Psych Final Review Flashcards
psychodynamic perspective
disorders arise from intrapsychic conflict produced by id, ego and superego that overwhelms ego’s defense mechanisms
cognitive behavioral perspective
disorders are learned patterns of maladaptive thinking and behaving
humanistic perspective
disorders arise from need to meet others’ demands to obtain their positive regard
sociocultural perspective
how cultural variables influecne the devleopment of disorders and people’s subjective reactions to them
biopsychosocial perspective
disorders are a result from the interaction of genetic, physiological, developmental and environmental factors
ADHD
primary symptoms: inattention, hyperactivity, impulsivity; must be present before age 7; displayed in 2 different settings; must interfere with age-appropriate functioning
possible etiology of ADHD
brain development: Maximum thickness of cerebral cortex doesn’t occur until age 10; earlier than usual maturation of motor cortex; Combination of developmental delay in areas of brain that exert inhibitory control over movements and premature development of areas that produce voluntary movements
other theory of disorder
result of insufficiency of dopamine as modulator in neural pathways involving glutamate and GABA reduced activity in dopaminergic branch of limbic system interferes with reinforcement and extinction
autistic disorder
symptom presentation by age 3; more likely in boys than girls; frequently accompanies by mental retardation; symptoms: abnormal forms of social interaction and communication, the disinclination to form friendships and a preference for solitary activities; marked aversion to disruption of activites
theory-of-mind theory
child with autistic disorder fails to understand that actions may be attributed to thoughts and feelings and that actions of others may be attributed similarly
substance related disorders
disorders that are characterized by addiction to drugs or alcohol or by abuse of them
alcoholism
likelihood of addiction is heritable; produces a larger release of dopamine in brains – stronger reinforcement effect
steady drinking
people who cannot abstain and drink consistently; antisocial, pleasure seeking personality; more influenced by heredity; undersensitive to punishment mechnism
binge drinking
repressed anxiety ridden personality; able to go without drinking for long periods but are unable to control themselves once they start; more influenced by environment; oversensitive to punishment mechanism
Schizophrenia
most common of psychotic disorders; distortions of thought, perception, memory and emotion; bizarre behavior, and social withdrawal; disorder with no borders; thought disorder most definitive symptom
positive symptoms
makes itself known by its presence; thought disorders (pattern of disorganized, irrational thinking) , delusions (belief contrary to fact) and hallucinations
most common type of hallucination for schizophrenics
auditory
negative symptoms
absence of normal behavior; flattened emotional response, poverty of speech, lack of initiative and persistence, inability to feel pleasure, and social withdrawal
etiology of positive symptoms
overactivity of dopamine neurons; may be treated with antipsychotic drugs
etiology of negative symptoms
brain damage: a virus that triggers autoimmune disease triggering disease later in life; virus that damages the brain early in life; birth trauma
five types of schizophrenia
paranoid, disorganized, catatonic, undifferentiated, residual
paranoid schizophrenia
delusions of persecution, grandeur or control
disorganized schizophrenia
characterized primarily by disturbance of thought; word salad; hallucination and delusions; emotions inappropriate to circumstances (flattened or silly affect)
catatonic schizophrenia
motor disturbances; extreme excitement and stupor; negative symptoms – catatonic postures – bizarre stationary poses and waxy flexibly maintained for long periods
undifferentiated schizophrenia
have delusions, hallucinations, and disorganized behavior but do not meet criteria for other types; some patients symptoms change
residual schizophrenia
at least one episode of one of the 4 types has occurred but no single prominent positive symptom is observable; however negative symptoms are observable and muted forms of positive symptoms; may mark transition from schizophrenic episode to remission
dopamine hypothesis
proposal that abnormal activity of dopamine containing neurons is a causal factor in schizophrenia; Positive symptoms result of overactivity of dopamine transmitting synapse; may need to be amended to become dopamine-serotonin-glutamate hypothesis
psychodynamic perspective
disorders arise from intrapsychic conflict produced by id, ego and superego that overwhelms ego’s defense mechanisms
cognitive behavioral perspective
disorders are learned patterns of maladaptive thinking and behaving
humanistic perspective
disorders arise from need to meet others’ demands to obtain their positive regard
sociocultural perspective
how cultural variables influecne the devleopment of disorders and people’s subjective reactions to them
biopsychosocial perspective
disorders are a result from the interaction of genetic, physiological, developmental and environmental factors
diathesis-stress model
the combination of a person’s genes and early learning experiences may predispose them for disorders; disorders are only expressed if person encounters stressors that overwhelm their capacity to cope; even though some people may be predisposed, coping skills they have acquire dthorugh experience may be enough to prevent development of disorder
DSM-IV-TR
the classification system of psychological disorders most widely used today; provides criteria along five axes
Axis I
major psychological disorders of clinical significance
Axis II
personality disorders and mental retardation
Axis III
presence of physical disorders
Axis IV
identifies level of stress
Axis V
assess overall level of psychological, social, or occupational functioning
comorbid
tendency of one type of disorder to occur together with one or more other disorders
Thomas Szaz
the concept of mental illness has done more harm than good because of negative effect it has on patients; o Labeling people with mental illness places responsibility of care on medical establishment instead of on patient of taking personal steps toward improvement for their problems of living
Clinical judgments
diagnosis of disorders or predictions of future behavior based on experts’ knowledge of symptoms and past clinical experience
Actuarial judgments
diagnoses of psychological disorders or predictions of future behavior based on statistical analyses of outcome data; more accurate but most clinicians do not use it
disorders usually diagnosed in childhood
ADHD and autism
ADHD
primary symptoms: inattention, hyperactivity, impulsivity; must be present before age 7; displayed in 2 different settings; must interfere with age-appropriate functioning
possible etiology of ADHD
brain development: Maximum thickness of cerebral cortex doesn’t occur until age 10; earlier than usual maturation of motor cortex; Combination of developmental delay in areas of brain that exert inhibitory control over movements and premature development of areas that produce voluntary movements
other theory of disorder
result of insufficiency of dopamine as modulator in neural pathways involving glutamate and GABA reduced activity in dopaminergic branch of limbic system interferes with reinforcement and extinction
autistic disorder
symptom presentation by age 3; more likely in boys than girls; frequently accompanies by mental retardation; symptoms: abnormal forms of social interaction and communication, the disinclination to form friendships and a preference for solitary activities; marked aversion to disruption of activites
theory-of-mind theory
child with autistic disorder fails to understand that actions may be attributed to thoughts and feelings and that actions of others may be attributed similarly
substance related disorders
disorders taht are characterized by addiction to drugs or alcohol or by abuse of them
alcoholism
likelihood of addiction is heritable; produces a larger release of dopamine in brains – stronger reinforcement effect
steady drinking
people who cannot abstain and drink consistently; antisocial, pleasure seeking personality; more influenced by heredity; undersensitive to punishment mechnism
binge drinking
repressed anxiety ridden personality; able to go without drinking for long periods but are unable to control themselves once they start; more influenced by environment; oversensitive to punishment mechanism
Schizophrenia
most common of psychotic disorders; distortions of thought, perception, memory and emotion; bizarre behavior, and social withdrawal; disorder with no borders; thought disorder most definitive symptom
positive symptoms
makes itself known by its presence; thought disorders (pattern of disorganized, irrational thinking) , delusions (belief contrary to fact) and hallucinations
most common type of hallucination for schizophrenics
auditory
negative symptoms
absence of normal behavior; flattened emotional response, poverty of speech, lack of initiative and persistence, inability to feel pleasure, and social withdrawal
etiology of positive symptoms
overactivity of dopamine neurons; may be treated with antipsychotic drugs
etiology of negative symptoms
brain damage: a virus that triggers autoimmune disease triggering disease later in life; virus that damages the brain early in life; birth trauma
five types of schizophrenia
paranoid, disorganized, catatonic, undifferentiated, residual
paranoid schizophrenia
delusions of persecution, grandeur or control
disorganized schizophrenia
characterized primarily by disturbance of thought; word salad; hallucination and delusions; emotions inappropriate to circumstances (flattened or silly affect)
catatonic schizophrenia
motor disturbances; extreme excitement and stupor; negative symptoms – catatonic postures – bizarre stationary poses and waxy flexibly maintained for long periods
undifferentiated schizophrenia
have delusions, hallucinations, and disorganized behavior but do not meet criteria for other types; some patients symptoms change
residual schizophrenia
at least one episode of one of the 4 types has occurred but no single prominent positive symptom is observable; however negative symptoms are observable and muted forms of positive symptoms; may mark transition from schizophrenic episode to remission
dopamine hypothesis
proposal that abnormal activity of dopamine containing neurons is a causal factor in schizophrenia; Positive symptoms result of overactivity of dopamine transmitting synapse; may need to be amended to become dopamine-serotonin-glutamate hypothesis
double bind
the conflict caused for a child when they are given inconsistent messages or cues from a parent
mood disorders
characterized by significant shifts or disturbances in mood that adversely affect normal perception, thought, and behavior; foreboding depression or combination of depression and mania
mania
“madness;” abnormal and persistent elevation of an expansive or irritable mood
bipolar I disorder
characterized by episodes of mania by itself or in a mix with anxiety, accompanied by episodes of major depression
major depressive disorder
persistent, severe feelings of sadness and worthlessness accompanied by changes in appetite, sleeping and other behavior
bipolar II disorder
major depressive episode accompanied by hypomania – less severe mania