PSYCH Exam 4 Flashcards
Marked by a clinically significant disturbance in an individual’s cognition, emotion regulation, or behavior
Psychological Disorders
Disturbed or dysfunctional thoughts, emotions, or behaviors are maladaptive.
Psychological Disorders
biopsychosocial approach
The medical model - 1900s
The moral treatment movement - late 1700s
______ Influences in Psychological Disorders:
- Evolution
- Individual genes
- Brain structure and chemistry
Biological
_______ Influences in Psychological Disorders:
- Stress
- Trauma
- Learned helplessness
- Mood-related perceptions and memories
Psychological
_______ Influences in Psychological Influences:
- Roles
- Expectations
- Definitions of normality and disorder
Socio-cultural
- Predicts the disorder’s future course
- Suggests appropriate treatment
- Prompts research into its causes
Diagnostic and Statistical Manual of Mental Disorders - 5th Edition
Changes in ______:
- Some label changes:
- Autism Spectrum Disorder
Diagnostic and Statistical Manual of Mental Disorders 5th Edition
New or altered diagnoses in ________:
- Disruptive Mood Dysregulation Disorder
- Hoarding Disorder
- Binge Eating Disorder
Diagnostic and Statistical Manual of Mental Disorders 5th Edition
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Diagnostic and Statistical Manual of Mental Disorders 5th Edition
- Affects 1 million people worldwide
- Higher risk with diagnosis of depression but may occur with rebound
- More likely to occur when people feel disconnected from or as if they are a burden to others
Suicide
Why do people commit Non-suicidal self-injury (NSSI) to themselves?
Research of _______ shows:
- National differences
- Racial differences
- Gender differences
- Age differences and trends
- Other group differences
- Missouri and Connecticut
- Day-of-the-week differences
Suicide and Self-Injury
Mental disorders _______ lead to violence, and clinical prediction of violence is unreliable
seldom
Most people with disorders are _______ and are more likely to be victims than attackers.
nonviolent
True or False:
Disorder equals danger.
False
________ is a risk factor of Psychological disorders
Poverty
Marked by distressing, persistent anxiety, or maladaptive behaviors that reduce anxiety
Anxiety disorders
Person is continually tense, apprehensive, and in a state of autonomic nervous system arousal.
Generalized anxiety disorder
Person experiences sudden episodes of intense dread and often lives in fear of when the next attack might strike.
Panic Disorder
Person experiences a persistent, irrational fear and avoidance of a specific object, activity, or situation.
Phobia
Characterized by:
- obsessions
- compulsions
Obsessive-Compulsive Disorder (OCD)
Characterized by haunting memories, nightmares, social withdrawal, jumpy anxiety, numbness of feeling, and/or insomnia lingering for 4 weeks or more after a traumatic experience
Posttraumatic Stress Disorder (PTSD)
_________ often affects:
- Veterans
- Survivors of accidents & disasters
- Survivors of violent and sexual assaults
- Women are at higher risk.
Posttraumatic Stress Disorder (PTSD)
A psychological disorder in which the symptoms take a somatic (bodily) form without apparent physical cause
Somatic symptom disorder
A disorder in which a person interprets normal physical sensations as symptoms of a disease (formerly called hypochondriasis)
Illness anxiety disorder
Major depressive disorder
Person experiences mildly depressed mood more often than not for at least 2 years, along with at least two other symptoms.
Persistent depressive disorder
Seasonal pattern
Biological purpose
Disorder in which a person alternates between:
- Depression
- Mania
Less common; more dysfunctional
- Potent predictor of suicide
Bipolar disorder
- Stressful Experiences
- Negative Explanatory style
- Depressed mood
- Cognitive and behavioral changes
The Vicious Cycle of Depressed Thinking
The DSM-5 Criteria for _____:
- Presence of delusions
- Hallucinations
- Disorganized thinking
- Grossly disorganized or abnormal motor behavior
- Negative symptoms, such as reduced emotional expression
Schizophrenia
- Late adolescence or early adulthood
- As people age, psychotic episodes last longer, and recovery periods shorten.
Chronic schizophrenia (process schizophrenia)
- Can begin at any age
- Often a response to an emotionally traumatic event
- Has extended recovery periods
Acute schizophrenia (reactive
schizophrenia)
Brain abnormalities with _______:
- Brain chemistry
- Abnormal brain activity and anatomy
Schizophrenia
Prenatal environment and risk of ______:
- Low birth weight
- Lack of oxygen during delivery
- Maternal prenatal nutrition
- Older paternal age
- Midpregnancy viral infection (e.g., flu, dense population, season of birth)
Schizophrenia
Genetic factors with ________:
- Odds of being diagnosed are nearly 1 in 100
- Family member
- Identical twin
- Epigenetic factors influence gene expression.
Schizophrenia
Diagnostic Criteria for _____:
- Disruption of identity characterized by two or more distinct personalities.
- Recurrent gaps in the recall of everyday events, important personal info, and traumatic events.
- The symptoms cause clinically significant distress or impairment.
Dissociative Identity Disorder
- Disruptive, inflexible, and enduring behavior patterns that impair social functioning
- Disorder forms three clusters, characterized by:
- Anxiety
- Eccentric or odd behaviors
- Dramatic or impulsive behaviors
Personality Disorders
The DSM-5 for _______:
A. A pervasive pattern of disregard for and violation of the rights of others, occurring since 15 yrs old.
- Failure to conform to social norms with respect to lawful behaviors.
- Deceitfulness
- Impulsivity or failure to plan ahead
- Irritability and aggressiveness
- Reckless disregard for the safety of self or others.
- Consistent irresponsibility
- Lack of remorse
Antisocial Personality Disorder
Forms of _____:
- Anorexia nervosa
- Bulimia nervosa
- Binge-eating disorder
- Family/Culture impact
Eating Disorders
_______ disorders
- Intellectual Disability
- Autism Spectrum Disorder
- Attention
- Deficit/Hyperactivity
- Disorder
Neurodevelopmental
A psychological disorder marked by extreme inattention and/or hyperactivity and impulsivity
- Rates
- Other countries versus US
- Boys versus Girls
- Treatment
- Varies by age
Attention-deficit/hyperactivity disorder
(ADHD)
A condition of limited mental ability, indicated by:
- IQ score
- Difficulty adapting to life’s demands
Intellectual disability
- Appears in childhood
- Marked by significant limitations in:
- communication
- social interaction
- rigidly fixated interests and repetitive behaviors
Autism spectrum disorder (ASD)
- Hope for demoralized people
- New perspective for oneself and the world
- Empathic, trusting, caring relationship (therapeutic alliance)
Three basic benefits for all psychotherapies
A person seeking _______ is encouraged to ask about:
- Treatment approach
- Values
- Credentials
- Fees
therapy
used to evaluate drug effectiveness
Placebo and double-blind techniques
Study of drug effects on mind and behavior
Psychopharmacology
- Mimic certain neurotransmitters reduce overreaction to irrelevant stimuli
- Side effects
- Pair with life-skills programs and family support to treat schizophrenia
Antipsychotic drugs
- Depress CNS activity
- Xanax, Ativan
- Used in combination with psychological therapy- Possible problems
Antianxiety drugs
- Increase availability of norepinephrine or serotonin
- Promote birth of new brain cells
- Ex. Prozac, Cymbalta
Effectiveness
Antidepressant drugs
Controls manic episodes
Depakote
Levels out the emotional highs and lows of bipolar disorder
Lithium
Depakote and Lithium are ________.
Mood-stabilizing medications
- Manipulates the brain by shocking it
- Anesthesia and muscle relaxant
- Effectiveness
Electroconvulsive therapy (ECT)
Administers a weak (1- to 2-milliamp) current directly to the scalp
Transcranial electrical stimulation (tDCS)
Sends magnetic energy to brain surface through coiled
- wire held close to brain
- fewer side effects
- modest effectiveness
Repetitive transcranial magnetic stimulation (rTMS)
Manipulates the depressed brain via pacemaker
- stimulates inhibition activity related to
negative emotions and thoughts
Deep brain stimulation
- Removes or destroys brain tissue in an effort to change behavior
- Is irreversible
Psychosurgery
- uncontrollably emotional or violent patients
- Cuts the nerves
Lobotomy
The treatment of depression with ECT best illustrates _____
Biomedical therapy
Even when raised apart, identical twins may develop similar phobias. This illustrates the impact of _____
Genetic influences
Drugs that block ____ receptors often lessen the positive symptoms of schizophrenia
dopamine
A person who engages in excessive skin-picking would be diagnosed with ____
excoriation disorder
T or F:
Having a low birth weight is NOT a prenatal influence that could be associated with the symptoms of schizophrenia.
False
Such behaviors as burning one’s skin, hitting oneself, or inserting objects under one’s skin are examples of ______>
Non suicidal self-injury
To treat Ernie’s vaping, his therapist shocks his leg every time he picks up his e-cig. This best illustrates ______.
aversive conditioning
The repeated association of pleasant, relaxing states with stimuli that arose fear is a central feature of ______.
systematic desensitization
T or F:
ADHD is most clearly characterized by low intelligence.
False
Because he didn’t study for his test, Tom assumed he’d fail and lose his scholarship. These conclusions best illustrate _____.
catastrophizing
T or F:
Today’s psychologists assume that disordered behavior is influenced by social circumstances.
True
Bob experiences antisocial personality disorder. At what age did he likely first show symptoms?
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