Psychopathology Flashcards

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1
Q

Explain phobias and outline the cognitive, behavioural and emotional characteristics.

A

An irrational fear of an object or situation

Cognitive characteristics:
- Selective attention to phobic stimulus
- Irrational beliefs

Behavioural characteristics:
- Panic
- Avoidance

Emotional characteristics:
- anxiety and fear
- unreasonable response

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2
Q

Explain depression and outline the cognitive, behavioural and emotional characteristics.

A

A mental disorder characterised by low mood and low energy levels

Cognitive characteristics
- poor concentration
- absolutist thinking

Behavioural characteristics
- activity levels
- disruption to sleep and appetite

Emotional characteristics
- lowered mood
- anger

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3
Q

Explain OCD (obsessive compulsive disorder) and outline the cognitive, behavioural and emotional characteristics.

A

A condition characterised by obsessions and/or compulsive behaviour

Cognitive characteristics
- obsessive thoughts
- Insight into excessive anxiety

Behavioural characteristics
- compulsions
- avoidance

Emotional characteristics
- anxiety and distress
- guilt and disgust

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4
Q

What are the definitions of abnormality?

A
  • Statistical Infrequency
  • Deviation from Social Norms
  • Deviation from Ideal Mental Health
  • Failure to Function Adequately
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5
Q

Statistical Infrequency

A

A mathematical method of defining abnormality. The definition looks at the frequency of a behaviour and if it occurs infrequently then it is considered abnormal.
In any human characteristic, the majority of people´s scores will cluster around the average, and the further we go above the average, the fewer people will attain the score (Normal distribution)

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6
Q

Deviation from Social Norms

A

It describes behaviours that do not fit within what society deems socially acceptable. People who are socially deviant and do not adhere to these norms are more difficult to interact with. However, the definition is dependent on the culture in which the behaviour occurs and social norms evolve over time.

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7
Q

Deviation from Ideal Mental Health

A

It focuses on the theoretical description of “normality” and if someone does not fit within this theoretical idea of normality then their behaviour is abnormal.

Mary Jahoda (1958) - 6 criteria for ideal mental health that we meet when we are in good mental health:
- positive attitude towards the self
- self-actualisaiton
- autonomy
- resistance to stress
- environmentally mastery
- accurate perception of reality

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8
Q

Failure to Function Adequately

A

Abnormality occurs when an individual is not able to cope with everyday life.

Rosenhan & Seligman (1989) - features of not functioning normally
- unpredictability
- maladaptive behaviours
- personal distress
- irrationality
- observer discomfort

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9
Q

Statistical Infrequency - Evaluation

A
  • Practical application in the diagnosis of mental health problems.
  • There is desirable behaviour which is infrequently.
  • Mental health problems can occur frequently (depression).
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10
Q

Deviation from Social Norms - Evaluation

A

Some abnormal behaviour may be missed (the person fits into society but has a mental health problem) so that this definition cannot be used in isolation.

Social norms vary tremendously from one cultures to another.

It could lead to systematic human rights abuse (drapetomania or nymphomania) because they can be used to establish and maintain social control.

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11
Q

Failure to Function Adequately - Evaluation

A
  • It recognises the patient´s perspective
  • It is difficult to determine whether someone is failing to function adequately or whether they are simply deviating from social norms.
  • Judgement about whether someone is failing to function are entirely subjective
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12
Q

Deviation from Ideal Mental Health - Evaluation

A
  • It focuses on positive psychology and considers what is helpful and desirable for the individual, rather than what they are lacking.
  • unrealistic high standards (the vast majority would be labelled as anormal)
  • Ethnocentric (application to other cultures may be limited)
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13
Q

Behavioural approach (two-process model) to explaining phobias

A

Phobias are learned by classical conditioning and maintained by operant conditioning (Mowrer, 1960).

Watson & Rayner (1920) = Little Albert Study (CC)

Mowrer (OC) = whenever we avoid a phobic stimulus (negative reinforcement) we successfully escape the fear and anxiety that we could have suffered if we had remained there. This reduction in fear reinforces the avoidance behaviour and so the behaviour is maintained.

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14
Q

Behavioural approach to explaining phobias - Evaluation

A
  • Incomplete explanation (Evolutionary factors/biological preparedness; Seligman, 1971)
  • Not all bad experience lead to the development of phobias.
  • Not all avoidance behaviours associated with phobias seem to be the result of anxiety reduction but maybe the association with positive feelings (Buck, 2010)
  • Real-Life application (behaviourist treatments)
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15
Q

Explain the systematic desensitisation as a behavioural therapy to treat phobias.

A

Systematic Desensitisation
- uses reverse counter-conditioning to unlearn maladaptive responses to a situation or object, by eliciting relaxation.

1 Step. anxiety hierarchy
2 Step. relaxation techniques (muscle relaxation, breathing techniques, visualisation strategies)
3 Step. gradually exposing the patient to a phobic situation, while relaxed.

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16
Q

Explain Flooding as a behavioural therapy to treat phobias.

A

Flooding (a more extreme behavioural therapy)
- A person is taught relaxation techniques and is then exposed to the most frightening situation immediately
- Individual are unable to avoid (negative reinforce) their phobias and through continuous exposure (direct or indirect), their anxiety levels decrease.
- There are two forms of Flooding
1. In Vivo (the client is actually exposed to the phobic stimulus)
2. In Vitro (the client imagines exposure to the phobic stimulus)

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17
Q

Behavioural approach to treating phobias - Evaluation

A
  • Supportive research for systematic desensitisation as a treatment for phobias (Gilroy et al, 2003)
  • Patients might not only suffer from physiological anxiety but also from unpleasant thoughts about the situation (agoraphobia)
  • More accessibility for a diverse range of patients (SD does not have the same traumatic effects as flooding. Also, people with learning difficulties understand SD better)
  • Limited effectiveness on biological prepared phobias (Seligman, 1971)
18
Q

Cognitive Approach to explain depression

A

Beck (1967)
- The Negative Triad (world, future and self)
- negative self-schema (developed through criticism and is activated when ever a similar situation, compared to the original condition, occurs.)

Ellis (1962)
The key to mental disorders lies in irrational beliefs.
ABC-Model:
A = Activating Event (experience of negative events)
B = Beliefs (interpretation; rational or irrational)
C = Consequences (irrational beliefs have behavioural and emotional consequences)

19
Q

Musterbation

A

inflexible and absolutist thinking

20
Q

Utopianism

A

perfectionism

21
Q

Explain CBT as a method to treat depression.

A

The initial assessment is that the patient and therapist identify the patient´s problems. Thereafter, both agree on a set of goals, and plan of action to achieve these goals. Both forms of CBT aim to identify the irrational beliefs.

22
Q

Explain Beck´s form of CBT to treat depression

A

Beck´s Cognitive Therapy
Identifying automatic thoughts by using the negative triad. These thoughts must be challenged.
The patient has homework such as to record enjoyed events or situation with nice people (patient as scientist).
Later, the scientist can show the depressed person that there are people who are nice to them.

23
Q

Explain Ellis´ form of CBT to treat depression

A

Rational Emotive Behaviour Therapy (REBT)
An action oriented approach to identify and dispute irrational thoughts.
ABCDE-Model
D = Dispute (irrational beliefs must be disputed and turn into rational beliefs)
E = Effect (the person turned irrational into rational thoughts with healthier consequences)

24
Q

What are the types of dispute?

A

Empirical Dispute = checking irrational beliefs against the facts of the real world

Logical Dispute = does it make sense

Pragmatic Dispute = showing that the irrational belief is not helpful

Alternative Dispute = Helping the client to develop an alternative, rational belief

25
Q

Behavioural activation in CBT

A

The therapist encourages the patient to be more active and engaged in enjoyable activities. This will provide more evidence for the irrationality of the beliefs.

26
Q

What are irrational thoughts?

A

Dysfunctional thoughts. Thoughts that are likely to intervene with the happiness of a person. This thoughts can lead to mental disorders such as depression.

27
Q

Cognitive Approach to treat phobias - Evaluation

A

CBT is effective in treating depression (March et al, 2007)

Ineffective for severe cases of depression (first antidepressant medication and then CBT)

The therapeutic alliance (relationship between therapist and patient) may has the most effect (Rosenzweig, 1936)

It overemphasises cognitions and may minimise the importance of someone´s circumstances (McCusker, 2014)

28
Q

Biological Approach to explain OCD

A

Divided into genetic explanation and neural explanation.

29
Q

Outline the genetic explanation of OCD (biological approach)

A

Lewis (1936) found that 37% of OCD patients had family members with OCD. Genetic vulnerability is passed on.
OCD is inherited and that individuals have certain genes which cause OCD.

COMT-Gene
SERT-Gene

OCD is polygenic, which means that several genes interact to cause the disorders (Taylor, 2003 = 230 genes are involved in OCD)

30
Q

COMT-Gene (biological approach)

A

Associated with the production of the COMT-Enzyme, which regulates the neurotransmitter dopamine. Higher levels of dopamine are associated with OCD.

31
Q

SERT-Gene (biological approach)

A

Is linked to the transport of the neurotransmitter serotonin. It causes lower levels of serotonin which is associated with OCD and depression.

32
Q

What is the neural explanation of OCD (biological approach)?

A

The genes associated with OCD are likely to affect the levels of key neurotransmitter as well as structures of the brain.

33
Q

What does aetiologically heterogeneous mean?

A

The origin of OCD has different causes. One group of genes may cause OCD in one person but a different group of genes may cause the disorder in another person.

34
Q

Explain the role of serotonin as a neural explanation of OCD

A

Serotonin is believed to regulate our mood. If a person has unnormal, low levels of serotonin then the transmission of mood-relevant information does not take place. This can result in an extreme change in the mood of someone.

35
Q

Explain the decision-making system as a neural explanation of OCD

A

Some types of OCD seem to be associated with impaired decision making. This is associated with abnormal functioning of the lateral frontal lobes, which are responsible for thinking and decision making.
There is also evidence that the left parahippocampal gyrus (associated with processing unpleasant emotions) functions abnormally in OCD.

36
Q

Biological Approach as an explanation of OCD - Evaluation

A

Supporting evidence (Nestadt et al, 2010 = twin studies)

Environmental risk factors have also been linked to OCD
(Cromer, 2007 = traumatic events in the past)

The polygenic explanation of OCD may have limited therapeutic applications (Taylor, 2013 = each genetic variation only increases the risk of OCD by a fraction = little predictive validity)

Supporting evidence for neural explanation of OCD.
Antidepressant medication (serotonin) are effective in reducing OCD symptoms.

37
Q

How does the biological approach suggest to treat OCD?

A

drug therapy = treatment involving drugs that have a particular effect on the functioning of the brain or some other body system. For psychological disorder such drugs usually affect neurotransmitter levels.

38
Q

SSRIs (biological approach)

A

Selective Serotonin Reuptake Inhibitor
- it works on the serotonin system in the brain
- it takes 3 to 4 months of daily use for SSRIs to have much impact on symptoms
- the drug is available as capsules or liquid

Drugs are often used alongside CBT to treat OCD (more calm patients can engage better with the CBT)

39
Q

What are the alternatives to SSRIs?

A

Tricyclics - an older type of antidepressant such as Clomipramine. Same effect on the serotonin levels but with severe side-effects which makes it less used.

SNRIs (serotonin-noradrenaline reuptake inhibitors) - like Clomipramine, a second line of defence for patients who do not respond to SSRIs. Increases levels of serotonin as well as noradrenaline (another neurotransmitter).

Benzodiazepines (anti-anxiety drug) - BZs enhanced the work of the neurotransmitter GABA. GABA tells neurons to slow down and around 40% of the neurons respond to GABA.

40
Q

Biological approach to treating OCD - Evaluation

A

Research support - Soomro et al. (2008) reviewed 17 studies which showed better results for SSRIs than placebos

Cost effective - CBT costs a lot compared to drugs

Possible side-effects - blurred vision, erectile dysfunction, weight-gain, highly addictive

Treating symptoms but not the cause - once stopped patients are prone to relapse