psychopathology Flashcards

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1
Q

define social norms

A

unwritten behavioural expectations that vary depending on culture, time and context. “Social deviants” are individuals who break the norms of their society and are seen as abnormal. Examples of behaviours showing high cultural specificity are tolerance to homosexuality, religious experiences, and public displays of emotion.

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2
Q

give a strength of using social norms

A

social norms don’t impose a Western view of abnormality that very depending on cultures. For this reason, it is argued diagnosing abnormality according to social norms is not ethnocentric.

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3
Q

define failure to function adequately.

A

when individuals cannot cope with the day-to-day challenges of daily life, such as maintaining personal hygiene. Rosenhan and Seligman’s features: they show maladaptive behaviour; their irrational and unpredictable actions go against their long-term best interests. They show personal anguish, and observers feel discomfort in their present.

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4
Q

strength of failure to function adequately definition

A

respects the individual and their own personal experience, which is something that other definitions, such as statistical infrequency and deviation from social norms cannot do.

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5
Q

weakness of failure to function adequately

A

only includes people who cannot cope; psychopaths can often function in society in ways that benefit them personally. Having lower empathy can lead to success in business and politics.

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6
Q

define statistical infrequency

A

someone is mentally abnormal if their mental condition is very rare in the population; the rarity of the behaviour is judges objectively using statistics, comparing the individual’s behaviour to the rest of the population. The normal distribution curve shows a population’s average spread of specific characteristics.

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7
Q

strength of statistical infrequency

A

individuals who are assessed as being abnormal according to statistical infrequency have been evaluated objectively; this is better than other definitions that depend on the subjective opinion of a clinical.

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8
Q

weakness of statistical infrequency

A

not all statistically rare traits are negative; for example, IQs of 130 are just as statistically rare as IQs of 70. Also, there are common MH conditions like anxiety. NHS found 17% of people surveyed met the criteria for a common mental health disorder.

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9
Q

define deviations from ideal mental health

A

humanistic definiton- Jahoda 1958. Rather than defining abnormality, it defines features of ideal mental health, and deviation from these indicates abnormality. The 6 features are;
-environmental mastery
-autonomy
-resisting stress
-self-actualisation
-positive attitude to yourself
-accurate perception of reality

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10
Q

strength of deviation from ideal mental health

A

it is a holistic definition, considers multiple factors in diagnosis and provides suggestions for personal development, doesn’t simply state what is wrong but also suggests how problems can be overcome.

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11
Q

weakness of deviation from ideal mental health

A

it is too strict a set of criteria to define mental health, it is challenging to achieve all of the requirements at any one time; most. people would be defined as abnormal.

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12
Q

what are the behavioural characteristics of phobias

A

1)avoidance- physically adapting normal behaviour to avoid phobic objects
2)panic- an uncontrollable physical response (e.g: screaming, running)
3) failure to function: difficulty taking part in normal day-to-day activities

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13
Q

what are the emotional characteristics of phobias

A

anxiety-an uncontrollably high and persistent state of arousal
fear- intense emotional sensation of extreme and unpleasant alertness. It only subsides when the phobic object is removed.

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14
Q

what are the cognitive characteristics of phobias

A

irrational thoughts (fears)- negative and irrational mental processes that include an exaggerated belief in the harm the phobic object could cause
reduced cognitive capacity- due to attentional focus on a phobic object.

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15
Q

what are the behavioural categories of depression

A

reduction in activity level: includes lethargy, lacking the energy needed to perform everyday activities
a change in eating behaviour- either significant weight gain or weight loss
aggression- to others/self-harm

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16
Q

what are the emotional categories of depression

A

sadness- a persistent, very low mood
guilt- linked to helplessness and a feeling that they have no value in comparison to other people

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17
Q

what are the cognitive characteristics of depression

A

poor concentration- people with depression cannot give their full attention to tasks
negative schemas- automatic negative biases when thinking about themselves, the world and the future

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18
Q

what are the behavioural categories of OCD

A

compulsions- behaviours performed repeatedly to reduce anxiety e.g; checking and cleaning behaviours
avoidance; take actions to avoid objects that trigger obsessions

19
Q

what are the emotional characteristics of OCD

A

anxiety- an uncontrollably high and persistent state of arousal, making it difficult to relax
depression- a consistent and long-lasting sense of sadness, due to being unable to control thoughts.

20
Q

what are the cognitive characteristics of OCD

A

Obsessions: intrusive, irrational, recurrent thoughts that tent to be unpleasant, catastrophic thoughts
hyper vigilance: a permanent state of alertness, looking for the source of obsessive thoughts.

21
Q

outline the two-process model suggested by behaviourists for explaining phobias

A

the two-step process describes how phobias are acquired and maintained.
acquisition: classical conditioning suggests the phobic object changes from being a neutral stimulus with no fear response to a conditioned stimulus with a fear response by being presented at the same time as unconditioned stimulus that naturally causes a fear response (e.g; the pain of being stung), forming an association.
maintenance: operant conditioning suggests avoidance behaviour leads to a reduction in anxiety, which is a pleasant sensation. this negative reinforcement strengthens the phobic response.

22
Q

outline generalisation as part of the behaviourist explanation to phobia

A

-a conditioned fear response is also experienced in the presence of stimuli that are similar to the conditioned stimulus. e.g; a fear of bees could be generalised to other small flying insects.

23
Q

define reciprocal inhibition

A

behavioural therapies assume that fear and relaxation as opposite emotions cannot co-exist at the same time.

24
Q

outline systematic desensitisation

A

the therapist first teaches relaxation techniques like breathing exercises, then progresses through an anxiety hierarchy created by the client and therapist from least feared presentation to most. a stepped approach is used, with the client relaxing at each stage. this gradual exposure leads to the extinction of the fear association, and a new association with relaxation is formed.

25
Q

outline flooding

A

immediate and full exposure to the maximum level of the phobic stimulus. will cause temporary panic to the client and they may attempt to escape. the clinician will keep the client in this situation until the temporary panic has stopped due to exhaustion and the client is calm in the presence of the phobic object.

26
Q

weakness of behavioural therapies

A

-both systematic desensitisation and flooding are more effective in treating specific phobias (fear of objects) than social phobias, as it is difficult to stimulate social situations and interactions with unfamiliar individuals in a therapist’s office
-lacks mundane realism

27
Q

strength of behavioural therapies

A

research found 83% of ppt. treated with VR exposure to spiders improved to 0% in the control group.

28
Q

what does the cognitive approach argue that depression is caused from.

A

argues that depression is due to irrational thoughts from maladaptive internal mental processes.

29
Q

outline Beck’s negative triad

A

3 schemas with a persistent automatic negative bias. The self: aka self-schemas, feeling “inadequate or unworthy”. The world: thinking people are “hostile or threatening”. The future:thinking “things will always turn out badly”.

the triad develops in childhood but provides the framework for persistent biases in adulthood, leading to cognitive distortions, perceiving the world inaccurately.

30
Q

outline Ellis’s ABC model

A

A: ACTIVATING EVENT- it can be anything that happens to someone
B:BELIEF- for people without depression, beliefs about A are rational. People with depression have irrational beliefs.
C:CONSEQUENCE- Rational beliefs lead to positive consequences; irrational beliefs lead to negative consequences

31
Q

support for ABC model

A

Grazioli and Terry: assessed the thinking styles of 65 women before and after giving births. Found women with negative thinking styles were the most likely to develop postpartum depression; this supports the idea that faulty thinking leads to depression.

32
Q

limitation of beck’s negative triad

A

people with bipolar depression experience manic phases; they feel extremely happy, overly excited, confident and focused. This is a problem for Beck’s theory which explains depression as due to negative schemas, which are resistant to change.

33
Q

outline Beck’s CBT

A

PATIENT AS SCIENTIST. The patient generates and tests hypotheses about the validity of their irrational thoughts; when they realise their thoughts don’t match reality, this will change their schemas, and the irrational thoughts can be discarded. THOUGHT CATCHING; identifying irrational thoughts coming from the negative triad of schemas. the patient is also set homework tasks (e.g keeping a diary)

34
Q

outline Elise’s REBT. Rational emotive behaviour therapy

A

development of the ABC model, adding D for dispute and E for effect. Dispute: the therapist confronts the client’s irrational beliefs. Empirical arguments challenge the client to provide evidence for their irrational beliefs, while logical arguments attempt to show that the beliefs don’t make sense. EFFECT: reduction of irrational thoughts (restructured beliefs B) leading to better consequences in the future.

35
Q

outline the genetic explanation for OCD

A

-the disorder is INHERITED, genetic analysis has revealed around 230 separate “candidate genes” found more frequently in people with OCD

SERT gene, gene 9, COMT gene, 5HT1-D beta gene

OCD appears to be polygenic, meaning a predisposition to OCD requires a range of genetic changes.

36
Q

outline the role of the SERT gene

A

affects reuptake in the serotonin system

37
Q

outline the neural explanation for OCD

A

-the neural explanation for OCD includes low serotonin levels; the low level of serotonin is likely due to it being removed too quickly from the synapse before it has been able to transmit its signal/influence the postsynaptic cell.

38
Q

outline the worry circuit

A

the worry circuit is a set of brain structures, including the orbitofrontal cortex OFC (rational decision-making), the basal ganglia system, especially the caudate nucleus and the thalamus. Communication between these structures in the worry circuit appears to be overactive in people with OCD, resulting in obsessive thinking.

39
Q

support for the biological explanation of OCD

A

Dizygotic twins have a 31% concordance rate, and monozygotic twins have 68%. MZ and DZ twins grow up sharing similar environments. This suggests that the additional shared DNA is responsible for the increased concordance.

40
Q

what are the drug therapies for OCD

A

the primary class of drugs used to control the symptoms of OCD are a group of antidepressant drugs called SSRIs, fluoxetine

41
Q

how do SSRIs work

A

They only influence (select) serotonin in the brain; as reuptake inhibitors, they inhibit the reuptake process in the synapse. Therefore, serotonin is still present in the synaptic cleft and continues to stimulate the postsynaptic neuron. This decreases anxiety by normalising the activity of the worry circuit.

42
Q

how do benzodiazepines work

A

benzodiazepines work by enhancing a neurotransmitter called GABA, slowing the CNS and resulting in general relaxation.

43
Q

support for drug therapies to treat OCD

A

in comparison to psychological therapies like CBT, drug therapy is relatively inexpensive to the NHS, and potentially a more convenient treatment for the patient, as CBT requires the patient to find time for multiple sessions with a trained therapist.

44
Q
A