psychopathology Flashcards

You may prefer our related Brainscape-certified flashcards:
1
Q

explain how statistical infrequency can be used as a definition of abnormality

give an example

evaluate.

A

statistical infrequency demonstrates when an individual has a less common characteristic.
this is used for characteristics which can be reliably measured.

e.g; intelligence, using an IQ test
average IQ is 100, if below 70, person is liable for IDD diagnosis

+can be used in clinical practice for diagnosis

-infrequent characteristics aren’t necessarily a negative thing, should not be used as the sole basis for defining abnormality

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

explain how deviation from social norms can be used as a definition for abnormality.

give an example.

evaluate.

A

concerns behaviour that is different from the accepted standards of behaviour for that community/society.

e.g antisocial personality disorder (psychopathy)- DSM 5 describing it as ‘failure to conform to lawful and culturally normal, ethical behaviour’

+can be used in clinical practice, used to define when a person is deviating from what’s expected

-there is a variation of social norms between different cultures/situations

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

explain how failure to function adequately can be used as a definition of abnormality

reference S…. and R…. work.

evaluate.

+ sensible ….
- easy to ….

A

failure to function adequately means a person can no longer cope with the demands of everyday life.

Rosenhan and Seligman (1989) suggested these were the signs a person is not coping:
-no longer conform to standard, impersonal rules
-severe personal distress
-behaviour is dangerous/irrational

+sensible threshold for when professional help is needed, treatment can be given to those who need it most

-easy to label non-standard life choices as abnormal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

explain how deviation from ideal mental health can be used as a definition for abnormality.

reference Jahoda’s work

evaluate

A

Jahoda (1958) created a list displaying the qualities needed for ideal mental health:
(here are a few: )
-no symptoms/distress
-realistic view of the world
-self actualise
-good self esteem
-independent of other people

+provides checklist, highly comprehensive, covers many reasons why people may need help
-different elements are not equally applicable across a range of cultures

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

how does DSM-5 define phobias?

A

all phobias are characterised by excessive fear and anxiety, triggered by an object, place or situation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

explain these phobias:

specific phobia
social phobia
agoraphobia

A

specific phobia- phobic of an object/situation

social phobia- phobia of social situation

agoraphobia- phobia of outside/public places

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

explain the behavioural characteristics of phobias
p….
a…..
e…..

A

panic - screaming, crying, run away

avoidance - preventing contact with phobic stimulus

endurance- choosing to remain in contact with phobic stimulus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

explain the emotional characteristics of phobias

a…
f….
e…r…. is u….

A

anxiety - unpleasant state of high arousal, difficult to relax

fear- shorter period, immediate and unpleasant

emotional response is unreasonable- reaction to phobia is disproportionate to threat posed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

explain the cognitive characteristics of phobias

s… a….

i… b…..

c…. d….

A

selective attention to phobic stimulus - hard to look away (this is good when reacting to a threat, but not when the fear is irrational)

irrational beliefs- holds belief in relation to phobic stimulus which has no basis in reality. increases pressure for person to perform well.

cognitive distortions- perceptions may be inaccurate/distorted

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

explain the behavioural approach to EXPLAINING phobias

(model)

A

behavioural approach emphasises the role of behaviour, using the two process model which was created by Mowrer (1960)

1.acquisition by classical conditioning

learning to associate neutral stimulus (no fear of this) with an unconditioned stimulus (thing you are naturally fearful of)

2.maintenance by operant conditioning

takes place when a behaviour is reinforced or punished
when we avoid phobic stimulus, we successfully escape the fear we would have experienced if it remained there
this reduction in fear reinforces the avoidance behaviour, and so the phobia is maintained.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

EVALUATE the behavioural approach to EXPLAINING phobias (two-process model)

A

+applied in real world, identifies a means of treating behaviours

+explains link between traumatic experiences and phobias, as demonstrated with Little Albert study

-does not account for cognitive aspects of phobias, doesn’t offer adequate explanation for phobic cognitions, eg cognitive distortions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

explain the behavioural approach for TREATING phobias
(SD)

A

systematic desensitisation (SD)

behavioural therapy used to gradually reduce phobic anxiety, through the principle of classical conditioning

if person can learn to relax in presence of phobic stimulus, they will learn a new response - called ‘counterconditioning’

three processes in SD:

  1. anxiety hierarchy
    list of situations relating to phobia, constructed by therapist and patient
  2. relaxation
    therapist teaches patient to relax
    based of theory of reciprocal inhibition (can’t be calm and afraid at same time)
    meditation/breathing techniques
  3. exposure
    client is exposed to phobic stimulus whilst in relaxed state
    takes place in several sessions, beginning at bottom of hierarchy
    treatment is complete when patient can stay relaxed in situations high up in the hierarchy
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

explain the behavioural approach for TREATING behaviours
(flooding)

evaluate

A

involves exposing people to their phobic stimulus, without a gradual build up

flooding stops phobic responses quickly- without the option of avoidance, client learns that the phobic stimulus is harmless- called ‘extinction’

+cost effective as it tends to be one long lesson
-possibly traumatic, ensure informed consent
-attrition (drop out) rates are higher than SD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

describe the behavioural, emotional and cognitive characteristics of depression

A

behavioural
-activity levels
-sleep/eating disruption
-aggression/self harm

emotional
-lowered mood
-anger
-lowered self esteem

cognitive
-poor concentration
-attending/dwelling on negative
-absolutist thinking

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

explain the cognitive approach towards treating depression

-Beck’s negative triad

-Ellis’s ABC Model

A

Beck’s ‘negative triad’ states that people have 3 types of negative thinking which occur naturally:
1.negative view of world
2.negative view of self
3.negative view of future

suggests depressed people have ‘faulty information processing’ which means they only attend the negatives and have a ‘negative self schema’

Elli’s ABC model:
A- activating event (event which triggers depression)
B- irrational beliefs
C- consequences (emotional and behavioural)

added these when discussing treatment of depression:

D- dispute (challenging beliefs through vigorous argument )
E- effect

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

In Ellis’s ABC model, there are ‘irrational beliefs’. Give examples of these.

A

Musturbation - must achieve perfection

Utopianism- belief that life is meant to be fair

17
Q

Evaluate Beck’s approach to treating depression.

research support (cognitive vulnerabilities)

real world application (screen)

A

+ research support
Clark and Beck (1999) concluded that not only were cognitive vulnerabilities more common in depressed people, but they preceded depression.
Further supported by Cohen (2019) research.

+real world application
allows psychologists to screen people for cognitive vulnerabilities to identify those most at risk from developing depression- this can be applied to CBT

18
Q

explain what is meant by Beck’s idea of ‘cognitive vulnerability’

A

ways of thinking that may predispose a person to becoming depressed

19
Q

evaluate Ellis’s ABC model

real world (type of therapy)

doesn’t explain …. end

A

+ real world application
can be applied to rational emotive behaviour therapy (REBT) as it challenges irrational beliefs
REBT was developed from Ellis’ model
David et al (2018) found this therapy can relieve symptoms of depression

-doesn’t explain all types of depression
reactive depression is triggered by life event but endogenous depression has no clear link to event (no activating event as suggested by model)

20
Q

describe different types of dispute Ellis may use in ABC model during the ‘dispute’ phase

A

empirical argument- is there evidence for this belief?

logical argument- does this thought logically follow facts?

21
Q

explain what CBT is

A

CBT is a cognitive approach used to treat depression

cognitive element- begins with an assessment where the client and therapist identify irrational thoughts

behaviour element- work to change irrational thoughts by enforcing more effective behaviours

22
Q

explain the specifics of Beck’s approach to CBT

A

identify negative/irrational thoughts using negative triad
once identified, these thoughts must be challenged
“client as a scientist”
in future sessions, therapist can present this research as evidence

23
Q

evaluate CBT

A

+ evidence for effectiveness
March et al (2006) combination of antidepressant drugs and CBT was more effective than just drugs (86% had improvement)
fairly brief- often around 12 sessions - used by NHS

-suitability for diverse clients
severe cases and learning disabilities
can’t engage
Sturmey (2005) psychotherapy is not suitable for anyone with learning difficulties
suggests CBT may only be appropriate for specific range of people

-relapse rates
Ali et al (2017) had 439 clients and 53% relapsed within a year
suggests CBT may need to be repeated periodically

24
Q

explain the cycle of OCD

A

obsessive thought
anxiety
compulsive behaviour
temporary relief

25
Q

state the behavioural, emotional and cognitive characteristics of OCD

A

behavioural
vary for each person but are all :repetitive, reduce anxiety and avoidance

emotional
anxiety and distress
accompanying depression
guilt and disgust

cognitive
obsessive thoughts- many cognitive feature for 90% of those with OCD
cognitive coping strategies (praying/mediating) (may seem abnormal)
insight into excessive anxiety (aware it’s irrational)

26
Q

explain OCD using the biological approach

A

uses genetic explanations:
genes can make an individual more vulnerable to OCD (genetic vulnerability)- candidate genes create vulnerability
polygenic, meaning it’s caused by a combination of genetic variations
aetelogically heterogenous- different genes cause OCD in different causes of origin

also uses neural explanations:
genes are likely to affect the neurotransmitters and structures of the brain
serotonin controls mood-relevant transmission
lateral frontal loads- abnormal functioning, difficulty making decisions
left parahippocampal gyrus- associated with processing unpleasant emotions

27
Q

EVALUATE the biological approach to OCD

reference genetics and neural explanations

genetics
+type of study (%)
- e… r… factors

neural

+ an… shown to …

  • no unique ….
A

genetics:

+twin studies show that monozygotic (identical) twins are more likely to share OCD
Gerald Nestadt et al (2010)- 68% of identical twins shared OCD compared to 31% non-identical twins
suggests some genetic influence on OCD development

-environmental risk factors
these trigger/increase OCD risk
Cromer (2007)- half OCD patients had experienced traumatic event

neural:
+antidepressants that work on serotonin are effective in treating OCD
OCD symptoms from other conditions are known to have biological basis

-no unique neural system
many people with OCD also have depression (co-morbidity)
serotonin levels may be disrupted by depression so serotonin may not be relevant to OCD

28
Q

Explain the biological approach to treating OCD

A

drug therapy - such as SSRIs

people with OCD often have low levels of serotonin

SSRIS (selective serotonin reuptake inhibitor)

serotonin usually travels across a synapse from the presynaptic nerve to the postsynaptic nerve

it is then reabsorbed by the postsynaptic nerve, broken down and reused

SSRIs block the reabsorption of serotonin so that it the levels across the synapse stay increased, continuing to stimulate the postsynaptic nerve

29
Q

explain the dosage, form and time of SSRIs

A

low dose (around 20mg daily) and increase if necessary
capsule/liquid
tales 3-4 months to have an effect

30
Q

why are drugs sometimes used as an alternative to other treatments

A

cases can be so severe that the person is unable to engage with other treatment such as CBT

often used alongside CBT as they reduce symptoms, allowing the person to engage effectively

drugs are less time consuming, convenient and cheaper

31
Q

what are the alternatives to SSRIs?

A

tricyclics (older type of antidepressant)
more severe side effects, used on people who do not respond to SSRIs
eg : clomipramine

SNRIs-

serotonin noradrenaline reuptake inhibitors
increases levels of both neurotransmitters across synapse

32
Q

evaluate the biological approach to treating OCD

effectiveness (metanalysis)

side effects

A

+ evidence for effectiveness
clear evidence to show SSRIs reduce symptoms of OCD
17 studies (metanalysis) - symptoms are reduced for 70% of those who took SSRIs

+cost effective and non-disruptive
psychological therapies are expensive and time consuming, drugs are good value for public health system and can easily be implemented into everyday life

-serious side effects
small minority do not get any benefits from SSRIs
short term side effects- blurred vision, low sex drive, indigestion problems

long term side effects- heart problems or aggression
1 in 100 experience heart problems as a result of SSRIs

some people have a reduced quality of life as a result of taking these drugs so therefore taking these drugs, this means that the drugs cease to be effective