psychopathology Flashcards

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1
Q

what is statistical infrequency?

A
  • numerically unusual behaviour or characteristic.

- i.e. IQ below 70 is part of the diagnosis of intellectual disability disorder.

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2
Q

evaluate statistical infrequency.

A
  • real-life application = simple means of assessing patients.
  • unusual characteristics can be positive = some unusual behaviour doesn’t need treatment i.e. high IQ.
  • not everyone benefits from a label = some people with low IQ function adequately and don’t benefit from a label.
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3
Q

what is a deviation from social norms?

A
  • social judgments about what is acceptable.
  • these norms are culture-specific.
  • i.e. antisocial personality disorder = impulsive, aggressive, irresponsible behaviour is not socially acceptable.
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4
Q

evaluate deviations from social norms.

A
  • not a sole explanation = other factors after such as distress to others.
  • cultural relativism = unfair to judge someone from another culture.
  • can lead to human rights abuse = the social norm approach maintains control over a minority group.
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5
Q

what is failure to function adequately?

A
  • failing to cope with the demands of everyday life.
  • signs = not conforming to interpersonal rules, personal distress.
  • IDD = failing to function is part of the diagnosis of intellectual disability disorder as well as low IQ.
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6
Q

evaluate failure to function adequately.

A
  • patient’s perspective = captures the experience of people with mental health problems.
  • similarities to deviation = alternative lifestyles e.g. extreme sports may be an example of both.
  • subjective judgements required during the assessment.
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7
Q

what is a deviation from ideal mental health?

A
  • Jahoda considered normality rather than an abnormality.

- includes lack of symptoms, rationality, self-actualisation, coping with stress

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8
Q

evaluate deviations from ideal mental health.

A
  • comprehensive definition = includes all the reasons why anyone might seek help.
  • cultural relativism = ideas that are specific to Western cultures e.g. self-actualisation.
  • universal high standards = very little people have “ideal” mental health.
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9
Q

what are the behavioural characteristics of phobias?

A
  • panic

- avoidance or endurance.

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10
Q

what are the emotional characteristics of phobias?

A

irrational and unreasonable fear and anxiety.

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11
Q

what are the cognitive characteristics of phobias?

A
  • selective attention
  • irrational beliefs
  • cognitive distortions
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12
Q

what are some behavioural explanations of phobias?

A
  • two-process model (Mowrer: two ways of conditioning)
  • acquisition by classical conditioning (UCS produces a fear response, UCS then associated with a neutral stimulus)
  • maintenance by operant conditioning (avoidance of phobic stimulus reinforced by anxiety reduction so the phobia is maintained).
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13
Q

evaluate the behavioural explanations for phobias.

A
  • good explanatory power = explains how phobias can be acquired and maintained.
  • alternate explanation for avoidance = may be motivated by seeking safety rather than anxiety reduction.
  • incomplete explanation for phobias = cannot account for preparedness to acquire phobias of some stimuli and not others.
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14
Q

what are the three stages of systematic desensitization?

A
  • anxiety hierarchy identified = a list of situations ranked for how much anxiety they produce
  • relaxation = reciprocal inhibition + relaxation includes imagery and/or breathing techniques.
  • exposure = phobic stimulus exposed whilst relaxed at each level of hierarchy.
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15
Q

evaluate systematic desensitization as a behavioural treatment for phobias.

A
  • effective = more effective than relaxation done alone after 33 months.
  • diversity = appropriate for learners with learning difficulties.
  • acceptable for patients = patients prefer this to flooding meaning dropout rates are lower.
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16
Q

what is flooding?

A
  • exposes patients to a very frightening situation without a build-up.
  • works by the extinction of the conditioned fear response.
  • patients must give informed consent to be prepared for flooding.
17
Q

evaluate flooding as a behavioural treatment for phobias.

A
  • cost-effective = when it works, it is more effective than systematic desensitization, therefore quicker and cheaper.
  • less effective for complex phobias such as social phobias.
  • traumatic treatment = drop out rate is high so ineffective.
18
Q

what are the behavioural characteristics of depression?

A
  • agitated.
  • increased or decreased sleeping/eating.
  • aggression and self-harm.
19
Q

what are the emotional characteristics of depression?

A
  • lowered mood.
  • anger towards self and others.
  • low self-esteem.
20
Q

what are the cognitive characteristics of depression?

A
  • obsessive thoughts.
  • cognitive strategies i.e. prayer.
  • self-insight.
21
Q

what are the three aspects of beck’s cognitive theory on depression?

A
  • faulty information processing = attending to the negative aspects of a situation.
  • negative self-schemas = info about ourselves is accessed whenever we enter a self-relevant situation.
  • negative triad = negative views of the world, self and future.
22
Q

evaluate beck’s cognitive theory.

A
  • supporting evidence = solid support for the idea that certain cognitions make us vulnerable to depression (Clark and Beck).
  • practical app. in CBT = negative thoughts identified and challenged with a therapist.
  • doesn’t explain all aspects = can’t explain extreme anger, hallucinations and delusion.
23
Q

what are the three aspects of Ellis’s ABC model?

A
  • activating event = a negative event that triggers a response.
  • beliefs = beliefs that lead us to overreact to the activating event e.g. that life should always be fair.
  • consequences = depression results when we overreact to negative life events.
24
Q

evaluate Ellis’s ABC model.

A
  • partial explanation = some cases of depression follow life events but not all.
  • practical application in CBT = irrational thoughts can be identified and challenged by a therapist.
  • doesn’t explain all aspects = cannot easily explain extreme anger, hallucinations or delusions.
25
Q

what is cognitive behavioural therapy?

A
  • beck’s CT = aims to identify negative thoughts and challenge them, including through testing them.
  • ellis’s REBT = aims to identify and challenge irrational beliefs by argument
  • behavioural activation = includes techniques from CT and REBT but also behavioural techniques.
26
Q

evaluate cognitive behavioural therapy.

A
  • it is effective = significantly more effective than no treatment (Culipers)
  • may not work for severe cases = not effective where patients are too depressed to engage with therapy.
  • patient-therapist relationship = all therapies fairly similar.
27
Q

what are the behavioural characteristics of OCD?

A
  • compulsions usually decrease anxiety.

- avoid situations that trigger anxiety.

28
Q

what are the emotional characteristics of OCD?

A
  • intense anxiety
  • depression
  • guilt and disgust
29
Q

what are the cognitive characteristics of OCD?

A
  • obsessive thoughts
  • cognitive strategies e.g. prayers
  • self-insight (awareness of irrationality)
30
Q

what is the genetic explanation for OCD?

A
  • candidate genes = genes that may be involved with producing symptoms of OCD (SERT reducing serotonin levels and COMT increasing dopamine levels).
  • OCD is polygenic = 230 genetic variations
  • Different combinations of genes may cause different types of OCD
31
Q

evaluate the genetic explanation of OCD.

A
  • good supporting evidence = Nestadt twins (68% identical twins shared OCD vs. 31% non-identical)
  • too many candidate genes = little predictive value.
  • environmental risk factors = OCD associated with trauma, not entirely genetic.
32
Q

what is the neural explanation for OCD?

A
  • serotonin = low levels of serotonin linked to OCD.

- decision-making systems = frontal lobes and parohippocampal gyrus may be malfunctioning.

33
Q

evaluate the neural explanation of OCD.

A
  • supporting evidence = antidepressants solely focused on boosting serotonin have been proved to alleviate symptoms.
  • not clear what mechanisms involved = all neural systems involved in some cases.
  • shouldn’t assume neural abnormalities are the cause, but could be a result of it.
34
Q

what are the drug treatments used to treat OCD?

A
  • SSRIs = antidepressants that increase levels of serotonin at the synapse, so it does not get reabsorbed by the pre-synaptic neuron.
  • combining SSRIs in other treatments i.e., CBT
  • alternatives to SSRIs = clomipramine (acts on serotonin plus other systems or SNRI (noradrenaline).
35
Q

evaluate drug treatments for OCD.

A
  • effective at tackling symptoms = SSRIs are superior to placebos in treating OCD.
  • cost-effective = compared to psychological treatments drugs are cheap and non-disruptive.
  • can have side effects = indigestion, blurred vision, loss of sex drive (worse for clomipramine).