Psychopathology Flashcards

1
Q

Outline what statistical infrequency is. (Definition of abnormality).

A

Refers to behaviours which are not common. Bottom 2% of top 2% when plotted on a normal distribution curve.

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2
Q

Evaluate statistical infrequency.

A

+ Uses statisitical measures and does not rely on subjective opinions meaning it reduces the likelihood of professionals making decisions on personal bias or stereotypes.

  • Some rare behaviour are desirable for example high IQ so perhaps not an abnormality.
  • Labelling someone as abnormal can lead to a poor self image or discrimination.
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3
Q

Outline deviation from social norms. (Definition of abnormality).

A

Someone is seen as abnormal if their thinking or behaviour violates the unwritten social rules about what is acceptable.

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4
Q

Evaluate deviation from social norms.

A
  • Cultural relativism - social norms differ between cultures and what is considered normal in one culture may not be in another. This can lead to people being wrongfully labelled.
  • It relies on the context of the behaviour for instance screaming at a party may be seen as normal compared to in the street.
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5
Q

Outline failure to function adequately. (Definition of abnormality).

A

Where a person cannot function in everyday life for instance not being able to attend work.

Features of dysfunction - Personal distress, irrationality.

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6
Q

Evaluate failure to function adequately.

A

+ considers personal experiences of the patient and does not simply make a judgement without taking the personal viewpoint of the sufferer into consideration.

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7
Q

Outline deviation from ideal mental health (definition of abnormality).

A

Jahoda created a criteria when someone’s behaviour doesn’t meet this they are considered abnormal.

No personal distress.
Rational.
Self actualise.
Resilient.
High self esteem.
Autonomy.

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8
Q

Evaluate deviation from ideal mental health.

A
  • People experience symptoms described by Jahoda. - Unrealistic criteria.
  • Cultural relativism.
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9
Q

Outline what a phobia is.

A

An anxiety disorder which can cause an irrational fear of a particular object or situation.

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10
Q

Outline behavioural characteristics of phobias.

A

Panic - crying, screaming.
Avoidance.

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11
Q

Outline cognitive characteristics of phobias.

A

Irrational thought processes.
Person knows the fear is excessive.

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12
Q

Outline emotional characteristics of phobias.

A

Anxiety/fear.
Prevents relaxing and positive emotion.

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13
Q

Outline what the two process model is.

A

It suggests that phobias are initially developed due to classical conditioning and then maintained through operant conditioning.

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14
Q

Outline the two process model steps to create a phobia.

A

Step 1: Phobia is learnt through classical conditioning. The phobic stimulus was initially neutral but has become associated with an unconditioned stimulus which does cause fear.
Step 2: The phobia is maintained through operant conditioning.

When answering provide examples or link to stimulus if given.

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15
Q

Evaluate the two process model.

A

+ Little Albert - phobia of rate started when classical conditioned from hammer. This was then maintained through operant conditioning.

+ practical application to therapy such as systematic desensitisation.

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16
Q

Name the two types treatments for phobias.

A

Systematic desensitisation
Flooding

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17
Q

Outline systematic desensetisation (behavioural therapy for phobias).

A

Gradually reduce phobia through the principles of classical conditioning. They go through counterconditioning where a new positive response to the phobic stimulus is learned (relaxation instead of anxiety)

There are three steps:

Patients are taught how to relax. This could be through breathing techniques or anti - anxiety drugs.

Create an anxiety hierarchy where participant puts their phobic stimulus in order from least to most anxiety inducing.

Patients are taught how to relax. This could be through breathing techniques or anti - anxiety drugs.

The patient is then exposed to the bottom of the hierarchy and only moves up once they can remain relaxed.

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18
Q

Outline evaluation of systematic desensitisation.

A

+ Mcgrath found 75% of patients were successfully treated.

+ More ethical.

  • Can take time and therefore be less economical.
19
Q

Outline flooding (behavioural therapy for phobias).

A

The participant is exposed to the anxiety inducing stimulus immediately the participant is unable to avoid their phobia and therefore through continuous exposure, anxiety levels eventually decrease.
As exhaustion sets in the participant may begin to feel a sense of calm and relief which creates a new positive association to the stimulus.

20
Q

Outline evaluation flooding.

A

+ Cost effective. Research has shown it is equally as effective and takes much more time to achieve positive results.

  • Can be highly traumatic for patients as it creates a high level of anxiety. Some patients have become so anxious they have required hospitalisation.
21
Q

Outline what OCD is.

A

A serious anxiety related condition where a person experiences frequent unwelcome obsessional thoughts, often followed by repetition compulsions.

22
Q

What is the OCD cycle?

A

Obsessions - anxiety - compulsions - relief.

23
Q

Outline behavioural characteristics of OCD.

A

Compulsive repetitive behaviours performed to reduce anxiety.

24
Q

Outline emotional characteristics of OCD.

A

Anxiety and distress.
Depression.
Compulsions bring temporary relief.

25
Q

Outline cognitive characteristics of OCD.

A

Obsessive irrational thoughts that are unwanted and intrusive.
An awareness that thoughts are irrational.

26
Q

Outline genetic explanations for OCD. (Part of biological explanation for treating OCD).

A

Suggests OCD is inherited through specific genes
The COMT ( higher levels of dopamine) and SERT (lower levels of serotonin) genes are implicated with OCD.
OCD is likely to be polygenic - Taylor suggests as many as 230 genes may be involved in the condition and perhaps different variations contribute to the different types of OCD i.e SERT and COMT.

27
Q

Evaluate genetic explanations for OCD.

A

+ Nestadt found 68% of identical twins (MZ) both had OCD compared to 31% of non - identical twins (DZ) this increases validity and shows OCD can partly be explained by genetics.

  • Twins grow in the same environment so they are likely to respond to upbringing/family similarly.
  • Not 100% concordance rate
28
Q

Outline neural explanations for OCD. (Part of biological explanation for treating OCD).

A

Damage in the lateral frontal lobes could lead to irrational decisions such as washing your hands 100 times.

Damage to the parahippocampul gyrus could lead to problems processing anxiety leading it to build up to unmanageable levels.

Lower levels of serotonin can lead to mood disorders such as depression.

Higher dopamine increases compulsive reward seeking.

29
Q

Evaluate neural explanations for OCD.

A

+ Practical application - SSRI’s which are used to regulate serotonin levels have been effective in reducing OCD symptoms. Showing irregular levels of serotonin are linked to the development of OCD increases the validity of the theory.

+ Research into neural explanations of OCD tend to use objective, clinical methods such as FMRI scanning which is high in reliability.

  • Not all OCD sufferers respond positively to SSRIs which reduces the external validity of the theory.
    If SSRIs cannot treat all individuals with OCD, then the cause may not be solely neural
30
Q

What drugs are used to treat OCD? (Biological approach to treating OCD).

A

Antidepressant drugs such as SSRI’s.

31
Q

Explain how SSRI’s work to prevent OCD. (Biological approach to treating OCD).

A

SSRI’s aim to increase the amount of serotonin/make serotonin be active for longer.

Serotonin is released at the synapse from the synaptic neuron where it diffuses across the gap then chemically conveys a signal. When its job is done it goes back over the gap to be reabsorbed. However SSRI’s work by blocking these receptor sites so serotonin continues to be active for longer. Reducing anxiety as it improve the transmission of messages between neurons.

32
Q

What is an alternative to SSRI’s? (Biological approach to treating OCD).

A

When SSRI’s don’t work after 3 to 4 months patients can be given tricyclics which has the same effect as SSRI’s but has more serve side effects.

33
Q

Evaluate the use of drug therapy such as SSRI’s on treating OCD.

A

+ Drugs are cheaper and more readily available than other psychological treatments such as CBT
- The impact on the economy is lessened
- This is good in terms of health service budgets
- If more people are treated, they may return to work quicker which positively impacts the economy

  • SSRI’s can have serve side effects such as blurred vision.
34
Q

How else can OCD be treated?

A

CBT - a type of psychotherapy which involves slowing changing how you think about obsessions/compulsions.

35
Q

Outline what is meant by depression.

A

A mood disorder characterised by low mood, lack of energy and motivation and loss of interest in activities that were once pleasurable.

36
Q

Outline behavioural characteristics of depression.

A

Shift in activity level.
Change in appetite.
Reduction in social interaction.

37
Q

Outline cognitive characteristics of depression.

A

Delusions - “everyone hates me”.
Reduced concentration.
Negative and irrational thoughts.

38
Q

Outline emotional characteristics of depression.

A

Sadness and extreme low mood.
Anger.
Loss of interest or pleasure in hobbies or activities.

39
Q

Outline becks cognitive triad. (Cognitive explanation for depression).

A

Beck believed depression is formed from faulty information processing (attend to the negative aspects of the situation) which forms a negative schema of the world, ourselves and our future.

Negative view of the world.
/ \
Negative view of self - Negative views of future.

40
Q

Outline Ellis’s ABC model. (Cognitive explanation for depression).

A

Ellis suggested good mental health is the result of rational thinking (thinking that allows us to be happy and free from pain) and conditions like anxiety and depression result from irrational thought. Ellis defined irrational thoughts as thoughts that interfere with us being happy and free from pain. The ABC model shows how irrational thoughts affect our behaviour and emotional state.

A - Activating event.
B - Beliefs.
C - Consequences.

For example a failing a test could lead to an irrational thought such as never being able to pass a test again leading to a negative emotional consequences - depression.

41
Q

Outline what CBT is. (Cognitive approach to treating depression).

A

identifying irrational and negative thoughts, which lead to depression. The aim is to replace these negative thoughts with more positive ones.

42
Q

Outline Becks cognitive therapy. (Cognitive approach to treating depression).

A

If a therapist is using becks cognitive therapy they will help the patient identify negative thoughts of themselves, their world and future.

The patient and therapist will then work together to challenge these irrational thoughts by discussing evidence for and against them.

The patient will be encouraged to test the validity of their negative thoughts and may be set homework to do so.

43
Q

Outline Ellis’s rational emotive behaviour therapy (REBT). (Cognitive approach to treating depression).

A

The therapist will dispute the patient’s irrational beliefs, to replace their irrational beliefs with more effective beliefs and attitudes. These disputes can be empirical - asking for a persons thoughts such as asking for evidence or logical where the therapist questions the logic of thoughts i.e does that thought about the situation make any sense.

Extended ABC model to ABCDE:

Activating event.
Beliefs about event.
Consequences.
Dispute to challenge irrational thoughts.
Effective new beliefs replace the irrational ones.

44
Q

Evaluate CBT for treating depression.

A

+ March found CBT was 81% successfully and CBT and anti depressant was 86% successful. Suggesting a combination of both treatments may be more effective.

  • CBT requires motivation to change irrational beliefs which depressed patients may not have therefore anti depressant may be more effective.