Psychopathology Flashcards

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1
Q

define statistical infrequency

A

includes the mean, median and mode, they are descriptive statistics used to represent a typical value. we define abnormal, as being outside of this typical value. e.g. having your first baby over 40 or under 20

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2
Q

evaluate statistical infrequency

A

.some abnormal behaviour is desirable, not therefore not bad or negative e.g. having an IQ of over 150 is considered abnormal, but not bad, in fact, desirable
.the cut off point for what is normal or abnormal is quite subjective e.g. sleeping more than 80% of the population or 90% of the population to consider depression?

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3
Q

define deviation from social norms

A

rather than statistical norms, we are looking at social norms for the population. Society has standards for what is considered acceptable behaviour, and so those who deviate from this would be considered abnormal. Some rules are implicit, like laughing at funerals, but some may be policed by laws, like how homosexuality was illegal until1967

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4
Q

evaluate deviation from social norms

A

.Norms change, today homosexuality is largely accepted by most people in Western culture when in the past it was considered a mental disorder. 50 years ago in Russia, those who disagreed with the state were considered isane
.Context e.g. wearing a bikini at the beach is considered normal, but a bikini on a bus in a cooler climate is unacceptable even though they are both in public and both legal

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5
Q

define failure to function adequately

A

not being able to cope with everyday living or carry out necessary task e.g. washing, eating, working etc. In some cases the individual will be distressed by not carrying out these functions, others like schizophrenia may not even be aware they can’t carry out those tasks. The DSM categorises people by rating them on a 1-5 scale and a score out of 180, includes, participation in society, communication etc

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6
Q

evaluate failure to function adequately

A

.Though some may deem in not functional, the people themselves may actually be functioning fine, e.g. getting attention from depression. Transvestitism is actually considered a mental disorder but the people themselves function fine
. Who can judge- subjective, not leaving the house for days could be considered to some as abnormal behaviour, but some will prefer it

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7
Q

Define deviation from ideal mental health

A

Developed from Marie Jahoda, define how we look at physical illness by seeing the absence of physical health.So she developed a list of what is considered ideal mental health and those that are missing these may have a mental disorder. e.g. autonomy, personal growth, integration, accurate perception of reality etc

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8
Q

evaluate deviation from ideal mental health

A

.Its a positive approach looks fro what is there, not what’s missing. A positive approach to mental health is important door some people in order to not be judged
.Unrealistic criteria, according to Jahoda’s criteria, most of us are abnormal, also difficult to measure, how do we measure environmental mastery etc

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9
Q

Emotional characteristic of phobias

A

Fear, anxiety, panic

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10
Q

Behavioural characteristics of phobias

A

Avoidance of stimuli, fight or flight response as well as freeze

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11
Q

Cognitive characteristic for phobia

A

Irrational, excessive thoughts, unreasonable

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12
Q

Emotional characteristics of depression

A

Sadness, empty, hopeless, loss of interest in hobbies

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13
Q

Behavioural characteristics of depression

A

Shift in activity levels, more/less sleeping, appetite may increase or decrease

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14
Q

Cognitive characteristics of depression

A

Negative self-concept, negative view of the world and future, expects things to go badly

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15
Q

Emotional characteristics of OCD

A

Stree, often they know it’s excessive which leads to embarrassment, also a common one is disgust, for germs

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16
Q

Behavioural characteristics for OCD

A

Compulsions are performed to reduce anxiety, repetitive and uncontrolled, compelled to carry out compulsion in fear of something bad happening

17
Q

Cognitive characteristics of OCD

A

Recurrent, intrusive thought

18
Q

Explain the two process model

A
Classical conditioning (Little Albert)
Operant conditioning (maintenance, avoiding the stimuli is rewarding, so avoidance is the norm)
19
Q

Evaluate the behavioural approach to explaining phobias

A

.Importance of classical conditioning- people with phobias often remember what started it
.Diathesis stress model- not everyone who has been bitten by a dog develops a phobia, may be predisposed
.Social learning support- Bandura- model acted in pain after a buzzer sound, after the ps heard the same noise and displayed an emotional response
.Biological preparedness we are programmed to fear things that could cause harm, snakes, heights etc
.Two-process ignores cognitive factors- ignores the idea of irrational thoughts that can cause phobias, CBT has been found to be beneficial, suggesting cognitive has at least some factor

20
Q

the behavioural approach to treating phobias

A

.systematic desensitisation-involves counter-conditioning, the patient is taught a new association. Pairing the feared stimuli with relaxation. Step 1. Relaxation techniques 2.heaiarchy of fear 3.start with the least fear4. work way up 5.master the most feared stimulus
.Flooding- a faster version of SD, skip step 5 with the worst phobia and pair it with the patient until the patient had reached full relaxation. Can be in-vivo (real) or in-vitro (virtual, like a picture). As adrenaline levels naturally decrease and a new response had been leanred

21
Q

Evaluate flooding and SD for treating phobias

A

.Effectiveness-reasearch had found it useful for a range of phobais. McGrath found 75% of patients react well to SD, however, in-vivo has better results. Choy compared SD and flooding and found flooding to be better
.Not appropriate for all phobias- some suggest it won’t be good for evolutionary phobias (dark, big animals, heights) as they will be more deep-seeded
.Fast and easy- little effort required for the patient or doctor. CBT requires the patient to understand each thought etc, SD doesn’t. The lack of thinking is good for people who lack insight into their motivations
.Symptoms and cause- may not work on all phobias, symptoms may be removed, but the cause may still be there. e.g. Litlle Hans, fear of horses, was really a fear of his father

22
Q

Cognitive approach to explaining depression

A

.Ellis’ ABC model- activating event, belief, consequence
.Musturbatory thinking- I must be accepted, I must do well, the world must give me happiness, individuals who believe this will inevitably be disappointed
.Beck’s Negative Triad- bias towards negative interpretations. A negative schema may have been developed in childhood, negative views of themselves, the world, the future.

23
Q

evaluate the cognitive approach to explaining depression

A

.Support for irrational thinking- Hammen and Krantz found depressed individuals made more errors in logic when asked to interpret written material than non-depressed. Also found they had more negative automatic thoughts, however, no cause and effect, the depression could have caused the thoughts
.Blames client- says the client is over-reacting and responsible for their own depression
.RWA- can be applied to CBT, the best treatment for depression. Also if alleviation of irrational thoughts (CBT) lowers depression, we can suggest that irrational thoughts and cognitive factors cause the depression
.Are they irrational or just realistic- some say depressed people are more realistic, they give more accurate estimates of disasters, sadder but wiser
.Alternative explanations- bio-genes, low levels of serotonin linked to depression, also drug therapies work so well, bio had to be a factor

24
Q

Cognitive approach to treating depression

A

Ellis’s REBT- challenges irrational thoughts, Ellis extended his ABC to ABCDEF. D=disputing irrational beliefs E=effects of disputing F=feelings that are produced. There are 3 kinds of disputes.
.Logical- does this thought make sense
.Empirical-is this thought accurate
Pragmatic-is this thought helping me
.Homework given- putting it into practice, challenged the thought “I wont be able to do that”
.Excersis- again challenges “I can’t do that”
.Unconditional positive regard- convincing client you view them as human, worthy etc.

25
Q

Evaluate the cognitive approach to treating depression

A

.Success- Ellis claimed a 90% success rate for 27 sessions, those who failed didn’t put the beliefs into practice. Meta-analysis of 75 studies found CBT better than no-treatment. 15% variance due to therapists
The .individual difference- not suitable for those who have high levels of irrational beliefs or have rigid beliefs. Also not suitable for those with real-life stressors like a death, because that is rational
.People must be willing to try- some put their feelings forward, but don’t take anything away
.Succsues of exercise- 4 months of either drug therapy, exercise or both, the exercise group ha significantly lower relapse rates.
.Alternative treatment- drugs also work very well

26
Q

biological approach to explaining OCD- Genes + neural

A

Genes;
COMPT gene- regulates the production of dopamine. One form of this gene is associated with OCD, this form has lower COMPT and therefore higher dopamine.
SERT gene- affects the transport of serotonin, SERT-associated with OCD means lower serotonin
Diathesis-stress model- could just have a predisposition
Neurotransmitter;
Dopamine levels are very high in patients with OCD
Serotonin levels are very low in patients with OCD
Abnormal brain circuits;
several places in the brain are abnormal in those with OCD, the caudate nucleus usually suppresses signals from the orbitofrontal cortex, then the orbitofrontal cortex signals the thalamus when things are worrying them. If the caudate nucleus is damaged, it fails to suppress minor worries

27
Q

evaluate the biological explanation for explaining OCD

A

.Family and twin studies- people with a first degree relative with OCD have a 5 times greater chance of developing OCD. A meta-analysis found twins were more than twice as likely to develop it if their twin has it, but never 100% concordance
.Tourettes- same expression of the gene that causes OCD, also found in autism and anorexia nervosa. Not one specific gene for OC.
.Support for genes- MRIs have found that OCD patients have a lower amount of grey matter, including in the orbitofrontal cortex
.RWA- mothers eggs can be screened for genes, they can choose whether to abort the baby, this could lead to designer babies. Raises ethical issues
.Alternative explanations- the two-process model can also be related to OCD, the neutral stimulus is dirt, which is associated with anxiety, then it is avoided, which acts as a reward. This is supported when OCD patients react really well to SD and flooding

28
Q

Biological approach to treating OCD

A

Drug therapies
SSRIs- selective serotonin re-uptake inhibitors
.Serotonin released into the synapse. Targets receptor sites in the post-synaptic neurone, and then reabsorbed, SSRIs stop this reabsorption, therefore increasing serotonin in the receptor sites
.Tricyclics- block the transporter mechanism that re-absorbs serotonin and noradrenaline in the pre-synaptic neurone. Same as SSRIs but targets NA too.
.Anti-anxieties- Benzodiazepines- slows activity in the central nervous system by enhancing GABA, which had a quieting effect on the brain. GABA reacts with special sites in the post-synaptic neurone, locks onto those receptors and opens a channel that increases the flow of chloride ions which make it harder for the neurone to be stimulated by other neurotransmitters.

29
Q

evaluate the biological approach to explaining OCD

A

.Effectiveness - 17 studies have found SSRIs are more effective when compared to placebos, however, these studies are only 3-4 months and are therefore very short term
.Drug therapies preferred than other treatments- requires little effort for the patient, unlike CBT. Aldo a lot cheaper and requires little monitoring
.Side effects- headaches, nausea etc. Tricyclics have links to hallucinations so doctor only recommends them if SSRIs don’t work. Benzodiazepine has links to increased to aggression
.Not a long lasting cure- although they are used a lot, CBT should always be tried first. Because of the little effort needed, not long lasting. Patients relapse in a few weeks commonly.
.Publication bias- bias towards positive results, due to profits etc