Psychology 111- Chapter 16 Flashcards

1
Q

Dorothea Dix

A

went undercover at mental hospital, published an expose and exposed some of the abuses in the mental hospitals, public and government attention

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2
Q

Anna O and Josef Breuer

A

first patient of psychotherapy, she probably had meningitis but was diagnosed with hysteria

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3
Q

Brodmann’s’ Area 25

A

prefrontal cortex, near limbic system, overactive in depressed patients, if you can stiulate this area of the brain can provide relief from depression symptoms

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4
Q

PsyD

A

doctorate for psychology, focused on counseling

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5
Q

Incongruence

A

difference between a person’s self-concept and your reality (if they are very different-> depression and anxiety)

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6
Q

ecological momentary assessment

A

use phone, tablet, or watch to monitor patients’ behavior

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7
Q

insight therapies

A

therapies meant to improve a patient’s wellbeing by giving patient insight into their thoughts and behaviors

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8
Q

active listening

A

a therapist echoing/restating/clarifying what the patient is saying (shows patient that the therapist is listening, important for therapist to understand what patient is saying)

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9
Q

Socratic method

A

therapist asks questions to client meant to highlight lack of logic in client’s thinking

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10
Q

depressogenic thinking

A

typical patterns of thought seen in depressed patients that traps them in depression

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11
Q

cognitive restructuring

A

taking typical though process and restructuring it to help them think in a more rational cognition pattern

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12
Q

cognitive behavioral therapy

A

can’t focus on one component when trying to make an individual healthier, if you see positive change in one aspect often see it in others

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13
Q

rational emotive behavioral therapy

A

therapist is more direct than supportively assisting-> more combative/confrontational

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14
Q

mindfulness based cognitive therapy

A

giving patient tools like meditation/affirmations to add to their therapy

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15
Q

applied behavioral analysis

A

idea that if you can change behavior, that will change the negative cognitions

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16
Q

flooding

A

controversial, when someone with a phobia is forced into experiences with that phobia, short term change

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17
Q

systematic desensitization

A

more common, someone with phobia goes to the therapist, talk about what causes the phobic reactions, work through hierarchy of small phobic response-> large and replace phobic response with relaxation techniques

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18
Q

social skills training

A
  • used in people with autism, social anxiety, or something that affects their ability to interact with people-> starts with modeling (see someone engage in social interaction), then behavioral rehearsal (safe space to practice interactions), then shaping (start with small and move to larger/more complex interactions)
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19
Q

unconditional positive regard

A

accepting unconditionally that person has worth, not accepting all of their behaviors

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20
Q

stress inoculation training

A

teaching people to restructure their thinking patterns during stressful times

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21
Q

virtual reality

A

helpful with phobias because gives them a simulated experience before real one

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22
Q

apps

A

use the app as therapist/guide to do therapy-> problematic because assumes a universal fit, others connect people with therapists that they wouldn’t have otherwise had access to

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23
Q

group therapy

A

really helpful, most therapeutic work comes from other group members, leader often just provides structure, shows people they are not going through it alone

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24
Q

therapeutic analysis

A

statement of issues with thoughts/behaviors that there could be change in

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25
Q

providing emotional support/empathy

A

often go to therapy because they don’t have someone to talk to, they feel like they can go to therapy without social rejection

26
Q

hope and positive expectation

A

therapy reminds them that it gets better

27
Q

rationale

A

helps explain why these things might be occurring

28
Q

opportunity for expression

A

gives you space to do/say things with some guidance that you may not feel comfortable doing by yourself

29
Q

lack of insurance

A

if you have good health insurance, may not have good health insurance-> feel like you can’t find somebody or don’t have resources for it

30
Q

cost concerns

A

pay more for mental health visit than doctors visit, have to see doctor regularly to see benefits

31
Q

time concerns

A

not a quick doctors visit, usually 50 minutes, longer, can be difficult to find time off work, childcare, can’t lose those hours of work

32
Q

stigma

A

there is still stigma around having mental health issues and going to a therapist

33
Q

psychiatry

A

psychiatrist can prescribe medication, psychologists can’t, have to go through med school

34
Q

length of time (medication)

A

not instant fixes which is why some people don’t adhere to treatment schedule (except for drugs for panic attacks which work quickly)

35
Q

Joint treatment

A

people often on medication and going through therapy at the same time, meds target neurotransmitters, therapy provides tools to act in situations that trigger disorder, not always on the medication sometimes used to get out of an unstable state

36
Q

SSRIs

A
  • anti-depressant
  • selective serotonin reuptake inhibitor
  • fewest side effects because only targets serotonin
  • not all depression is affected by serotonin so wouldn’t help that
  • if it isn’t an issue can cause “serotonin storm”-> shaky, hard time breathing, sweating
37
Q

Tricyclic

A
  • ant-depressant
  • works on serotonin and norepinephrine
  • dry mouth, weight gain, increased irritability
38
Q

MAOI

A
  • anti-depressant
  • monoamine oxidase inhibitor
  • oldest and least prescribed
  • affects 4 neurotransmitters: norepinephrine, serotonin, dopamine, and epinephrine
  • have to be careful with diet-> avoid grapefruit and certain allergy medications
39
Q

Treatment time

A

need to be taken consistently for about 4 weeks to start seeing difference

40
Q

shared side effects

A

when start taking them at the beginning, can see an increased risk of suicide because they have more energy but not better mentally yet (usually lasts the 4 weeks it takes to start working)

41
Q

anti-psychotics

A

primarily deal with positive symptoms (addition to a person)-> hallucinations and delusions
- not as effective for negative symptoms like catatonia

42
Q

adherence (anti-psychotics– delusions of grandeur and bipolar)

A

big issue, because there is a higher rate int he unhoused, harder to stay on the medication because they no longer have access to medical care
- delusions of grandeur-> doesn’t want to take medication because they feel good about themselves
- Bipolar- same as ^ when manic

43
Q

time delay (anti psychotics)

A

take consistently for a week to show effects
- liquid form works more quickly compared to pill but has more side effects

44
Q

tardive dyskinesia

A

when taking anti psychotics to decrease dopamine-> start seeing involuntary movement often of hand/face

45
Q

stimulants

A

most commonly prescribed for ADHD, stimulants that are prescribed are less addictive than illegal stimulants (cocaine)

46
Q

lithium

A

a mood stabilizer, primary use is for bipolar
- possible dangerous side effects: toxic build up in kidneys (renal failure)-> have to undergo regular blood tests
- not commonly prescribed first, only if other mood stabilizers aren’t working

47
Q

ECT

A
  • medically induced seizure, done only when you have severe symptoms to “reset” to brain
  • last resort treatment if nothing else works
  • given muscle relaxant to reduce usual movement from seizures
  • beneficial results seen
  • issues with memory is common side effect (usually for short period but can be long term)
  • often have to do repeated treatments over a couple months
48
Q

phenothiazines

A

drugs used to treat schizophrenia; help diminish hallucinations, confusion, agitation, and paranoia, have adverse side effects

49
Q

benzodiazepines

A

anxiety-reducing drugs that can be addictive but are less dangerous than barbiturates

50
Q

barbiturates

A

anxiety-reducing sedatives that can be addictive and carry risk of overdose

51
Q

repetitive transcranial magnetic stimulation (rTMS)

A

treatment for severe depression involving exposure of specific brain structures to bursts of high intensity magnetic fields

52
Q

psychotherapy

A

use of psychological techniques to modify maladaptive behaviors or thought patterns to help patients develop insight into their behavior

53
Q

psychoanalytic therapy

A

based on Freud’s ideas, a therapeutic approach oriented toward major personality change with a focus on uncovering unconscious motives (dream interpretation is important)

54
Q

psychodynamic therapy

A

offshoot of psychoanalysis, form of talk therapy that confront unconscious impulses, ideas, and wishes

55
Q

transference

A

process in psychotherapy in which client reacts to a person in a present relationship as though that person was someone from the client’s past

56
Q

catharsis

A

the process of releasing intense, often unconscious emotions in therapeutic setting

57
Q

behavior therapies

A

therapies that apply the principles of classical and operant conditioning in treatment of psychological disorders

58
Q

evidence-based therapies

A

treatment choices based on empirical evidence that they produce the desired outcome

59
Q

integrative therapy

A

the therapist draws on different treatment approaches and uses those that seem most appropriate for the situation

60
Q

optogenetics

A

a treatment that uses a combination of light stimulation and genetics to manipulate the activity of individual neurons

61
Q

psychedelic medicine

A

controlled use of psychedelic drugs for the treatment of physical and mental disorders