Psycopathology Flashcards

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1
Q

What are the definitions of abnormality

A

Deviation from social norms

Failure to function adequately

Statistical infrequency

Deviation from ideal mental health

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2
Q

What does it mean to deviate from social norms?

A

Norms of behaviour are created by society

Norms represent what is acceptable ways of behaving - norms are like the rules

Deviating from these norms may be considered abnormal

Implicit and explicit

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3
Q

What is an example of deviating from social norms

A

Laughing at a funeral

Exposing yourself in public

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4
Q

What are implicit social norms

A

Unspoken

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5
Q

What are explicit social norms

A

Norms enforced by the law

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6
Q

What are the weaknesses of deviating from social norms

A

May be a lifestyle and not a choice
E.g being a vegan living in a commune
Some behaviour may be labelled abnormal in one culture but seen as a norm in another

Social norms change over time and place
Only recent years it’s been regarded as normal for homosexual relationships
In past year these individuals whete thought of as socially deviant and mentally ill
Definition is not a reliable permanent way of defining abnormality

Hearing ancestors voice in your head is considered normal in Africa but not regarded as normal in Britain
Not a universal explanation

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7
Q

What is meant by failure to function adequately

A

Being unable to manage tasks necessary in everyday life.
A person unable to deal with these tasks are considered abnormal

Only abnormal if distress is caused to self or others for example someone who is very happy not washinf their jeans is not seen as abnormal

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8
Q

Who conducted research into failing to function adequately as a definition of abnormality

A

Rosenhan and Seligman

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9
Q

What did Rosenhan and Selighan suggest where the 6 features of abnormality

A

Personal distress

Maladaptive behaviour

Unpredictability

Observe discomfort

Violation of moral and ideal standards

Irrational

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10
Q

What are weaknesses of failure to function adequately as a definition of abnormality

A

Does not account individual circumstances such as loosing a loved one where it is normal to fail to function.
Weakness because their behaviour could be identified as abnormal by this definition but would be entirely normal response to difficult circumstances.

It is not clear how extreme the behaviour has to be to be considered abnormal, how much we need to fail

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11
Q

What is a strength of failure to function adequately being used as a definition for abnormality

A

It has practical applications

Clinicians use definition when judging need for treatment

Individuals complete a questionnaire designed by WHODA which provides objective and quantitative
measurement of functioning.

Strength as definition is useful in everyday practice - easier to identify abnormality - quicker individuals can access treatment

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12
Q

Describe statistical infrequency as a definition of abnormality

A

Behaviour that is statistically infrequent or very rare is regarded as abnormal
descriptive statistics describe typical values, what is most common - normal
A frequency graph of behaviours shows a normal distribution
Most people are in the central groups or clustered to the mean

The extreme ends define abnormal behaviour

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13
Q

What is an example of statistical infrequency

A

Intelligence measured by an IQ test is normally distribute. Most people range from 85 to 115. Only 2% have a score below 70.
This is very unusual so would be considered abnormal

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14
Q

What are weaknesses of using statistical infrequency to define abnormal behaviour

A

Does not account for desirability, some behaviour may be describe abnormal but is desired for example having an IQ over 150.
Weakness as does not distinguish between desirable and undesirable behaviours - does not help us to identify behaviours in need of treatment.

Some abnormal behaviour is not rare. Depression and anxiety are quite common. 37% teenage girls reported low mood. This would not be identified as abnormal according to this definition but people with anxiety and depression still need help. Weakness as definition cannot appropriately identify more common health conditions as abnormal.

The cut off point between normal and abnormal is subjective. We might decide the abnormal amount of sleep is sleeping over 9 hours a day but some could argue over 10 hours would be a better cut off point.
Weakness as different people will judge the same behaviour differently

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15
Q

What is a strength of using statistical infrequency as a definition for abnormality

A

It has real life applications
Assessments of patients with mental illnesses include some kind of measurement of their symptoms compared to statistical norms

This is a strength because statistically deviation is a useful part of clinical assessments of patients
Reflects the objective nature of this definition

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16
Q

What is meant by deviation from ideal mental health

A

Jahoda identified six characteristics of ideal mental health.

Said to be characteristics that enable individuals to behave appropriately and competently and lead a happy life.

Any individual who does not possess all of these characteristics would be regarded as abnormal

  • positive self attitudes
  • self actualisation
  • resistance to stress
  • autonomy
  • having an accurate perception of reality
  • mastery of the environment
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17
Q

What does it mean to have positive self attitudes

A

High self esteem and strong sense of identity

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18
Q

What does it mean to have self actualisation

A

Motivated to develop and reach full potential

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19
Q

What does it mean to be resistant to stress

A

Ability to cope with stressful situations

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20
Q

What does it mean to have autonomy

A

Being independent and self - resilient

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21
Q

What does it mean to have mastery of the environment

A

The ability to love, work, have personal relationships and adapt to new situations

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22
Q

What are the weaknesses of deviating from ideal mental health

A

Most people would be considered abnormal as it represents idealised set of expectations.
Very few people have all 6 characteristics.
Definition suggests many of us and mentally unhealthy and abnormal.
This is a weakness as abnormal behaviour is considered to be unusual rather than that shown by the majority of people - this means the definition may not be useful in identifying abnormal behaviour

Weakness is the inclusion of self actualisation as a criteria for mental health.
Culturally biased as based on western ideas of self fulfilment. Assuming self actualisation is universal and achievable.
In some cultures self actualisation is abnormal where the true potential is being indicative of selfishness.
Very few people achieve self actualisation - if this is the criteria most of us would be defined as mentally unhealthy

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23
Q

A strength of deviation from ideal mental health

A

Offers a positive approach to identifying mental illness.
Focuses on the positive desires rather than negative undesires.
Strength as it may be a more ethical way of approaching mental health.

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24
Q

What is a phobia

A

An extreme and irrational fear of a specific stimulus that produces a conscious avoidance of the source of fear

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25
Q

What are behavioural characteristics of a phobia

A

Avoidance

Fainting/freezing

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26
Q

What are emotional characteristics of phobias

A

Excessive unreasonable fear anxiety and panic

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27
Q

What are cognitive characteristics of phobias

A

Recognition of the irrational nature of their fear

Can not help phobia by rational argument

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28
Q

How does the behavioural approach explain phobias

A

All phobias are learnt through the two process model

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29
Q

Explain the two process model

A

Step 1 - phobia develops through classical conditioning ( learning through association)
Involves an individual associating two stimuli with one another when they occur at the same time.
Association forms means individual response to one stimuli transfers to the other

Step 2 - phobia is maintained through operant conditioning
Learning through consequences
If behaviour followed by a reward behaviour is likely to be repeated

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30
Q

Give an example of the two process model

A

Step 1 - individual chokes in water may associate choking with water.
Their response to choking might transfer to eater
In future will respond to water with fear (phobia)

Step 2 - individual avoidant of water, feels rewarded as no fear, likely to continue avoiding water
Negative reinforcement

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31
Q

Strength of behavioural approach explaining phobias

A

Evidence from studies supports idea learning can be responsible for development of phobias.

Little Albert introduced to white rat, everytime he played with it, a loud noise was made. Albert developed a phobia of rats and anythinf fury.

Phobia was a conditioned learnt response

Strength because we can be more confident the behavioural approach offers an accurate explanation for how and why phobias develop.

________

Practical applications.
Successful behavioural therapy’s
Systematic desensitisation
Flooding

Research has shown effective at treating phobias

Strong positive impact upon economy allowing people to stay in work whilst undergoing treatment and minimising sick pay mddddd

Strength as behavioural approach offers solution to a problem and helps people in real world.

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32
Q

Weaknesses of behavioural approach explaining behaviour

A

Not all evidence supports claims made.

Not all phobias appear after a bad experience.

Someone may have developed fear of snakes without ever being near a snake.
Munjack found only 50% of people with driving phobia had frightening car experiences.

Weakness because instances cannot be explained through conditioning - behavioural approach can not explain all phobias

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33
Q

What is systematic desensitisation

A

Gradual exposure to feared stimulus or situation
Based on counterconditioning
Therapy is based on notion of reciprocal inhibition
This is the notion that we cannot experience two incompatible emotional states at the same time
E.g we can not be frightened and relaxed at the same time

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34
Q

What is counterconditioning

A

Learning a new association to a stimulus
New response (relaxation)
Old response (fear & anxiety)

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35
Q

What is the notion of reciprocal inhibition

A

The notion that we cannot experience two incompatible emotional states at the same time

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36
Q

Explain the process of systematic desensitisation

A
  • relaxation techniques taught and practiced by individual to successfully get into a state of calm relaxation
    Client focuses on feelings of relaxation after tightened muscles are released
  • individual creates hierarchy of fear ( list of situations or scenarios involving feared stimulus) ranked from least to most frightening
    E.g thinking of a spider - 10
    Let a spider crawl on your arm - 100
  • individual uses relaxation techniques whilst being gradually exposed to each scenario of their hierarchy
    Due to reciprocal inhibition individual learns new association between feared stimulus and feeling relaxed (counterconditioning)
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37
Q

Strengths of systematic desensitisation

A

Evidence suggests it’s effective at alleviating phobic symptoms.
Gilory compared 42 spider phobic patients treated with three, 45 minute sessions with a control group treated with relaxation alone.
Both 3 months and 33 months after treatment, experimental group showed less fearful responses than relaxation group.

Shows SD is relatively quick and long lasting therapy.

Strength because it shows SD is an effective treatment for phobias - supports work & the economy

———-

More ethical than flooding.

E.g SD easier to stop and less traumatic then flooding

Client has some control over the process in drawing up the hierarchy and stopping a stage when the feeling of fear becomes overwhelming.

Strength because may limit the drop out rate of therapy and can be more desirable to people seeking help

38
Q

Weaknesses of systematic desensitisation

A

Not always an appropriate method of treatment

Someone who has an irrational fear of zombies - it would not be possible to confront actual examples of this feared stimulus.
Only option would be to use less effective vitro therapy. It may also be argued some phobias haven’t been learnt and therefore counterconditioning would also not be appropriate

This is a weakness because the therapy will not be successful for all individuals with a phobia
————

39
Q

Explain flooding

A

Based on counterconditioning and reciprocal inhibition

Involves full immediate exposure to individuals feared stimulus

40
Q

What is the process of flooding

A

One long session (2-3 hours) where exposed to phobia at its worst whilst simultaneously using relaxation techniques.

Can take place in vitro or Vivo

Virtual reality can be used

Eventually anxiety levels come down and new association is learnt between phobic stimulus and relaxation

41
Q

A strength of flooding

A

Research has found it is effective

Choy et al found for those who are able to see the therapy through to the end and complete session, flooding is more effective than SD

Kaplin found 65% patients with a phobia given a single session of flooding showed no symptoms 4 years later.

Strength because therapy is also quicker than SD and could be good option for many suffers of phobias ( especially with little time)

42
Q

Weaknesses of flooding

A

Not always appropriate

Therapy deliberately creates high levels anxiety - traumatic experience for patient

If patient drops out they have negatively reinforced phobia again and may fear stimulus even more.

For many even ifea of flooding is too much.
For those who opt for therapy many will withdraw during treatment and won’t benefit from it in same way

Weakness because therapy will not be successful for all individuals with a phobia and may leave them feeling more traumatised

43
Q

Define depression

A

A mood disorder that causes a persistent feeling of sadness and loss of interest

44
Q

What are symptoms of depression

A

Vary but
- feeling sad
- feeling hopeless
- loosing interest in activities once enjoyed

45
Q

What are behavioural characteristics of depression

A
  • reduced energy and tiredness
  • may sleep more than usual
  • appetite may be reduced or increased
  • irritable
46
Q

What are emotional characteristics of depression

A

Sadness
Feeling worthless
Anger

47
Q

What are cognitive characteristics of depression

A

Irrational negative thoughts

Poor levels of concentration

Poor desicion making

48
Q

How does the cognitive approach explain depression

A

irrational thoughts and beliefs are the cause of abnormality.

Irrationally negative thinking is suggested cause of depression

Ellie’s ABC model + Beck’s negative triad

49
Q

Explain Ellie’s ABC model

A

Used to explain how irrational thinking affects our emotional state and behaviour
A = activating event
B = belief system
C = consequential emotion

E.g if an individual fails an important exam (A - activating event)
but believed they must always succeed and this is a major disaster (B - belief system)
This will lead to them feeling badly about themselves (C - consequential emotions)

An irrational belief system lies in thoughts that are focused as ‘should’ and ‘must’ and are associated with not reaching perfection

50
Q

What do the letters stand for in Ellie’s abc model

A

Activating event

Belief system

Consequential emotion

51
Q

What is Beck’s negative triad

A

Beck suggested depressed individuals have biased thoughts towards negative interpretations of their lives and feel they have no control.

Person develops negative view of live because of 3 types of negative thinking

The negative triad

This triad refers to pessimistic and irrational view of three elements of a persons belief system

  • negative view of the world
  • negative view of the future
  • negative view of oneself

Beck suggested this comes from negative schemas as depressed people adopt these

A schema is a package of ideas and information about a particular thing developed through our experiences

In childhood negative schemas develop providing a negative framework for viewing events pessimistically.
In adulthood these become biased such as overgeneralisation

E.g if someone fails one psychology test responding
‘I will never be able to do psychology’

52
Q

What are the three key elements in a persons belief system - Becks’s triad

A

Negative view about the world

Negative view about the future

Negative view about ownself

53
Q

What are the strengths of cognitive approach explaining depression

A

Important practical application
CBT = successful therapy
CBT = attempts to correct irrational negative thoughts and replace with positive rational thoughts
Strength as it’s an effective therapy for depression so supports idea that irrationally negative thinking is the cause of this disorder

Supporting evidence
Grazioli and Terry assessed preggers women for cognitive vulnerability and depression before and after giving birth
Found women judged to be high in cog vulnerability were significantly more likely to suffer post natal depression
Supports cog approach as demonstrates link between distortions in thinking and depression

54
Q

Who conducted supporting research for the cognitive approach of explaining depression

A

Grazioli and Terry

55
Q

What are weaknesses of the cognitive approach explaining depression

A

Cannot explain all of depression.
Symptoms of bipolar depression include mania, major depressive disorder is often associated with anger.
Cognitive approach cannot effectively explain links with mania and anger. Only focuses of explaining down moods.
Not clear if irrationally negative thinking is cause of depression or result of depressive behaviour
E.g depressed person may not have had negative thoughts before being depressed.
Weakness as cog approach is not giving full explanation of depression.

Limited explanation
Does not account for biological evidence
Low levels of serotonin
Does not account for environmental factors
Those living in inner cities more likely to suffer
More likely several factors will be cause of depression, thoughts just a contributing factor.
Weakness because means cannot offer complete explanation

56
Q

What are the aims of CBT

A

To treat depression by altering irrationally negative thoughts

Helps individual have more rational positive thoughts - helping to improve emotions - therefore helping to improve behaviour

57
Q

What are the 4 techniques of CBT

A

Thought Catching

Disputing

Role Play

Behavioural Activation

58
Q

Explain CBT thought catching

A

Stage 1: identify irrational thoughts through an assessment and verbal discussion to clarify patients problems and patterns - identify goals and a plan

Patient may be given homework to apply rational thoughts to real life settings or told to keep a thought diary to identify negative thinking (based of beck’s triad)

Stage 2: Ellie’s ABC model used but extended to ABCDEF
D = disputing irrational thoughts and beliefs
E = effects of disputing the thoughts
F = new feelings produced

Therapist helps patient to think rationally

59
Q

CBT what is ABCDEF

A

A = activating event

B = Belief system

C= Consequential Emotion

D = disputing irrational thoughts

E = effects of disputing the thoughts

F = new feelings produced

60
Q

Explain CBT technique disputing

A

1) consider whether there is any evidence for their thoughts and beliefs in a process of empirical disputing - E.g do you have any examples of times when you have suffered bad luck

2) whether they are useful beliefs in pragmatic disputing - E.g does considering yourself an unlucky person help you in anyway

3) whether they are sensible ways to think in logical disputing - E.g is it reasonable to think that your life is particularly unfair

Effective disputing allows the person to move from catastrophising to more rational interpretations of events.
This in turn helps them to feel better and become more self accepting

61
Q

What are the names of the 3 disputing techniques

A

Empirical Disputing

Pragmatic Disputing

Logical Disputing

62
Q

Explain CBT technique role play

A

Therapist role plays situation during therapy session to help person challenge their typical ways of thinking and practice replacing irrational thoughts with rational

63
Q

Explain CBT behavioural activation

A

Identify mood triggers, what activities make us feel happy or sad - encourage client to engage in behaviours that ‘lift’ mood

64
Q

Strengths of CBT

A

Shown to be effective
One study compared 327 adolescents between 12-17 suffering major depression.
Effects of CBT compared with drug therapy.
80% of patients responded well to CBT - showing it’s effective
Smith and Glass also conducted a meta- analysis of therapies and found CBT was second highest
Strength because CBT may be a better option than drug therapy

65
Q

Weaknesses of CBT

A

Weakness opposing effectiveness
May be down to quality and competence of therapist.
Research shown as much as 15% variance of outcome may be attributed by therapist: competence.
Weakness because depending on therapist, CBT may help some individuals but be less successful for others.

Ignores individual circumstance
Ignores patients living in poverty
Therapy focuses on what’s happening in the mind
Therapy fails to appreciate impact of persons environment and significance of activating events
Weakness as CBT might demotivate people to change their situation and address the real cause of the problem

66
Q

What is OCD

A

Obsessive -cumpolsive disorder

67
Q

Define OCD

A

A mental health condition where a person has obsessive thoughts and compulsive activity. The thoughts and rituals associated with OCD cause distress and grt in the way of daily life as they cannot be controlled

68
Q

What are behavioural characteristics of OCD

A

Repetitive behaviour - compulsions

Avoidance of anxiety triggering situations

69
Q

What are emotional characteristics of OCD

A

Anxiety and distress by obsessive and compulsive thoughts

Shame and embarrassment over excessive nature of behaviour

70
Q

What are cognitive characteristics of OCD

A

Recurrent, intrusive and uncontrollable thoughts

Irrational and distorted beliefs

Obsessions

71
Q

How does the biological approach explain OCD

A

Biological assumes abnormal behaviour of OCD caused by problems with the body and brain.
Believes mental illness has a physical cause due to genes, neurons stony and neurotransmitters

72
Q

What physical factors does the biological approach state cause OCD

A

Genes
Neurotransmitters
Neuroanatomy

73
Q

Explain the biological genetic explanation of OCD

A

OCD can be passed from parent to child through genetic inheritance.
Geneticists have identified 2 genes which may be implicated for vulnerability for OCD
COMT GENE

SERT GENE

74
Q

What are the two genes linked to OCD

A

COMT

SERT

75
Q

Explain the COMT gene in relation to OCD

A

COMT involved in production of enzyme COMT which regulates production of dopamine.
One form of COMT lowers activity of the enzyme and therefore higher levels of dopamine
This is commonly found with individuals with OCD

76
Q

Explain the SERT gene linked to OCD

A

Involved in production of a protein that removes serotonin from synapse between neurons.
Mutation of this gene leads to higher activity of protein and low levels of serotonin.
Mutation is often found in families where many members have OCD

77
Q

Evaluate genetic arguments of OCD

A

Supporting research.
Nestadt reviewed twin studies and found 68% identical twins showed concordance rate for OCD compared to 31% in non - identical twins.
Strongly suggests genetic element to OCD.
Strength as gives us confidence genes may cause OCD, better chance of medecine

Weakness - difficult to draw conclusions about influence of genes alone
Twins generally exposed to same environmental factors and the higher MZ concordance rates could be explained by identical twins being treated more similar and so sharing similar behaviours.
No studies show 100% concordance rate of MZ twins, suggesting other factors must be involved.
This shows nature and nurture together,, suggesting genetic factors predispose an individual developing OCD but environmental factors trigger the disorder

78
Q

Who found supporting research for genetic arguments of OCD

A

Nestadt

79
Q

What are neural explanations of OCD

A

Genes associated with OCD likely to affect neurotransmitters as well as brain structure.
Neural explanations say OCD caused by abnormal levels of neurotransmitters such as serotonin and certain structures within the brain that make up the worry circuit

80
Q

Explain serotonin is a neural explanation for OCD

A

OCD may be caused by disruption of serotonin which have a knock on effect regulating other levels of neurotransmitters such as GABA and dopamine.
Idea is based on drug therapy evidence which indicates reduction in symptoms of OCD seen in individuals who take anti depressant drugs that increase serotonin activity.
It is argued low serotonin is responsible for OCD symptoms

81
Q

Explain the neuroanatomy worry circuit of OCD

A

Symptoms of OCD arise from structural damage to brain.
Argued their are impairments in an area of the brain termed the basal ganglia - specifically in this region an area termed the caudate nucleus.

Three areas in the worry circuit:
The orbits frontal cortex OFC
The caudate nucleus
The thalamus

The OFC sends ‘worry’ signal to thalamus when we are anxious.
These signals usually suppressed by caudate nucleus.
If damaged caudate nucleus fails to block signal and thalamus is alerted
Thalamus sends signal back to OFC, creating a circuit.
Typically OFC regulates the transmission of information regarding worrying events between the thalamus and the OFC but in OCD the orbits frontal cortex is over active and therefore incorrectly regulates worrying information.
This makes it difficult for individual with OCD to pay attention to anything other than worrying and to plan behaviours other than compulsions

82
Q

What are the three areas involved in the worry circuit

A

Orbits frontal cortex (OFC)
Caudate nucleus - part of basal ganglia
Thalamus

83
Q

Evaluate neural explanations of OCD

A

Supporting research for role of serotonin in OCD
evidence based on drug therapy supports notion serotonin plays role in OCD
Zohar et al found drugs increase serotonin beneficial up to 60% of patients with OCD
Supports idea low serotonin associated with OCD - and thus it might comorbid with depression

Weakness is inconsistent findings from research studies - neuroimaging studies have not identified basal ganglia impairments in all OCD suffers and some people with impairments in the basal ganglia shows no sigh of OCD.
Twin and family studies not all found same concordance rates
Difficult to draw firm conclusions about role of biology in OCD

84
Q

What are two general weaknesses of biological approach of explaining OCD

A

Difficult to determine cause and effect
Not sure if neural abnormalities are causes or results - explanation may not fully explain what set out to

Heavily focused on nature - reductionist
Explanation looks at physical causes for OCD and ignores impact of experiences - ignores life experiences

85
Q

Explain drug therapy as a way of the biological approach treating OCD

A

Drugs - easy accessible treatment to rebalance neurotransmitters in the brain.
There are a number of different types of drugs that can be prescribed as a treatment of OCD
Selective serotonin reputable inhibitors SSRI’s eg prozac

Benzodiazepines anti anxiety drugs eg Valium

86
Q

What are the names of drugs used to treat OCD

A

Benzodiazepines

Selective serotonin reuptsake inhibitors

87
Q

Explain selective serotonin reputake inhibitors

A

Work by increasing serotonin levels that pass around the brain.
Raising serotonin helps to reduce the symptoms of OCD in those suffering with the disorder
Drugs act by preventing serotonin flows from one neuron to the next from being re absorbed or removed from the system, leaving greater amounts of serotonin in the synapse, continuing to stimulate the post synaptic nerve

88
Q

Explain benzodiazepines

A

Anti anxiety drugs control brain activity and bring feelings of calmness
BZ’s act on chemicals within the brain and slow down activity within the CNS
BZ’s enhance GABA - the body’s natural anxiety relief.
GABA Is an inhibitory neurotransmitter (calming effect on brain neurons)

During synaptic transmission GABA binds with GABA A receptors on post synaptic neuron. This opens a channel which increases flow of chloride ions to post synaptic neurons, making it more difficult for post synaptic neuron to be stimulated by other neurotransmitters. Less likely to be passed on

As neuron is less responsive to excitatory neurotransmitters, reduces neuron activity in brain

89
Q

What is an example of SSRI’s

A

Prozac

90
Q

What is an example of BZ’s

A

Valium

91
Q

Evaluate drug therapy of treating OCD

A

Evidence for effectiveness for drugs to treat OCD
Soomro conducted a meta analysis of 17 studies of OCD patients treated with SSRI’s found all 17 studies SSRI’s more effective than a placebo
BZ’s also more affective than placebo.
Show there is an actual therapeutic process taking place in altering brain chemistry.
This means BZ’s are an effective treatment for anxiety conditions such as OCD

Weakness of drug therapies is that they do not cure OCD
Reduce symptoms of the illness but once person stops taking, symptoms return.
Underlying problem - cause of compulsions has not been dealt with. Psychological therapies aim to cure mental illness by addressing root cause of the conditions.
This is a weakness because a better form of treatment for OCD might be to combine drug treatment and psychological therapy to maximise the benefit to the patient. Drug therapy alone is not effective enough

Weakness - not all evidence supports effectiveness of drug therapies. Zohar found only 60% of clients improved with drugs that increase serotonin. Suggests there are individual differences in how people respond to drug therapy and might also cast doubt upon the biological explanation of OCD

92
Q

Evaluate the appropriateness of drug therapy of OCD

A

Weakness of drug therapies - they do not cure OCD. They reduce the symptoms of the illness but when person stops taking drugs, symptoms of OCD return. This means the underlying problem has not been dealt with. Psychological therapies sim to cure mental illness by addressing the root of the condition. This is a weakness because a better form of treatment might be to combine drug treatment and psychological therapy to maximise the benefit to the patient, drug therapy alone is not effective enough.

A strength of this type of therapy is that drugs are relatively fast and require little effort by the individual whereas drug therapies require virtually no input in terms of time or motivation. This is a strength because the therapy may be appropriate for people with OCD who lack insight into their thought processes and emotions or who cannot commit time to therapies.

Weakness- negative side effects of taking drugs, eg nausea, headaches and insomnia often reported by people taking SSRI’s and possible effects of BZ’s include aggression and long term memory impairment. BZ’s also linked to dependency and can not be taken for a long time. Weakness as although they are effective treatment some people with OCD prefer not to take medication and therefore drugs are not appropriate for all as a treatment, relapse rates are also as high as 90% which shows drugs is not a permanent cure for the disorder as soon as the treatment stops, symptoms return.