psychopathology Flashcards

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1
Q

Intro to definition of abnormality

A

Abnormality is extremely difficult to define because it can take many different forms and involve many different factors. However, several attempts have been made to define abnormality.

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2
Q

What are the four definitions of abnormality

A

Definition 1 : deviation from social norms (DSN)
Definition 2 : failure to function adequately
Definition 3 deviation from ideal mental health
Definition 4 : statistical frequency

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3
Q

What is deviation from social norms (DSN) - A01
(3 marks & example)

A

Standards of acceptable behaviour are set by a social group (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)

For example,
In OCD, some individuals may refuse to use the cutlery at restaurants and choose 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

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4
Q

What is failure to function adequately- A01
(3 marks & example)

A

This involves not being able to cope with demands of everyday (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 & Seligman state that signs of a personal failing to function adequately include ; maladaptive behaviour, irrational behaviour, behaviour that is dangerous to themselves or others, severe personal distress (3)

For example,

Someone with depression may not be able to keep a job, get up in the morning, their eating habits may change or they are unable to maintain relationships.
Therefore shows that they have an inability to cope with everyday life
* has to link with mental health

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5
Q

What is deviation for, ideal mental health - A01
(2 marks & name 2 examples for the 3rd mark)

Acronym to help

Students
Should
Revise
All
Relevant
Material

A

Jahoda (1958) says there are six criteria that define mental healthiness (1)
Failure to meet one or ,pre of these criteria would suggest an abnormality , the more criteria they fail to meet = the more abnormal the person would be deemed (2)

(3)

Self attitude - having high self esteem & strong sense of identity
Self actualisation- the extent to which am individual works to their capabilities and reaches their full potential
Resistance to stress (integration). - being resistant to stress
Anatomy - being independent and self regulating
Reality - having an accurate perception of reality/ the world
Mastery of environment - ability to love, function at work and in relationships, solve problems, adjust to new situations, enjoy our leisure

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6
Q

What is statistical frequency - A01
(3 marks & example)

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 deviation from the mean is statistically rare (3)

For example,

OCD affects 2% of the population so is therefore abnormal as it is statistically rare

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7
Q

Define phobias (2)

A

Phobias are when you experience extreme fear or anxiety , activated by an object (e.g spider), place (e.g lifts) or situation (e.g crowds) (1)

The fear of the phobic stimulus is irrational and often out of proportion to any real danger (2)

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8
Q

What do the following characteristics mean ;

Behavioural
Emotional
Cognitive

A

Behavioural - the ways in which people act
Emotional - the ways in which people feel
Cognitive - the process of thinking ; knowing, perceiving, what we pay attention to

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9
Q

Discuss the behavioural approach to explaining phobias (6 marks)

A

The behavioural approach suggests that phobias are learned behaviour (1)
Morwrer argues that phobias are initially learnt through classical conditioning then managing through operant conditioning. This is called two-process model. (2)

Acquisition by classic conditioning (3rd mark)
Classical conditioning involves learning to associate something we initially have no fear of (name it - a neutral stimulus) with something that already triggers a fear response (name it - unconditioned stimulus)
This fear repose is triggered every time we see or hear the feared object

(4th mark - how little Albert learned his phobias of rats)

Maintenance by operant conditioning (5 & 6)
Response acquired by conditioning tend to decline I’m over time but Mowrer emphasised that phobias are maintained through operant conditioning (5)

Because by continuing to avoid the feared stimulus they are being negatively reinforced ( explain - avoiding something unpleasant) by reducing the anxiety they feel.

This explains why phobias are long lasting, through continued avoidance. (6)

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10
Q

How did little Albert learned his phobias of rats (4th point in a 16 marker)

A

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 for fear.
When the rat (neutral stimulus) was presented with the loud bang = Albert
learned to associate them together
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 fur coat and the beard on a Santa Claus mask.

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11
Q

What are the behavioural approaches to treating phobias ?

A

Systematic desensitisation
Flooding

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12
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)

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13
Q

Describe systematic desensitisation (6)

Acronym to help;

Rihanna (1)
Has (2 & 3)
Got excellent (4 & 5)
Clothing taste (6)

A

Relaxation - patient is taught how to relax using muscle relaxation techniques or breathing exercises. The idea is that the patient will put these techniques into practise when exposed to the phobia. (1)

Hierarchy of anxiety - patient works with a 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 were scared of wasps a picture of wasps would be low h the scale and being put in a room with a wasp would be highest on the scale (3)
AO2 LINK HERE IF A SCENARIO

Gradual exposure - the client is then gradually exposed to the least feared situation (bottom of hierarchy) they may seek anxious but are encouraged to our the relaxation techniques into practise.

Known as reciprocal inhibition - the concept whereby two incompatible states of mind cannot co-exist at the same time e.g anxiety & relaxation. (4)

Once they are relaxed then they are exposed to the next stage of the hierarchy.
This is a gradual process and the clients only move behind each stage once they are relaxed. (5)

Complete treatment - the patient completes treatment when they are desensitised and are able to move through the hierarchy.
Without anxiety, the patient now associates the phobic stimulus with relaxation (CR)
(6)

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14
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)

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15
Q

Describe flooding (3)

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 its until the anxiety response is exhausted/ feel calm and start to decrease (2)

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)

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16
Q

Identify the clinical characteristics or phobias
(2 of each)

A

Behavioural - panic - crying, screaming g or running away from the Phobos stimulus, alternatively, freezing or fainting. (priority)
Avoidance of the feared object - making conscious effort to avoid coming in contact with their phobic stimulus

Emotional - anxiety - exposure to the phobic stimulus causes worry or distress
fear - exposure to the phobic stimulus causes worry or distress

Cognitive - persistent irrational beliefs - about the phobia stimulus E.g a spider will kill harm you
Selective attention - keeping attention on the phobic stimulus and finding it difficult to look away in case of “danger”

17
Q

Outline the behavioural characteristics of depression (2)

A

(Priority) change in activity levels - a lack of energy and withdrawal from activities once enjoyed (anhedonia) or increased activity

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

18
Q

Describe the emotional characteristics of depression (2)

A

(Priority) lowered mood - often experiencing feelings ‘sad’ ‘empty’ and ‘worthless’ ‘numb’

Anger - sometimes individuals experience anger directed towards others or the self

19
Q

Outline the cognitive characteristics of depression (2)

A

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.

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 an absolute disaster

20
Q

Intro to the cognitive approach to explaining depression

A

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

21
Q

Describe becks negative triad (3)

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 and suggested 3 kinds of negative thinking that makes someone vulnerable to depression

  1. Negative views about the world - E.g the world is a hard place
  2. Negative views about oneself - E.g i hate myself, I am worthless
  3. Negative views about the future - E.g i will never achieve anything
22
Q

Describe Ellis’s ABC model (irrational thoughts) (3)

A

Ellis (1962) suggested the ABC model as a cognitive explanation of depression
Ellis 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 or irrational believes that are triggered like the 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)

23
Q

What is the cognitive approach to treating depression - describe cognitive behavioural therapy as a treatment for depression
(Describe all Ao1 for the 16m)

A

Intro - cognitive behavioural therapy is a method for treating mental health disorders based on cognitive and behavioural techniques from the cognitive viewpoint therefore a cognitive treatment

Cognitive aim - the client and therapist work together to identify irrational or negative thoughts that cause depression (thought catching) in a client.
The irrational and negative thoughts then challenged to be turned into more rational and positive thinking.

Behaviour aim - CBT then involved working to change the negative and irrational thoughts by -> putting more effective behaviours in place.

2 strategies can be used to challenge irrational or negative thoughts

The first is empirical disputing - the therapist will ask for evidence to support the the irrational/ negative thought. For example, “where is the proof nobody likes you”
The therapist may do this is by getting clients 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 the record to challenge the clients beliefs that nobody likes them and proves their statements are incorrect.

Another way is behavioural activation - used to change clients behaviour, such as encouraging depressed individual to be more active.
Includes doing activities they once enjoyed, will help improve persons mood and reduce the negative thoughts

CBT practised with the therapist but during treatment client becomes more independent so they used the strategies in the real world and gain control over their depressive thoughts

24
Q

Outline the behavioural characteristics of OCD (2)

A

(Priority) compulsions - external behaviours that are repeated to reduce anxiety. For example, checking, counting and washing hands

Avoidance - or situations that trigger compulsions them e.g a person with cleaning ritual may attempt to avoid germs by not shaking hands with people

25
Q

Outline the cognitive characteristics of OCD (2)

A

(Priority) 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 and keeps attention focused on potential hazards E.g germs

26
Q

What are the emotional characteristics of OCD (2)

A

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

OCD can also show other negative emotions such as irrational guilt and disgust

27
Q

What is the biological approach to explaining OCD (6)

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 link argues the closer the genetic link the greater the risk of 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)

(5) or (3) 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.

(6) 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 that those who do not have a disorder.
This variation causes an increase in dopamine activity, associated with compulsions in OCD, (a link between people with OCD and the COMT gene)

28
Q

Describe the neural explanation as a biological explanation of OCD
What are the 2 neural explanations

A

Neurochemical

Neuroanatomy (brain structure)

29
Q

Discuss the biological/ neural approach to explaining OCD (16)
Neurochemical (3)

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 into the pre-synaptic neuron, before it can be activate the post synaptic neuron (2)

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

30
Q

Discuss the biological/ neural approach to explaining OCD (16)
Neuroanatomy (brain structure) (3)

A

This theory would argue that OCD is due to difference in shape, size and/ or functioning of specific brain areas (1)
OCD is linked to an area of the brain known as basal ganglia

Basal ganglia -
The basal ganglia is responsible for the psychomotor functions, hypersensitivity of the basal ganglia may result in repetitive movements (2)

This could help to explain COMPULSIONS experienced by people with OCD (3)

31
Q

Discuss the biological approach to treating OCD (16) AO1
What is the biological approach to treating OCD (6)

A

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

One drug used used is an anti-depressant known as selective serotonin reuptake inhibitors (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)

The past few years, a different class of anti-depressant drugs called SNRI’s (serotonin norepinephrine reuptake inhibitors) have been used to treat OCD.

These increase levels of serotonin and noradrenaline activity and can be used if SSRI’s have not been effective (6)