Psychopathology Flashcards

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1
Q

Define statistical infrequency

A
  • Abnormal behaviour are rare + diff, found in few people
  • eg. IQ : average is 100
  • 2% below 70, statistically abnormal so diagnosed w/ intellectual disability disorder
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2
Q

Evaluate statistical infrequency

A

(+) Real life application - assessment of patient w/ mental disorder is compared w/ statistical infrequency eg. intellectual disability disorder - useful in clinical assessment

(-) Some abnormal behaviour is desirable - eg. IQ of 150 is abnormal but desirable + doesnt require treatment

(-) Not everyone benefits from labels - someone w/ low IQ may be living normal + happy life - -ve effect on their view

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3
Q

Define deviation from social norms

A
  • Abnormal behaviour is someone who deviates from socially created norms, act diff from expectations
  • eg. antisocial personality disorder: failure to conform to lawful + culturally normative ethical behaviour, abnormal bc they’re impulsive + aggressive
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4
Q

Evaluate deviation from social norms

A

(-) Culturally relative - person from 1 culture may label someone as abnormal using their standards eg. hearing voices

(-) Social norms vary over time - eg. homosexuality considered mental disorder but now socially acceptable

(-) Deviance is related to behaviour’s context - eg. wearing few clothes on beach is normal but not at funeral, no clear line btw abnormal deviation + eccentricity

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5
Q

Define failure to function adequately

A
  • Abnormal if they can’t cope w/ everyday life
  • Not functioning adequately causes distress + suffering for person + others
  • eg. low IQ is statistical infrequency but intellectual disability disorder shows FTFA bc unable to cope w/ everyday life
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6
Q

Evaluate failure to function adequately

A

(+) Recognises patient’s perspective - acknowledges experience of patient’s is important - useful for assessing abnormality

(-) Some abnormal behaviour can be functional - depression may lead to extra attention for individual, attention is rewarding - incomplete definitions

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7
Q

Define deviation from ideal mental health

A
  • Abnormality is deviating from ideal +ve mental health, defined in terms of Jahoda’s criteria, absence of criteria indicates abnormality
  • Criteria: no symptoms of distress, accurate self-perception, self-actualisation, ability to cope w/ stress, realistic view of world, good self esteem + independent
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8
Q

Evaluate deviation from ideal mental health

A

(+) Comprehensive - covers wide range of criteria for mental health

(-) Culturally relative - Specific to western cultures eg. self atualisation would be considered self indulgent in collectivist cultures

(-) Unrealistic - few people satisfy criteria, so most are abnormal

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9
Q

Define Phobias

A

An irrational fear of an object or situation

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10
Q

Phobias: behavioural

A
  • Panic - crying, screaming, running away
  • Avoidance - avoid phobic stimulus
  • Endurance - remains in presence of stimulus but exp anxiety
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11
Q

Phobias: emotional

A
  • Anxiety - unpleasant state of high arousal, unable to relax
  • Fear - immediate + unpleasant response, leads to anxiety
  • Unreasonable emotional responses - disproportionate to danger posed
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12
Q

Phobias: cognitive

A
  • Selective attention
  • Irrational belief
  • Cognitive distortions - alters perception of phobic stimilus
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13
Q

Outline the behavioural approach to explaining phobias

A
  • 2 process model
  • Classical conditioning - phobias are acquired
  • eg. Little Albert: rats + loud noise
  • Operant conditioning - phobias are maintained: fear is lowered by avoiding phobic stimulus (-ve reinforcement)
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14
Q

Evaluate the behavioural approach to explaining phobias

A

(+) Good explanatory power - Provides exp of acquiring phobias, important implications for therapies bc explains y patients need to be exposed

(-) Doesn’t explain the development of all phobias - some cant remember incident leading to development of phobia

(-) Phobia doesn’t always develop after traumatic incident - people bitten by dogs don’t develop phobia. Diathesis stress model- inherit genetic vulnerability + triggered by life events

(-) Cognitive aspects - person who thinks they’ll die in lifts may trigger phobia, irrational thinking involved in development of phobias

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15
Q

Outline systematic desensitisation as a behavioural approach to treating phobias

A
  • Uses counterconditioning to replace fear w/ relaxation
  • Based on reciprocal inhibition - cant be relaxed + afraid at same time
  • Make anxiety hierarchy - fearful stimuli ordered least to worst frightening
  • Taught relaxation techniques - deep breathing + meditation
  • Works through hierarchy in relaxed state
  • Several sessions - gradual exposure
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16
Q

Evaluate systematic desensitisation as a behavioural approach to treating phobias

A

(+) Effective - Gilroy followed up 42 patients who had SD for spider phobia in 3 45min sesh, less fearful compared to group w/o exposure

(+) Suitable for diverse range of patients - alt treatments is flooding, not suitable eg.those w/ learning difficulties won’t understand whats happening

(+) Acceptable to patients - doesn’t cause same degree of trauma, low attrition rates

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17
Q

Outline flooding as a behavioural approach to treating phobias

A
  • Single exposure to most feared situation
  • Learns relaxation techniques + exposed for 2-3 hrs
  • Learn through extinction - patient learns phobic stimulus is harmless
18
Q

Evaluate flooding as a behavioural approach to treating phobias

A

(+) Cost effective - quicker than alt techniques

(-) Less effective for some phobias - eg. social phobias have cognitive aspect, cognitive therapies tackle irrational thinking

(-) Traumatic - high attrition, time + money wasted

19
Q

Define depression

A

Mental disorder characterised by low mood + low energy levels

20
Q

Depression: behavioural

A
  • Reduced energy levels
  • Disruption to sleep + eating behaviour
  • Aggressive behaviour
21
Q

Depression: emotional

A
  • Lowered mood - feeling worthless
  • Anger
  • Low self esteem
22
Q

Depression: cognitive

A
  • Poor conc levels
  • Adding to + dwelling on -ve
  • Absolutist thinking
23
Q

Outline Beck’s cognitive theory of explaining depression

A
  • Due to faulty info processing
  • Roots lying in traumatic childhood experiences, developing -ve schema
  • Depressed people have -ve self schema - interpret info about themselves in -ve way
  • Negative triad: world, future + self
24
Q

Evaluate Beck’s cognitive theory of explaining depression

A

(+) Supporting evidence - Grazoili et al assessed 65 pregnant women for cognitive vulnerability + depression before + after birth. High vulnerability most likely suffer post natal depression

(+) Practical application - forms basis of CBT, -ve triad challenged in CBT

(-) Doesn’t explain all aspects of depression - some suffer hallucinations + delusions they’re zombies

25
Q

Outline Ellis ABC model to explaining depression

A
  • Depression arises from irrational thoughts
  • Activating event
  • -ve event triggers irrational beliefs eg. musterbation‘must always succeed’, utopianism
  • When beliefs triggered, there are emotional + behavioural consequences: depression
26
Q

Evaluate Ellis ABC model to explaining depression

A

(+) Practical application - forms basis of CBT, challenges irrational thoughts

(-) Doesn’t explain all aspects of depression - some suffer hallucinations + delusions they’re zombies

(-) Ignores biological exp - low levels of serotonin in depressed people

27
Q

Define CBT

A

Treating mental disorders based on both cognitive and behavioural techniques. Cognitive therapy challenges -ve thoughts also includes behavioural techniques such as behavioural activation

28
Q

Outline Beck’s cognitive therapy

A
  • Identify automatic thoughts about -ve triad
  • Thoughts challenged by being set hw (patients as scientists) used in futures sesh to disprove -ve automatic thoughts
29
Q

Outline Ellis’ rational emotive behaviour therapy (REBT)

A
  • Aims to turn irrational to rational thoughts
  • D - dispute irrational beliefs
  • E - effects of disputing
  • Focuses on vigorous arguement to dispute: logical (follow facts), empirical (evidence) + pragmatic
30
Q

Define behavioural activation

A

Encourage patients to be more active + engage in enjoyable activities

31
Q

Evaluate the cognitive approach to treating depression

A

(+) Effective - March et al compared effect of CBT w/ AD in 327 depressed teens, after 36 weeks, 81% CBT, 81% AD + 86% CBT + AD sig improved

(-) Individual diff influences effectiveness - Less suitable for when people’s irrational thoughts are rigid, so severe they need AD first

(-) Emphasises importance of cognition - minimises importance of circumstances eg. someone suffering abuse needs to change situation

32
Q

Define OCD

A

Condition characterised by obsessions and/or compulsive behaviour

33
Q

OCD: behavioural

A
  • Compulsive behaviour - repetitive + reduces anxiety
  • Avoidance - situations that trigger anxiety
34
Q

OCD: emotional

A
  • Anxiety - obsessive thoughts are unpleasant
  • Depression
  • Irrational guilt + disgust - over minor moral issues + self
35
Q

OCD: cogntive

A
  • Obessive thoughts - exp 90% of sufferers
  • Insight into own excessive anxiety
36
Q

Outline the genetic explanations to explaining OCD

A
  • Lewis observed 37% patients w/ OCD had parents w/ OCD + 21% had siblings w/ OCD - runs in families
  • Candidate genes: 5HT1-D implicated in efficiency of transport of serotonin across synapses
  • Polygenic: several genes involved (230)
  • Aetiologically hetrogeneous: group of genes causes OCD in 1 person but other set of genes in another person
37
Q

Evaluate the genetic explanations to explaining OCD

A

(+) Supporting evidence - Nestadt reviewed twin studies + found 68% MZ shared OCD as opposed to 31% DZ

(-) Too many candidate genes identified - 230 genes - provides little predictive value

(-) Ignores env factors - not born w/ OCD but learnt from env

38
Q

Outline neural explanations to explaining OCD

A
  • Explained by reduction in functioning of serotonin system - NT that regulates mood, low = normal transmission of mood-relevant info btw neurones doesn’t take place
  • Hoarding disorder associated w/ impaired decision making due to abnormal brain functioning of lateral frontal lobes - responsible for decision making
  • Left parahippocampal gyrus associated w/ unpleasant emotions + functions abnormally in sufferers
39
Q

Evaluate neural explanations to explaining OCD

A

(+) Supporting evidence - AD work purely on serotonin system, inc NT levels reduces OCD symptoms

(-) Correlation doesn’t mean causation - bio abnormalities could be result of OCD than cause

40
Q

Outline the biological approach to treating OCD

A
  • SSRI (selective serotonin reuptake inhibitor) antidepressants
41
Q

Evaluate the biological approach to treating OCD

A

(+) Effective - Soomro et al reviewed 17 studies comparing SSRIs to placebo, all showed better results than placebo

(+) Cost effective + non-disruptive - psychological therapies are time consuming, SSRIs can be taken any time

(-) Side effects - SSRI: headaches + insomnia, tricylic: hallucinations + irregular heartbeat, causes patients to stop taking it

(-) Evidence is unreliable - evidence favouring drug is biased bc sponsored by drug companies who don’t report all evidence