Psychopathology Flashcards

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1
Q

Define statistical infrequency.

A

Statistical infrequency definition of abnormality when a person straight thinking or behaviour is classed as abnormal if it is rare or statistically unusual

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2
Q

What must you be clear about when using this definition.

A

You must be clear about how rare a trait or behaviour needs to be when we class it as abnormal.

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3
Q

How does IQ levels prove as a limitation to statistical infrequency?

A

A high IQ would be seen as a normal however it fails to recognise that there was a desirability of this particular behaviour.

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4
Q

How can the presence of abnormal behaviour in people statistically usual?

A

Some specific abnormal behaviour may be unusual but it is not unusual for people to exhibit some form of prolonged abnormal behaviour at some point in their lives.

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5
Q

How is statistical infrequency objective? And how is this good?

A

This provides an objective way, based on data, to define abnormality if agreed cut-off point can be identified.
Therefore it is very easy to use and very quick plus cheap.

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6
Q

How does statistical infrequency fail to distinguish between desirable and undesirable behaviour?

A

statistically speaking many very gifted individuals could be classified as abnormal using this definition due to their high IQ which would class as abnormal in this context however this would not be appropriate.

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7
Q

How does in frequency create abnormality even in situations of normality?

A

many people have a characteristics such as left-handedness have no bearing on abnormality however because they are statistically infrequent they would be classed as abnormal. Which they are not.

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8
Q

How does depression in elderly people form a limitation for statistical infrequency?

A

around about 27% of elderly people suffer from depression therefore this would make it very common (not abnormal) however that does not mean it is not a problem.

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9
Q

Define deviation from social norms.

A

Deviation from social norms occurs when a person’s thinking of behaviour is classified as abnormal it violates the unwritten rules about what is accepted or expected behaviour in particular social group.

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10
Q

What are the three necessary ideas to consider when usin deviation from social norms?

A

The degree to which a normal violated, the importance of that Norm and the value attached in a specific social group.

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11
Q

How is it good that deviation from social norms gives a social dimension to the idea of abnormality?

A

this definition is a social dimension to the idea of abnormality, which offers an alternative to ‘sick in the head individual’ is stereotype created in society usually.

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12
Q

How is deviation from social norms culturally specific and how does it act as a negative towards the definition.

A

Social norms can vary from culture to culture therefore you could be completely saying and normal in one culture but they had normal in another, for example in some Eastern cultures it is normal to hear voices in your head as they think it is spirits however in western cultures it is seen as schizophrenia.

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13
Q

How does deviation from social norms lack temporal validity and also temporal validity towards the future?

A

Social norms change over time therefore what could have been as abnormal in the past is not now and therefore people have been subjugated for no reason.
Furthermore what is classed as abnormal now could be seen as completely normal in the future and the same fate could happen to people. For example homosexuality was treated as a illness.

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14
Q

Define failure to function adequately.

A

failure to function adequately refers to abnormality that prevents the person from carrying out a range of behaviours that society would expect from them such as holding a job.

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15
Q

rosenhan and seligman suggested 7 criteria that a typical buffet little function adequately, name the three most important criteria.

A

Personal distress, unpredictability and irrationality among others.

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16
Q

How does the clinical use of global assessment of functioning scale apply to failure to function adequately?

A

The global assessment of functioning scale assesses individuals on their level of social occupational and psychological functioning in everyday tasks and life therefore abnormal behaviour would be the same classified as in this definition.

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17
Q

How is fillet a function adequately very easy to use and diagnose, + self diagnosis?

A

It provides a practical checklist of seven criteria individuals can use to check the level of abnormality and therefore could provide self diagnosis.

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18
Q

How can failure to function related to social factors apart from abnormality?

A

Things subs like ability to keep a job could be due to economic situation and not psychopathology.

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19
Q

How does failure to function adequately fall to cultural relativism?

A

What may be seen as functioning adequately in one culture may not be adequate in another this is likely to result in diagnosis in different cultures.

For example voices in the head is classed as schizophrenia in western cultures but in some remote Eastern cultures is classed as spirits talking to you.

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20
Q

How is failure to function adequately context dependent?

A

Failure to function adequately is context-dependent as not eating can be seen as failing to function adequately but prisoners on hunger strike making a protest could be seen in a different light.

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21
Q

Define deviation from ideal mental health identified by jahoda.

A

jahoda suggested six criteria necessary for ideal health and absence of any of these characteristics indicate individuals as being abnormal.

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22
Q

Identify the five criteria necessary for ideal mental health and outline shortly.

A

Resistance to stress - how well you are coping with everyday anxiety provoking situations.
Self-actualisation - Experiencing personal growth and become everything one is capable of becoming.
Sense of identity - having self-respect and positive self concept.
Autonomy - being independent self-reliant and being able to make personal decisions.
Accurate perception of reality - having an objective and realistic view on the world.

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23
Q

How is the difficulty of meeting all criteria in deviation from ideal mental health and limitation?

A

it is seen as very difficult for people to meet all criteria, and in fact very few people would be able to do so and this would suggest that very few people are psychologically healthy which is not the case.

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24
Q

How is deviation from ideal mental health culturally relativistic?

A

The ideas are culture bound, based on a Western idea of ideal mental health, and should not be used to judge other cultures.

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25
Q

Define OCD.

A

OCD or obsessive-compulsive disorder is an anxiety disorder characterized by intrusive and uncontrollable thoughts, coupled with the need to perform specific acts repeatedly.

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26
Q

How are these behaviours seen to the compulsive?

A

To the compulsive these behaviours are often seem to have magical qualities if they are not performing exactly something bad will happen.

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27
Q

Outline the cognitive side of OCD.

A

obsessions dominate ones thinking and are persistent and recurrent thoughts images or beliefs entering the mind uninvited which cannot be removed.
at some point during the course of this order the person has recognised the obsessions are excessive.

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28
Q

Outline the emotional side of OCD.

A

Obsessive thoughts often lead anxiety worry and distress.

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29
Q

Outline the behavioural characteristics of OCD.

A

Compulsions are repetitive behaviour responses intended to neutralise his obsessions, often involving rigidly applied rules.
Again most OCD sufferers recognise their compulsions as unreasonable but believe something bad will happen.

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30
Q

Outline the behavioural characteristics of OCD.

A

Compulsions are repetitive behaviour responses intended to neutralise his obsessions, often involving rigidly applied rules.
Again most OCD sufferers recognise their compulsions as unreasonable but believe something bad will happen.

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31
Q

How can the biological approach be criticised for ignoring environmental influences.

A

some people are not born with OCD though they might learn it from their environment through the process of classical and operant conditioning.

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32
Q

How is the biological approach to OCD verifiable via neuroscience research?

A

Neuroscience research has gathered evidence for the genetic and neurotransmitter involvement in conditions such as schizophrenia. For example the dopamine hypothesis argues that elevated levels of dopamine related to symptoms of schizophrenia these could apply to OCD.

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33
Q

How is the reductionist approach of biological explanations a limitation?

A

As the biological explanations take a reductionist approach they focus only on one factor and at present the understanding of biochemistry is oversimplified. This means other psychological factors such as cognitions are ignored.

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34
Q

The genetic explanation for OCD states that OCD is a polygenic condition what does this mean?
And how do family and twin studies suggest the involvement of genetic factors?

A

A polygenic condition is one that has the involvement of a number of genes in its development.
family and twin studies suggest the involvement of genetic factors as the prevalence of OCD in random population is about to 3% applied to the baseline that the concordance rates show, is is clear that it is genetically passed.

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35
Q

The sert Gene appears to be mutated in individuals with OCD how does this mutation lead to OCD.

A

The genetic mutation on the surgeon causes an increase in transporter proteins at the neurons membrane, as of thus it leads to an increase in their reputation serotonin in the neuron which decreases the level of serotonin in the synapse. Causing obsessions and compulsions.

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36
Q

The COMT gene also appears mutated individuals of OCD how does this lead to OCD?

A

This Gene is mutated however this mutation cause of the opposite effect of SERT Gene causing increased level in dopamine which is shown to correspond with OCD.

37
Q

Outline Carey and gottesman findings into concordance rates involving OCD.

A

Carey and gottesman found that identical twins had a concordance rate of 87% for obsessive symptoms and features compared to 47% in fraternal twins. This difference suggests that genetic factors are moderately important.

38
Q

How can the higher concordance rate found identical twins be due to nurture?

A

Because identical twins are much more likely to experience a more similar environment than fraternal twins since they tend to be treated the same such as dressing etc.

39
Q

How can it be suggested that genes alone do not determine who will develop OCD and that the only creates the vulnerability?

A

There is evidence that other factors or a direct cause must trigger the disorder, evidence for this is that the concordance rate on not 100% which shows that OCD is due to an interaction of genetic and other factors.

40
Q

How can OCD be culturally rather than genetically transmitted (SLT).

A

Members of families or specific cultures may observe and imitate each other’s behaviour as predicted by social learning theory alternatively family members might be more than about OCD because of the stressful environment rather than because of genetic factors.

41
Q

Define neural explanations involving neural mechanisms of OCD.

A

neural mechanisms referr to regions of the brain, structures such as neurones and neurotransmitters involved in sending messages through the nervous system.

42
Q

The prefrontal cortex is involved in what aspects of our behaviour, and what happens when a prefrontal cortex is overactive?

A

The prefrontal cortex is involved in decision-making and regulation of primitive aspects of our behaviour, an overactive prefrontal cortex causes an exaggerated control of primal impulses.

43
Q

Once you’ve performed the appropriate behaviour what effect does this have on the prefrontal cortex? And how does this relate to OCD

A

Once you’ve performed the appropriate behaviour the prefrontal cortex reduces an activation and you stop doing your behaviour and go about your day. However sufferers of OCDs prefrontal cortex is over activated almost temporarily therefore the obsessions and compulsions continue leading you to do the action over and over again.

44
Q

How can abnormalities, or an imbalance in the neurotransmitter serotonin be related to OCD?

A

Reduced serotonin and excessive dopamine may cause OCD this is because serotonin is the chemical for to be involved in regulating mood OCD patients have low level of serotonin.

Furthermore dopamine is abnormally high an individual with OCD high dopamine levels have been correlated to influence concentration this could explain why OCD individual’s experience of inability to stop focusing on obsessive thoughts.

45
Q

How have brain scans of sufferers of OCD given validity to neural identification of OCD. And whos study showed this?

A

the brains of OCD patients are structured and functions differently from those of other people brain scans of OCD patients reliably show increased activity in the prefrontal cortex. (Salloway and Duffy)

46
Q

How is causing effect related to serotonin?

A

Weather low serotonin causes OCD is unknown or let us know one is lower serotonin and OCD related.
We are unable to establish whether the low levels of neurotransmitters cause OCD or are ineffective having a disorder or merely associated.
Therefore collation cannot be inferred as only correlations have been identified.

47
Q

How can the argument of causation be used against the dopamine hypothesis?

A

Again it is unclear leather high levels of dopamine cause of OCD weather OCD is caused by something else and the effect is the higher levels of dopamine.

48
Q

How does the biochemistry hypothesis not account for individual differences?

A

Because the research does not explain why one individual develops OCD and never develops a different mental disorder, because low serotonin levels are also found in other mental disorders.
Therefore biochemical abnormalities are not specific to OCD.

49
Q

How can the successful treatment of CBT in relation to OCD be used as a limitation against biochemistry hypothesis?

A

Because if cognitive behavioural therapy can be used as successful treatment it shows that a cause of OCD cannot be biologically determined as it can be changed through the use of cognitive processing.

50
Q

Which two classes of drugs have proved effective in the treatment of OCD? And what do these classes of drugs do?

A

Serotonin reuptake inhibitors (SRI), and selective serotonin reuptake inhibitors (SSRI).
both classes of drug increase serotonin levels and so support the neural / biochemical explanation hypothesis.

51
Q

How have studies using drugs proved support in the dopamine hypothesis? (2 (one animal study))

A

Studies using drugs have showing a reduction in dopamine levels is positively correlated with a reduction in OCD symptoms.
Furthermore experimenters which inject animals with drugs that increase levels of dopamine have caused animals to demonstrate OCD type behaviours.

52
Q

What did Soomro et al find about SSRIs?

A

He found that they were significantly better than placebo in reducing symptoms and 17 different clinical trials.

53
Q

Research results relating to serotonin of varied how is this a limitation of the drug therapy hypothesis?

A

Sometimes symptoms have been made worse, there is therefore a great deal of contradictory research, the exact function of neurotransmitters in the development of OCD is far from understood.

54
Q

How are side effects of drug therapy a limitation?

A

Most SSRIs have horrible side effects which can be unpleasant for example dry mouth fast heartbeat constipation and weight gain.

55
Q

How can the success of antidepressant drugs as a treatment not necessarily mean the biochemicals of the cause of OCD in the first place?

A

Because it shows that OCD could therefore be the cause of things such as depression for example headaches can be treated well by the use of aspirin however that does not mean headaches are due to an absence of aspirin.

56
Q

Define depression.

A

depression is a mood or affective disorder, this mental illness is a collection of physical emotional mental and behavioral experiences that a severe prolonged and damaging to everyday functioning.

57
Q

What is the criteria used to diagnose depression and how many symptoms should be apparent?

A

The criteria is names DSM-IV-TR, and 5 or more symptoms of depression should be apparent.

58
Q

What are the possible behavioural symptoms (How do you behave while depressed) (5)

A

Neglect of personal appearance, loss of appetite, insomnia, tiredness and withdraw from others.

59
Q

What are possible emotional symptoms (how do you feel when depressed) (5)

A

Intense sadness, irritability, loss of interest of enjoyment, feelings of worthlessness and anger.

60
Q

What are the possible cognitive symptoms (how do you think while depressed). (6)

A

Negative thoughts, lack of concentration, low self-esteem, put a memory, death thoughts and low confidence.

61
Q

What does the cognitive approach believe depression stems from and how does it cause depression?

A

The cognitive approach believes that depression stems from faulty cognitions about others and the world around us.
This faulty thinking maybe through cognitive deficiencies or cognitive distortions.
These cognitions cause distortions in the way we see things and cause behaviour such as depression.

62
Q

What did Ellis suggest depression occurs through? But what did Beck suggest?

A

Ellis suggested depression occurs through irrational thinking, while beck provides the cognitive triad.

63
Q

What is the cognitive triad and it’s three forms of negative thinking? And when do these thoughts occur?

A

The cognitive triad are three forms of negative thinking that atypical to individuals with depression, these are namely negative thoughts about THE SELF, THE WORLD and THE FUTURE. These thoughts tend to be automatic in depressed people as they occurred spontaneously.

64
Q

How would a depressed individual view themselves the world and their future?

A

Depressed individual would view themselves as helpless worthless and inadequate, they interpret events in the world in unrealistic negativity, and see the future as totally hopeless.

65
Q

How does the negative triad cause to depressive thinking?

A

The negative triad interact with negative schemas and cognitive biases to produce depressive thinking.

66
Q

What are cognitive biases, and how individuals a depression prone to making logical errors in thinking?

A

Cognitive biases or distortions of thought processes, individuals with depression are prone to make logical errors as the focus selectively on negative aspects rather than equally relevant positive information.

67
Q

What are schemas, and how did Beck believe depressive individuals we’re prone to developing a negative self schema?

A

schemas can be seen as deeply held beliefs that have their origins primarily and childhood, back believe that depression prone individuals develop a negative self schema. This is why they are prone to expectations about themselves that are negative.

68
Q

How did Beck suggest that negative schemas required in childhood and what effect do they have?

A

Beck suggested the negative schemas may be acquired and childhood as a result of traumatic events, schemas influence how a person interpret events and experiences in their life.

69
Q

How could it be that negative thinking generally is also an effect rather than a cold the depression?

A

it may be that negative thinking generally is also an effective than a cause depression perhaps individuals only start experiencing negative thoughts after having developed depression.

70
Q

Who’s study obtained evidence that suggested negative thinking can be involved in the development of depression?

A

Lewinsohn et al

71
Q

What did Lewinsohn et Al measure and what were their results?

A

They measured negative thinking in non depressed adolescents, one year later the life of vents of participants over previous 12 months were assessed and also whether they were suffering from depression.

the results showed those with experience many negative life events had an increased like you’re developing depression only if they were initially high and negative attitudes supporting the theory that negative beliefs are risk factor and supporting Beck’s negative triad.

72
Q

How is the cognitive approach limited by biology?

A

The cognitive approach depression is limited in that genetic factors ignored

73
Q

How is the cognitive approach limited in reference to social factors?

A

little attention is paid to the role of social factors relating to life events and gender in the cognitive explanation of depression.

74
Q

What was ellis’s ABC model?

A

Ellis propose that each of us hold a unique set of assumptions about ourselves and our world that serve to guide us through life and determine our reactions the various situations we encounter.

75
Q

How do some people’s assumptions lead them to act in appropriate and prejudice ways? What did Ellis call this?

A

some individuals assumptions of very irrational, guiding them to act and react in ways that are inappropriate and that prejudice that chances of happiness and success, Ellis calls this basic irrational assumptions.

76
Q

According to Ellis where does depression occur?

A

According to Ellis oppression does not occur as a direct result of a negative event but rather it is produced by the irrational thought triggered by negative events.

77
Q

What is a limitation of ellis’s ABC model to do with cognitive processes? Which is also a limitation of all of cognitive depression.

A

the precise role of cognitive processes is yet to be determined it is not clear whether faulty cognitions are the cause of psychopathology or a consequence of it.

78
Q

Give an example of a negative condition that is actually a more accurate view of the world.

A

Depressive realism

79
Q

How is cognitive theories and the way they test unethical and who found this?

A

Rymm and litvack, and cognitive theories and the word attest manipulates subject into adopting and pleasant assumptions of thoughts and they become more anxious and depressed.

80
Q

How does cognitive behavioural therapy to treat individuals of depression?

A

it aims to change the way a client thinks, by challenging irrational thought processes and this will lead to a change in behaviour as a response to new thinking patterns.

81
Q

When individuals suffers with psychological distress, how do they interpret situations?

A

When individuals suffer from psychological distress they interpret situations as irrational as possible they become skewed which in turn has a negative impact on the actions they take.

82
Q

What two things cognitive therapist do they help clients alternative ways of thinking in their daily lives?

A

they help them recognise negative thoughts and errors in logic that causing a bit depressed, furthermore they guide the clients the question and challenge their dysfunctional thoughts.

83
Q

What is the behaviour part of a therapy?

A

The therapist set homework for the client to do such as keeping a diary of sorts, the therapist gives tasks to the client that will help them challenge their irrational beliefs.

84
Q

How is cognitive behavioural therapy effective?

A

It has been shown to be a very effective mode of treating depression, in fact it is shown to produce longer lasting recovery than drugs.

85
Q

Name one limitation that can be used throughout the whole of cognitive treatments of depression and apply it to cognitive behaviour therapy. (Cognitive processes)

A

the precise role of cognitive processes is yet to be determined, it is not clear whether faulty cognitions are cause of the psychopathology or consequence?

86
Q

How can negative cognitions be more accurate and give an example.

A

Negative cognitions can sometimes be in fact more accurate view of the world an example is depressive realism.

87
Q

What did Rimm and Litvak identify as a limitation of cognitive testing?

A

the testing of cognitive theories lends itself to the manipulation of subject into adopting unpleasant assumptions or thoughts that become more depressive.

88
Q

How is cognitive behaviour therapy cheap and short?

A

Cognitive behavioural therapy tends to be short, taking 3 to 6 months for most emotional problems patients attend a session a week each lasting over 50 minutes or an hour which does not rely on the production of drugs and therefore no money.

89
Q

How can cognitive behavioural therapy reduce ethical issues?

A

In the way the therapy works it is client involved and they are in control they feel empowered as they helping themselves therefore no ethical issues.