Psychopathology Flashcards

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1
Q

Definitions of Abnormality: Deviation from Social Norms

A

The first definition. According to the definition, a person is abnormal when their behaviour does not follow social norms.
E.g., A man wearing a skirt.

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2
Q

Definitions of Abnormality: Strengths of the Deviation from Social Norms Definition

A

Helps to minimise harm to others. When people deviate from social norms, they could cause harm to others in society. Classifying these people as abnormal means they are more likely to be treated and prevented from causing harm to others.

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3
Q

Definitions of Abnormality: Weakness of the Deviation from Social Norms Definition

A

1) Social norms change over time. This means that our classification of mental disorders (DSM) has to be updated all the time and that our diagnoses of mental disorders lack reliability because they are not consistent over time.

2) Social norms vary depending on the culture. This means that what is considered abnormal behaviour also varies depending on the culture. Therefore, people from ethnic minorities might be considered abnormal, because they are being judged by social norms that are different to their own culture. Therefore, this could cause people from ethnic minorities to be misdiagnosed as having a mental disorder.

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4
Q

Definitions of Abnormality: Deviation from Ideal Mental Health

A

The second definition of abnormality.
Failing to display behaviours that indicate ideal mental health. The more a person deviates from ideal mental health, the more abnormal they are.

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5
Q

Deviation from Ideal Mental Health: Jahoda’s 6 Criteria

A

According to Jahoda, the more criteria which a person meets, the more normal they are.

1) Positive self-attitude (feeling positive about yourself and your abilities)

2) Behaving Independently

3) Self-actualisation (constantly trying to develop and improve yourself)

4) Resistance to stress (ability to cope with small hassles and stress in everyday life)

5) Accurate perception of reality (seeing the world in a way which is similar to others around them)

6) Environmental mastery (adjusting to new situations easily)

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6
Q

Definitions of Abnormality: Deviation from Ideal Mental Health STRENGTHS

A

Enables patients to set clear goals. By using Jahoda’s criteria, patients who are diagnosed as abnormal can set themselves clear goals/criteria for achieving ideal mental health

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7
Q

Definitions of Abnormality: Deviation from Ideal Mental Health WEAKNESSES

A

1) Jahoda’s criteria are overly demanding. According to Jahoda, to have ideal mental health and to be considered ‘normal’, all six criteria should be met, meaning that many of the population would be considered abnormal.

2) Furthermore, the criteria are also difficult to measure objectively. For example, it is not clear what behaviour constitutes self-actualisation. This may lead doctors to then impose their own biases.

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8
Q

Definitions of Abnormality: Failure to Function Adequately

A

Third definition. A person is abnormal if they are unable to cope with normal tasks in their everyday life. E.g., being unable to get dressed, go to work, personal hygiene

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9
Q

Definitions of Abnormality: Failure to Function Adequately STRENGTHS

A

1) The behaviours used to identify abnormality can be easily observed and measured. This means doctors can easily identify and diagnose people with mental disorders. Therefore, people suffering with abnormality will receive the necessary treatment.

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10
Q

Definitions of Abnormality: Failure to Function Adequately WEAKNESS

A

1) Some patients do cope with everyday life. The definition, therefore, fails to identify those people who do cope well with everyday life but still suffer from a mental disorder.

2) Not all maladaptive behaviour is a sign of a mental disorder.

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11
Q

Definitions of Abnormality: Statistical Infrequency

A

Behaviour is considered abnormal if the behaviour is statistically infrequent, i.e., if only a small percentage of people display the behaviour. (The use of normal distributions - Abnormality = 5% or less of people display the trait of behaviour)

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12
Q

Definitions of Abnormality: Statistical Infrequency STRENGTH

A

1) An easy and practical way of diagnosing people

2) Compared to other definitions, there is less bias imposed by the doctor because it relies less on the doctor’s interpretation of the patient.

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13
Q

Definitions of Abnormality: Statistical Infrequency WEAKNESS

A

1) Some mental disorders are not infrequent. E.g., more than 5% of the population experience symptoms of depression in their lifetime.

2) Does not consider the desirability of behaviours.

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14
Q

What are the three symptoms of Phobias?

A

1) A fear of a specific stimulus
2) Irrational Beliefs
3) Avoidance

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15
Q

What are the three categories of the symptoms of Phobias/Depression/OCD

A

behavioural, cognitive and emotional

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16
Q

How are phobias acquired?
(Behaviourist Explanation)

A

Phobias are acquired through CC.
They develop when a neutral stimulus is encountered alongside an unpleasant unconditioned stimulus. As a result, the person forms an association between the neutral and unconditioned stimulus, the neutral stimulus becomes a conditioned stimulus and the person develops a conditioned response to the stimulus.
(P1 of the two process-model)

17
Q

How are phobias maintained?
(Behaviourist Explanation)

A

Phobias are maintained through OC.
Avoidance of the feared stimulus is negatively reinforced. (P2 of the two-process model)

18
Q

Evidence to support the two-process model (CC)

A

Watson and Rayner (1920) case study of Little Albert. Watson and Rayner repeatedly presented the white rat with a loud scary noise. Through repeated experience, Little Albert learned to associate the white rat with a loud noise, making the rat a conditioned stimulus. This provides evidence to support the first step of the two-process model.

19
Q

Evidence to support the two process model (OC)

A

Barlow and Durand (1995) show further support for the behaviourist explanation of phobias. Many participants who could recall the event had not driven since. The results of this study show that phobias are acquired through CC and maintained through OC

20
Q

Limitations of the Behaviourist Approach to Phobias

A

Not all phobias are caused by a traumatic experience. E.g., in Barlow and Duran’s study - 50% of people couldn’t recall a traumatic event which caused their driving phobia - suggesting there are other factors involved.

For instance, we may have evolved to have phobias of certain stimuli which were threatening in the past so phobias may also be partially genetically determined.

21
Q

Outline Flooding

A

Treatment for phobias. This involves the patient being exposed to their worst fear and remaining with it until their anxiety has worn off. This prevents the patient from avoiding the feared stimulus/phobia. The relationship between the conditioned stimulus and response is extinguished.

22
Q

Evidence to support flooding

A

Kaplan and Tolin (2011) found that 65% of patients showed no symptoms of a specific phobia after 4 years after a single session of flooding.

23
Q

Limitations of Flooding

A

1) Flooding does not work for all patients. It could actually strengthen the patients association between the CS and the CR

2) Flooding can be considered unethical.
It creates a lot of distress for patients, and therefore could be inappropriate to use on children

24
Q

What is SD?

A

Systematic Desensitisation: 3-step treatment for phobias.

1) the doctor and patient write a list that builds up in stages from the least to most fearful stimulus, which is called a fear hierarchy.

2) patients are taught relaxation techniques to manage anxiety, such as deep breathing.

3) the patient would then be exposed to the feared stimulus gradually, making sure that they are relaxed at each stage.

25
Q

How is SD successful?

A

Like flooding, SD confronts a
person with the feared stimulus, preventing avoidance behaviour. When confronted with the feared stimulus, the patient learns it is harmless, extinguishing the association between the conditioned stimulus and unconditioned stimulus.

26
Q

Strengths of SD

A

1) Study Support for treating specific phobias. Gilroy et al (2003) et al. followed up with 42 patients who received SD for a spider phobia in three 45 min sessions. Found at 3 and 33 months that SD group were less fearful than the control group.

2) less distressing for the patient - exposing the patient gradually means the patient is less likely to feel distress and so may be more ethical than flooding. Therefore can be used on vulnerable patients (e.g., children)

27
Q

Limitations of SD

A

1) Less effective at treating social phobias and agoraphobias where cognitive factors are also important due to irrational thinking.

2)

28
Q

What are the symptoms of major depression (according to the DSM)

A

low mood, loss of pleasure, difficulty concentrating, irrational negative beliefs, change in appetite, change in sleep pattern, social withdrawal.

29
Q

Categorise the symptoms of major depression

A

behavioural - social withdrawal, change in sleep pattern, change in appetite.

emotional - low mood, loss of pleasure

cognitive - difficulty concentrating and irrational negative beliefs.

30
Q

What is required to be diagnosed with depression?

A

At least one emotional symptom, 5 symptoms of depression and more than 2 weeks of experiencing the symptoms.

31
Q

What is Eliis’s ABC Model?

A

Cognitive model of depression….

Activating event
Belief
Consequence

The activating event, the belief about the causes of the activating event and the consequences of the belief

32
Q

What is Beck’s Negative Triad

A

Cognitive model of depression…
Negative beliefs about self, the world, and the future. These beliefs are caused by negative schema and holding negative cognitive biases.

33
Q

Beck’s Negative Triad: Outline Negative Schema

A

According to Beck, irrational negative beliefs are caused by a person having a negative schema, which is a framework built up from past experiences.

34
Q

What are Cognitive Biases

A

When people have a tendency to pay attention to just some of the information that they’re given, we say they have cognitive bias.
According to Beck, negative cognitive biases help to maintain irrational beliefs.