Psychopathology Flashcards

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1
Q

What is psychopathology?

A

Study of mental illness/distress or the manifestation of behaviour and experiences which may be indicative of mental illness/psychological impairment.
It seeks to define what makes a behaviour abnormal,

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2
Q

What are the four definitions of abnormality?

A

Statistical Infrequency
Deviation from Social Norms
Failure to Function Adequately
Deviation from Ideal Mental Health

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3
Q

What are abnormal behaviours?

A

Behaviours that are extremely rare and found in very few people.

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4
Q

What is statistical infrequency as a definition for abnormality?

A

A mathematical method for defining abnormality.
Human attributes fall into a normal distribution within the population. This means there’s a central average, and the rest of the population fall symmetrically above and below that mean.
5% of the population that fall more than two standard deviations from the mean are abnormal.

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5
Q

What is Deviation from Social Norms as a definition of abnormality?

A

When a behaviour does not fit within what is socially acceptable.
Dependent on the culture which the behaviour occurs.
Aren’t the same across societies so what’s abnormal in one culture isn’t abnormal in another.
However, slight deviations may not be regarded as abnormal if the social norm isn’t considered important by the society.

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6
Q

What is Failure to Function Adequately as a definition of abnormality?

A

An individual is not able to cope with everyday life. People may act differently but if they have a basic inability to manage in everyday life their behaviour is abnormal.
Ability defined by Rosenhan and Seligman into seven sections; unpredictability, maladaptive behaviour, personal distress, irrationality, observer discomfort, violation of moral standards and unconventionality.
The Global Assessment of Functioning Scale (GAF) measured how well individuals function in everyday life. Considers Rosenhan and Seligman’s sections plus occupational functioning.

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7
Q

What is Deviation from Ideal Mental Health as a definition of abnormality?

A

Deviating from an idea of positive mental health. Defined in terms of Jahoda’s (1958) criteria of ideal mental health.
Absence of the criteria for positive mental health indicates abnormality and a potential mental disorder.

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8
Q

What are the 6 criteria that Jahoda suggested that needed to be fulfilled for ideal mental health.

A
Positive attitude towards the self
Self-actualisation
Autonomy
Resistance to stress
Environmental mastery
Accurate perception of reality
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9
Q

What is positive attitude toward the self?

A

This is linked to the individual’s level of self-esteem. For ideal mental health the positive attitude should be at a good level, so that the individual feels happy with themselves.

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10
Q

What is self-actualisation?

A

Self-actualisation is being in a state of contentment, feeling that you have become the best you can be.

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11
Q

What is autonomy?

A

This is having the independence and self-reliance. The ability to function as an individual and not depending on others.

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12
Q

What is resistance to stress?

A

This criteria is that an individual should not feel under stress and they should be able to handle stressful situations competently.

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13
Q

What is environmental mastery?

A

Having environmental mastery means that the person can adapt to new situations and be at ease at all situations in their life.

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14
Q

What is accurate perception of reality?

A

This criteria is focused on how the individual sees the world around them and to achieve ideal mental health they should have a perspective that is similar to how others see the world. This is focused very much on the distortions of thinking that some people, e.g. people with schizophrenia, may experience.

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15
Q

Give 4 evaluation titles for statistical deviation.

A

(L x1) Real life applications
in the diagnosis of intellectual disability disorder. identify abnormal behaviours and characteristics. Measurement of how severe their symptoms are compared to statistical norms. Therefore, statistical deviation is a useful part of clinical assessment.
(S x3)Desirable abnormal behaviour
For example, very few people have an IQ over 150. People would like to be classed as a genius! Does not distinguish between desirable and undesirable behaviour. Need a way of identifying behaviours that are both infrequent and undesirable.
Cut off points are subjectively determined. For example, people disagree on what constitutes an abnormal lack of sleep. However, since this is a symptom of depression, it is important to know where the cut-off point lies for a diagnosis to be made. This means that disagreements = difficult to define abnormality in terms of statistical infrequency.

Labels that aren’t necessary. For example, someone with a very low IQ may not be distressed and may be capable of working. A label of ‘intellectual disability disorder’ wouldn’t benefit them. This shows that labelling a person as abnormal could have a negative effect on their self-view and the way others view them.

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16
Q

Give 4 evaluation titles for deviation from social norms.

A

(S x1)Includes desirability not just infrequency
(L x3) Social norms change
Something abnormal someone does, doesn’t mean they’re abnormal
Cultures show variation in what’s normal

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17
Q

Give 4 evaluation titles for the failure to function adequately.

A

(S x1) Subjective of the individual
(L x3) Dysfunctional Vs Functional
Different definitions
Generalising the definition to everyone

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18
Q

Give 4 evaluation titles for deviation from ideal mental health

A

(S x1) Comprehensive
(L x3) Cultural differences
Unrealistic criteria that few meet
Mental health = physical health?

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19
Q

What is a phobia?

A

A phobia is an anxiety disorder, which interferes with daily living.
An irrational fear of an object/situation

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20
Q

Name the three types of phobias.

A

Specific phobias, agoraphobias, and social anxiety

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21
Q

What is a specific phobias? Give examples

A

Phobia of an object/situation.

E.g. Arachnophobia, satonphobia.

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22
Q

What is agoraphobia? Give examples.

A

Phobia of being outside or public places.

E.g. Fear of going outside, fear of crowds (enochlophobia)

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23
Q

What is social anxiety?

A

Phobia of a social situation.

E.g. Fear of public speaking,fear of using public toilets.

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24
Q

What are the behavioural characteristics of phobias?

A

Panic - crying, screaming, running away
Avoidance - efforts made to avoid feared objects/situations to reduce anxiety
Endurance - remaining in the presence of the phobic stimulus but experiencing high levels of anxiety.

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25
Q

What are emotional characteristic of phobias?

A

Anxiety - unpleasant state of high arousal that prevent relaxation and positive emotion.
Emotional responses are unreasonable - disproportionate to the danger posed by the stimulus.

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26
Q

What are the cognitive characteristic of phobias?

A

Selective attention to phobic stimulus - attention placed once identified.
Irrational beliefs - unsupported view of phobic stimuli.
Cognitive distortions - exaggerated/irrational thought pattern around phobic stimuli.
Recognition of exaggerated anxiety- conscious awareness that anxiety levels experienced are overstated.

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27
Q

What is the behavioural approach?

A

Emphasises the role of learning in the acquisition of behaviour. Behaviour is explained in terms of what is observable.

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28
Q

What is classical conditioning?

A

Learning by association. Occurs when two stimulus are repeatedly paired together – an unconditioned (unlearned) stimulus (UCS) and a new ‘neutral’ stimulus (NS). The NS eventually produces the same response that was first produced by the UCS alone.

29
Q

What is operant conditioning?

A

A form of learning in which behaviour is shaped and maintained by its consequences. Possible consequences of behaviour include positive reinforcement, negative reinforcement or punishment.

30
Q

What is the two process model?

A

Mowrer proposed the two-process model based on the behavioural approach to phobias. This states that phobias are acquired (learned in the first place) by classical conditioning and then continue because of operant conditioning.

31
Q

What was the classic study of phobias?

A

In the classic study of phobias, Watson and Raynor (1920) aimed to demonstrate that an irrational fear could be induced by use of classical conditioning. They used a placid baby boy, referred to as ‘Little Albert’ who, at 9 months, showed no fear of a laboratory white rat.

32
Q

Describe the the procedure aimed to induce fear.

A

At 11 months did procedure aimed to induce fear. Whenever the rat was placed in Albert’s lap, made a loud noise by banging together two steel bars behind Albert’s back. Watson did this a total of 7 times.

33
Q

Describe how fear was induced in terms of conditioning.

A

The loud noise = unconditioned stimulus.
Albert’s response to it (crying) = unconditioned response.
Before conditioning, rat = neutral stimulus.
Third trial Albert showed fear whenever he saw the rat.
Rat = conditioned stimulus and Albert’s fear = conditioned response.

34
Q

Describe how negative reinforcement is shown through phobias.

A

Avoidance - seeing a spider so likely to run away. Escape and reduction of fear = negative reinforcer so continue avoiding spiders. Phobia is therefore maintained.

35
Q

In regard to reinforcement, what did Mowrer suggest?

A

Mowrer suggested whenever we avoid a phobic stimulus we successfully escape the fear and anxiety that would occur because of it. This reinforces avoidance behaviour so the phobia is maintained.

36
Q

Give five evaluation point of the two process model.

A

(S x1)Application to therapy
(L x4) Doesn’t explain development of all phobias
Doesn’t always follow trauma
Can’t be explained in traditional behavioural framework.
Biological preparedness = better explanation

37
Q

What are the two ways of treating phobias?

A

Systematic desensitisation

Flooding

38
Q

What is systematic desensitisation?

A

Uses classical conditioning to gradually reduce anxiety around the phobic stimulus. Aim to replace the feelings of anxiety with relaxation; this term is known as counterconditioning. Impossible to be afraid and relaxed at the same time. Relaxation prevents individual from experiencing fear. This term is known as reciprocal inhibition.

39
Q

What is the three step process of systematic desensitisation?

A

Anxiety Hierarchy - list by patient and therapist (least - most frightening)
Relaxation - therapist teaches patient to relax as deeply as possible.
Exposure - exposed to phobic stimulus in a relaxed state

40
Q

What is flooding?

A

It involves immediate exposure of the phobic stimulus. No option of avoidance so learns the phobic stimulus is harmless (extinction). The conditioned stimulus no longer produces previously conditioned response of fear

41
Q

What is a problem with flooding?

A

Ethical safeguards - not unethical but unpleasant so must obtain FULL informed consent.

42
Q

Give evaluation point for systematic desensitisation.

A
(S x4) Evidence to show effectiveness
Suitable for a range of patients
Less traumatic 
Patients are in control
(L X3) Time- consuming
Symptom substitution
Evolutionary component
43
Q

Give evaluation points for flooding

A
(S x2) Cost-effective
Immediate
(L X3) Less effective
Traumatic
Symptom Substitution
44
Q

What is depression?

A

A mental disorder characterised by low mood and energy levels.

45
Q

What are behavioural characteristics?

A

Ways in which people act.

46
Q

What are emotional characteristics?

A

Ways in which people feel.

47
Q

What are cognitive characteristics?

A

Ways in which people think.

48
Q

What are the behavioural characteristics of depression?

A

Aggression & self - harm - become irritable which can lead to aggression. It can also lead to physical aggression directed against the self.
Disruption to sleep & eating behaviours. Insomnia/hypersomnia. Appetite may increase/decrease.
Activity levels - reduced energy levels/ the opposite (pyschomotor agitation) - struggling to relax.

49
Q

What are the emotional characteristics of depression?

A

Lowered mood - describe themselves as worthless and empty.
Anger
Lowered self-esteem

50
Q

What are the cognitive characteristics of depression?

A

Poor concentration
Attending to and dwelling on the negative - ignore positive and focus on the negative
Absolutist thinking - ‘black and white’. Situation = unfortunate, they see it as catastrophic.

51
Q

What is Beck’s Cognitive Theory of Depression?

A

This theory suggests that the way people think (cognitions) create a vulnerability for depression. Beck suggested that there were three parts to this cognitive vulnerability.

52
Q

What are the three part of cognitive vulnerability?

A

Faulty Information Processing
Negative Schema
The Negative Triad

53
Q

What is Faulty Information Processing?

A

Focussing on negative aspects of a situation and ignore the positives. Blow small problems out of proportion and think in ‘black and white’ terms.

54
Q

What is Schema?

A

A package of ideas and information developed through experience. Act as a mental framework for interpretation of information.
A self-schema is a package of information that we have about ourselves.

55
Q

What is Negative Schema?

A

We use schemas to interpret the world. If we have a negative schemas and self-schemas, we interpret all information negatively, including information about ourselves.
They help maintain negative triad.

56
Q

What is the Negative Triad?

A

Three kinds of automatic negative thinking: negative views of the world, the future and the self.
Lead a person to interpret their experiences in a negative way so make them more vulnerable to depression.
Negative views about the world create impression there’s no hope anywhere. Negative views of the future reduce hopefulness and enhance depression. Negative views of the self, enhance any existing depressive feelings as they confirm existing emotions of low self-esteem.

57
Q

What is Ellis’ ABC Model?

A

Good mental health result of rational thinking (thinking that allows people to be happy and pain free). Anxiety and depression are thought to be due to irrational thoughts.
Ellis’ (1962) ABC model - an activating event (A) leads to an irrational belief (B), the consequences of this (C) may be depression.

58
Q

What is an irrational belief?

A

Thoughts that interfere with us being happy and pain free.

59
Q

What are the 2 sources of irrational beliefs?

A

Musturbatory - ‘I must do well, or I am worthless’.
Utopianism - belief life should always be fair.
People who hold these beliefs may become depressed. For mental healthiness, these ‘musts’ need to be challenged.

60
Q

Give evaluation points for Beck’s Cognitive Theory of Depression.

A

Has supporting evidence for the idea that depression is associated with faulty information processing, negative schema and the negative triad.
Grazioli and Terry (2000) assessed 65 pregnant women for cognitive vulnerability and depression before and after birth. They found that those women judged to have been high in cognitive vulnerability were more likely to suffer post-natal depression. This supports the cognitive explanation that depression is due to mental processing.

The cognitive approach has useful applications to treating depression. For example, Beck’s explanation has been applied to therapy in the form of cognitive behavioural therapy (CBT). All cognitive aspects of depression can be identified and challenged in CBT. These include the components of the negative triad that are easily identifiable. Such therapy has consistently been found to be the best treatment for depression. This means that if depression is treated by challenging thoughts, those thoughts have a role in causing depression.

61
Q

Give evaluation points for Ellis’ ABC Model Evaluation.

A

One weakness of the cognitive approach is that not all irrational beliefs are ‘irrational’. For example, Alloy and Abrahamson (1979) - depressed people gave more accurate estimates of the likelihood of disaster (the ‘sadder but wiser’ effect). This suggests that depressive realists tend to see things for what they are, rather than seeing things through rose-coloured glasses. This means that some ‘irrational’ beliefs may simply seem irrational rather than be irrational.

No doubt some cases of depression follow an activating event. Psychologists call this reactive depression - different from the kind of depression that arises without any obvious cause. This means that Ellis’ explanation only applies to some kinds of depression and is therefore only a partial explanation for depression.

A strength of this explanation is that it has led to successful therapy. By challenging irrational beliefs a person it can reduce their depression. Lipzky et al. (1980). This in turn supports the basic theory because it suggests that the irrational beliefs had some role in depression.

62
Q

Give evaluation points for the Cognitive Approach.

A

Depression can be explained in terms of genetic factors and neurotransmitters.Studies have found low levels of the neurotransmitter serotonin in depressed people, and a gene related to this is ten times more common in depressed people. Better to take a diathesis-stress model approach where the development of depression looks at biological and cognitive explanations together.

Cognitive explanations don’t explain all aspects of depression. Some sufferers of depression experience hallucinations and bizarre beliefs e.g. ‘Cotard Syndrome’- the belief they are zombies. Beck’s theory explains the basic symptoms of depression, not the more complex ones. Ellis model explains why some people are more vulnerable than others but again does not explain the anger some individuals feel, or their hallucinations and delusions. This shows that other explanations may be needed to explain the condition in full.

63
Q

What is cognitive behaviour therapy?

A

A method for treating mental disorders based on both cognitive and behavioural techniques.
Cognitive viewpoint - deals with thinking, such as challenging negative thoughts. Also behavioural elements.

CBT begins with an assessment - the patient and the therapist work together to clarify the patient’s problems. Jointly identify goals for and put together a plan. Negative/irrational thoughts identified so can be challenged and replaced by more effective behaviours.

64
Q

Describe Beck’s CBT.

A
The aim to identify automatic thoughts about the world, self and future (negative triad). Then challenged.
Given homework (‘patient as scientist approach’) - used in future sessions by the therapist to disprove negative automatic thoughts.
65
Q

Describe Ellis’s Rational Emotive Behaviour Therapy (REBT).

A

Aims to turn irrational thoughts into rational thoughts. Resolves emotional and behaviour problems. Expanded to ABCDEF. D - disputing irrational thoughts/beliefs. E - effects of disputing and effective attitude to life. F - new feelings produced.

REBT focuses on a vigorous argument to dispute irrational thoughts and replacing them with effective rational beliefs which produce new feelings. Different methods for dispute; logical, empirical and pragmatic disputing.

66
Q

What is an empirical argument?

A

Disputing whether there’s actual evidence to support the negative belief.

67
Q

What is a logical argument?

A

Disputing whether the negative thought logically follows from the facts.

68
Q

Give evaluation points for CBT

A

Effective treatment for depression. March et al. (2007) compared the effect of CBT with antidepressant drugs and a combination of the two in 327 adolescents with a main diagnosis of depression. After 36 weeks, 81% of CBT group, 81% of antidepressant group and 86% of the combined therapy group were significantly improved. This shows that CBT is just as effective and that the most effective treatment is a combination of biological and cognitive therapies.

A weakness of CBT is that individual differences influence its effectiveness.
Elkin et al. found it is less suitable where peoples’ irrational beliefs are rigid and resistant to change. Some cases of depression, patients can have symptoms so severe that they cannot engage with the therapy which means antidepressants are needed before a patient can begin therapy. This means that CBT cannot be used as the sole treatment for all cases of depression.

Research shows that exercise can be beneficial in alleviating depression. Babyak et al. found that aerobic exercise, anti-depressant drugs or both together treat depression effectively. However, there was significantly lower relapse rates following exercise than drug treatment. This shows that exercise used in the behavioural activation part of CBT can be highly effective.

Success of therapy relies on therapist-patient relationships. Rosenzweig (1936) suggested differences found between different psychotherapies e.g. CBT and systematic desensitisation might be quite small, and it is actually the quality of relationship with the therapist that determines success rather than particular techniques. This suggests that simply having the opportunity to talk to someone may be what is most effective in all types of psychotherapy.

CBT overemphasises the importance of cognition. There is a risk that because of its emphasis on what is happening the mind of the individual patient CBT may end up minimising the importance of the circumstances in which a patient is living. For example, a person suffering from addiction or poverty may need to change their situation, rather than focus on their thoughts. CBT may focus so heavily on what is happening in the patients mind that they demotivate them to change their