Psychopathology Flashcards

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

What are the 4 definitions of abnormality?

A

Deviation from social norms.
Failure to function adequately.
Deviation from ideal mental health.
Statistical infrequency.

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

Describe deviation from social norms

A

Abnormality is defined as anyone who behaves differently from social norms or standards set by the social group.

Abnormal behaviour damages social rules established to help people live together.
Eg. Queuing at a bustop.

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

Evaluate deviation from social norms

A

~Definition is susceptible to abuse. Norms and standards vary as time changes, Society is ever-changing its views on what is considered acceptable (eg. Homosexuality).
~Social deviance is inevitably related to both CONTEXT and degree therefore cannot be a complete definition on its own.
~Distinguishes between desirable and undesirable behaviour but no clear distinction between normal and abnormal.

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

Describe failure to function adequately

A

Abnormality is defined as not being able to cope with everyday living or routine. Causes distress/suffering to individual, as well as others. Eg. Mental disorders.

Rosenhan et al - criteria:
~Observer discomfort 
~Irrationality 
~Maladaptive behaviour 
~Unpredictability 
~Personal distress
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Evaluate failure to function adequately

A

~Depends on who judges, individuals could be content with the way they function or unaware of it, subjective.
~Some abnormality cases may not always be followed by observable dysfunctional traits, e.g. psychopaths cause great harm to others yet still appear normal.
~Some dysfunctional/abnormal behaviour such as transvestism can actually be adaptive or functional for the individual as some make a living out of it.
~Recognises the subjective experience of the patient so we can see from their POV, therefore intervention can occur.

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

Describe deviation from ideal mental health

A

Abnormality is defined in the same way physical health is assessed, by looking for signs that suggest absence of well-being. The more characteristics a person fails to meet the more likely they are to be classed as abnormal.

Jahoda (1958) criteria:
• Self-actualisation 
• Positive attitudes towards one self 
• Environmental mastery 
• Autonomy 
• Accurate perception of reality 
• Resistance to stress
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Evaluate deviation from ideal mental health

A

~Unrealistic criteria, how many should be absent before an individual is considered abnormal. Over-demanding.
~Suggests that mental health is the same as physical health - that there is a cause for abnormal behaviour even though not all mental disorders have causes.
~Offers an alternative perspective on mental disorders by focusing on what is desirable rather than what is undesirable.
~Cultural bias.

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

Describe statistical infrequency

A

Abnormality is defined as behaviours that are extremely rare i.e. any behaviour that is found in very few people or deviate from the average.
Statistics inform us about what is considered as typical in a population.

Difference between normal and abnormal is based on the quantity rather than quality (mathematical principle of normal distribution, those on either side of the sd are abnormal). Majority=normal.

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

Evaluate statistical infrequency

A

~Some abnormal behaviour is desirable (high IQ) same as how normal behaviour may be undesirable (depression) - unable to distinguish.
~The cut-off point between normality and abnormality is subjectively determined.
~Statistical infrequency is sometimes appropriate e.g. intellectual disability is defined in terms of the normal distribution use on the concept of standard deviation.

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

What is abnormal psychology?

A

A field of psychological study that deals with mental, emotional and behavioural problems.

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

Define: OCD

A

Obsessive compulsive disorder. Anxiety disorder where sufferers experience persistence and intrusive thoughts occurring as obsessions or compulsions.

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

What are the emotional, cognitive and behavioural characteristics of OCD?

A

~Excessive anxiety and distress which leads to embarrassment. Disgust concerning obsession of germs.
~Recurrent, uncontrollable/obsessive thoughts, more than everyday worries. Doubtful thoughts, fear of overlooking something. Realise irrationality.
~Compulsive behaviours to reduce obsessive thoughts, not connected in a realistic way. Social impairment.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Define: Depression

A

Mood disorder involving length disturbance of emotions. Can occur in cycles with symptoms coming and going over time, two types: unipolar + bipolar.

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

What are the emotional, cognitive and behavioural characteristics of depression?

A

~Sadness, loss of interest and pleasure, worthless, low self esteem, anger.
~Irrational, negative thoughts and self beliefs that are self fulfilling (negative schemas). Lack of concentration. Suicidal thoughts, poor memory.
~Reduced or increased activity related to energy levels, sleep and eating.

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

Define: Phobia

A

A type of anxiety disorder which are characterised by uncontrollable, extreme and irrational fears that produce a conscious avoidance of the feared object/situation.

3 types: simple (specific), social and agoraphobia.

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

What are the emotional, cognitive and behavioural characteristics of phobias?

A

~Fear that is persistent and likely to be excessive and unreasonable, coupled with feelings of anxiety and panic cued by the anticipation/presence of the phobia.
~Not helped by rational argument, unreasonableness of behaviour is recognised.
~Avoidance, faint or freeze, interferes with everyday life.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What 4 categories come under simple (specific) phobias?

A
  • Animal phobias (fear of spiders)
  • Injury phobias (fear of blood)
  • Situational phobias (fear of flying)
  • Natural environment phobias (water)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What is a social phobia?

A

A common type of phobia, involving the perception of being judged and feeling inadequate.

Performance phobia - stage fright
Interaction phobia - fear of communication
Generalised phobia - fear of crowds

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What is agoraphobia?

A

The fear of being in an open or public place, leaving home or a safe place.

20
Q

Explain the 2 types of depression

A

Unipolar depression- major depression, occurs without mania.

Bipolar depression - manic depression, characterised by periods of heightened moods and periods of hopelessness.

21
Q

How would a behaviourist explain abnormality?

A

Assumes that abnormal behaviour is the consequence of learning from the environment. Suggests that bad habits, fears, phobias and misbehaviours are acquired via classical conditioning and maintained though operant conditioning, and can be changed.

Phobias are formed by:
Traumatic experience
Fear (reflex action)
Stimulus generalised 
Phobia
22
Q

Outline the conditioning of little Albert (Watson and Raynor - behaviourist approach)

A
NS: White rat 
US: loud noise 
UR: fear 
CS: White rat 
CR: fear 

So he was conditioned to fear white rats via classical conditioning. Also any stimulus that was similar to the white rat, e.g. White rabbits.

23
Q

What is the 2 process model

A

Combines classical conditioning and operant conditioning to explain how phobias are learnt.

  1. Phobia is learnt/acquired through classical conditioning
  2. Phobia is maintained through operant conditioning
24
Q

How can social learning theory relate to phobia? (Behaviourist explanation)

A

Watching someone else experience a traumatic event can cause the observer to experience the fear response.

25
Q

Evaluate the behavioural approach to abnormality

A
  • Sue et Al argue that most people who have a phobia have experienced or recall a traumatic past event.
  • Can be combined with biological explanations to give a better understanding of phobias.
  • Not everyone who has a phobia has faced a traumatic experience.
  • Bachman’s safety signals hypothesis- avoidance behaviour is not motivated by negative reinforcement but by the positive feelings that a person associates with safety.
26
Q

Define: systematic desensitisation

A

A form of behavioural therapy used to treat phobias, the client is gradually exposed to the threatening situation under relaxed conditions until the anxiety reaction is extinguished.

27
Q

What is the procedure of systematic desensitisation?

A

A form of counter-conditioning where the therapist attempts to replace the fear response with an alternative response.
1. Construct a hierarchy of fear
2. Teach the client how to
Relax
3. Graduated from closure to phobic stimulus
*Reciprocal Inhibition: relaxation to prevent anxiety.

28
Q

Evaluate systematic desensitisation

A
  • Successful for a range of phobias, 75% of patients responded well to in vivo techniques than in vitro.
  • Relatively fast and required less effort on the patients part, self administered.

•Not appropriate for all phobias - eg fear of the dark is an underlying evolutionary survival component.

29
Q

Define: flooding

A

Aka implosion theory is a form of behavioural therapy used to treat phobias. A client is inescapably exposed to an extreme form of the threatening situation under raced conditions until the anxiety is extinguished.

30
Q

Evaluate flooding

A

When flooding works it is an effective treatment and is relatively quick. Choy et al suggests it is more effective than SD.

Individual differences - flooding isn’t for everyone, it can be highly traumatic, severe psychological harm leaving the person even worse.

31
Q

What is the cognitive approach to depression?

A
  1. Human behaviour is heavily influenced by schemata (how we see/think about ourselves or something).
  2. Schemata develops through early life experiences.
  3. Negative schemata leads to negative outcomes.

*Schema: set of beliefs and expectations that are self-blaming in nature or pessimistic to anything positive occurring.

32
Q

What is Ellis’ ABC model?

A

Attempts to explain how disorders such as depression occurred due to irrational thoughts and beliefs.

A: Activating event
B: Belief - which may be rational or irrational
C: Consequence - rational beliefs lead to healthy emotions whereas irrational beliefs lead to unhealthy emotions.

33
Q

What is meant by ‘mustabatory thinking’?

A

Irrational beliefs come from mustabatory thinking, thinking that certain ideas and assumptions must be true in order to be happy. Inevitably leads to disappointment.

34
Q

What is CBT?

A

Cognitive behaviour therapy is a type of treatments in which the client is asked to identify their irrational and maladaptive thoughts and alter them. It states that behaviour is a result of our thinking so in order to change the behaviour the thought is challenged.

(Ellis’ ABCDEF model), homework is given which leads to behavioural activation.

35
Q

What is Ellis’ DEF model? (CBT treating depression)

A

D: Disputing irrational thoughts
E: Effects of disputing and effective attitude to life
F: Feelings or emotions that are produced

36
Q

Evaluate the cognitive approach (CBT) to depression

A

~The effectiveness of the therapy depends on the clients compliance - less suitable for people with high levels of irrational belief who do not want direct advice/are severely withdrawn.
~Can be expensive and time-consuming the patient must be motivated.
~ Depends on skill level of the therapist only effective if a collaborative relationship is able to form.
~Blames the client, reductionist as it doesn’t take into account the situation/context of disorder or the genetic explanations.

~Real world applications, led to CBT.
~Research evidence to support the effectiveness of CBT in treating depression.
~ CBT is seen to treat the root cause of depression which is psychological nature, therefore more curative and should be longer lasting.

37
Q

Define: Concordance rate

A

The extent to which two individuals are similar to each other in terms of a particular trait.

38
Q

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

A

The COMT gene - regulates and causes higher levels of the neurotransmitter dopamine. Tükel et al found that one allele of the gene has been found to be more common in OCD patients rather than ordinary people which produced higher levels of dopamine.

The SERT gene - affects the transport of serotonin higher levels are also implicated in OCD. Ozaki et al found that a mutation in this gene was found in 2 unrelated families where 6/7 family members had OCD.

Diathesis stress - each individual gene only creates a vulnerability for OCD or other conditions. Other factors (stressors) affects what condition develops, or if there is no effect at all.

39
Q

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

A

Abnormal levels of neurotransmitters such as dopamine are high in people with OCD. Animal studies by Szechtman et al found that high doses of drugs that enhanced dopamine induce stereotyped movements resembling behaviours found in OCD patients.

Several areas in the frontal lobe of the brain are thought to be abnormal in people with OCD. This is supported by PET scans of patients with OCD, taken while their symptoms are active - such scans show heightened activity in the OFC (worry circuit).

40
Q

Evaluate the biological approach to explaining OCD

A

Genetic explanation:
• Family and twin studies twice as likely to have OCD. Studies of 1st degree relatives five times greater risk of OCD if relative has it. Nestadt et al.
• reductionist and oversimplified - not all twins share OCD tendencies therefore showing environmental stressors play a part, diathesis stress model may be better suited to explaining OCD.

Neural explanation:
•Pichichero (2009), case studies from the US National Institute of health showed children with throat infections often displayed sudden indications of OCD symptoms, showing that infections can affect the neural mechanisms.
•Abnormalities in mechanisms would be caused by genetic factors, therefore reductionist and oversimplified as this alone cannot explain the disorder.

41
Q

Describe the biological approach (use of drugs) to treating OCD

A
  • Antidepressants/SSRIs (such as Prozac) increases serotonin through preventing re-uptake of serotonin by pre-synaptic neurone which reduces OCD tendencies.
  • Tricyclics block re-uptake of noradrenaline and serotonin but have more severe side-effects so are second choice treatment.
  • Anti-anxiety drugs/Benzodiazepines enhance GABA, a neurotransmitter that slows down the nervous system, reducing anxiety - which is experienced due to obsessive thoughts.
42
Q

Evaluate the use of drug therapy in treating OCD

A

•More effective - SSRIs are better than placebos over short time.
•Drug therapies are preferred as many benefit from less time and effort than CBT, it is self administered therefore helps person to lead a normal life (can contribute to economy).
—-
•Side effects not so severe with SSRIs but more severe with tricyclics. Eg suicidal thoughts.
•Not lasting cure as patients can relapse when treatment stops.
•Publication bias more studies with positive results are published.

43
Q

What is the placebo effect?

A

A fake treatment which refers to when a patients condition improves simply because the person has the expectation that they will get better.

44
Q

What is the role of the neurotransmitter: GABA?

A

Regulates excitement in the nervous system so is a natural anxiety reducer.

45
Q

What is the role of the neurotransmitter: Serotonin?

A

Chemical that helps relay signals from one area of the brain to another and is thought to have a positive impact on mood emotions and sleep.

46
Q

What is Beck’s negative triad (1967)? Evaluate it.

A

Negative view of self leads to negative view of the world or negative view of the future.

CBT is based on this and has been proven to be effective (Butler and Beck), 14 meta-analysis.

Research is based on correlational data. Negative triad blames the patient rather than situational factors.