Psychopathology Flashcards

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1
Q

Outline ‘deviation from social norms’ as a definition of abnormality (4)

A

= Defines abnormality as straying away from the social norms specific to one culture, as well as culture-specific norms.

EXAMPLE: A person with antisocial personality disorder (APD) is aggressive towards strangers and impulsive. This psychopathic behaviour would be considered abnormal in most cultures. However, we are making the social judgement that psychopaths are abnormal because they don’t conform to our moral standards.

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2
Q

Outline ‘statistical infrequency’ as a definition of abnormality. (4)

A

= Defines abnormality as statistically rare characteristics and behaviours. A normal distribution curve is used to asses this. The further a characteristic or behaviour is from the mathematical average, the cluster of the curve, the more rare or statistically infrequent it is.

EXAMPLE: The average IQ IS 100 and most people will have an IQ within 1 standard deviation of this. An IQ above 130 or below 70 is statistically infrequent – it occurs in only around 2% of people - and so, according to this definition, would be considered psychologically abnormal.

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3
Q

Outline a limitation of ‘statistical infrequency’ as a definition of abnormality (4)

A

POINT - It makes the the assumption that any abnormal characteristics are automatically negative.

EXAMPL E -For every person with an IQ below 30 there’s another with an IQ above 130. Yet we would not think of someone as abnormal for having a high IQ, rather being a genius is obviously an admired characteristic.

EXPLAIN - This conveys that being at one end of a psychological spectrum doesn’t necessarily making someone abnormal - it can be a positive norm.

LINK - Therefore, SI doesn’t work for only undesirable characteristics.

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4
Q

Outline a strength of ‘statistical infrequency’ as a definition of abnormality (4)

A

P - One strength is its usefulness.
E - It’s almost always used in the clinical diagnoses of mental health disorders as well as a way to assess the severity of an individual’s symptoms.
E - For example a diagnosis of intellectual disability disorder requires an IQ of below 70. Also, an example of SI as an assessment tool is Beck’s depression inventory. A score of 30+ is widely interpreted as indicating severe depression.
L - This shows that statistical infrequency has real-world applications and therefore is externally validated.

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5
Q

Outline one limitation of ‘deviation from social norms’ (4)

A

P - Due to its reliance on subjective social norms, this explanation also suffers from cultural relativism.
E - One such example would be be ‘hallucinations’.
E - Some African and Asian cultures in particular would look upon this symptom positively, viewing it as a sign of strong spirituality, as opposed to a symptom of Schizophrenia.
L - This therefore suggests that the use of this definition of abnormality may lead to some discrepancies in the diagnoses of mental health disorders between cultures.

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6
Q

Outline the biological approach to treating OCD - drug therapy (4)

A

Drug therapy is used to ‘correct’ the imbalance of neurochemicals, e.g. serotonin, in the brain to reduce the symptoms associated with ODC. The standard treatment are SSRI’s which is an antidepressant drug. This works by preventing the reabsorption and breakdown of serotonin in the brain, effectively increasing the levels of serotonin. Thus continuing to stimulate the postsynaptic neuron.

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7
Q

Define phobia and state the 3 types as categorised by the DSM

A

An anxiety disorder characterised by extreme and irrational fear towards a stimuli.
- Specific phobia = Phobia of an object or situation
- Social phobia
- Agoraphobia = Phobia of being in a public space.

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8
Q

Outline the behavioural characteristics of phobias

A
  • PANIC such as screaming, crying, running away or freezing (linked to fight or flight response)
  • AVOIDANCE
  • ENDURANCE
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9
Q

Outline the emotional characteristics of phobias

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  • ANXIETY = An unpleasant state of high arousal.
  • FEAR = The immediate form of anxiety but more intense and for shorter.

Both are much greater than ‘normal’ and disproportionate to any threat posed

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10
Q

Outline the cognitive characteristics of phobias

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  • SELECTIVE ATTENTION TO THE STIMULUS = May struggle to concentration on other things or could help them react quickly.
  • IRRATIONAL BELIEFS
  • COGNITIVE DISTORTIONS = The perceptions of the phobia may be inaccurate and unrealistic.
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11
Q

State the behavioural approach to explaining phobias

A

The behavioural approach analyses phobias based on external observations of environmental stimuli and behavioural responses.

Proposed was the two-process model explains how phobias are developed and maintained through behavioural conditioning:

Phobias are acquired through classical conditioning and maintained through operant conditioning.

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12
Q

Outline how classical conditioning explains phobias

A

Based on the work of Pavlov, this is learning through association. This occurs when two stimuli are repeatedly paired together:

  1. First an UCS (pain) produces a natural UR (fear).
  2. The natural UR is then associated with a new NS (dog) and an UCS through experience (pain from dog bite).
  3. The NS eventually produces the same response that was produced by the UCS alone. The CS (dog) therefore produces a CR (fear).
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13
Q

Explain how operant conditioning explains phobias

A

Learning through reinforcement (reward) which increases the frequency of a behaviour. Or punishment which decreases it.

If a person behaves in a way that produces a pleasurable outcome then that behaviour is POSITVELY REINFORCED.

If a person behaves in a way that reduces an unpleasant feeling, then that behaviour is NEGATIVELY REINFORCED.

For e.g. avoiding a phobic stimulus reduces the fear and anxiety which negatively reinforces that avoidance behaviour. Thus the phobia is maintained.

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14
Q

Outline a strength of the behavioural approach to explaining phobias (little albert)

A

POINT - The ‘Little Albert Case’ is evidence for a link between bad experiences and phobias.

EVIDENCE - He was given a white rat to play with. Albert did not demonstrate a fear response towards the rat initially, but the researchers then made a loud noise which frightened Albert. This process was repeated several times, after which Albert demonstrated fear behaviour (e.g. crawling away, whimpering) when presented with the rat, even without the loud noise.

EXPLAIN - This conditioning then generalised to similar furry objects such as a non-white rabbit and a fur coat.

LINK - Therefore, this confirms that phobias can be acquired through CC.

COUNTER - Not all phobias appear following a bad experience. In fact some common phobias such as snake phobias occur in populations where very few people have any experience of snakes, let alone traumatic experiences. Also, vice versa. This means that the association isn’t as strong as we’d expect.

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15
Q

Outline a weakness of the behavioural approach to explaining phobias (cognitive)

A

POINT - Doesn’t account for the cognitive aspects of phobias.

EXPLAIN - Behavioural explanations are geared towards explaining behaviour i.e. avoidance. However, we know that phobias aren’t simply avoidance responses. The cognitive approach explains phobias in terms of thought processes.

EVIDENCW - For example, there’s evidence that phobic people may have an attentional bias (i.e. disproportionate focus of thought) towards the scariest features of the stimuli (e.g. a dog’s teeth or a spider’s venom).

LINK - The two-process model doesn’t offer an adequate explanation for phobic cognitions, therefore it doesn’t completely explain the symptoms of phobias.

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16
Q

Explain systematic desensitisation

A

= A behavioural therapy designed to reduced phobic anxiety through CC. Essentially a new response to the stimulus of relaxation is learned. This is called counterconditioning.

  1. ANXIETY HIERARCHY -Client arranges a list of situations related to the phobic stimulus in order from least to most frightening.
  2. RELAXTION - Therapist teaches the client to relax as deeply as possible, involving breathing exercises or mental imagery techniques.
  3. EXPOSURE - Client is exposed to the phobic stimulus while in a relaxed state, working there way through the hierarchy. Treatment is successful when they can stay relaxed in situations high on the anxiety hierarchy.
17
Q

Explain flooding

A

= A behavioural therapy in which a person with a phobia is exposed to the most extreme scenarios straight away.

  • The idea behind flooding is that is stops phobic responses very quickly. TIB without the option of avoidance behaviour, the client quickly learns that the stimulus is harmless. This process is called EXTINCTION in terms of CC.
  • Anxiety cannot be maintained indefinitely as the CS Is encountered without the UCS. Eventually, the fear subsides and, in theory, the phobia.
18
Q

Explain one strength of SD

A

POINT - Research evidence which demonstrates its effectiveness

EVIDENCE - Psychologists followed up 42 people who had SD for spider phobia in three 45 min sessions.

EXPLAIN - When examined 3 and 33 months later, the SD group were less fearful than a control group (who were only taught relaxation techniques).

LINK - This clearly supports SD as a long-term treatment for phobias.

19
Q

Explain one weakness of SD

A

POINT -

EVIDENCE -

EXPLAIN -

LINK -

20
Q

Explain one strength of flooding (cost-effective)

A

POINT - Highly cost-effective.

EXPLAIN - A therapy is cost-effective if its clinically effective and inexpensive. Clinical effectiveness means how a effective a therapy is tackling symptoms. However, when providing them in systems like the NHS we also need to think about how much they cost.

EVIDENCE - Flooding can work in as little as one session as opposed to say, 10 sessions for SD to achieve the same results. It even allows for longer sessions.

LINK - TMT more people can be treated at the same cost with flooding than with SD.

21
Q

Explain one limitation of flooding (experience)

A

POINT - Highly unpleasant experience

EVIDENCE - TIB confronting one’s phobic stimulus in an extreme form provokes tremendous anxiety. Psychologists found that participants and therapists rated flooding as significantly more stressful than SD.

EXPLAIN - This could potentially raise the ethical issue for psychologists of knowingly causing stress to their clients, however this isn’t a serious issue provided they obtain informed consent. More seriously, tmt dropout rates are higher than for SD

LINK - This suggest that, overall, therapists may avoid using this treatment.

22
Q

Define OCD

A

An anxiety disorder characterised by:
obsessions = continuous and repeated undesirable thoughts
compulsions = uncontrollable behaviours in response to these thoughts.

23
Q

Outline the behavioural characteristics of OCD

A

REPETITIVE COMPULSIONS: Physically such has hand-washing or mentally such as counting. This is in response to obsessive thoughts to alleviate the irrational anxiety produced by it.

24
Q

Outline the emotional characteristics of OCD

A
  • ANXIETY AND STRESS
  • EMBARRASSMENT OR SHAME
  • POSSIBLE FEELINGS OF DISGUST
25
Q

Outline the cognitive characteristics of OCD

A
  • INTRUSIVE THOUGHTS OR IMPULSES that are perceived as inappropriate
  • OBSESSIONS
  • HYPERVIGILANT i.e. they may maintain constant alertness and keep attention focused on potential hazards.
26
Q

Outline the genetic explanations of OCD

A
  • COMT gene
  • SERT GENE
27
Q

Outline the neural explanations of OCD

A