Unit 12 - Psychological Disorders & Therapy Flashcards

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1
Q

situational context

A

the social or environmental setting of a person’s behavior

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2
Q

subjective discomfort

A

emotional distress while engaging in a particular behavior or thought process

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3
Q

maladapitve

A

person finds it hard to adapt to the demands of day-to-day living

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4
Q

psychological disorder

A

any pattern of behavior or psychological functioning that causes people significant distress, causes them to harm themselves or others, or harms their ability to function in daily life

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5
Q

insanity defense

A

legal defense used to argue that a mentally ill person who has committed a crime should not be held responsible for his/her actions because that person was unable to understand the difference between right and wrong at the time of the offense

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6
Q

biological model

A

proposes that psychological disorders have a biological or medical cause

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7
Q

cultural relativity

A

refers to the need to consider the unique characteristics of the culture in which the person with a disorder was nurtured to be able to correctly diagnose and treat the disorder

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8
Q

cultural syndromes

A

disorders only found in particular cultures

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9
Q

DSM-5

A

describes about 250 disorders (symptoms, typical path, checklist of specific criteria to be met for diagnosis)
NOT THERAPY

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10
Q

David Rosenhan

A

healthy patients were admitted to hospital with diagnoses of schizophrenia or manic depression; stopped showing symptoms once in hospital but doctors still thought they were ill because of the patients’ labels

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11
Q

4 standards of psychological disorders

A
  1. statistical infrequency (uncommon)
  2. maladaptive/dysfunctional (gets in way of normal life)
  3. distress (bothersome) - DOESN’T ALWAYS QUALIFY
  4. violation of norms (does society think it’s okay?)
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12
Q

anxiety disorders

A

disorders in which the most dominant symptom is excessive or unrealistic anxiety

examples include:
generalized anxiety disorder
panic disorder
phobias
obsessive-compulsive disorder
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13
Q

free-floating anxiety

A

term given to anxiety that seems to be unrelated to any realistic and specific known factor and it is often a symptom of an anxiety disorder

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14
Q

phobia

A

an irrational, persistant fear of something

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15
Q

social anxiety disorder

A

involves fear of interacting with other or being in a social situation

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16
Q

specific phobia

A

an irrational fear of some object or specific situation

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17
Q

agoraphobia

A

fear of being in a place or situation from which escape is difficult or impossible if something should go wrong

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18
Q

panic attack

A

a sudden onset of extreme panic with various physical symptoms (racing heart, rapid breathing, a sensation of being “out of one’s body”, dulled hearing and vision, sweating, dry mouth)

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19
Q

panic disorder

A

when panic attacks occur more than once or repeatedly, and cause persistent worry or changes in behavior

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20
Q

generalized anxiety disorder

A

excessive anxiety and worries occur more days than not for at least 6 months

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21
Q

obsessive-compulsive disorder (OCD)

A

intruding thoughts that occur again and again are followed by some repetitive, ritualistic behavior or mental acts

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22
Q

acute stress disorder (ASD)

A

symptoms often occur immediately after the traumatic event and include anxiety, dissociative symptoms, recurring nightmares, sleep disturbances, problems in concentration, and moments in which people seem to “relive” the event in dreams and flashbacks for as long as 1 month following the event

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23
Q

post-traumatic stress disorder (PTSD)

A

when symptoms associated with ASD occur for more than 1 month; the symptoms of PTSD may not occur until 6 months or later after the event

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24
Q

magnification

A

the tendency to “make mountains out of molehills” by interpreting situations as being more harmful, dangerous, or embarrassing than they actually are

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25
Q

all-or-nothing thinking

A

a person believes that his or her performance must be perfect or the result will be a total failure

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26
Q

overgeneralization

A

a single negative event interpreted as a never-ending pattern of defeat

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27
Q

minimization

A

giving little or no emphasis to one’s success or positive events and traits

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28
Q

mood disorders/affective disorders

A

disturbances in emotion

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29
Q

major depressive disorder (unipolar disorder)

A

a deeply depressed mood comes on fairly suddenly and either seems to be too severe for the circumstances or exists without any external cause for sadness; no trigger or reason; occurs for 2 or more weeks

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30
Q

persistent depressive disorder (dysthymia)

A

occurs for 2 or more years as adults or 1 or more years as children; livable amount of depression (can still do things but there’s no joy)

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31
Q

symptoms of depressive disorders

A
poor appetite/overeating
insomnia/hypersomnia
low energy
low self-esteem
poor hygiene
poor concentration
difficulty making dicisions
feelings of hopelessness
substance abuse
aggressive behavior
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32
Q

bipolar disorder

A

a person experiences periods of mood that can range from severe depression to manic episodes; switching moods can be seasonal, take years, or days; depression usually lasts 3 times longer than mania; high suicide rate

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33
Q

bipolar I disorder

A

individual only experiences mood that spans from normal to manic, and may or may not experience episodes of depression

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34
Q

bipolar II disorder

A

spans of normal mood are interspersed with episodes of major depression and episodes of hypermania (less than mania)

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35
Q

symptoms of mania

A
excitement/euphoria
hyperactivity
creativity
fewer inhibitions
elevated self-esteem
ideas of grandeur
optimism
poor judgement
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36
Q

suicide event

A

traumatic event causes person to fall drastically below baseline arousal; lowest point usually occurs in winter; the suicide attempt usually occurs in spring when the person starts to feel better because they now have more energy to actually attempt committing suicide

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37
Q

dissociative disorders

A

involve a break, or dissociation, in consciousness, memory, or a person’s sense of identity

38
Q

dissociative amnesia

A

repression (consciousness cannot deal with traumatic so it blocks it); there’s a triggering event

39
Q

dissociative fugue

A

travel somewhere and become someone else (disappeared/forgot oneself); triggering event

40
Q

dissociative identity disorder

A

multiple personalities; due to sever trauma; host personality unaware of other personalities; alter personalities come out in stressful situations (age/gender varies); each alter personality has own memory trace

41
Q

schizophrenia symptoms

A

perception
-hallucination (any of the senses)

emotion
- affect (flattened/inappropriate/heightened)

thought

  • psychosis (not knowing what’s real and what isn’t)
  • delusion (thinking something that isn’t true)

language

  • word salad (making up phrases and sentences that don’t make sense)
  • neologism (making up words)

behavior

42
Q

positive symptoms

A

something that normal people don’t have (e.g. hearing voices)

43
Q

negative symptoms

A

something that normal people have (e.g. affect)

44
Q

dopamine hypothesis

A

increased dopamine levels cause symptoms of schizophrenia

45
Q

causes of schizophrenia

A

biological (combinations of genes that link to specific symptoms)
dopamine hypothesis

46
Q

personality disorders

A

no known causes; very few medications/therapies

cluster A: odd behavior

  • paranoid
  • schizoid

cluster B: dramatic/impulsive behavior

  • borderline
  • antisocial
  • histrionic
  • narcissistic

cluster C: anxious behavior

  • avoidant
  • dependent
47
Q

paranoid PD

A

suspicious, guarded, hypersensitive, social isolation, detachment, hostility, grudges

48
Q

schizoid PD

A

indifferent to others, isolate themselves, don’t form emotional attachments

49
Q

borderline PD

A

unstable moods/behavior, problems with self-image/identity, fear of abandonment, emptiness/boredom, impulsive, inappropriate anger, self-destructive, suicidal, self-mutilating, see world in absolutes

50
Q

antisocial PD

A

disregard rights/feelings of others, egocentric, impulsive, aggressive, willing to break the law/cheat, no remorse, manipulative, charming

51
Q

histrionic PD

A

overly seductive, dramatic, emotional, impressionable, sensitive to criticism, exaggerate relationships, blame others, need for approval, instant gratification, self-centeredness, changing emotions, lack of self-worth

52
Q

narcissistic PD

A

very self-important, overreact to criticism, take advantage of others, expect favoritism, need attention, little empathy, selfish

53
Q

psychotherapy

A

individual/couple/small group working directly with a therapist and discussing concerns/problems (addresses issues associated with disorder)

54
Q

insight therapy

A

goal is to understand one’s motives and actions

55
Q

action therapy

A

directed at changing behavior

56
Q

biomedical therapy

A

use of drugs, surgical methods, ECT, and noninvasive stimulation techniques (eliminates or alleviates symptoms)

57
Q

psychoanalysis

A

insight therapy that emphasizes revealing unconscious conflicts, urges, and desires that are assumed to cause disordered emotions and behavior

58
Q

dream interpretation

A

analysis of elements within a patient’s reported dream

59
Q

manifest content

A

what actually happened in the dream

60
Q

latent content

A

hidden, symbolic meaning of what happened in the dream, revealing the unconscious conflicts that created nervous disorder

61
Q

free association

A

patients encouraged to say whatever they were thinking, revealing things that were loosely associated with their flow of ideas, revealing hidden/unconscious concerns

62
Q

resistance

A

the point at which the patient becomes unwilling to talk about certain topics

63
Q

transference

A

when the therapist becomes a symbol of a parental authority figure from the past

64
Q

interpersonal psychotherapy

A

psychotherapy developed to address depression; insight therapy focusing on relationships of individual with others and the interplay between mood and the events of everyday life

65
Q

person-centered therapy

A

therapist acts as sounding board; therapists help individuals redirect their attention to focus on feelings not fully processed previously

66
Q

3 elements for a successful person-therapist relationship

A

authenticity
unconditional positive regard
empathy

67
Q

reflection

A

technique therapists use to allow clients to continue to talk and have insights without the interference of the therapist’s interpretations/biases; kind of mirroring of clients’ statements

68
Q

motivational interviewing

A

therapist assists individual with self-understanding, and incorporates therapist goals and specific strategies for helping individual achieve self-directed behavior change

69
Q

gestalt therapy

A

therapist is very directive, often confronts clients about statements they make; goal is to help client become more aware of their own feelings and take responsibility for their choices in life

70
Q

behavior therapy

A

action based; aim to change behavior through the use of the same kinds of learning techniques that people use to learn any new responses

71
Q

systematic desensitization

A

therapist guides client through series of steps meant to reduce fear and anxiety, normally used to treat phobic patients

  1. relax through deep muscle relaxation training
  2. construct list going from object/situation that causes least fear to client working up to object/situation that produces greatest degree of fear
  3. client goes through list while staying relaxed until phobia is gone
72
Q

aversion therapy

A

teach client to pair an aversive/unpleasant stimulus with stimulus that results in undesirable response

73
Q

exposure therapies

A

behavioral techniques that introduce the client to situations, under carefully controlled conditions, which are related to their anxieties/fears

74
Q

flooding

A

exposure therapy is rapid and intense

75
Q

modeling

A

person with specific fears or someone who needs to develop social skills can learn to do so by watching someone else confront those fears or demonstrate the needed social skills

76
Q

participant modeling

A

a model demonstrates the desired behavior in a step-by-step, gradual process; client encouraged to imitate model in same step-by-step manner

77
Q

token economy

A

client earns tokens for behaving correctly or accomplishing behavioral goals and can later exchange tokens for something they want; can also lose tokens for inappropriate behavior

78
Q

contingency contracting

A

formal agreement between client and therapist in which both parties’ responsibilities and goals are clearly stated

79
Q

cognitive therapy

A

focused on helping people change their ways of thinking

80
Q

arbitrary interference

A

“jumping to conclusions” without any evidence

81
Q

selective thinking

A

person focuses only on one aspect of a situation, leaving out other relevant facts that might make things seem less negative

82
Q

personalization

A

individual takes responsibility or blame for events that are not really connected to the individual

83
Q

rational emotive behavior therapy

A

clients are taught a way to challenge their own irrational beliefs with more rational, helpful statements

84
Q

therapeutic alliance

A

relationship between the client and the therapist

85
Q

evidence-based treatment

A

techniques/interventions that have produced desired outcomes, or therapeutic change in controlled studies

86
Q

4 barriers to effective psychotherapy

A

culture-bound values
class-bound values
language
nonverbal communication

87
Q

biomedical therapies

A

directly affecting the biological functioning of the body and brain

88
Q

psychopharmacology

A

use of drugs to control or relieve the symptoms of a psychological disorder

89
Q

antipsychotic drugs

A

drugs used to treat psychotic symptoms

90
Q

antianxiety drugs

A

minor tranquilizers such as Xanax, Ativan, Valium

91
Q

MAOIs

A

class of antidepressants that blocks activity of enzyme that breaks down NTs in order to give NTs more time to do “their job” with mood control

92
Q

SSRIs

A

drugs that inhibit the reuptake process of serotonin