Psychology - Final Review Flashcards

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1
Q

How we distinguish between normal behavior and behavior that would constitute a disorder

A
  • Distress (to self or others)
  • Dysfunction (disorder keeping them from functioning properly)
  • Deviance (how does their behavior differ from their social norm?)
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2
Q

How we differentiate between disorders

A
  • Severity of symptoms
  • Duration of symptoms
  • Degree of impairment
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3
Q

How a diagnosis is made (DSM) and why

A

DSM: Diagnostic and Statistical Manual of Mental Disorders.
We use the DSM so that every psychiatrist is on the same page with the symptoms for certain disorders and how to treat them.

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4
Q

Hallucinations vs. Delusions

A
  • Hallucinations: False sensations (ex: hearing voices, seeing images that are not there)
  • Delusions: False beliefs (ex: believing that you are being followed by the CIA)
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5
Q

Antisocial Personality Disorder

A

Cluster B.
Usually the personality of a serial killer . __.
Lack of moral or ethical development; inability to follow socially acceptable models of behavior; disregard of rights of others; SHAMELESS MANIPULATION of others; behavioral problems as a child; deceitfulness; LACK OF REMORSE or guilt.

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6
Q

Narcissistic Personality Disorder

A

Cluster B.
Supposedly this disorder began from a Greek story where a man fell in the water because he was looking at himself o .0
Exaggerated sense of self-importance; preoccupation with being admired; LACK OF EMPATHY; OVERESTIMATION OF ABILITIES AND ACCOMPLISHMENTS; unable to see things through another perspective; envious of others and think others are envious of them.

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7
Q

Histrionic Personality Disorder

A

Cluster B.
Marked by EXCESSIVE ATTENTION-SEEKING BEHAVIOR; overly emotional; prone to irritability and EMOTIONAL OUTBURSTS WHEN NOT CENTER OF ATTENTION; theatrical appearance and behavior; SEXUALLY PROVOCATIVE and seductive.

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8
Q

Avoidant Personality Disorder vs. Schizoid

A
Schizoid people (Cluster A) DO NOT CARE to get close to people. Unable to express feelings. Often seen as loners. 
Avoidant people (Cluster C) FEEL BAD THAT THEY CANNOT GET CLOSE TO PEOPLE because they are too scared. They often avoid social situations and are lonely.
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9
Q

Borderline Personality Disorder

A

Cluster B.
Impulsivity; INSTABILITY IN INTERPERSONAL RELATIONSHIPS and self-image; DRASTIC SHIFTS IN AFFECT (mood); inappropriate anger; intense fear of abandonment; self-destructive behavior such as SELF-MUTILATION.

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10
Q

Obsessive-Compulsive Personality Disorder

A

Cluster C.
EXCESSIVE CONCERN WITH MAINTAINING ORDER, RULES, SCHEDULES, AND TRIVIAL DETAILS; difficulty relaxing and heaving fun; seen as rigid, stubborn, and cold; perfectionistic; inefficient and inflexible.

*Differs from OCD in that individuals with OCPD do not suffer from TRUE obsessions or compulsive rituals or the anxiety that they seek to relieve by performing these.

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11
Q

Dependent Personality Disorder

A

Cluster C.
DIFFICULTY IN SEPARATING IN RELATIONSHIPS; clinging and SUBMISSIVE behavior; acute fear of separation or being alone; indiscriminate in selecting of mates; indecisive; overlook needs in order to keep others involved in the relationship.

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12
Q

Just in case… Know the following Personality Disorders o .o

A

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13
Q

Paranoid Personality Disorder

A

Cluster A.
Marked by distrust of others and suspiciousness; causes interpersonal difficulties; blame others for mistakes and failures; ON GAURD FOR PERCEIVED ATTACKS BY OTHERS.

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14
Q

Schizotypal Personality Disorder

A

Cluster A.
Marked by cognitive and perceptual distortions; excessively introverted; ODD IN COMMUNICATION OR BEHAVIOR; superstitious thinking; SOMETIMES DISPLAY PSYCHOTIC SYMPTOMS when under stress.

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15
Q

Depression vs. Mania vs. Mixed Episode

A
  • Depression: Feelings of extraordinary SADNESS and dejection.
  • Mania: Intense, unrealistic feelings of excitement and EUPHORIA.
  • Mixed Episodes: Symptoms of both depression AND mania seen in RAPIDLY ALTERNATING MOODS.
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16
Q

Major Depressive Disorder

A

PROMINENT AND PERSISTENT depressed mood and/or loss of pleasure for at least 2 weeks with 4 or more of the following symptoms:

  • Poor appetite
  • Insomnia or hypersomnia
  • Inability to concentrate
  • Psychomotor retardation
  • Feeling of worthlessness or guilt
  • Fatigue
  • Thoughts of death or suicide
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17
Q

Dysthymia

A

Depressed mood for most of the day, more days than not, for at least the past 2 years with at least 2 other depressive symptoms

  • Does not have the severity to meet the criteria for major depression
  • Average duration is 5 years
  • Can last for 20+ years!

tl;dr –> LESS SEVERE, LONGER LASTING FORM OF DEPRESSION.

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18
Q

Seasonal Affective Disorder

A

Recurrent major depression with a seasonal pattern.

  • 2 episodes of depression in the past 2 years occuring at the same time of year.
  • Remission (time without depressive symptoms) occur at the same time of year as well.
  • Most often occurs in fall/winter months when there is less daylight and in areas further from the equator.
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19
Q

Bipolar Disorder

A

A major depressive episode and one or more manic or hypomanic episodes.
Manic: Abnormally and persistent elevated or irritable mood and 3 or more of the following
- Inflated self-esteem or grandiosity
- Decreased need for sleep
- More talkative than usual
- Racing thoughts
- Easily distracted
- Increase in goal-directed activity
- Excessive involvement in pleasurable activities that have a high potential for negative consequences.

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20
Q

Cyclothymia

A

Cyclical mood changes that are less severe than the mood swings seen in bipolar disorder.

  • Basically dysthymia with hypomanic episodes.
  • Hypomanic episodes: just like manic episodes, but without any hallucinations or delusions and is not as severe.

tl;dr –> Bipolar lite

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21
Q

Generalized Anxiety Disorder

A
Excessive anxiety and worry that is hard to control, occurring more days than not for at least 6 months. 
Common symptoms: 
- Restlessness
- Easily fatigued
- Difficulty concentrating
- Irritability
- Muscle tension 
- Sleep disturbance
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22
Q

Panic Disorder

A

The presence of recurrent, unexpected panic attacks, followed by at least one month of constant concern about having another panic attack.
Divided into Panic Disorder with and without Agoraphobia.
Agoraphobia: Anxiety about being in places or situations that are difficult to escape from or where it would be difficult to get help in the event of a panic attack. This anxiety leads to avoidance of such situations.

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23
Q

Specific Phobias

A

Persistent fear of a specific object or situation which is thus avoided.
Level of fear is excessive or unreasonable relative to the actual danger posed by object or situation.
Exposure to the object causes intense anxiety. Types:
- Animal
-Inanimate objects and situations
- Bodily conditions
- Other

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24
Q

Social Phobias

A

Aka “Social Anxiety Disorder”
Disabling fear of one or more social situations in which a person fears the scrutiny of others that they might act in a way that would be embarrassing. Ex:
- Fear of public speaking, urinating in a public restroom, eating in public, ect.
- These acts can be performed when alone with no anxiety.
- Fear is excessive and situations are avoided.

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25
Q

Obsessive-Compulsive Disorder

A

Recurrent obsessions or compulsions that cause significant distress or impairment.
- Obsessions: Persistent IDEAS, IMPULSES, THOUGHTS, or IMAGES that are seen as INTRUSIVE and inappropriate and cause anxiety (ex: thoughts about contamination or needing objects to be symmetrical)
- Compulsions: REPETITIVE BEHAVIORS or mental acts to reduce anxiety (ex: hand-washing, counting). Done to reduce distress of obsession or to prevent dreaded event from happening.
Obsessions and compulsions are recognized as excessive but the person is unable to ignore or control them.

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26
Q

PTSD

A

Response to a traumatic event that involved actual or threatened death or serious injury to oneself or someone else.
Symptoms include:
- Reliving the event through images, thoughts, ect.
- Recurrent nightmares of event.
- Acting or feeling like the event is recurring (can include hallucinations, illusions, flashbacks)
- Intense distress at cues that resemble aspects of event
- Avoidance of stimuli associated with trauma
- Difficulty sleeping
- Irritability or anger
- High arousal/vigilance
- Difficulty concentrating
- Startled easily
Can show up months or years after the traumatic event

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27
Q

Conversion Disorder

A

A somatoform disorder.
Involves unexplained symptoms that suggest a neurological or other medical condition.
Symptoms:
- Show up after conflict or stress
- Are not intionally produced
- Can’t be explained by a medical condition

28
Q

Hypochondriasis

A

A somatoform disorder.

  • A preoccupation with the fear of having, or the idea that one has, a serious disease.
  • Based on the person’s misinterpretation of bodily symptoms or functions.
  • The fear continues despite reassurance from doctors, medical tests, ect.
29
Q

Body Dysmorphic Disorder

A

A somatoform disorder.

  • A preocupation with an imagined or exaggerated defect in appearance
  • Causes significant distress or impairment
  • Common complaints include thinning hair, wrinkles, scars, acne, facial asymmetry, size or shape of specific body parts, ect.
  • BDD suffers go to great lengths to ‘fix’ the problem.

THINK MICHAEL JACKSON.

30
Q

Factitious Disorder

A

A somatoform disorder.
Includes Munchausen’s and Munchausen’s by Proxy
Suffers intentionally produce physical or psychological signs or symptoms.
Can include:
- Complaints of pain when there is none.
- Manipulating a thermometer to show fever.
- Ingesting or injecting something to cause a physical symptom (like vomiting, skin absecesses)
Motivation is to assume the sick role (no external incentives)

31
Q

Dissociative Amnesia

A

A dissociative disorder.

  • A purely psychological form of amnesia resulting from a traumatic or very stressful experience.
  • Marked by an inability to recall important personal information that is too excessive to be considered ordinary forgetfulness.
32
Q

Dissociative Fugue (flight)

A

A dissociative disorder.

  • Sudden, unexpected travel away from home with the inability to recall some or all of one’s past.
  • Involves confusion about personal identity or assumption of a new identity.
  • Usually only last a few hours or days.
  • More likely to happen during extremely stressful events (like wartime)
33
Q

Dissociative Identity Disorder

A

Formerly called Multiple Personality Disorder.

  • The presence of two or more distinct personalities or identities that control one’s behavior.
  • Each personality may have a different personal history, self-image, name, age, gender, ect. and emerge in specific circumstances.
  • “Host” = primary identity
  • Most individuals with DID experienced severe physical or sexual abuse as children.
34
Q

Schizophrenia

A
  • “Split mind”: A split from reality
  • A range of cognitive and emotional dysfunctions that impair occupational and social functioning.
  • Includes positive (excess) and negative (loss) symptoms.
  • Positive: delusions, hallucinations, disorganized speech and behavior.
  • Negative: restrictions in emotional expression (poor eye contact, unresponsive face, reduced body language), decreased fluency, inability to work towards goals.
35
Q

Types of Schizophrenia

A
  • Paranoid Type: presence of delusions or auditory hallucinations, usually organized around a theme (like being persecuted)
  • Disorganized Type: involves disorganized speech and behavior, and flat or inappropriate affect - can lead to inability to perform normal activities like showering, feeding oneself, ect. Also includes hallucinations and delusions. The most severe type of schizophrenia.
  • Catatonic Type: marked by psychomotor disturbances (like remaining fixed in a strange, rigid position, becoming mute, or showing hyperactive agitation)
36
Q

Paraphilias

A
  • Exhibitionism: Exposing yourself
  • Fetishism: Fixation with something like.. feet.
  • Pedophila: Obsession with having sex with prepubescent children.
  • Sexual Masochism: Wanting to be abused in order to be turned on.
  • Sexual Sadism: Finding arousal from abusing something else.
  • Voyeurism: “Peeping Tom”
37
Q

Gender Identity Disorder

A
  • Strong and persistent identification with the opposite gender.
  • Involves the desire to be, or the insistence that one is, of the other sex.
  • Causes clinically significant distress and impairment in functioning.

THESE PEOPLE USUALLY WANT TO GET SEX CHANGES.

38
Q

Impulse Control Disorders

A
  • Involves the failure to resist an impulse, drive, or temptation to perform an act that is harmful to oneself or others.
  • The person feels tension and arousal before committing the act and feels pleasure, gratification, or relief at committing it.
    Includes:
  • Intermittent Explosie Disorder (outbursts)
  • Kleptomania (urge to steal)
  • Pyromania (lighting things on fire)
  • Pathological Gambling
  • Trichotillomania (pulling hair out)
39
Q

Adjustment Disorders (Just in case)

A
  • Emotional or behavioral symptoms that appear in response to an identifiable stressor within 3 months.
  • Causes significant distress and impairment in social or occupational or academic functioning.
  • Individual does not meet any other disorder.
  • KIND OF A CATCH-ALL DIAGNOSIS.
40
Q

Causes of Depression

A
Biological: 
- Altered neurotransmitter activity
- Hormonal irregularities
- Genetic influences
- Decreased activity in brain's left hemisphere
Psychosocial: 
- Stressful life events
- Lack of social support/coping skills
Cognitive: 
- Beck's cognitive theory of depression
- Learned helplessness and hopelessness theories
41
Q

Outdated Treatments

A
  • Possessed by the devil or demons.
  • 4 humors (blood, phlegm, yellow & black bile)
  • Diseases of the mind/stresses of the world
    Treatments vary based on views:
  • Exorcisms
  • Blood-letting, leeches, ect.
  • Asylums
42
Q

Asylums and Phillippe Pinel

A

Early 1700s: London’s Bethlehem Hospital (abrv: “Bedlum”). This asylum was seen more like a circus.
- Late 1700s: Phillippe Pinel: pushed for the humane treatment of patients. How revolutionary!

  • Outdated techniques due to inaccurate theories:
    Lobotomy D: Bless Howard Dully’s soul.
43
Q

Therapeutic Process (3 Steps)

A

1) Identify the problem - describe the feelings or circumstances that brought them on.
2) Identify the cause of the problem or the conditions that maintain the problem.
3) Decide on and carry out some form of treatment to eliminate or minimize the symptoms.

^ All of this depends on the theory of counseling.

44
Q

Psychoanalysis (Freud)

A

a) Key Concepts:
- Consciousness
- Defense Mechanisms
- Freud’s Psychosexual Stages of Development
- The Past determines the Present
- Personality: Id, Ego, Superego

b) Cause of problems: Tension created in the unconscious by forbidden thoughts, impulses, & threatening memories.
c) Goals of treatment: Make the unconscious conscious, resolve transference, and strengthen ego

d) Techniques:
- Free association (patient talks freely)
- Interpretation (Psychologist is all-knowing)
- Transference (relationship between the 2)
- Dream analysis
- Therapist offers insight

45
Q

Humanistic (Reminds me the most of what a Christian therapist would be)

A

a) Key Concepts:
- Self-actualization (people motivated for healthy growth/reach full potential)
- Client-centered therapy
- Gestalt Theory (focus is on the “Now”)
- Existential Theory (focus is on free will, choices, and responsibility)

b) Causes of problems: Interference with a person’s normal development which lowers self-esteem.

c) Goals of treatment:
- Create safe environment for client to work through conflicts and self-actualization
- Recognize freedom
- Increase self-esteem
- Realize full potential
- Imitate therapist (relationship is key!)

d) Treatments: Everything is based on the relationship between the therapist and client
- Congruence (the quality of agreeing)
- Unconditional positive regard
- Empathy

46
Q

Cognitive

A

a) Key Concepts:
- Perceptions and meanings of an event are important, not the event itself
- Emotional distress is based on a pattern of thinking

b) Causes of problems: Faulty thinking. Popular theory today.

c) Goals of treatment:
- Identify cognitive distortions
- Change faulty thinking

d) Treatments:
- Thought log (keep a journal of emotions trying to see what they are in reaction to and specifically what thoughts lead to them)
- Event –> Belief –> Emotion
- Therapy disputes the belief which leads to a new belief and new emotion.

47
Q

REBT - Rational Emotive Behavioral Therapy

A
  • Combination of Cognitive and Behavioral Therapies
  • Looks at the interaction between cognition, emotions, and behavior.
  • Focus is on faulty thinking
    Ex: “I MUST get an A on the test!” or “I NEED to be loved by everyone.”
48
Q

Behavioral (Therapy often used for weight loss or to quit smoking. Kinda reminds me of a drill sergeant who’s like, “I DON’T CARE WHY YOU’RE HERE, FOO. NOW GET YO SHIZZ TOGETHER)

A

a) Key Concepts:
- Based on theories of learning
- Don’t care why behavior exists (past doesn’t matter)
- Focused on: What triggers behavior? What keeps it active? What the client benefits from maintaining it?
- Emphasis on self-control and power of client.

b) Causes of problems: Result of CLASSICAL AND OPERANT CONDITIONING.
c) Goals: I dunno… To get their shit together?

d) Techniques:
- Relaxation and assertion training
- Exposure therapy (systematic desensitization)
- Aversion therapy
- Contingency management
- Token economy
- Participant modeling
(Homework often assigned)

49
Q

Biological

A
  • Result of physical biology of the brain.
  • Abnormalities in the chemistry, circuitry, or activity of the brain can cause abnormal thoughts, emotions, and behaviors.
  • These abnormalities can predispose you to develop certain disorders.
50
Q

Psychopharmacology (Biomedical Techniques)

A

Antipsychotics: used to treat symptoms of psychosis (hallucinations, delusions)

  • Most work by reducing dopamine levels in your brain (Haldol, Thorazine)
  • Long-term use leads to serious side-effects (Tardive dyskinesia: incurable problems w/ motor control)
51
Q

Psychopharmacology (Cont’d)

A

Antidepressants:

  • SSRIs: prevent re-uptake of serotonin = serotonin available longer in the synapse (Prozac)
  • MAOIS: limit activity of enzyme MAO, which breaks down norepinephrine in the synapse.
  • Takes weeks for full effect = suicide risk?
  • Criticism that drugs mask real problems.
52
Q

Psychopharmacology (Cont’d…)

A

Mood Stabilizers: targets depression and mania
- Lithium: lessens mood swings seen in Bipolar disorder.
High doses = toxic

Anxiety Drugs: 
- Barbiturates: depress CNS = relaxing!
- Benzodiazepines: increase GABA activity = decreased brain activity in regions involved in anxiety (Valium, Xanax)
Risks:
- Can be addicting
- Dangerous in excess or with alcohol
- Concern for overuse
- Dosage/withdrawal should be monitored
53
Q

BioMedical Therapies

A

Psychosurgery

  • Lobotomy
  • Split-Brain

Brain-Stimulation Therapies
- ECT: electroconvulsive therapy
Used in cases of severe depression (suicide)
Works faster than antidepressants
- TMS: transcranial magnetic stimulation
High powered magnetic stimulation to specific areas of brain
Helps depression, bipolar, schizophrenia

54
Q

Group Therapies

A

Support Groups:
- Mostly humanistic
- AA, AI-Anon, ect.
They are important because they give bring people together who have these issues in common. They can give advice to each other, ect.
Couples Therapy:
- Focuses on communication (ie. HOW they argue, not WHAT they argue over)
Family Therapy:
- Focuses on communication and patterns of conflict.

55
Q

Situationism

A
  • The power of situation on your thoughts, emotions, and behavior.
  • We adapt our behavior to fit a particular situation.
  • If a situation is ambiguous, we look to other people for cues as to how to act.
56
Q

Social Roles

A
  • Everyone plays different roles in their life.
  • There are different expectations for each role.
    Ex: Mother vs. Daughter; Student vs. Teacher
  • Script: Knowledge about the sequence of events and actions that are expected of a particular social role (remember how that one guy in the experiment just naturally assumed the role script of the police warden? o .o Scary stuff)
  • Stanford Prison Experiment
57
Q

Conformity (The Asch Effect)

A
  • Chameleon Effect: changing to fit in to the environment (mood, clothes, ect)
  • The Asch Effect: Studied the influence of a group majority on individual judgement.
    (remember those poor fools in the elevator xD)
  • Independents: Nonconformists
  • 3 factors that influence whether a person will conform to group pressure:
    1) Size of majority
    2) Presence of a partner who dissented from majority
    3) Size of the discrepancy between correct answer and majority’s disposition.
58
Q

The Bystander Effect

A
  • Kitty Genovese: A woman stabbed to death while 38 bystanders watched. Only 1 person called 911 after she was raped and murdered!!!
  • The more people they thought were present, the less likely they were to react.
  • “Diffusion of responsibility” = Likelihood of intervention decreases as group size increases
  • Ways to counteract this effect: Involve others personally, education.
59
Q

Obedience to Authority

A

Examples in History

  • WWII: HItler/Mussolini and the Holocaust (gave rise to modern social psychology)
    1978: Jim Jones and the “People’s Temple”
    1993: David Koresh and the Branch Dividians
    1997: Heaven’s Gate
    2001: 9/11 and Islamic extremists
  • The Milgram Experiment
    (How people usually go all the way to XXX shock due to following authority o .o)
60
Q

Reward Theory of Attraction

A
  • Attraction is a form of social learning
  • Relationships are seen as an “exchange of benefits”
  • Benefits can be emotional support, $, praise, sex, information, ect.
  • We are attracted to those who give us maximum rewards at minimum costs.
61
Q

Proximity

A
  • Relationships form with those you have the most contact with.
  • When there are two attractive options, you are more likely to make friends with the nearest one.
  • Increased contact often means and increase in your liking for each other.
62
Q

Similarity

A
  • People are attracted to those who are most similar to themselves.
    In age, race, attitudes, interests, values, social status, aspirations, experiences, political/religious views..
63
Q

Self-Disclosure

A
  • Sharing details about yourself with another person.
  • Opening up = trust is built
  • Takes time
  • Self-disclosure causes vulnerability
64
Q

Physical Attractiveness

A
  • People say that physical attractiveness doesn’t matter, but it is the biggest predictor of how well a person will be liked after one meeting!!
  • Study after study shows that beauty influences how we act and judge others - both consciously and unconsciously.
65
Q

Expectations to Reward Theory of Attraction

A
  • Matching Hypothesis: Most people find friends/mates that are at their same level of attractiveness.
  • Expectancy Value Theory: People weigh the potential value of a possible relationship against their expectations of success in establishing that rel’p.
  • Cognitive Dissonance Theory: People are motivated to avoid conflicting cognitions.
66
Q

Cognitive Attributions (Self-Serving Biases)

A
  • Fundamental Attribution Error: The tendency to emphasize internal causes and ignore external pressures when judging other people.
  • Self-Serving Bias: The tendency to take credit for successes and deny responsibility for failures in your own life.
67
Q

Motivation

A
  • All processes involved in starting, directing, and maintaining physical and psychological activities.
  • Involves mental processes that select and direct our behavior.