week 11: psychological disorders Flashcards

1
Q

what is mental health

A

A state of emotional and social wellbeing

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2
Q

what is a mental disorder?

A

A clinically recognisable set of symptoms and behaviours that disrupts wellbeing/functioning. It causes stress (for them and others) and requires treatment

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3
Q

what are mental health problems (psychopathology)

A

Problematic patterns of thought, feeling, and behaviour

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4
Q

psychopathology in Australia stats

A

Almost half the population (45%) will experience a mental disorder at some point
About 1 in 5 adults (16‐85 years) will have had a mental disorder in the past year
For children/adolescents: 12‐month prevalence was 1 in 7

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5
Q

what is the Context of psychopathology

A

Historical
Social
Cultural
Theoretical

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6
Q

Theoretical context of psychopathology

A
  • Psychodynamic theories
  • Cognitive‐behavioural approaches
  • Biological approaches
  • Systems theory (e.g. family system model)
  • Evolutionary perspectives
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7
Q

Psychodynamic perspective classes of psychopathology

A

3 classes of psychopathology, in which ego functioning is central:
• Neuroses
• Personality disorders
• Psychoses

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8
Q

Psychodynamic perspective classes of psychopathology: neuroses

A

issues in living that involve anxiety (phobias) or interpersonal conflict

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9
Q

Psychodynamic perspective classes of psychopathology: personality disorders

A

chronic and severe disturbances that alter the capacity to work and to love

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10
Q

Psychodynamic perspective classes of psychopathology: psychoses

A

marked disturbances of contact with reality

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11
Q

cause of psychodynamic classes

A

neuroses: environmental
psychoses: genetic vulnerability
personality disorders: environment or the interaction of genes and environment

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12
Q

Cognitive and behavioural perspective of psychopathology

A

Cognitive: psychological disorders reflect dysfunctional attitudes, beliefs and cognitive processes
Behavioural: psychological problems arise from conditioned emotional responses

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13
Q

Biological perspective to psychopathology

A

Root of abnormal behaviour lies within the brain

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14
Q

Systems perspective to psychopathology

A

Root of abnormality lies in the context of a social group (and families)

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15
Q

Evolutionary perspective to psychopathology

A
  1. Random variations in genotypes can lead to less adaptive phenotypes
  2. Less adaptive behaviour may have its roots in behaviour important for survival 3. important interplay of genes and environment
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16
Q

what is the most common approach to diagnosing mental disorders in Australia?

A

descriptive – using atheoretical disorder classification systems

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17
Q

the 2 disorder classification systems

A
  1. Diagnostic and Statistical Manual of Mental Disorders (DSM)
  2. International Classification of Diseases (ICD)
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18
Q

what is Schizophrenia

A

Debilitating disorder that involves disturbance in almost every dimension of human function – perceptions, thoughts, behaviour, emotions, and language – and impacts on social relationships (family life, friendships) and occupational functioning

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19
Q

2 types of Schizophrenia Symptom clusters

A

positive and negative

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20
Q

negative Schizophrenia symptoms

A
  • Absence/lack of normal behaviour or function
  • Flat affect (lack of emotion)
  • Apathy/avolition (lack of motivation)
  • Social withdrawal
  • Lack of spontaneous movement
  • Alogia (lack of speech)
  • catatonia (weird movements)
21
Q

positive Schizophrenia symptoms

A
  • Delusions
  • Hallucinations
  • Disorganised speech or behaviour
22
Q

different forms of hallucinations

A
auditory
visual
somatic (sensation in the body) eg, worms in skin
tactile (touch) eg, burning
olfactory (smell)
gustatory (taste)
23
Q

most common form of hallucinations

24
Q

what are delusions

A

A false belief, held firmly, even in the face of objective evidence to the contrary

25
different types of delusions
- Persecutory (belief being mistreated) - Grandiosity (inflated self-worth) - control (being controlled by external forces) - reference (event has special meaning to them) - Somatic (belief of medical problem) - Thought broadcasting (someone can read their mind) - Thought insertion (planted thoughts) - Thought withdrawal (stolen thoughts)
26
what is a thought disorder?
Disturbances in the speed or amount or coherence of thinking
27
different thought disorder symptoms
Poverty of content (adequate number of words, but limited information) • Flight of ideas (rapid, continuous verbalisations, difficult to interrupt) • Word salad/unintelligible verbalisations (individual words strung together incorrectly, incoherent) • Tangentiality (answers to questions that are oblique) • Circumstantiality (delay in reaching goal)
28
Phases of schizophrenia (illness course)
premorbid phase prodromal phase psychotic phase stable phase
29
premorbid phase of schizophrenia
childhood | cognitive, motor or social deficits
30
prodromal phase of schizophrenia
adolescence/young adult brief attenuated positive symptoms and/or functional decline extremely high degrees of recovery with treatment before first psychotic episode the first psychotic episode at end of phase
31
psychotic phase of schizophrenia
young adulthood florid positive symptoms medium degree of recovery with intervention
32
stable phase of schizophrenia
negative symptoms, cognitive/social deficits, functional decline lower degrees of recovery with intervention
33
factors impacting schizophrenia
``` biological (genetics, abnormalities in brain, abnormalities in neurotransmitters) psychosocial factors (environmental) ```
34
Bipolar and Related Disorders
Characterised by disturbance in emotion and mood. | has alternating periods of mania and depression
35
what is mania/manic episode?
period of abnormally elevated or expansive mood
36
types of bipolar
Bipolar I Bipolar II Cyclothymia
37
Bipolar I
major depression and mania
38
Bipolar II
major depression and hypomania
39
Cyclothymia
hypomania and mild depression
40
what are Depressive disorders
Characterised by disturbance in emotion and mood (negative mood)
41
Depressive disorders symptoms
5 symptoms needed, 2 needing to be: Persistent sad mood Anhedonia (loss of interest or pleasure in activities)
42
Anxiety Disorders
Frequent, intense, and irrational anxiety or apprehension
43
anxiety in Australia
Most common of the mental disorders afflict 1 in 7 of adult population Higher rates in women
44
Phobic disorder
An irrational fear of an object or situation
45
social phobias
Lifetime prevalence 8% | • Fear of being in a public situation (eg. public speaking)
46
Agoraphobia
A fear of being in places or situations from which it might be difficult to escape form of social phobia
47
Panic disorder
Intense attacks of fear and terror that are not justified by the situation
48
Generalised Anxiety Disorder