Psychopathology (AS) PAPER 1 Flashcards

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1
Q

Explain how statistical infrequency can be used to define abnormality

A

defining abnormality in terms of statistics e.g behaviour that is extremely rare and found in very few people.
e.g women dont typically have the first baby in there 40s

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2
Q

Explain how deviation from social norms can be used to define abnormality

A

Behaviour that is deviating from unstated rules created by society on how one should behave, anything that violates these rules is abnormal.
e.g homosexuality in the past

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3
Q

outline one limitation of defining abnormality in terms of deviation from social norms

A

cultural relativism
- someone from one culture group may name someone else from another culture group as abnormal based on their standards rather than the other persons standards.
- hearing voices is socially accceptable in some cultures but would be seen as a sign of abnomality in UK.
-problem for people in one culture living in another cultural group

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4
Q

Explain how failure to function adequatly can be used to define abnormality

A

People are judged in terms of being able to go about there daily life, if they cannot do so and are feeling distressed, or others are distressed by there behaviour, it is considereed as abnormality.

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5
Q

Explain how deviation from ideal mental health can be used to define abnormality

A

deviating from a set criteria
Jahodas following criteria for ideal mental health:
- Self attitudes
- personal growth
- integration
-Autonomy
-Accurate perception of reality
-mastery of the environment

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6
Q

outline 2 limitations of the ideal mental health defenition of abnormality

A

1) unrealistic criteria
- doesnt specify how many criteria need to be absent for there to be abnormality
- criteria can be difficult to measure.
- not really usable when identifying abnormality

2) cultural relativism
- some of jahodas classifications are specific to western ideals e.g emphasis on personal achievement. some cultures may focus on community rather than oneself
-limits the usefullness of this definition to certain cultural groups.

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7
Q

Outline the emotional, behavioural and cognitive characteristics of phobias

A

E - exposure to phobic stimulus causes fear, anxiety and panic
B - phobic stimulus is either avoided or to freeze
C - the person is consciously aware that they are experiencing anxiety due to the feared object, and they recognise the fear is excessive

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8
Q

Outline the emotional, behavioural and cognitive characteristics of depression

A

E - sadness, anger, worthlessness, loss of intrest and pleasure in normal activities
B - neglect of personal appearence, loss of appetite , lack of sleep
C - negative thoughts, low self esteem, lack of concentration

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9
Q

Outline the emotional, behavioural and cognitive characteristics of OCD

A

E - obsessive thoughts lead to anxiety and distress
B - compulsions are repetitive acts that are performed to neutralize these obsessions
C - persistent recurring thoughts images beliefs enterring the mind and connot be removed. At some point during the course of this disorder, they realise there compulsions/obsessions are excessive.

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10
Q

Outline the two process model as an explanation of the behavioural approach

A

Mower - phobia is learned through classical conditioning and maintained through opperent conditioning

CLASSICAL CONDITIONING:
e.g LITTLE ALBERT - how fear of rats can be conditioned (RAYNER AND WATSON)

  • rat (NS) - no response
  • loud noise (UCS) - fear response (UCR)
  • (UCS)+(NS) - (UCR) —– associsation
  • rat (CS) - fear response (CR)
  • generalisation - Little Albert showed fear to object to other furry white objects

OPERANT CONDITIONING (maintenance)
- negative reinforcement = when behviour is repeated do to the outcome fo a reward
- in phobias, by avoiding something unpleasant, the reward is escaping axiety so behaviour is maintened and repeated

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11
Q

evaluate the two process model

A

(-) INCOMPLETE EXPLANATIONS
-a fearfull experience does not always result in a phobia
-we inherit genetic vulnerability but we do not always face it if it is not triggered, thus a dog bite will only lead to a phobia in those people with such vulnerability.

(-) IGNORES COGNITIVE FACTORS
- cognitive psycholigists say phobias occur due to irrational thinking not just learning
- explaines maintenence of phobias in terms of simply avoidance
- value of this is that it leads to CBT which may be more useful than behaviourist treatments.

(+) application to therapy

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12
Q

Outline how systematic desensitisation is used in the treatment of phobias

A

behavioural therapy that is similar to classical conditioning,it uses the fear responses and turns it into a relaxing response, also known as counter conditioning, and gradually causing the fear to become extinct
- due to reciprocal inihibition it is unable to be afraid and relaxed at the same time
- patient and therapist design an anxiety heirachy; fearful stimulis arranged from most to least fearful
- relaxation techniques (deep breathing/meditation)
- about 7 sessions, successful when person can stay relaxed in situations high on heirachy

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13
Q

Outline how flooding is used in the treatment of phobias

A

immediate exposure to the phobic stimulus, there is no gradual build up, and no option of avoidence, the individual quickly learn that the phobic object is harmless and the phobia becomes extinct

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14
Q

Outline Ellis’ ABC model as an explanation for deppression

A

the effect of irrational beliefs on emotions.
A - activating event (e.g get fired from work)
B - rational/irrational belief (e.g the company was overstaffed or the company have had it out for me)
C - consequence of emotion (acceptance / depression)

Mustabatory thinking = source of irrational beliefs
(thinking that certain ideas/assumptions must be true in order for an individual to be happy)

ellis said the 3 most important irrational beliefs are:

  • must be accepted by people
  • must do well or i am worthless
  • the world must give happiness or i will die
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15
Q

Outline Becks negative triad as an explanation for depression

A
  • focuses on depression
  • depressed people have biased negative thinking, negative schema from childhood
  • negative schema = systematic cognitive biases

TRIAD
- negative view of self worth
- negative view of world
-negative view of future

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16
Q

evaluate explanations for the cognitive approach

A

(+) support for the role of irrational thinking
- supporting research
- Bates et al found that depressed people who were given negative thought statements became more depressed.
- negative thinking leads to depression
- COUNTER negative thoughts does not cause depression, but adds to it

(+) Blames client rather than situation
- client has power to change
- however important not to overlook situational factors completely
- both needed

(+) practical application
-CBT
-known to be effective

17
Q

Explain how cognitive behavioural therapy (CBT) is used in the treatment of depression

A

-CBT challenges the negative irrational beliefs
- multiple therapy sessions
4 stages:
1) client identify there negative beliefs
2) Therapists challenge these beliefs
3) client is set hw on there negative beliefs
4) evidence is is evaluated in next session

  • Ellis added ABCDE model, D is dispute and E is effect, individuals use empirical and logical arguments to change irrational beliefs, breaks link between negative life processes and depression
  • behavioural activation - encouraged to partake in activities with a reward, reward functions as a antidote for depression
  • unconditional positive regard - they need to know there value as a human being.
18
Q

Evaluate CBT as a treatment for the cognitive approach

A

(+) effective
- Cujper et al, review of studies on effectivness of CBT in comparison to no CBT
- significant improvements

(-) individual differences
-Cujper et als research showed how effectivness depends on individual
- limits utility of CBT

(-) Not treating underlying cause of depression
- cognitive treatments are based on cognitive approach which says negative beliefs = depression
- twin studies show depression as genetic
- SSRIS might be more effective at treating depression

(-) not cost effective
- loads of sessions one to one with therapist
- drug therapies cheaper
- health care services with less money for other health conditions
COUNTER - long run it is effective, benefits outweigh costs

19
Q

Outline explanations for the biological approach

A

Neural explanations:
- OCD is caused by disrupted communications between the basal ganglia and orbitofrontal cortex
- The basal ganglia releases inhibitory signal to the orbitofrontal cortex which becomes weakened
- This causes a hyperactivity of the orbitofrontal cortex (which is known for decision making) causes obsessive thoughts and worries

Genetic explanations:
- OCD is a genetic condition, which is inherited
- many gene alleles have been associated with increased risk of developing OCD
- Studies have indicated that carrying the long allele of the SERT gene is a risk factor for OCD
- SERT gene controls the reuptake of seretonin at the synapse, because the allele is long there is increase reuptake of seretonin, causing a decrease of seretonin levels at the synapse
- seretonin is a inhibitory neurotransmitter, therefore this decrease in seretonin may contribute to hyperactivity in orbitofrontal cortex

20
Q

evaluate explanations for the biological approach

A

(+) twin studies support the genetic explanation
- comparing concordance rates in MZ and DZ twins
- Billet et al reveiwed twin studies, 68% concordance of OCD in MZ and 31% concordance of OCD in DZ
- genetics do contribute

(-) assuming same environment in genetic exp
- MZ twins are more likely to have same environment than DZ twins
- high concordance rates may be because of environmental factors rather than genetic

(+) brain imaging studies for neural explanations
-saxana and rauch
- reveiwed FMRI brain imaging studies
- those with OCD had increased activity in OFC than healthy conrol group

(+) Practical application
- treatment of OCD
- SSRI
- COUNTER - stop taking SSRI and relapse, suppressing symptoms rather than treating it

21
Q

Outline drug therapy as a treatment for the biological approach

A

SSRI
- blocks reuptake of seretonin
- more seretonin in synapse
- inhibitory neurotransmitter
- less neural activity in orbitofrontal cortex
- reduces hyperactivity in obitofrontal cortex
- reducing signals causing obsessions and compulsions

  • drugs typically paired with CBT, drugs reduce emotional state making individuals engage more effectively with CBT
22
Q

Evaluate drug therapy as a treatment for the biological approach

A

(+) effectiveness
-soomro et al reviewed 17 studies comparing SSRIS with placebo, all 17 showed SSRIS as most effective
- 70% had reduced obsessions/ compulsions
- better than no treatment

(+) Cost effective
- cheaper to produce, quicker to prescribe

(-) side effects
- drugs dont just block reuptake of seretonin in OFC but the whole brain
- nausea, headaches and difficulty sleeping

(-) Relapse
- stop taking drugs and symptoms quickly come back
- supressing not stopping symptoms
- questions validty of drug therapy

23
Q

Evaluate flooding as a behaviourist treatment

A

(+) study support
- Kaplan and Tolin
- 65% of patients still showed no symptoms of a specific phobia, 4 years after a single session of flooding.
- quick and effective treatment for phobias

(+) cost effective
- not as much sessions because of quick effectiveness
- time saving, cost effective treatment
- encourages patients to undergo the treatment with no long term cost and commitment like other treatments.

(-) may be considered unethical
- could be highly traumatic for patient
- not unethical because patients give informed consent
- however distress may be so traumatic that flooding backfires and strengthens conditioned fear response, making phobia worse
- patients unwilling to see treatment through to the end, waste of time and money in preparing patient if they are not going to complete treatment

24
Q

strength of systematic desensitisation as a behaviourist treatment

A

(+) may be more effecting than flooding
- uses a gradual process with relaxation techniques
- less unethical as less trauma
- Ost et al found 90% of patients recovered/improved from phobia after 4yrs
- more effective than flooding