harmless
flooding
59
an exposure technique where the client watches the therapist confront the feared object/situation
modeling
60
an exposure technique where the client watches the therapist confront the feared object/situation and then client joins in
participant modeling
61
What is the key to success in all forms of exposure treatment?
be in actual contact with all forms of exposure treatment
62
program where clincians give clients and families detailed instructions for carrying out exposure treatments themselves
home-based self-help programs
63
a psychological disorder in which people fear social situations
social anxiety disorder.
64
What are some beliefs cognitive-behavioral theorists believe cause social anxiety disorder?
- holding unrealistically high social standards - believing they are unattractive beings - believing they have no control over feelings of anxiety
65
What medication can help alleviate social fears?
benzodiazepines, anti-depressants
66
What types of therapy can help with social anxiety disorder?
exposure therapy and systematic therapy
67
a therapy approach that helps people learn or improve social skills and assertiveness through role-playing and rehearsing of desirable behaviors
social skills training
68
what are some symptoms of panic?
1. palpitation of the heart 2. tingling of hands and feet 3. trembling 4. chest paints
69
an anxiety disorder marked by recurrent and unpredictable panic attacks
panic disorder
70
When does panic disorder typically develop?
late adolescence or early adulthood
71
What model best describes panic disorder?
biological model
72
a small area of the brain that seems to be active in the regulation of emotions. Many of its neurons use norepinephrine
locus coeruleus
73
What drug can help alleviate symptoms of panic disorder and what does it do?
antidepressants; they increase activity of norepinephrine and serotonin in the brain
74
What benzodiazepine drug can also alleviate panic disorder symptoms? Why are they the second choice behind antidepressants?
- alprazolan (Xanax) they might increase physical dependency
75
What do cognitive-behavioral theorists believe about panic attacks?
they are experienced only by people who misinterpret he physiological events taking place within their bodies
76
a procedure used to produce panic in participants or clients having them exercise vigorously or perform some other potentially panic-induing task in the presence of a researcher or therapist
biological challenge test
77
tendency to focus on one's bodily sensations, asses them illogically, and interpret them as harmful
anxiety sensitivity
78
how does cognitive-behavioral therapy treat panic disorder?
1. educate clients on the general nature of panic attacks 2. teach clients to apply more accurate interpretations during stressful situations
79
persistent thoughts, impulses, ideas, images that invade one's conciousness
obsessions
80
repetitive and rigid behaviors/mental acts that people feel they must perform in order to prevent or reduce anxiety
compulsions
81
a disorder in which a person has recurrent obsession, compulsions, or both
obsessive-compulsion disorder
82
Is obsessive compulsive disorder classifies as an anxiety disorder in the DMS-5?
no
83
What is a difference between compulsions and obsessions?
compulsion are technically voluntary whereas obsessions are not
84
What is the psychodynamic perspective on OCD?
it is a battle between the id impulses and defense mechanisms played over thoughts and actions
85
How did freud say OCD developed?
in the anal stage of development, a child experience extreme shame as a result of potty training
86
How do psychodynamic theorists try to treat OCD?
by helping the client undercover underlying conflicts and defenses using free association and therapist interpretation
87
a person's attempt to eliminate unwanted thoughts by thinking or behaving in ways that put matters right interanally, making up for unacceptable thoughts
neutralize
88
How does the cognitive-behavioral perspective view OCD?
that everyone has these types of thoughts and those with OCD must blame themselves for having them and expect terrible things to happen endless cycle of obsessions causing anxiety and compulsions reducing anxiety
89
what happens when you limit neutralization?
it might turn into an obsession
90
belief that intrusive thoughts are equivalent to actions and capable of causing harm
thought-action fusion
91
How do cognitive behavioral therapists treat OCD?
educating the clients on misinterpretations, the neutralizing the thoughts, guide clients to identify and challenge distorted cognitions
92
a cognitive behavior technique used to treat OCD by exposing clients to anxiety-arousing thoughts/situations and preventing them from performing their compulsive acts
exposure and response prevention
93
Which brain circuit is hyperactive in people with OCD?
cortio-stratio-thalamocortical circuit, makes it difficult to turn off their various impulses, needs, related thoughts
94
what is the most widely used biological treatment for OCD?
antidepressatn drugs, ones that increase serotonin activity
95
disorders in which obsessive-like concerns drive people to repeatedly perform certain abnormal patterns of behavior
obsessive-compulsive-related disorders
96
a disorder where people feel compelled to save items and become very distressed it they try to discard them
hoarding disorder
97
a disorder where people repeatedly pull out hair from their scalp, eyebrows, eyelashes, or other parts of body.
tricotillomania/ hair-pulling disorder
98
a disorder where people repeatedly pick at their skin, resulting in significant sores or wounds.
excoriation
99
a disorder where individuals become preoccupied with the belief that they have certain defects or flaws in their physical appearance.
body dismorphic disorder
100
psychological perspective that focuses on the intersection and context of important factors at key points of time throughout an individual's life span
developmental psychopathy perspective
101
children show a withdraw, isolated, and cautious pattern
behavioral inhibition