Week 1 - Researching distress and mental health. Flashcards
family aggregation
that is, whether a disorder runs in families.
Is there a universal agreement about what is meant by abnormality or disor-der?
No
Difficulties in which 7 areas may suggest some form of mental disorder
- Subjective distress
(neither sufficient nor necessary for mental disorder) - Maladaptiveness
(distinction between maladaptive towards self vs towards others - unfortunately, at least the ‘towards self’ version is defined in the economic-paradigm) - Statistical Deviancy
(Value-laden. Something isn’t termed ‘abnormal’ when it is statistically rare, but when it is also undesirable) - Violation of the standards of society
(Although many social rules are arbitrary to some extent, when people fail to follow the conven-tional social and moral rules of their cultural group, we may consider their behavior abnormal. But depends on magnitude.) - Social discomfort
(At times a measure of abnormal behaviour) - Irrationality and unpredictability
- Dangerousness
Within DSM-5, a mental disorder is defined as
a syndrome that is present in an individual and that involves clinically significant disturbance in behavior, emotion regulation, or cognitive functioning.
nomenclature
a naming system
Pros and cons of classification (4 and 2)
Pros
- Nomenclature helps with ease of communication
- Structure of information
- Facilitates research
- Helps with related formal processes (welfare, insurance what is deemed worthy of psychological help)
Cons
- Loss of information
- Stigma associated with label
Epidemiology is the study of
the distribution of diseases, disorders, or health-related behaviors in a given population.
The term prevalence refers to
the number of active cases in a population during any given period of time. Prevalence figures are typically expressed as percentages
Point prevalence refers to the
estimated proportion of actual, active cases of a disorder in a given population at a given point in time.
lifetime prevalence estimate.
Extend over an entire lifetime and include both currently ill and recovered individuals. They therefore tend to be higher than other kinds of prevalence estimates.
incidence
This refers to the number of new cases that occur over a given period of time (typically 1 year)
Relationship between different estimates (using parentheses)
Prevelence(lifetime prevalence estimate(incidence(point prevelence)))
Comorbidity
is the term used to describe the presence of two or more disor-ders in the same person.
acute
short in duration
chronic
long in duration
sampling
An attempt to get a representative sample of people who are drawn from this underlying population (e.g. those with panic attacks).
“samples of convenience”
study groups of people who are easily accessible to researchers and who are readily available.
external validity
The extent to which we can generalize our findings beyond the study itself
internal validity
reflects how confident we can be in the results of a particular given study. In other words, internal validity is the extent to which a study is methodologically sound, free of confounds or other sources of error, and able to be used to draw valid conclusions
comparison group (sometimes called a control group).
This may be defined as a group of people who do not exhibit the disor-der being studied but who are comparable in all other major respects to the criterion group (i.e., people with the disorder being studied).
standard treatment comparison study
alternative research design may be called for in which two (or more) treatments are compared in differing yet comparable groups
single-case research designs
Case studies used to develop and test therapy techniques within a scientific framework.
ABAB design
-The first A phase serves as a baseline condition.
-the first B phase, we introduce our treatment.
-withdraw the treatment and see what happens.
-reinstate our treatment and see if the behav-ioral changes we saw in the first B phase become apparent again.
moral management
a wide-ranging method of treatment that focused on a patient’s social, individual, and occupational needs—became relatively widespread.
deinstitutionalization,
the move away from psychiatric hospitals towards integrated home-based care
four major advances in the nineteenth and twentieth centuries that changed the way that abnormal behavior was viewed and treated:
(1) biological discoveries,
(2) the development of an agreed-upon classification system for mental disorders,
(3) the emergence of scientifically informed views about the causes of abnormal behaviour, and
(4) the emergence of experimental psychology
When studying this, review pages 73-74 for recap of historical figures.