Week 1 - Conceptual issues in abnormal psychology Flashcards
What does the DSM-5 contain?
a) Descriptions of various mental disorders, diagnostic criteria, and the consensus of mental health professionals
b) Treatment methods, case studies, and historical development of mental health
c) Guidelines for psychological research, therapeutic techniques, and diagnostic criteria
d) Statistical data on mental health prevalence and historical case studies
a) Descriptions of various mental disorders, diagnostic criteria, and the consensus of mental health professionals
3Ds stands for?
deviance, distress, dysfunction
Characteristics that are rarely seen in society used to define “abnormality”.
Statistical rarity
(Can be a rare disease or a rare talent)
The field of abnormal psychology _______ (can/cannot) be defined solely on statistical rarity.
Can not
Unlike the criterion of statistical rarity, the criterion of ___________ includes a value component. According to this criterion, a behavior is considered to be abnormal if it is negatively evaluated by society.
a) Distress
b) Deviance
c) Dysfunction
d) Disorder
b) deviance
Which criterion allows an individual, rather than society, to define their behavior as abnormal or normal?
A) Statistical rarity
B) Deviance
C) Distress
D) Dysfunction
C) Distress
(self inflicted distress such as starvation for political or religious reasons can not be considered abnormality)
Widely accepted in defining abnormality, which criterion asks if the behavior is maladaptive and interferes with daily functioning?
A) Statistical rarity
B) Deviance
C) Personal distress
D) Dysfunction
D) Dysfunction
(evaluated mood and creativity during manic episodes may not interfere with functioning, but person may engage is behaviours they otherwise consider dangerous, such as risky financial investments, sex, or aggressive behaviours.
What is a major limitation of the dysfunction criterion in defining abnormality?
A) It solely relies on statistical rarity and ignores societal norms.
B) It can overlap with norm violation, where not fitting societal norms might be seen as dysfunctional.
C) It does not account for individual differences in coping mechanisms.
D) It only considers genetic factors and disregards environmental influences.
B) It can overlap with norm violation, where not fitting societal norms might be seen as dysfunctional.
e.g. running away of African slaves (drapetomania) was viewed as type of insanity requiring treatment.
How does Wakefield’s notion of ‘harmful dysfunction’ help in defining mental disorders?
a) By focusing on societal norms
b) By identifying internal dysfunction and harm
c) By assessing statistical rarity
d) By considering personal distress only
b) By identifying internal dysfunction and harm
(‘harmful dysfunction’ combines two elements: dysfunction and harm. According to Wakefield, a mental disorder is identified when there is a failure in a mental mechanism (dysfunction) that causes significant harm or distress to the individual or their society)
What is a syndrome characterized by clinically significant disturbance in an individual’s cognition, emotion regulation, or behavior that reflects a dysfunction in the psychological, biological, or developmental processes underlying mental functioning?
A) Personality Disorder
B) Mental Disorder
C) Neurodevelopmental Disorder
D) Cognitive Impairment
B) mental disorder
Psychiatry became recognised as medical specialty about ______ years ago.
150
Who proposed that insanity should be viewed as a single major disease rather than a collection of distinct conditions?
A. Sigmund Freud
B. Emil Kraepelin
C. Heinrich Neumann
D. John Cade
C) Heinrich Neumann
Who proposed 3 classes of mental illness - versania (poisons), lunacy (phases of the moon), and insanity (disease of heredity).
Paracelsus
Who distinguished 13 categories of mental illness and described diagnostic categories of unknown causation in terms of symptoms, onset, duration, and other characteristics until their causation was discovered?
a) Emil Kraepelin
b) Sigmund Freud
c) Heinrich Neumann
d) Jean-Martin Charcot
a) Emil Kraepelin
Current conceptualisations of mental disorders imply
______________dysfunction or illness contributes to the development of symptoms.
underlying
If someone believed that a mental disorder was a disease that progressed through increasingly severe symptoms, this is most consistent with which perspective?
a) Biological
b) Medical
c) Cognitive
d) Humanistic
a) biological
Aim of psychiatry is to describe symptom clusters and label them as disease or disorder.
True/False
True
What term refers to a grouping of signs and symptoms that suggest a common underlying pathogenesis, course, familial pattern, or treatment selection?
A) Syndrome
B) Disorder
C) Illness
D) Condition
A) syndrome
According to Hippocrates, the physical and mental health requires a balance of “ ______ __________”
four humours
(4 body fluids: blood, yellow bile, black bile and phlegm.
What was the mental illness believed to be caused by a detached womb wandering in the body?
A) Hysteria
B) Schizophrenia
C) Bipolar Disorder
D) Major Depression
A) Hysteria
Historical treatments that came out of the biological perspective:
- ECT -electroconvulsive therapy
- psychosurgery- prefrontal lobotomy
Which model proposes that symptoms result from disturbances in the body, focusing on structural brain abnormalities and neurochemical imbalances?
A) Psychological
B) Cognitive
C) Biological
D) Behavioral
C) Biological
According to biological model, the two main causes of brain abnormalities are genetic make up and trauma.
True/False
True
(E.g. enlarged ventricles in schizophrenia)
What is a limitation of the biological perspective in understanding mental disorders?
A) Mental disorders are always clearly defined and discrete.
B) Biological treatments are always effective for all disorders.
C) Correlation does not imply causation, and mental disorders should be conceptualized on a continuum rather than as qualitatively distinct.
D) The biological perspective ignores the influence of genetic factors.
C) Correlation does not imply causation, and mental disorders should be conceptualized on a continuum rather than as qualitatively distinct.
Approach that views abnormality to be caused by psychological processes, how one sees the world, beliefs, motivations.
Psychological
Which approach is both a theory to explain normal and abnormal functioning and a therapeutic treatment to uncover causes and reduce abnormal functioning?
A) Cognitive-Behavioral Therapy
B) Biological Perspective
C) Psychoanalysis
D) Humanistic Approach
C) Psychoanalysis
________ was a founder of psychoanalytic approach.
Freud
According to psychoanalytic theory, _________ mind is behind much of human behaviour.
unconscious (latent content)
(it interprets surface of manifest)
According to Freud, behaviour is determined by complex interaction of three forces:
ID
Ego
Super ego
According to Freud, human beings are born with two primitive biological drives: _______ and _________ drives.
sexual and aggressive
The energy stemming from more dominant sexual drive is called ________.
libido
The ______ operates on pleasure and instant gratification principles.
ID
The _____ operates on reality principle and requires higher cog functions such as memory, learning and language.
ego (conscious)
The ______ _____ operates on morality principle, societal values and morals which are in conflict with primitives drives of the id.
super ego
Ego is the mediator between desires of the id and the ideals of super ego.
True/ False
True
Psychosexual stages of development:
- oral (0-2) - mouth, sucking, biting, chewing
- anal (2-3) - retaining and expelling feaces
- phallic (3-6) - development of superego (Oedipus complex for boys, Electra complex for girls, penis envy)
- latency (6-12) - genital phase - mature love
While the ____ is a true generator of behaviour, the ____ controls how it’s expresses, trying to keep the expression continuous in line with moral values of _____ _____.
ID, ego, super ego
According to psychoanalysis, ________ is the ultimate sign of psychic distress.
anxiety
(ego is threatened)
To avoid the pain of anxiety, failure, guilt or shame, the ego employs ________ mechanisms.
defence
Which defense mechanism involves avoiding anxiety by not allowing unwanted thoughts to become conscious?
A) Projection
B) Denial
C) Repression
D) Rationalization
C) repression
(e.g. a child, who faced abuse by a parent, later has no memory of the events but has trouble forming relations)
Which defense mechanism involves refusing to perceive the anxiety-provoking aspects of reality?
A) Sublimation
B) Regression
C) Denial
D) Displacement
C) denial
(e.g. Someone denies that they have an alcohol or substance use disorder because they can still function and go to work each day)
Which defense mechanism involves attributing one’s own thoughts, emotions, or desires to another person, such as a jealous person accusing others of being jealous of them or someone cheating on their spouse accusing their spouse of cheating?
A) Projection
B) Rationalization
C) Displacement
D) Intellectualization
A) projection
Which defense mechanism involves justifying difficult or unacceptable feelings with seemingly logical reasons and explanations, such as a person who is angry at their boss but justifies their anger by saying they were provoked?
A) Rationalization
B) Repression
C) Sublimation
D) Denial
A) rationalisation
(or student who is rejected from her dream college may explain that she’s happy to be attending a school that’s less competitive and more welcoming)
Which defense mechanism involves acting in a way that is opposite of the impulses a person is afraid to admit, such as a person who is secretly hostile towards others but behaves overly friendly and kind?
A) Reaction Formation
B) Projection
C) Displacement
D) Regression
A) reaction formation
(or insulting or teasing someone with whom they are romantically interested or being kind to someone they dislike)
Which defense mechanism involves shifting sexual or aggressive impulses from an unacceptable target to an acceptable substitute, such as an employee taking out frustration on a coworker instead of confronting a boss?
A) Displacement
B) Sublimation
C) Rationalization
D) Repression
A) displacement
(or person angry at their boss may “take out” their anger on a family member)
Which defense mechanism involves retreating to a previous developmental stage when faced with stress or conflict, such as an adult throwing a temper tantrum when they don’t get their way?
A) Regression
B) Projection
C) Denial
D) Reaction Formation
A) Regression
(or an overwhelmed child may revert to bedwetting or thumb-sucking)
Which defense mechanism involves expressing sexual or aggressive impulses in a socially acceptable manner, such as channeling aggressive impulses into competitive sports?
A) Sublimation
B) Displacement
C) Rationalization
D) Projection
A) sublimation
(someone with anger issues may channel their aggressive urges into sports instead of lashing out at others physically or verbally)
Which defense mechanism involves creating overly logical and rational explanations to distance oneself from anxiety-provoking emotions, such as focusing on technical details and avoiding the emotional impact of a breakup?
A) Rationalization
B) Repression
C) Intellectualization
D) Regression
C) Intellectualisation
( someone diagnosed with a serious illness focuses on discussing the statistical data and medical procedures related to the illness, rather than acknowledging and expressing their emotional distress or fear about their diagnosis)
Which of the following best describes the term “neurosis” in traditional psychological terminology?
A) A broad category of mental disorders characterized by anxiety, depression, and emotional distress.
B) A specific diagnosis for severe mood swings and impulsive behavior.
C) A term used exclusively for psychotic disorders involving delusions and hallucinations.
D) A medical condition related to neurological damage affecting motor functions.
A) A broad category of mental disorders characterized by anxiety, depression, and emotional distress.
Which of the following terms describes a state characterized by a loss of touch with reality?
A) Neurosis
B) Psychosis
C) Depression
D) Anxiety
B) psychosis
(Hallucinations, delusions)
Which of the following are key contributions of the psychoanalytical approach to mental health?
A) Extended the definition of mental disorders to include anxiety, depression, and neuroses
B) Shifted the treatment of patients from institutions to office settings
C) Enabled mental health professionals other than psychiatrists to provide treatment
D) All of the above
D) All of the above
Which of the following are criticisms of the psychoanalytical approach?
A) Complex and hard to define, operating at a level not readily accessible to consciousness
B) Difficult to measure and test using reliable and valid empirical techniques
C) Limited controlled research evaluating the fundamental concepts of the psychodynamic perspective
D) All of the above
D) All of the above
Theories that focus on the interplay between unconscious psychological processes in determining thoughts, feelings and behaviours.
psychodynamic theories
Theories that rely on the principles of learning to explain both normal and abnormal behaviour founded by Watson.
behavioural approach
AKA learning perspective
Aversion therapy, systematic desensitisation and token economies are examples of ___________ approach.
behavioural//learning perspective treatments
Which of the following best describes the treatment involving the pairing of an unpleasant stimulus with a maladaptive source of pleasure to induce an aversive reaction?
A) Cognitive-behavioral therapy
B) Aversive conditioning
C) Systematic desensitization
D) Humanistic therapy
aversion conditioning
Which behavioral technique aims to reduce a client’s anxiety through progressive, imaginal exposure to feared stimuli paired with the induction of a relaxation response?
A) Aversive conditioning
B) Systematic desensitization
C) Flooding
D) Exposure therapy
B) systematic desensitisation
(e.g. gradually and systematically facing their fear while staying relaxed, the person works towards reducing their overall anxiety about flying)
= gradual exposure vs. direct exposure in exposure therapy
Treatment application of operant conditioning in which individuals receive tokens for exhibiting desired behaviours that can then be exchanged for privileges and rewards; these tokens are withheld when the individual exhibits unwanted behaviour.
token economy
Which of the following best describes countertransference in a therapeutic setting?
A) The therapist projects their own feelings and attitudes onto the client, affecting their behavior in sessions.
B) The client projects their feelings and issues onto the therapist, influencing their responses.
C) The therapist develops feelings of admiration and attachment towards the client.
D) The therapist maintains a strictly neutral stance, avoiding any personal reactions or feelings.
A) The therapist projects their own feelings and attitudes onto the client, affecting their behavior in sessions.
(e.g. Behaving in a way that we actually feel. Showing up late to an appointment because you don’t want to see them, cutting them off short)
Cognitive-affective representations of the self, others, and their relationships are referred to as:
A) Object permanence
B) Object relations
C) Self-schema
D) Attachment theory
B) object relations
Process of learning behaviours by imitating others.
modelling (Bandura)
Which cognitive approach/model focuses on the effect of irrational beliefs on emotions and is known for its use in understanding mental disorders?
A) Cognitive Behavioral Therapy (CBT)
B) The ABC Model
C) Psychodynamic Theory
D) Humanistic Approach
B) ABC model
In the ABC model developed by Albert Ellis, what do the letters A, B, and C stand for?
A) A (Activating Event), B (Beliefs), C (Consequences)
B) A (Action), B (Behavior), C (Conditioning)
C) A (Awareness), B (Behavioral Change), C (Cognitive Adjustment)
D) A (Arousal), B (Bias), C (Adjustment)
A)
A (Activating Event),
B (Beliefs),
C (Consequences)
Errors or biases in people’s information processing system characterized by faulty thinking are known as:
A) Cognitive biases
B) Cognitive distortions
C) Cognitive schemas
D) Cognitive dissonance
B) Cognitive distortions
(Ellis and Beck)
What are the types of cognitive distortions?
§ Selective abstraction
§ Overgeneralisation
§ Dichotomous thinking
§ Back and white thinking (all or nothing)
§ Unrealistic expectations
§ Selective thinking
§ Catastrophising
§ Magnifying or exaggerating unpleasantness
§ Personalising
§ Mistaking feelings for facts
§ Jumping to negative conclusions
Cognitive restructuring and behavioural experiment are an examples of treatments using _________ perspective.
cognitive
Which therapeutic technique involves identifying and challenging irrational or distorted thoughts and replacing them with more balanced and realistic ones?
a) Exposure Therapy
b) Cognitive Restructuring
c) Systematic Desensitization
d) Interpersonal Therapy
b) cognitive restructuring
Person testing the validity of certain beliefs by asking a friend out for coffee to test the belief ‘people always reject me’ is engaging in:
A) A cognitive experiment
B) A behavioral experiment
C) A physiological experiment
D) A statistical experiment
B) A behavioral experiment
A restricted behavioral pattern, where an individual focuses intensely on a limited range of activities or interests, is known as:
A) Obsessive-Compulsive Disorder
B) Restrictive Behavior
C) Phobic Disorder
D) Generalized Anxiety Disorder
B) Restrictive Behavior
Which of the following best describes the humanistic approach to psychology, founded by Rogers and Maslow?
A) Emphasizes the role of unconscious conflicts and early life experiences.
B) Focuses on societal pressures and their impact on self-actualization and growth.
C) Centers on behavioral conditioning and observable actions.
D) Highlights cognitive distortions and irrational beliefs.
B) Focuses on societal pressures and their impact on self-actualization and growth.
-self actualisation
-unconditioned positive regard
-person-centred therapy
-in congruence/congruent are all examples of treatment approaches from ___________ perspective.
humanistic
In humanistic theory, the fulfillment of one’s potential is known as:
A) Self-esteem
B) Self-actualization
C) Self-concept
D) Self-efficacy
B) self-actualisation
In person-centered therapy, the therapist’s expression of full acceptance of the client without judgment is known as:
A) Unconditional positive regard
B) Empathic understanding
C) Congruence
D) Reflective listening
A) Unconditional positive regard
Which perspective proposes that abnormal behaviors are best understood in terms of the individual’s social environment, including family, social networks, cultural values, and religious beliefs?
A) Biological perspective
B) Cognitive perspective
C) Sociocultural perspective
D) Psychodynamic perspective
C) sociocultural perspective