Psycopathology Flashcards

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1
Q

Deviation from social norms

A

Unwritten rules
Abnormal if it’s not accepted, expected and approved
“Breaking rules of society”

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2
Q

Deviation from social norms( weaknesses)

A

-can change
May have been accepted 50yrs ago and not no
E.g homosexuality
Lack of consistency=reduced reliability

-differ between cultures
Culturally relative
E.g hearing voices not views as deviant elsewhere
Should be consistent between cultures (ethnocentric)

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3
Q

Deviation from social norms (strength)

A

-more appropriate definition compared so statistical infrequency
Distinguished desirable and non behaviour and effect on others
E.g always washing hand constantly could damage others
More appropriate

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4
Q

Failure to function adequately

A

Unable to cope with everyday life e.g can’t eat
Causes distress and suffering and can for for others
M- maladaptive (stop themselves from progressing)
U- unconventional ( odd behaviour)
S- suffering
I- irrational (act a way people can’t understand)
C- control (unpredictable, behave inappropriately)

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5
Q

Failure to function normally (weaknesses)

A

-abnormality isn’t always followed by disfunction
E.g someone hearing voices may be able to function and others may not
Questions validity
Each person is diagnosed different

-Cultural relativism
E.g long periods of grief is more acceptable in some cultures more than others
Same behaviour could be classed as abnormal cause views as failure to function in one functioning fine in another
-same behaviour should be consistent across cultures

-could be due to other factors
E.g unable to hold down Job due to economics not mental health
Could be incorrectly labelled
Suggests definition is not appropriate in all cases

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6
Q

Failure to function adequately (strengths)

A

Includes patients perspective
His her subjective experience takes into account their thoughts and feelings
Suggests it’s a useful criteria for assessing abnormality as it provides checklists for patients they can use

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7
Q

Statistical infrequency

A

Behaviour that is statistically Rare and if it falls out typical range

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8
Q

Statistical infrequency (weaknesses)

A

-many abnormal behaviours are quite desirable
-e.g very high IQ nit suggested to be undesirable
Equally there are normal behaviours classed as undesirable like depression after traumatic event
Problem es when planning treatment as only undesirable behaviour is identified, cant be used alone to diagnose

  • may be culturally biased
    Some behaviours that are statistically infrequent in some cultures but more frequent in others
    E.g symptoms of schizophrenia is hearing voices, however it’s common experience in other cultures
    Would class these people as abnormal even when displaying normal behaviour, can only be used to define abnormality in some cultures
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9
Q

Statistical infrequency (strengths)

A

More objective as there is a clear cut if point of abnormality
Easier to decide who meets criteria to be abnormal
Less subjective than other definitions

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10
Q

Deviation from ideal mental health

A

Define criteria required for normality
P-perception of reality ( able to see world as it is)
R- resistance to stress (able to cope with stress)
A- Self Attitudes ( higher self esteem’s and strong self of identity)
I - autonomy (function independently)
S- self actualisation ( focused on future and fulfilling potential)
E- mastery if Environment- (can adjust to new situations)

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11
Q

Deviation from mental health (weakness)

A

-culturally biased (ethnocentric
Ideals of mental health not applicable to app cultures
E.g self actualisation is relevant to members of individualistic cultures but not collectivist cultures where people strive for the good of the community
Problem as it’s not reliable as it’s not consistent between cultures

-unclear how many criteria needed to be lacking before were seen as deviating from ideal mental health
For example do all 6 need to be met or can we lack one or two, subjective judgement needed
Left to psychiatrist to decide whether someone is deviating
Lacks objectivity so definition will be rarely used in real world

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12
Q

Deviation from mental health (strengths)

A

-offers alternative perspective
Focuses on the positives and is holistic
Are in accord with the humanistic approach which focuses on positive aspects of human nature
And covers a wide range of criteria

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13
Q

Phobias

A

Anxiety disorder
Specific- object, animal
Social- social situation, public speaking
Agoraphobia- fear if leaving home or safe space, crowds

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14
Q

Two process model (weaknesses)

A

-incomplete as does not explain evolutionary principles
Research founds that we are innately predisposed to be afraid of spiders and snakes etc as source of danger in past
-helps us understand why people may be afraid of things they have never encountered
-may be too simplistic as suggests it’s mire than just classical conditioning causing phobias

-criticised as does not explain cognitive factors
-e.g someone in lift may think “I will get stuck and suffocate”
Irrational thinking as it causes extreme anxiety and could cause phobia
Weakness as it fails to explain vital component so we need behavioural and cognitive components to provide thorough explanation

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15
Q

Two process model (strengths)

A

-can be tested in objective way
E,g researcher tested two process model by paring buzz with electric shock
Used -ve reinforcement to train rats to jump over barrier when buzzer sounded
Increases scientific validity

-has practical applications
Several behavioural therapies which use principles of classical conditioning, SD helps unlearn phobia
Evidence supported to show success as 75% of patients had reduced symptoms after
Strengthens validity of treatment and explanation

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16
Q

Systematic desensitisation

A

Gradually reduce phobias
1. Anxiety hierarchy
2.relaxation methods
3.exposure

17
Q

SD (weaknesses )

A

-not affective for all phobias
Suggested nit effective from phobias with underlying evolutionary component e,g flying
Also only suitable for those who can effectively use relaxation techniques
May not be useful for all sufferers

18
Q

Flooding

A

Immediate exposure to phobic stimulus
Continues till they are fully relaxed
Stops phobic responses quickly as they quickly learn stimulus is harmless

19
Q

SD strengths

A

-proven to be effective
Research found 75% of patients had reduced Symptom after treatment
And research followed up with 42 patients after treatment and 33 months later showed less fear than control
-shows SD is helpful to majority of sufferers and effects are long lasting

  • tend to prefer over flooding
    Does nit cause same degree of trauma
    Has low rates of people dropping out
    SD is able to help a higher number of patients than flooding and empowers
20
Q

Flooding (strengths)

A

Cost effective
Research shown that it’s just as affective as SD and us quicker
Strength as they are free of symptoms quicker and makes treatment cheaper

21
Q

Flooding (weaknesses )

A

-Highly traumatic
Not unethical as consent was given but many are unwilling to see to the end
Time and money is wasted as some refuse to even start or finish treatment

-less affective for some phobias like social and agora
Because behavioural treatments are unable to treat irrational thinking which is common on complex phobias
Suggests other forms like CBT will be more effective
Flooding is restricted on its usefulness to just specific phobias

22
Q

Phobias- behavioural

A

-panic: panic in response to phobic stimulus e,g crying, screaming, running or freezing
-avoidance: avoid situation where object will be
-disruption of functioning: avoidance is so strong it severely interferes with ability to conduct everyday working and social functions

23
Q

Phobias- emotional

A

-anxiety: unpleasant state of high arousal making it difficult to experience positive emotions, can be long term
-fear: emotional responses of fear which accompanies many phobic stimuli is often
extremely unreasonable.

24
Q

Phobias: cognitive

A

-irrational beliefs: rrational beliefs in relation to the phobic stimuli. They are also very resistant to rational arguments
-selective attention: look intently at a phobic stimulus and find it very difficult to look away from them, keeping attention to react quickly if danger

25
Q

Behavioural approach to phobias

A

Two process model:phobia s acquired by classical conditioning and maintained by operant conditioning
Fear is acquired when (NS) is associated with frightening event

E.g: bitten (ucs) - created fear (UCR)
Dog (NS) associated with bite (UCS)
Dog (now (CS) produces fear (now CR)

Maintaining: -ve reinforcement, avoiding situation, allows to escape fear and anxiety so reinforces behaviour and maintains phobia

26
Q

Depression

A

-classed as a mood disorder

27
Q

Depression- characteristics

A

Behavioural: -disruption of sleeping and eating, reduces sleep and can increase need same with appetite
- loss of energy, resulting in fatigue and high levels of inactivity

Emotional: - sadness, most common, also feeling empty, worthless hopeless
- anger, anger can be directed at self (self harming), or others

Cognitive: - focusing and dwelling on the negative, view themselves, the world and future negatively, negative thoughts are often irrational

               - poor concentration: unable to stick to tasks or make decisions, interferes with work and ability to communicate
28
Q

Cognitive approach- depression

A

-not the events but the way people think about these events, causing depression

29
Q

Ellis abc model

A

A- activating event (getting sacked at work)
B- belief, may be irrational or rational “company was over staffed” “sacked because they had it in for me, Ellis believed the source of irrational beliefs lies in mustabatory thinking, (belief we must always succeed)
C_ consequence, rational beliefs lead to healthy emotions ( acceptance). Irrational beliefs lead to unhealthy emotions, including depression.

30
Q

Becks negative triad

A

-Beck believed depressed people feel like they do because their thinking in biased towards negative interpretations of world
- negative self schema: acquires negative self schema about the self’s during childhood, often caused by parents/ peer rejection , these lead to cognitive biases in thinking

Negative triad: pessimist and irrational view caused by 3 types of -ve thinking
The self- (i am a bore) enhance depressive feelings, they confirm existing emotion of low self esteem

The world- (everything is against me)- no hope anywhere

The future- (ill always be alone) reduce hopefulness and enhance depression

31
Q

Becks theory- +ve

A

+rage f evidence supports idea dep is due to -ve thinking
E.g Grazioli and Terry (2000) assessed 65 pregnant women before and after birth, found those who had high no* of cognitive biases were more likely to suffer post natal depression
These biases were present before depression developed,
Clark and beck also carried out meta analysis of research into this ares and found strong support for becks cognitive theory
Evidence suggests becks theory is valid explanation

32
Q

Ellis theory- -ve

A

-can’t explain all typed of depression
-not all typed of depression are triggered by activating event
-e.g endogenous depression is caused by chemical and/ or genetic factors rather than life event
-means abc explanation only applies to some kinds of depression, so invalid explanation

33
Q

+ve evaluation of cognitive approach to treating depression

A

-real life application
-applied to cut therapy
-consistently found to be the best way for treating depression, this supports cognitive approach
-if depression is alleviated by challenigning irrational thinking, it suggests thoughts had a role in the cause
-increases validity

34
Q

-ve of cognitive approach to treating depression

A

-appears to blame patient for their depression
- result of how people think and recovery is only possible if they change their thought processes
- places a large burden of blame in sufferer as they are already prone to negative thinking
-almost may lead therapists to overlook environmental factors e.g family issues which may be contributing
-in these cases changing situation may be more important

-biological approach provides alert native explanation
- caused by low level of neurotransmitter serotonin
-success of anti depressants which increases serotonin supports view that biological factors play a role
-for this reason diathesis-stress approach is usually adopted
-suggests those woth genetic vulnerability are more prone to stressful life events which lead to negative thinking

35
Q

CBT

A

-to replace irrational, negative thoughts with more rational positive ones
-begins with initial assessment where patient and therapists identify depressive symptoms and agree on a set of goals
- to help achieve goals and change negative thinking. Most uses both forms of cbt becks theory and Ellis’s emotive behavioural therapy

Patients often set homework to record when they enjoyed an event, helps encourage patients to become more active and engage in pleasurable activities
Also helps patients test reality of negative belief, ‘patient scientist’, investigating reality the way a scientist would

36
Q

Ellis’s rational emotive behaviour therapy
(REBT)

A

-extends ABC model to ABCDE
D- disputing irrational beliefs
E- effects of disputing beliefs
-focuses on challenging irrational beliefs and replacing them with effective rational ones
E.g logical disputing- self defeating beliefs so not follow logically from the information available (does thinking this way make sense)
- empirical disputing: self defeating beliefs may not be consistent woth reality ( where’s the proof)
-pragmatic disputing- (emphasises the lack of usefulness of beliefs (how is this belief likely to help me

  • effect of challenging is the patient will develop more rational beliefs, helps client become less depressed leading to constructive behaviour