Psychological Disorders Flashcards

1
Q

Mental Health

A

A state of emotional and social wellbeing

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2
Q

Mental Health problems (psychopathology)

A

Problematic patterns of thought, feeling, and behaviour

Include a wide range of emotional, social, and behavioural abnormalities that affect people throughout their lives

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3
Q

Mental Disorder

A

A clinically recognisable set of symptoms and behaviours

Disrupt wellbeing and impair functioning at home, school/work, socially

Cause distress (in self and/or others)

Usually require treatment to be alleviated (they are the more extreme end of disordered functioning)

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4
Q

Identifying Psychopathology

A

Each society/culture has a view on what is considered normal or abnormal, and this changes over time

Prevalence rates and illness expressions vary between cultures (and within cultures)

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5
Q

Social context of Psychopathology

A

Notion of abnormality includes the presumption that wha is and what is not normal can be defined

Labelling theory argued that diagnoses of abnormality are labels

Rosenham (1973) study - pseudo-patients hospitalised for ‘mental illness’

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6
Q

Cultural context of Psychopathology

A

Cultures differ in the disorders to which their members are vulnerable and the ways they categorise mental illness

Cultural relativity - to correctly diagnose and treat disorder, must consider the unique characteristics of the culture in which a person is raised

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7
Q

Theoretical context of Psychopathology

A
Psychodynamic theories
Cognitive-behavioural approaches
Biological approaches
Systems theory
Evolutionary perspectives

Different conceptualisations of mental illness lead to different treatment approaches

Many psychologists recognise multiple theoretical perspectives add value to understanding nature and origins of mental disorder

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8
Q

Psychodynamic Perspective

A

Three classes of psychopathology in which ego functioning is central

  • -> neuroses: issues in living that involve anxiety (phobias) or interpersonal context - environmental origin
  • -> personality disorders: chronic and severe disturbances that alter capacity to work and love - in between environment and genes
  • -> psychoses: marked disturbances of contact with reality - genetic vulnerability
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9
Q

Cognitive-behavioural Perspective

A

Integrates understanding of classical and operant conditioning with cognitive-social perspective

Cognitive: many psychological disorders reflect dysfunctional attitudes, beliefs and cognitive processes

Behavioural: problems arise from conditioned emotional responses (neutral stimulus becomes associated with a negative emotion)

Disorders are learned from prior experience

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10
Q

Biological Perspective

A

Root of abnormal behaviour lies within the brain

  • Neurotransmitter dysfunction
  • Abnormality of brain structures
  • Disrupted neural pathways (functional and structural connections between brain areas)
  • Genetics (predispositions/vulnerabilities to illness)
  • Diathesis‐stress model; underlying vulnerability with symptoms appearing under stress
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11
Q

Systems Perspective

A

Difficulties in with social group

  • ->Root of abnormality lies in the context of a social group (and families)
  • Each person is a member of a system (social group)
  • The group functions as a system and the system parts are interdependent
  • What happens in one part of the system influences what happens in others
  • ->Family Systems Model:
  • An individual’s symptoms are viewed as symptoms of dysfunction in the family systems
  • Focus is placed on the ways in which families are organised
  • Family roles are the parts individuals play in typical interaction patterns among family members (e.g., a child taking on mediator role between two parents in conflict)
  • Family homeostatic mechanisms
    • Equilibrium within the family - symptom bearer gets better or someone else has symptoms
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12
Q

Evolutionary Perspective

A

Provides insight into psychopathology rather than a comprehensive system of understanding and treatment

Suggests that:

  • Random variations in genotypes can lead to less adaptive phenotypes
  • Less adaptive behaviour may have its roots in behaviour important for survival
  • There is an important interplay of genes and environment

Genes weeded out through natural selection

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13
Q

Schizophrenia (positive symptoms)

A

Excess of behaviour, or the presence of behaviours, that are not usually seen

  • -> delusions - false beliefs held without any objective evidence
  • -> hallucinations - false sensory perceptions
  • -> disorganised speech or behaviour

Can usually be effectively treated with anti-psychotic medication

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14
Q

Schizophrenia (negative symptoms)

A

Absence/lack of normal behaviour or function

  • -> emotional flattening (flat affect - lack of emotion)
  • -> apathy (lack of motivation)
  • -> social withdrawal
  • -> lack of spontaneous movement
  • -> alogia - decreased quantity of speech
  • -> avolition - lack of drive or motivation
  • -> catatonia - abnormal movement or behaviour
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15
Q

Hallucinations

A

False sensory perception - experienced as real but not based on external stimuli

Internally generated but experienced externally - voices/visuals

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16
Q

Delusions

A

A false belief, held firmly, even if the evidence in the face of objective evidence to the contrary

Invasive impact of normal functioning

Characterised by odd content

Coherence and structure of argument is quite distorted

17
Q

Thought Disorder

A

Disturbances in the speed or amount of coherence of thinking - excess of speech, lack of speech

Poverty of content - good amount of speech but no meaning - around and around an issue

Flight of ideas - rapid, continuous verbalisation - pressure to speak

Work salad - gibberish e.g. glove –> hand shoe

Tangentiality - never get to the point

Circumstantiality - delay in getting to the point

18
Q

Phrases of schizophrenia

A

Premorbid phase - cognitive, motor or social deficits

Prodromal phase - brief, attenuated positive symptoms and/or functional decline

Psychotic phase - florid positive symptoms

Stable phase - negative symptoms, cognitive/social deficits, functional decline

19
Q

Brain structure

A

Neuron loss in brain results in reduced brain volume

Enlarged ventricles - on average people with disorder have this

Widespread abnormality in grey and white matter structures

Almost no part of brain that isn’t affected

20
Q

Neurotransmitters (dopamine hypothesis

A

Greater release of dopamine

Greater number of dopamine receptor sites

Antipsychotic medications work by blocking dopamine uptake

Amphetamines causes increased dopamine release and psychotic (positive) symptoms

21
Q

Environmental Risk Factors

A

Conception, pregnancy, and birth factors

Demographic or familial risk factors

Childhood and adolescent risk factors

22
Q

Bipolar and Related Disorders

A

Characterised by disturbance in emotion and mood

Bipolar disorder has alternating periods of mania and depression

Mania - elevated or expansive mood - excessive happiness

Bipolar I - major depression and mania - most severe

Bipolar II - major depression and hypomania - mild stage of mood elevation

Cyclothymia - hypomania and mid depression

23
Q

Depressive Disorders

A

Characterised by disturbance in emotion and mood (particularly, negative mood)

Symptoms should be present for at least two weeks

Five symptoms are needed - at least one must be

  • -> persistent safe mood
  • -> anhedonia - loss of interest or pleasure in activities
24
Q

Anxiety Disorders

A

Frequent, intense, and irrational anxiety or apprehension

25
Q

Phobic Disorder

A

An irrational fear of an object or situation

Fear out of proportion to any actual danger

Specific phobias
Social phobias

26
Q

Panic disorder

A

Intense attacks of fear and terror that are not justified by the situation

Both internal or external triggers may be present