Psychopathology Flashcards

You may prefer our related Brainscape-certified flashcards:
1
Q

What are the 4 definitions of abnormality?

A
  1. Deviation from Social Norms
  2. Failure to Functions Adequately
  3. Deviation from Ideal Mental Health
  4. Statistical Infrequency
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Outline Deviation from Social Norms

A

Standards of acceptable/expected behaviour are set by a social group (i.e. social norms), (1)
These behaviours could be explicit e.g. laws or implicit e.g. unwritten rules.(2)
Anything that deviates from acceptable behaviour is considered abnormal.(3)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Give an example of Deviation from Social Norms

A

For example, in OCD some individuals may refuse to use cutlery at restaurants choosing instead to bring their own due to fear of contamination. This would break the expected ways of behaving in society and so would be seen as abnormal.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Outline Failure to Function Adequately

A
  • This involves not being able to cope with the demands of everyday life. (1)
  • It looks at abnormal behaviour that interferes with everyday life. E.g. unable to maintain basic standards of nutrition or personal hygiene.(2)
  • Rosenhan and Seligman state that signs of a person failing to function adequately include; maladaptive behaviour, irrational bejaviour, behaviour that is dangerous to themselves or others, severe personal distress. (3)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Give an example of Failure to Function Adequately

A

For example, someone with depression may be unable to keep a job, get up in the morning, their eating habbits may change and they may be unable to maintain relationships. Therefore showing that they have an inability to cope with the demands of everyday life (must be linked to mental health).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Outline Deviation from Ideal Mental Health

A

Failure to meet one or more of these criteria would suggest an abnormality, the more criteria they fail to meet, the more abnormal the person would be deemed (2)
The criteria are;
1. Self-attitudes- having high self esteem and strong sense of identity.
2. Self actualisation - the extent to which an individual works to their capabilities and reaches their full potential.
3. Resistance to stress (integration) – being resistant to stress.
4. Autonomy- being independent and self regulating.
5. Reality- having an accurate perception of reality/the world.
6. Mastery of environment- ability to love, function at work and in relationships, solve problems, adjust to new situations, enjoy our leisure etc.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Outline Statistical Infrequency

A

This definition of abnormality suggests that we must look at behaviours that are typical (normal) of the general population (1)
Then any behaviour which is rare (not shown by many people) is abnormal. (2)
Therefore, on a distribution curve any behaviour that is 2 or more standard deviations from the mean is statistically rare. (3)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Give an example of Statistical Infrequency

A

For example, OCD affects 2% of the population so is therefore abnormal as it is statistically rare.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

AO3: Deviation from Social Norms
Strength

A

However, a strength of deviations from Social Norms as a definition of abnormality is that it differentiates between desirable and undesirable behaviour within a culture. This definition categorises abnormality based on social norms within a culture. This is unlike Statistical infrequency as a definition of abnormality, which suggests that if your behaviour is not typical (rare) then you are abnormal even though this behaviour could be desirable within a culture such as having a very high IQ. Therefore, deviation from social norms may be a more appropriate definition of abnormality because it allows us to understand behaviour in context.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

AO3: Deviation from Social Norms
Weakness

A

One weakness of deviation from social norms as a definition for abnormality is that social norms are created within a culture. It can therefore be argued that deviation from social norms is limited by cultural relativism. Different cultures have different social norms and expectations of behaviour, for example, in a western culture, someone receiving messages sent from spirits could be seen as a symptom of Schizophrenia, whereas in a non western culture, these signs could be classed as a spiritual gift (Shaman). Therefore, it may not be appropriate to use DSN to define abnormality outside of a specific culture (Western).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

AO3: Failure to Function Adequately
Strength

A

One strength of failure to function adequately as a definition of abnormality is “failing to cope with the demands of everyday life” can be used as a measure for when people should seek professional help. According to the mental health charity ‘Mind’, around 48% of people in the UK will experience a mental health problem at some point of their life, however most people press on despite failing to function adequately. If it is noticed that people are ‘failing to function adequately’, treatment and services can be targeted to those who need it most, meaning failure to function adequately could be a useful measure when defining abnormality because people can receive early intervention for their mental health.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

AO3: Failure to Function Adequately
Weakness

A

However, whilst it is easier to identify who is not coping day-to-day, a weakness of failure to function adequately as a definition of abnormality is that it is easy to label non-standard lifestyle choices as abnormal. It can be very hard to say when someone is really failing to function adequately and when they have simply chosen to deviate away from social norms. An example of this may be those who favour high risk leisure activities or unusual spiritual practices could be classed unreasonably as irrational and perhaps a danger to themselves and therefore abnormal. Therefore, this is a limitation of FFA as a definition of abnormality as people who make unusual choices are at risk of being labelled abnormal and their freedom of choice may therefore be restricted.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

AO3: Deviation from Ideal Mental Health
Strength

A

One strength of ideal mental health as a definition of abnormality is that this definition is vastly different to the other definitions as it takes a positive approach to defining abnormality. This is because it focuses on the characteristics that make up normal behaviour that distinguish mental health from abnormality, rather than those characteristics that makes an individual abnormal (such as in failure to function adequately identifying distress and unpredictable behaviour). Having a more positive approach to mental health disorders may reduce the stigma that can surround mental health, making it more likely for people suffering to seek help and advice. Therefore, deviation from ideal mental health may be a more appropriate way than the other definitions to define abnormality.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

AO3: Deviation from Ideal Mental Health
Weakness

A

Despite DIMH being a more positive approach to define abnormality, Deviation from ideal mental health has a strict criteria strict criterion (Jahoda’s six categories). People may not be able to realistically meet all six characteristics at any one time. For example, an individual who has lost their job may not be able to cope with the stressful situation and would be classed as abnormal by this definition. Therefore, limiting the use of deviation from ideal mental health as a definition of abnormality.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

AO3: Statistical Infrequency
Strength

A

A strength of statistical infrequency as a definition of abnormality is that it has practical applications. This is because statistical infrequency is used in the real world in clinical practice, both as part of diagnosis and as a way to assess the severity of an individual’s symptoms. For example, a diagnosis of intellectual disability disorders requires an IQ of below 70 (bottom 2%). An example of where SI is used as an assessment took is in Beck’s depression inventory where a score of 30+ (top 5%) is widely interpreted as indication severe depression. Therefore, SI as a definition of abnormality is an important part of applied psychology.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

AO3: Statistical Infrequency
Weakness

A

However, just because a behaviour is rare, does not necessarily mean it would need to be treated as an abnormality. One limitation of statistical infrequency is that it does not differentiate between desirable and undesirable behaviour when defining abnormality. For example, a high IQ is desirable, and we would not consider someone with a high IQ as abnormal. However, a high IQ is seen as statistically rare and therefore would be abnormal by this definition. This is a limitation to the statistical infrequency definition of abnormality and means that it could never be used solely to make a diagnosis and treatment plan.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Define Phobias

A

Phobias are when you experience extreme fear or anxiety, activated by an object (eg.spider), place (eg. lifts) or situation(eg. crowds) (1). The fear of the phobic stimulus is irrational and often out of proportion to any real danger (2).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What are the behavioural characteristics of Phobias?

A

Avoidance of the feared object – making conscious effort to avoid coming in contact with their phobic stimulus.

Panic – crying, screaming or running away from the phobic stimulus. Alternatively, freezing or fainting.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What are the cognitive characteristics of Phobias?

A

Persistent irrational beliefs about the phobic stimulus e.g. a spider will harm you.

Selective attention – keeping attention on the phobic stimulus and finding it difficult to look away incase of ‘danger’.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What are the emotional characteristics of Phobias?

A

Anxiety - Exposure to the phobic stimulus causes worry or distress

Fear – exposure to the phobic stimulus causes terror

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What is the behavioural approach of explaining phobias?

A

The behavioural approach suggests that phobias are a learned behaviour. (1)
Mowrer argues that phobias are initially learnt through classical conditioning then maintained through operant conditioning. This is called the two-process model. (2)
Acquisition by classical conditioning:
Classical conditioning involves learning to associate something of which we initially have no fear of (a neutral stimulus) with something that already triggers a fear response (unconditioned stimulus). This fear response is triggered every time they see or think about the feared object. (3)
At the beginning of the experiment, ‘Little Albert’ was NOT afraid of RATS.
Whenever the rat was presented to Albert the researcher’s made a loud, frightening noise by banging an iron bar close to Albert’s ear.
The noise is an unconditioned stimulus, which causes the unconditioned response of fear. When the rat (a neurtal stimulus) was presented with the loud bang Albert learned to associate them together. The rat then became a conditioned stimulus and caused the conditioned response of fear in Little Albert, whenever he saw the rat.(4)
Responses acquired by classical conditioning usually tend to decline over time, however Mowrer emphasised that phobias are maintained through operant conditioning (5) because by continuing to avoid the feared stimulus they are being negatively reinforced (avoiding something unpleasant) by reducing the anxiety they feel. This explains why phobias are long lasting, through continued avoidance.(6)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Who conducted research on Little Albert?

A

Watson and Raynor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Outline the research on Little Albert

A

At the beginning of the experiment, ‘Little Albert’ was NOT afraid of RATS.
Whenever the rat was presented to Albert the researcher’s made a loud, frightening noise by banging an iron bar close to Albert’s ear.
The noise is an unconditioned stimulus, which causes the unconditioned response of fear. When the rat (a neurtal stimulus) was presented with the loud bang Albert learned to associate them together. The rat then became a conditioned stimulus and caused the conditioned response of fear in Little Albert, whenever he saw the rat.

This fear then generalised to similar objects such as a fur coat and the beard on a Santa Claus mask.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

AO3: Behavioural Approach to explaining Phobias
Reductionism

A

The behaviourist approach to explaining a phobia can be criticised for environmental reductionism. This is because it reduces the complex human behaviour of phobias down to the simple basic units of learning phobias through stimulus, response and associations between a neutral stimulus and a unconditioned stimulus, and maintaining a phobia through reinforcements. This neglects a holistic approach, which would take in to account how a person’s culture and social context would influence phobias. For example, the phobia Taijin Kyofusno which is the extreme fear of displeasing others, is relative to the culture of Japan, which is a collectivist culture, a phobia that would be much less likely to occur in an individualistic culture whereby displeasing others would not be as feared. Therefore, the behavioural explanation (two-process model) of phobias may lack internal validity, as it does not allow us to understand the behaviour in context.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

AO3: Behavioural Approach to explaining Phobias
Practical Application

A

The behavioural approach to explaining phobias (two-process model) has practical applications. It suggests that phobias are learnt through classical conditioning, and can therefore be unlearnt using classical conditioning. This theory has been used to create the treatment; systematic desensitisation. This works by teaching a patient relaxation techniques, and gradually exposing them to their phobic stimulus so they can learn to associate their phobic stimulus with relaxation, rather than fear, and therefore extinguish the phobia. Think further: Because this approach states the phobia is maintained through operant conditioning (by avoiding the phobic stimulus) once the avoidance behaviour is prevented because the person no longer has the phobia, the phobia then stops being reinforced. This helps to treat people in the real world and therefore the behavioural approach (two-process model) of explaining of phobias is an important applied psychology.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

AO3: Behavioural Approach to explaining Phobias
RTS by Ad de Jongh et al + Counter Argument

A

Research to support the behaviourist explanation of phobias comes from a study by Ad De Jongh et al (2006) who found that 73% of people with a fear of dental treatment had experienced a traumatic experience, mostly involving dentistry. This can be compared to a control group of people with low dental anxiety where only 21% had experienced a traumatic event. This confirms that association between a stimulus, in this case dentistry, with an unconditioned response, in this case pain, leads to the development of a phobia. Therefore, this study supports the behaviourist explanation of phobias developing through associations, stimulus and responses.
Counter argument:
 However, it is important to notice that not all bad experiences lead to phobias, for example in the study by Ad De Jongh described above, 21% of people in the control group had a traumatic experience involving dentistry but did not develop a phobia. In addition to this, some people have phobias of stimuli that they have never encountered or had a bad experience with, for example a snake. This suggests that explanations other than the behaviourist explanation should also be considered when understanding phobias.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

What are the 2 behavioural ways of treating a phobia?

A
  1. Systematic Desensitisation
  2. Flooding
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

What is the aim of Systematic Desensitisation?

A

To use classical conditioning to unlearn a maladaptive behavioural response to a phobic stimulus (feared situation or object).

29
Q

Outline Systematic Desensitisation

A

Relaxation: Rihanna (1)
The patient is taught how to relax using muscle relaxation techniques or breathing exercises.
The idea is that the patient puts these techniques in to practice when exposed to the phobia.
Hierarchy of anxiety: Has (2&3)
The patient then works with the therapist to make a graded scale starting with stimuli that scares them the least to those that scare them the most (2) E.g. if they are scared of wasps. A picture of a wasp would be low on the scale and being put in a room with a wasp would be the highest on the scale. (3) (remember if it’s a scenario question you must link to the phobic stimulus in the scenario – not wasps.)
Gradual Exposure: Got Excellent (4 & 5)
The client is then gradually exposed to the least feared situation (at the bottom of the hierarchy), they may feel anxious but are encouraged to put the relaxation techniques into practice. This is known as reciprocal inhibition - The concept whereby two incompatible states of mind cannot co-exist at the same time. E.g. anxiety and relaxation (4)
Once they are relaxed, they are then exposed to the next stage of the hierarchy. This is a gradual process and the client only moves beyond each stage once they are relaxed.(5)
Complete Treatment: Clothing Taste (6)
The patient completes treatment when they are desensitised and are able to move through the hierarchy

30
Q

AO3: Systematic Desensitisation
RTS by Gilroy

A

Research to support the effectiveness of Systematic Desensitisation as a treatment for phobias was conducted by Gilroy (2003). She followed up 42 people who had SD for spider phobias in three 45-minute sessions using gradual exposure. At both three months after treatment and thirty-three months after treatments. The SD group were much less fearful than a control group who were treated with a therapy that did not use exposure to a phobic stimuli as part of the therapy. Therefore suggesting that reassociating a phobia/fear with relaxation through systematic desensitisation is an effective treatment for phobias. Think further: In a review of this in 2019 by Wechsler et al. She concluded that SD is effective for specific phobia, social phobias and also agoraphobia.

31
Q

AO3: Systematic Desensitisation
Motivation and Commitment

A

However, despite there being evidence of SD being effective, it could be argued that systematic desensitisation may not be appropriate for all patients as it requires motivation and commitment from patients. Patients must attend sessions over a period of time and be exposed to anxiety provoking situations, this may make some patients stop therapy. If patients stop attending therapy, then the therapy is ineffective, and their anxieties will return. This is unlike drug therapy which requires little motivation and commitment from patients as they only have to take a tablet in order to reduce the anxiety that they feel, which does not require much will power. Therefore, limiting the appropriateness of systematic desensitisation as a treatment for phobias.

32
Q

AO3: Systematic Desensitisation
Appropriate

A

One strength of systematic desensitisation is that it could be seen as a more appropriate behavioural therapy for most patients due to the patient being given high control over their own therapy. This is because they create their own hierarchy of anxiety with the therapist and are gradually exposure to feared stimuli and only move on to the next stage of the hierarchy once they feel relaxed. This is unlike flooding which can be quite traumatic for patients as they are immediately exposed to their most feared stimuli, which can cause high anxiety levels. This means that patients often opt for systematic desensitisation and this is reflected in low refusal (saying no to treatment) rates and low attrition (drop out) rates. Therefore, suggesting systematic desensitisation is an appropriate treatment for phobias.

33
Q

Outline Flooding

A

The patient is immediately exposed to their most feared stimulus and must stay in its presence. (1)
They will experience high levels of anxiety and panic; they are unable to avoid the stimulus. They remain exposed to it until the anxiety response is exhausted/feel calm and starts to decrease.(2)
This lasts around 2-3 hours until the patients anxiety eventually disappears.
This is known as extinction. And the patient learns that the phobic stimulus is harmless. (3)

34
Q

What is the aim of flooding?

A

To use classical conditioning to unlearn a maladaptive behavioural response to a phobic stimulus (feared situation or object).

35
Q

AO3: Flooding
Cost - effective

A

A strength of flooding as a treatment for phobias is that it is a highly cost-effective way to treat a phobia. This is because the therapy has been found to be effective, yet it is not expensive. Flooding can work in as little as one session due to the immediate exposure and extinction of the phobia, unlike SD, which could take up to 10 sessions for the same result due to the gradual exposure of the phobic stimulus. Therefore, flooding might be a more cost effective treatment for the NHS to use, this could benefit the economy as more people would be treated for phobias in less time using fewer resources, therefore, flooding may be regarded as a more appropriate therapy to use in the real world.

36
Q

AO3: Flooding
Unethical

A

One limitation of Flooding is that it can be seen as an unethical treatment, this is because the patient may experience extreme anxiety as they are exposed to their most feared phobic stimulus for 2-3 hours. Although full informed consent is gained from patients, SD could be seen as a more ethical treatment as it gradually exposes patients to their phobia at the patients own rate. Schumacher et al (2015) found that participants and therapists rated flooding as significantly more stressful than SD. Moreover, the traumatic nature of flooding means attrition rates (drop out) are higher than for SD. Therefore reducing the appropriateness and effectiveness of flooding as a behavioural treatment for a phobia.

37
Q

What are the behavioural characteristics of phobias?

A
38
Q

What are the cognitive characteristics of phobias?

A

Change in activity levels – a lack of energy and withdrawal from activities once enjoyed (anhedonia). Or increased activity/agitation.

Disruption to sleep – sleep may reduce (insomnia) or may increase (hypersomnia)

Disruption to eating behaviour – increased appetite leading to weight gain, or decreased appetite leading to weight loss.

39
Q

What are the emotional characteristics of phobias?

A

Change in activity levels – a lack of energy and withdrawal from activities once enjoyed (anhedonia). Or increased activity/agitation. Poor levels of concentration – the sufferer may find themselves unable to stick with a task as they usually would or make straightforward decisions, this can interfere with the individuals work. Lowered mood often experiencing feeling ‘sad’ ‘empty’ and ‘worthless’ ‘numb’

Negative Schema (mental representation)
If someone has a negative ‘schema’, they will interpret all information in a negative way, ignoring the positives.

Black and white/absolutist thinking’ – viewing an unfortunate situation as a absolute disaster.

40
Q

What are the emotional characteristics of phobias?

A

Lowered mood often experiencing feeling ‘sad’ ‘empty’ and ‘worthless’ ‘numb’

Sometimes individuals experience anger directed towards others or the self.

41
Q

What does the cognitive explanation to depression suggest?

A

This approach explains how depression is caused by the way we think about information/situations/our environment. Therefore, if our thoughts and perceptions are irrational and mainly negative then we are more vulnerable to depression.

42
Q

Outline Beck’s negative triad

A

Beck (1967) suggested a cognitive approach to explaining depression. He states that consistent negative thinking can make a person vulnerable to depression. He proposed the NEGATIVE TRIAD to explain this. He suggested that there are three kinds of negative thinking that make someone vulnerable to depression.
1. Negative thoughts about oneself (e.g)
2. Negative thoughts about the world (e.g)
3. Negative thoughts about the future (e.g)

43
Q

Outline Ellis’s ABC model

A

Alternatively, Ellis (1962) suggested the ABC model as a cognitive explanation of depression. Ellis’s ABC model emphasises the role of irrational thoughts that interfere with us being happy and free of pain.
Ellis suggests that there is an ACTIVATING EVENT (A) – This is an external event such as the loss of a job (1) that can trigger irrational BELIEFS (B). Ellis identified a range of irrational beliefs that are triggered; for example, a belief that we must always achieve perfection (musterbation) and a belief that life should be fair (utopianism). (2) When an activating event triggers these irrational beliefs there are then emotional and behaviour CONSEQUENCES(C) such as depression. (3)

44
Q

AO3: Cognitive approach to explaining behaviour
Cohn et al + CA

A

Research to support the cognitive explanation for depression was conducted by Cohen et al. He tracked the development of 473 adolescents, regularly measuring cognitive vulnerability (a negative way of thinking that may result in a person becoming depressed). It was found that showing cognitive vulnerability predicted later depression in their life, therefore supporting that there is an association between cognitive vulnerability such as negative thinking suggesting that Becks negative triad is an appropriate explanation of depression.
Discussion: Cohen et al. concluded that assessing cognitive vulnerability then allows psychologists to screen young people, identifying those most at risk if developing depression in the future and can therefore monitor them.

45
Q

AO3: Cognitive approach to explaining behaviour
Practical Application

A

Findings of research into the cognitive approach to explaining depression has led to practical applications. The principle of the theory, that depression is caused by negative and irrational thought processing has led to the treatment of Cognitive Behavioural Therapy. This therapy has been found to be effective in treating depression by helping clients to identify, challenge and change irrational/negative thoughts to rational/positive ones, via disputing. Therefore, the cognitive approach to explaining depression is an important part of applied psychology as it helps to treat people in the real world.

46
Q

AO3: Cognitive approach to explaining behaviour
Cause and Effect

A

A weakness of the cognitive approach in explaining depression is that cause and effect cannot be established within the research. Whilst negative/irrational thoughts can be linked to depression it cannot be firmly concluded whether negative/irrational thoughts cause depression or if they are a consequence of it. Therefore, it is argued that the cognitive approach cannot be a seen as a full explanation of depression.

47
Q

What is the Cognitive Approach of treating Depression?

A

Cognitive Behavioural Therapy (CBT)

48
Q

Outline CBT

A

CBT is a method for treating mental health disorders based on both cognitive and behavioural techniques from the cognitive viewpoint therefore CBT is overall a cognitive treatment.
Cognitive aim- In CBT, the client and therapist will work together to identify irrational or negative thoughts that cause depression (thought catching) in a client. These irrational or negative thoughts will then be challenged to turn them to more rational and positive thinking.
Behaviour aim – CBT then involves working to change negative and irrational thoughts and finally put more effective behaviours into place. One strategy used to challenge irrational or negative thoughts is disputing.
Empirical disputing, where the therapist will ask for evidence to support the irrational/negative thought. For example, “where is the proof that nobody likes you?” One way the therapist may do this, is to get the client to complete homework and to keep a diary to test the reality of their beliefs. For example, they may ask the client to record whenever anybody is nice to them, then in future sessions, the therapist can use this record to challenge the clients belief that ‘nobody likes them’ and prove their statements are incorrect.
In addition, behavioural activation are used to change a client’s behaviour such as encouraging the depressed individual to be more active. This includes ensuring the client engages in activities that they once enjoyed, this will help improve the person’s mood and reduce the negative thoughts.
CBT is practised with the therapist but during the treatment, the client will become more independent so they can use these strategies in the real world and so gain control over their depressive thoughts.

49
Q

What is empirical disputing?

A

Empirical disputing, where the therapist will ask for evidence to support the irrational/negative thought. For example, “where is the proof that nobody likes you?” One way the therapist may do this, is to get the client to complete homework and to keep a diary to test the reality of their beliefs. For example, they may ask the client to record whenever anybody is nice to them, then in future sessions, the therapist can use this record to challenge the clients belief that ‘nobody likes them’ and prove their statements are incorrect.

50
Q

AO3: CBT
RTS by March

A

Research to support the effectiveness of CBT comes from March (2007). He studied adolescents with depression and found that 81% of their symptoms had significantly improved after CBT and 86% had improved if CBT was combined with antidepressants. This suggests that challenging irrational/negative thoughts can provide a reduction in depressive symptoms. Therefore, CBT is a popular choice of treatment for depression for the NHS.

51
Q

AO3: CBT
Motivation and Commitment

A

One limitation of CBT as a treatment for depression is that it requires motivation and commitment from patients to attend sessions over a period of time; and to complete their homework, for example keeping a diary, and engaging in activities they once enjoyed. This is an issue as individuals with depression often lack motivation, this may reduce the effectiveness of CBT as a treatment for depression. THINK FURTHER: Due to this reason, CBT is usually more effective combined with antidepressants. This is because the drugs can reduce the symptoms of depression and means that the client may be more motivated to attend the sessions. Hence the increased percentage effectiveness in March’s research

52
Q

AO3: CBT
Focus on present and future

A

Another potential limitation of CBT as a treatment for depression is it’s focus on the client’s present and future, rather than past. Some client’s may be aware of a link between their childhood and past experiences and current depression, and they may want to talk about their experiences. They may find the ‘present-future’ focus frustrating and therefore this may reduce the effectiveness as CBT as a treatment for depression.

53
Q

What is the behavioural characteristics of OCD?

A
54
Q

What is the behavioural characteristics of OCD?

A

Compulsions, - external behaviours that are repeated to reduce anxiety. For examples, checking, counting, washing hands.

55
Q

What are the cognitive characteristics of OCD?

A

Obsessions – internal, intrusive/unwanted thoughts that are recurring and are unpleasant and cause anxiety e.g. worries of being contaminated by germs.

Awareness that the thoughts/obsessions and compulsions are irrational excessive and unreasonable.

Hypervigilance – People with OCD may maintain constant alertness and keep attention focused on potential hazards eg) germs.

56
Q

What is the emotional characteristics of OCD?

A

Anxiety and distress – the obsession are often unpleasant and frightening, and can cause overwhelming anxiety. The urge to perform complusions can also cause anxiety.

57
Q

Is Obsessions a behavioural characteristic or cognitive?

A

Cognitive

58
Q

Is Compulsions a behavioural characteristic or cognitive?

A

Behavioural

59
Q

Outline genetic explanation of OCD?

A

The Biological approach would argue that OCD is due to physical factors in the body. Therefore as OCD tends to run in families it would suggest a genetic predisposition (natural risk) to OCD is inherited.(1)
The genetic explanation would argue that OCD is due to the inheritance of one or many maladaptive (undesirable) genes e.g. SERT. (2)
The genetic explanation would argue the closer the genetic link the greater the risk a person would inherit OCD. This is shown in twin studies where monozygotic (identical) twins have been found to have a concordance (likelihood) of 87% compared to concordance rates of 47% for dizygotic twins (non-identical) (Carey and Gottsman, 1981).(3)
There are specific genes called ‘candidate genes’ which make an individual vulnerable to developing OCD. These are called ‘COMT’ and ‘SERT’ genes.(4)
There are several genes that have been identified in OCD these include:
The SERT gene is involved in the transportation of serotonin.
The SERT gene, if mutated, reduces serotonin activity levels, which is associated with an increase in anxiety and OCD symptoms.

The COMT gene is involved in the regulation of dopamine in the brain.One form of the COMT gene, has been found to be more common in people with OCD than those who do not have the disorder. This variation causes an increase in dopamine activity, associated with compulsions in OCD. (a link between people with OCD and the COMT gene)

60
Q

Outline neurochemical explanation of OCD?

A

The neurochemical explanation would suggest that OCD is due to an imbalance in neurotransmitters, specifically low levels of serotonin activity. (1)

Serotonin is involved in maintaining a stable mood.

A mutation in the SERT gene causes serotonin to be recycled too quickly back in to the pre-synaptic neuron, before it can activate the post synaptic neuron. (2)

The low levels of serotonin activity can lead to anxiety, this can be seen with the obsessions in OCD.(3)

61
Q

Outline neuroanatomy explanation of OCD?

A

This theory would argue that OCD is due to differences in shape, size and/or functioning of specific brain areas. (1)
OCD is linked to an area of the brain known as the basal ganglia.
The basal ganglia is responsible for psychomotor functions, hypersensitivity of the basal ganglia may result in repetitive movements. This could help to explain COMPULSIONS experienced by people with OCD.

62
Q

AO3: Biological explanation of OCD
Reductionist

A

Critics argue that the biological approach to explaining OCD is biologically reductionist. It reduces the complex human behaviour of OCD down to simple basic units of genes (SERT) and/or neurotransmitter imbalance and/or neuro anatomy, for example research has shown that there is a higher prevalence of OCD in certain religious groups where regular cleansing before prayer low serotonin activity levels/hypersensitivity of the basal ganglia. This neglects a holistic approach, which would take into account how a person’s culture and social context could influence OCD e.g. for example research has shown that there is a higher prevalence of OCD in certain religious groups where regular cleansing before prayer Therefore, the biological explanation of OCD may lack validity, as it does not allow us to understand the behaviour in context.

63
Q

AO3: Biological explanation of OCD
Scientific methods

A

A strength of the biological explanation of OCD is that it uses scientific methods. This is because the theory is based on objective (factual) and empirical (observable) techniques such as gene mapping studies and brain scans which are used to identify specific genes (SERT) or areas of the brain linked to OCD for example, hypersensitivity of the basal ganglia. Therefore, some would argue that this increases the overall internal validity of the biological explanation of OCD, thus, raising Psychology’s scientific status.

64
Q

AO3: Biological explanation of OCD
Practical Application

A

Studying the biological approach scientifically has led to practical applications. The principles of the theory, that OCD is due to a mutation in the SERT gene and low serotonin activity levels has led to the development of drug treatments. Selective Serotonin Reuptake Inhibitors (SSRI’s) increase the amount of serotonin activity in the brain and this has been found to reduce anxiety, relieving OCD symptoms. Therefore, the biological approach to explaining OCD is an important part of applied psychology as it helps to improve the lives of those with OCD.

65
Q

Outline the biological treatment of OCD

A

Drug therapy is a biological treatment for OCD. Drug therapy works by balancing levels of the neurotransmitters in the brain in order to relieve symptoms of OCD.(1)

One drug used is an anti-depressant known as Selective Serotonin Reuptake Inhibitor’s (SSRI’s).(2)

SSRI’s are a serotonin agonist.

SSRI’s increase serotonin activity levels by blocking the re-absorption of serotonin to the pre-synaptic neuron, increasing serotonin levels in the synapse, so it continues to activate/stimulate the post-synaptic neuron.(3)

These drugs have been shown to reduce anxiety associated with OCD.(4)

SSRI’s usually take around 3-4 months to aleviate symptoms of OCD and the dosage can vary from person to person.(5)

In the past few years, a different class of anti-depressant drugs,
called SNRI’s (seratonin norepinephrine reuptake inhibitors) have been used to treat OCD. These increase levels of serotonin and noraderenaline activity and can be used if SSRI’s
have not been effective.(6)

66
Q

What therapy is used to treat OCD?

A

Drug

67
Q

AO3: Drug therapy
Soomro et al + CA

A

Research to support the effectiveness of drug therapy as a treatment of OCD was conducted by Soomro et al (2009). Soomro et al reviewed 17 studies of the use of SSRI’s to treat OCD and found that SSRI’s were more effective in reducing symptoms of OCD compared to placebos. Typically, symptoms reduced in around 70% of people taking SSRI’s For the remaining 30% most can me helped with either alternative drugs or a combinations of drugs and psychological therapies. Therefore, showing the effectiveness of drug therapy as a treatment for OCD.

There is some evidence to suggest that even if drug treatments are helpful for most people with OCD they may not be most effective treatments available. Skapinakis et al. (2016) carried out a systematic review of outcome studies and concluded that both cognitive and behavioural (exposure) therapies were more effective than SSRI’s in the treatment of OCD. This means that drugs may not be the optimum treatment for OCD.

68
Q

AO3: Drug therapy
Side effects

A

Despite this strength, critics are quick to point out that drug therapy may not be an appropriate treatment for everybody as that they can cause negative side effects. For example, SSRI’s can cause nausea, headaches and insomnia (Soomro et al). This is an issue as patient’s may become distressed from the side effects and may then stop taking their medication, due to these negative effects which can therefore reduce the effectiveness of drug therapy as a treatment for OCD.

69
Q

AO3: Drug therapy
Motivation

A

One reason that drug therapy may be effective is due to the fact that they require little motivation from patients. Patients only have to remember to take their tablet in order to reduce their symptoms of OCD. This may be a better option than CBT to treat OCD as this requires motivation from patients to attend sessions challenge their irrational thoughts (obsessions). Due to this, some patients may prefer drug therapy as a treatment for OCD. THINK FURTHER: As well as requiring little motivation, the Biological treatment for OCD is also cost effective which benefits the NHS, many doctors and patients prefer drug therapy for these reasons. This benefits the economy as money saved on treating OCD through drug therapy in the NHS can be spent elsewhere benefitting society.