Psychopathology Flashcards
What is the psychodynamic perspective on abnormal psychology?
Mental disorders originate in intrapsychic conflict produced by the id, ego and superego
What is the medical perspective of abnormal psychology?
- Originated with Hippocrates who thought that an excess in the 4 humours (black bile, yellow bile, blood and phlegm) led to emotional problems
- Now thought that mental disorders are caused by specific abnormalities in the brain
What is the cognitive behavioural perspective of abnormal psychology?
Mental disorders are learned maladaptive behaviour patterns that can be best understood by focusing on environmental factors and a person’s perception of those factors
What is the humanistic and sociocultural perspective of abnormal psychology?
Mental disorders arise when people believe that they must earn the positive regard of others
What is the diathesis-stress model?
The combination of a person’s genetics and early learning experiences yields a predisposition for a particular mental disorder, but the disorder will only develop if the person is exposed to stressors which exceed their coping ability
Which two systems are used to classify mental disorders?
- Diagnostic and Statistical Manual IV (DSM-IV)
- International Classification of Diseases 10 (ICD-10)
What is Axis I?
Information on major clinical syndromes
What is Axis II?
Personality disorders
What is Axis III?
Physical disorders accompanying the psychological disorder (skin rashes etc.)
What is Axis IV?
Specifies the severity of stress that the person has encountered
What is Axis V?
Describes the person’s overall level of psychological, social or occupational functioning
What is the unit of Axis V?
Global Assessment of Functioning (GAF)
What does GAF 100 mean?
No/nearly no absence of functioning
What does GAF 50 mean?
Serious problems in functioning
What does GAF 10 mean?
Impairments which may result in injury to oneself or others
Problems with the DSM?
- Tends to be more consistent with the medical approach; treatments emphasise biological factors
- Cognitive and environmental determinants may be overlooked
- Questionable reliability due to complex nature of diagnosis
- Encourages false-positives
Who is cited in the text as one of the first to challenge the practice of witchcraft?
Johann Wier
Who believed that patients would respond to kind treatment?
Philippe Pinel
What does the id represent?
Biological urges
What does the superego represent?
Moral dictates of society
What does the ego represent?
Reality
What is a dream’s manifest content?
The actual images and events which occur in the dream
What is a dream’s latent content?
The hidden meaning or significance of the dream
What criteria must people meet to be considered for psychodynamic therapy?
- Intelligent
- Articulate
- Motivated to spend 3 hours a week working hard to uncover unconscious conflicts
- Be able to afford therapist fees
Evaluation of the psychodynamic approach to therapy
- Many people not eligible/don’t complete course of treatment: sample is not representative so cannot conclude this therapy works
- Therapists can blame the patient when it doesn’t work
What is the aim of humanistic therapy?
To release one’s potential for personal growth (which psychological problems are blocking)
The discrepancy between the real and the idea perceptions of self is called ______
Incongruence
Client-centred therapy involves…
- The client decides what to talk about with their therapist without direction or judgement from the therapist
- The client is responsible for solving their own problems
- Aim is to reduce incongruence by fostering experiences which will make the attainment of their ideal self possible
What is Gestalt therapy?
Emphasises the unity of the mind and body by teaching the client to get in touch with body sensations and emotional feelings hidden from awareness
Evaluation of Gestalt therapy
- Not suitable for serious psychoses
- Most effective for intelligent, motivated people
What is systematic desensitisation?
- The client is taught how to completely relax
- The client and therapist construct a hierarchy of anxiety-related stimuli
- The conditioned stimuli are paired with stimuli which elicit relaxation
What is aversion therapy?
A negative reaction to a neutral stimulus is caused by pairing it with an aversive stimulus e.g. painful electric shocks when seeing shoes to get rid of a fetish
What is behaviour modification?
The use of rewards/punishments to increase positive/reduce negative behaviours
What is a token economy?
A list of tasks is complied and residents gain tokens for each task performed, which they can later exchange for snacks or other desired articles
What is Cognitive Behavioural Therapy?
A focus on changing the client’s maladaptive thoughts, beliefs and perceptions in an attempt to therefore change their behavioural outcomes
Evaluation of CBT?
- Symptom focused rather than focusing on the root cause
- Removal of one symptom will simply result in another potentially more serious one - symptom substitution
What are the advantages of group therapy?
- Allows the therapist to observe real interactions and not rely on the patient’s description
- A group brings social pressure, if someone receives the same comments from all members it will be more powerful
- Seeing the causes of maladaptive behaviour in others can help with insight into one’s own problems, learning from the mistakes of others
- Knowing that other people have similar problems can bring comfort
What are the main classes of drugs used in psychopharmacological interventions?
- Antipsychotic drugs
- Anti-depressant drugs
- Anti-manic drugs
- Anti-anxiety drugs
What is ECT?
- Electroconvulsive therapy
- Electrodes are placed on a person’s head and a brief electrical current is passed through them
- Reduces depression symptoms immediately (compared to 10 - 14 days for anti-depressants)
Problems with ECT
- Can cause permanent memory loss
- Administered only to the right hemisphere now to reduce verbal memory loss
What is psychosurgery?
Brain surgery to treat psychological disorders
What psychosurgery used to be performed?
Prefrontal lobotomy
What psychosurgery is performed now?
Cingulotomy (cutting of the cingulum bundle)
Evaluation of the biological approach to treatment
- Drugs are only effective for the period of use
- People forget to take their drugs
- Psychosurgery is extreme and controversial
Anxiety definition
The sense of apprehension or doom that is accompanied with physiological reactions such as increased heart rate, sweaty palms and tightness in the stomach
What are the most important anxiety disorders?
- Generalised anxiety disorder
- Panic disorder
- Phobic disorder
- Obsessive-compulsive disorder
- Post-traumatic stress disorder
What is generalised anxiety disorder?
- Excessive worry about all aspects of a person’s life: health, money, work, relationships etc.
- Must be present on most days for at least 6 months
- Difficult to control the worry
- At least 3 symptoms
What are the symptoms of GAD?
- Restlessness
- Easily fatigued
- Difficulty concentrating
- Irritability
- Muscle tension
- Sleep disturbance
Borkovec’s aetiology of GAD (1994)
- Arises from the individual’s drive to set and anticipate a set of goals which are desirable
- Anxiety arises when there is a history of frustrated failure which affects the perception of cues associated with the goals
Eysenck’s aetiology of GAD (1992)
- Worry or anxiety serves as an alarm function which brings information concerning threat-related stimuli to awareness
- Prompts individuals to anticipate future situations and their solutions
Gray’s aetiology of GAD (1982)
Anxiety is evoked by signals of….
- Punishment
- Lack of reward
- Novel stimuli
- Innate fear stimuli
The individual detects threats by means of a behavioural inhibition system (BIS) which also generates anxiety
What is the two-factor model?
Individuals exhibit a vulnerability to anxiety owing to high trait anxiety and poor coping skills
Treatment for generalised anxiety disorder
- Benzodiazepines
- Barbiturates
- Antidepressants
- CBT