Psychological Disorders Flashcards

1
Q

What is a mental disorder defined as (broadly)

A

Clinically recogniseable set of symptoms and behaviours that disrupt wellbeing and impair functioning at home/work/school. They cause distress to the person or others and usually require treatment

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2
Q

What are the four different contexts of psychopathology

A

Historical
Social
Cultural
Theoretical (psychodynamic, cognitive-behavioural, biological, systems, evolutionary)

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3
Q

What are the five different perspectives on psychological illness

A

Psychodynamic perspective
Cognitive-behavioural perspective
Biological perspective
Systems perspective
Evolutionary perspective

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4
Q

How does the psychodynamic perspective approach psychopathology?

A

Recognises three types of psychopathology
1. neuroses – issues in living that involve anxiety/interpersonal conflict (primarily environmental)
2. personality disorder – chronic, severe disturbances, alter capacity to work and relationships (environmental or genes)
3. psychoses – marked disturbances of contact with reality (primarily gene vulnerability)

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5
Q

How does the cognitive-behavioural perspective approach psychopathology?

A

Integrates classical and operant conditioning with cognitive-social perspective

Cognitive – many psychological problems reflect disfunctional attitudes, beliefs and cognitive processes
Behavioural – many psychological problems arise from conditioned emotional responses

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6
Q

How does the biological perspective approach psychopathology?

A

Roots of abnormal behaviour lies within brain
- neurotransmitter dysfunction
- abnormality of brain structures
- disrupted neural pathways
- genetics
- diathesis-stress model (underlying vulnerability with symptoms appearing under stress)

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7
Q

How does the systems perspective approach psychopathology?

A

Roots of abnormality lies in context of a social group
- each person a member of a system
- group functions as a system (each part of the system independent)
- what happens in one part influences the group

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8
Q

How does the evolutionary perspective approach psychopathology?

A

Focus on genotypes
Random variations in genotypes can lead to less adaptive phenotypes

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9
Q

What are the main differences between the DSM-5 and ICD?

A

DSM – applies to only mental disorders, ICD – all illness
DSM – by the APA, ICD – by the WHO
DSM – for profit, ICD – not-for-profit
DSM – used for researchers and US clinicians
ICD – clinicians outside US and front-line workers

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10
Q

What are the two types of symptoms experienced with schizophrenia?

A

Positive symptoms
Negative symptoms

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11
Q

What are positive symptoms of schizophrenia and some examples?

A

Something (the symptom) is present

  • Delusions – false beliefs without objective evidence
  • Hallucinations – false sensory perceptions, experienced as real but not based on external stimuli
  • Disorganised speech or behaviour
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12
Q

What are negative symptoms of schizophrenia and some examples?

A

Absence / lack of normal behaviour

  • Emotional flattening
  • apathy
  • social withdrawal
  • lack of spontaneous movement
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13
Q

What are the different types of delusions?

A

Persecutory (most common)
Grandiosity
Delusions of control
Delusions of reference
Somatic
Thought broadcasting
Thought withdrawal

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14
Q

What are the different types of hallucinations?

A

Auditory (most common)
Visual
Somatic
Tactile
Olfactory (smell)
Gustatory (taste)

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15
Q

What is a thought disorder defined as?

A

Disorganised way of thinking that leads to abnormal ways of expressing language when speaking or writing

(Primary symptom of schizophrenia)

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16
Q

What are some symptoms of a thought disorder?

A

Disturbances in speed or amount or coherence of thinking?
- poverty of content
- flight of ideas
- word salad
- tangentiality (slip off track)
- circumstantiality (delay reaching goal)

Negative symptoms
- flattening affect (limited emotional expression)
- alogia (decreased quantity of speech, no spontaneous)
- avolition of speech (lack of drive or motivation)
- catatonia (abnormal movement or behaviour)

17
Q

What are some theories for schizophrenia?

A

The cause is unclear

Diathesis-stress model –> underlying biological vulnerability compounded by stress

Neurodevelopmental hypothesis –> disruption in brain development affects adult life later on.

“Dopamine hypothesis” –> Greater release of dopamine/number of receptor sites

Enlarged ventricles, neuron loss

18
Q

What are the three types of bipolar (recognised)

A

Bipolar I –> major depression and mania
Bipolar II –> major depression and hypermania (less severe mania)
Cyclothymia –> hypomania and mild depression

19
Q

How is bipolar characterised

A

Disturbances in emotion and mood

20
Q

How are depression disorders characterised?

A

Characterised by mood disturbance and emotion

21
Q

What are examples of symptoms needed to be diagnosed with a depressive disorder?

A

NECESSARY (one of two)
- Persistent sad mood
- Anhedonia -> loss of interests

ANY OF THESE TOO
Increase/decrease appetite or weight
Increase/decrease sleep
Psychomotor agitation or retardation
Fatigue
Worthlessness or guilty feelings
Difficulty concentrating
Indecisiveness
Recurrent thoughts of death or suicidal thoughts

22
Q

How are anxiety disorders characterised?

A

Frequent, intense or irrational anxiety or apprehension

23
Q

How is a phobic disorder characterised?

A

Irrational fear of object or situation
Out of proportion to actual danger
There can be social phobia (fear of public situations etc.) or specific phobias (e.g arachnophobia)

24
Q

How is a panic disorder characterised?

A

Intense attacks of fear and terror not justified by situation

Both external and internal triggers

25
Q

What are some physical symptoms of panic disorders?

A

heart rate increase, sweating, shortness of breath

26
Q

How is Generalised Anxiety Disorder characterised?

A

Nonspecific fear and anxiety