Unit 3 Flashcards

1
Q

Scientific study of
- Cognition and emotion
- behavior
- individual differences
- mental processes
- observable mental life

A

Pyschology defined today

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2
Q

What 3 components determines mental disorders?

A
  • Subjectivity
  • Social Construction
  • Cultural values
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3
Q

What are the 4 D’s?

A

Deviance
Distress
Dysfunction
Danger

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4
Q

Of the 4 D’s, what component strays from what we consider from the “norm”?

A

Deviance

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5
Q

Of the 4 D’s, what component causes the individual discomfort?

A

Distress

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6
Q

Of the 4 D’s, what component interferes with many aspects of their life?

A

Dysfunction

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7
Q

Of the 4 D’s, what component refers to harm to self, not necessarily others?

A

Danger

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8
Q

Personality disorders are characterized by lack of which of the 4 D’s?

A

Distress

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9
Q

Which of the 4 D’s must be met for a mental illness criteria?

A

Dysfunction

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10
Q

Our idea of what constitues “normal” from “abnormal” behavior is shaped by our culture. We must be aware of cultural values to better understand mental illness.

A

cultural relativism

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11
Q

How have we historically tried to understand psychology?

A
  1. Supernatural - demonic possession
  2. Biological - “somatogenesis” (bodily fluid)
  3. the Mind - Psychogenesis
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12
Q

How was psychological conditions treated when the understanding was “supernatural”?

A

Trephination - drilling holes in the skull to allow demons to escape

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13
Q

How was psychological conditions treated when the understanding was “biological”?

A

based on Hippocrates theory of bodily fluid using the “four humors” (color of the fluid).

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14
Q

A Dutch physician from the 16th century whom coined the term “mental illness”.

A

Johann Weyer

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15
Q

The understanding of which disease, in the 19th century, propelled current thought about the biological view of mental illness?

a. Syphilis
b. Yellow fever
c. Influenza
d. Fibromyalgia

A

a. Syphilis

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16
Q

who promoted the idea that suffering is the result of mental activity well before Sigmund Freud?

A

Buddha

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17
Q

How have we historically attempted to “treat” mental illness?

A
  1. Lunatic asylum - 15th-16th century
  2. State/Public hospitals - later in the US
  3. Antipsychotics - 1950s
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18
Q

who ordered the unchaining of asylum patients at the “Paris Asylum for Insane Women” (1795) and is known as the father of modern psychology by attempting to creating a diagnostic system for various mental illness?

A

Phillipe Pinel

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19
Q

Who lobbied for moral treatment in the US during the 19th century and established approx 40 hospitals during her time?

A

Dorothea Dix

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20
Q

what year was the DSM (I) first ever published?

A

1952

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21
Q

What were the controversies of the first DSM published in 1952?

A

Reliability was poor

Included comments (from Freud) on etiology such as “psychoanalytic ‘reactions’” or defense mechanisms

Did not include childhood disorders (autism, ADHD, etc.)

Homosexuality was classified as a “sexual deviation” disorder included in the sociopathic umbrella

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22
Q

What year was the DSM II published?

A

1968

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23
Q

What was added to DSM II that was not in DSM I?

A

Homosexuality was declassified as it’s own disorder but was replaced with its own code “individuals distressed with their own sexual practices”

Childood B disorder included using terms “retardation”

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24
Q

What year was the DSM III published?

A

1980

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25
Q

What was new about the DSM III?

A

Improved specificity and reliability

Acknowledgement of culture

“Atheoretical” - limited imperical evidence for disorders

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26
Q

What year was the International classification of diseases (ICD-10) published?

A

1993

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27
Q

What does the ICD-10 include?

A

physical and mental codes used by a majority of a the world

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28
Q

What year was the DSM-IV published?

A

1994

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29
Q

What is important about the ICD-10 and DSM-IV?

A

The first attempt at syncing mental health codes.

Goal of a worldwide system of nosology for mental health codes

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30
Q

Who uses ICD-10?

A

majority of the world

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31
Q

Who uses the DSM version?

A

US

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32
Q

What year was the DSM-V published?

A

2013

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33
Q

What revisions does the DSM-V include?

A

many updates including
- changed “mental retardation” to Intellectual disability
-reorganized Autism Spectrum Disorder to be more encompassing
-revised ADHD to exhibit symptoms to before Age 13 (instead of 7)
-included Gambling disorder
-Homosexuality verbiage was removed completely

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34
Q

What are benefits, or pros, of the DSM?

A

-Standardization of language and criteria
- reliability
-direction for treatment
-validation

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35
Q

What are drawbacks, or cons, of the DSM?

A

-stigmatization
-pathologizing (or scary)
-reliance on medical model
-no universal idea of mental health

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36
Q

What are some of the cultural barriers you can think of considering mental health care?

A

-Stigma
-discrimination
-lack of cultural compentency
-language barriers
-financial constraints

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37
Q

Symptoms that are considered to be a recognizable disease only within a specific society or culture.

9 types listed in the Appendix of DSM-5

providers in the US can’t actually diagnose these

A

Culture-Bound Syndromes

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38
Q

Is poverty related to risk for mental illness?

A

yes, poverty is the biggest risk factor

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39
Q

What factors (mediators) might explain the relationship of mental illness and poverty?

A

Insecurity: conditions of living in poverty create instability/lack of safety

Shame: fear of judgement or having internal embarrassment of life circumstances

Comorbidity: when 2 experiences co-occur together (e.g. poverty and malnutrition)

Social Change: isolation or loneliness

Hopelessness

40
Q

What are the two theories that explain the directionality between Mental Illness and Poverty?

A

Social causation theory: the conditions of poverty precede mental illness

Downward drift theory: Mental illness precedes the “drift” into lower SES.

41
Q

What comes first: Mental illness or poverty?

A

It’s complicated and bidirectional in nature

42
Q

Which indicator of poverty was most consistently related to mental disorders?

a. low income
b. lack of material possessions
c. lack of employment
d. housing difficulties
e. low education levels

A

e. low education levels

43
Q

What is prevention and what did the article about the manitoba study recommend?

A

Interventions that prevent something (poverty and mental illness) occurring.

Education as a primary prevention

44
Q

What prevention level?

approaches that take place before violence has occured to prevent initial perpetration or victimization.

A

primary prevention

45
Q

What prevention level?

immediate responses after violence has occured to deal with the short-term consequences of violence

A

secondary prevention

46
Q

Why might education be primary prevention?

A

-access/knowledge of resources
-basic needs being met (school programs)
-social connections
-instilling hope

47
Q

What is the impact of intelligence on mental illness?

A

Lower cognitive reserve (IQ) is a risk factor for depression and anxiety and schizophrenia

Higher childhood IQ is a risk factor of mania

48
Q

mental abilities to learn from experience, adapt to new situations, understand and handle abstract concepts, and use knowledge to manipulate one’s environment

A

Intelligence

49
Q

the way that intelligence has been operationalized and can be measured

A

Intelligence Quotient (IQ)

50
Q

What are some historic critiques of IQ?

A

validity
cultural applicability
misuse

51
Q

How is IQ measured?

A

by measuring performance tasks and verbal tasks

Wechsler Intelligence Scale for Children (WISC)
Wechsler Adult Intelligence Scale (WAIS)

52
Q

Could intelligence, as measure by IQ tests like with WISC, be predictive of adult mental disorders?

A

Low IQ can be predictive of Depression and Anxiety

High IQ can be predictive of Mania

53
Q

Would intelligence be a protective factor against mental disorders?

A

Yes for some, High IQ decreases risk of having certain mental illness

54
Q

Individual differences in brain structure (e.g. density of neuronal synapses) and function (e.g., processing efficiency) thought to buffer the effect of neuropathology”

A

Cognitive reserve

55
Q

How was cognitive reserve measured in the ‘Childhood IQ and Adult mental disorders’ study?

A

the WISC

56
Q

What are confounders (variables that could be considered prior causes) common to both low IQ and adult mental disorder?

A

SES*
perinatal insult
low birth weight
maltreatment

57
Q

IQ at or below ___ defines intellectual disability.

A

55

58
Q

Which of the confounding variables were most strongly predicted (or correlated with) IQ?
A. SES
B. Perinatal insult
C. Low birthweight
D. Maltreatment

A

SES

59
Q

How might we measure personality?

A

Type approach: Myers’s Brig Type Inventory

Trait: Big 5 - OCEAN (empirically supported)

60
Q

Ones characteristic patterns of behaving, thinking, and feeling

A

Personality

61
Q

Is personality heritable?

A

Yes, kind of. Heritability estimate tells us how much variation a certain trait is impacted from genetics or environment. Between .42 and .57 for big five traits. Nature and nurture.

Low HE: more environment based (agreeableness)
High HE: more genetic based (openness to experience)

62
Q

Is personality stable?

A

Yes, kind of. Not so much in childhood, but increasingly so overtime.

63
Q

Is personality predictive?

A

Yes, kind of. More extreme scores are lead to better predictions.
There are infinite shades of personality making predictability difficult.

64
Q

do those who score high on E or low on E react more strongly to sensory stimuli?

A

Low on E react more strongly because they are already stimulated.

65
Q

Is personality related to mental health?

A

yes, kind of. 4 models explore the relationship between personality and specifically risk.

  1. Spectrum Model:
  2. Vulerability-Predisposition Model A-C
66
Q

model that explains comorbidity between anxiety and neuroticism.

A

Spectrum model

67
Q

model that explains certain genes (high neuroticism as a kid) make you vulnerable to predisposition to anxiety.

A

Vulnerability-Predisposition Model A

68
Q

model that explains Neuroticism and stress lead to anxiety. in other words, genetic predisposition of anxiety emerges after being exposed to stress.
- (Diathesis Stress model)

A

Vulnerability-Predisposition Model B

69
Q

model that argues neuroticism leads you to put yourself to experience stressors in life.

A

Vulnerability-Predisposition Model C

70
Q

What are early protective factors that reduce risk of psychopathology?

A

easy temperament
good emotional self-regulation
social skills

71
Q

Disorders that are defined as “inflexible and eduring behavior patterns that impair social functioning.”

A

Personality disorders

72
Q

What are the 3 different categories or “clusters” of personality disorders?

A

Cluster A: Odd/eccentric
Cluster B: Dramatic/impulsive
Cluster C: Withdrawn/Anxious

73
Q

Gender-based differences may emanate from a _____ perspective.
a. biomedical
b. psychosocial
c. epidemiological
d. global
e. all of the above.

A

e. all of the above.

74
Q

Why does gender matter?

A
  1. Providers guidance to the mental healthcare system, such as public policy
  2. Improves understanding of mental health problems, while informing decisions/treatment
  3. overlooking gender-based differences or gender bias could have drastic consequences.
75
Q

Gender stereotypes reinforce _____ and constrain _____.

A

reinforce social stigma and constrain help-seeking.

76
Q

What are disorder rates that are typically higher in boys/men?

A

Gambling
Autism
Substance Use
ADHD
Conduct Disorder
antisocial PD

77
Q

What are some barrriers women experiences globally with accessing to mental health?

A

privacy concerns
lack of access
misdiagnosed concerns

78
Q

What are some barrriers men experiences in the US with accessing to mental health?

A

less likely to seek treatment.

79
Q

What are disorder rates that are typically higher in women?

A

Depression
Eating Disorders
Anxiety Disorders
Suicidal behavior
Mood disorders

80
Q

What are disorder rates that are mostly equal between men and girls/women?

A

Schizophrenia
bipolar disorder
OCD

81
Q

What are common patterns regarding internalizing/externalizing symptoms between men and women.

A

women often experience more internalizing symptoms, while men experience externalizing symptoms.

82
Q

Transgender and non-binary folks often experience trauma and discrimination, which can result in _______.

A

Mental Illness

83
Q

Homosexuality used to be condsidered a mentall disorder in the DSM until what year?

A

1973

84
Q

What is a required diagnoses for those seeking gender-affirming surgery?

A

Gender dysphoria

85
Q

what risks does diagnoses that have biases towards certain genders have?

A

Over pathologizing certain groups
misdiagnosing others

86
Q

What personality disorder does the following concerns align with?

potential gender/sex bias (women 2-9x more likely)
vagueness of criteria
significant overlap with other PDs
danger of overuse
heavily apathologized
most people have extensive/complex trauma history, especially sexual abuse

A

Borderline Personality Disorder

87
Q

In the “Sex Bias in the Diagnosis of BPD and PTSD” article, what was the method used in the study?

A

Social workers, psychologists, and psychiatrists were asked to assess a case tailored to include symptoms of both PTSD and BPD. Half received a “male” case, half received a “female” case.

88
Q

In the “Sex Bias in the Diagnosis of BPD and PTSD” article, what were the results in the study and did it vary based on clinician demographics?

A

“Female” cases were significantly more likely to receive BPD diagnosis than “male” cases.

Doctors were less likely to diagnose PTSD
Younger clinicians and clinicians with more experience were more likely to diagnose BPD.

89
Q

Is it that more women do have BPD or is it that this group may be overdiagnosed due to stereotypes and biases?

A

Reasons to believe both are true. Maybe more women do have BPD, but clinicians are overdiagnosing as well.

90
Q

Is BPD actually just cPTSD?

A

Still an ongoing dilemma and discussion in the Psychology field.

91
Q

Which of the Big 5 personality traits is predictive of goosebumps?

A

Openness

92
Q

In the article Poverty and Common Mental Disorders, the authors identified one indicator of poverty that was most consistently linked to mental illness. What was it?

A

Low education levels

93
Q

Do people with schizophrenia have better outcomes in Western countries (e.g. US), or in non-Western countries (e.g., Zanzibar)? Explain one reason for this.

A

People with schizophrenia have better outcomes in non-Western countries. This may be due to their spiritual/religious interpretations, the community/family tolerance, etc.

94
Q

What is a mediator variable?

A

A variable that explains the relationship between other variables

95
Q

Which DSM diagnosis has been critiqued for being gender biased towards young males?

A

ADHD