Abnormal Psychology Ch.6 – Flashcards

question
anxiety
answer
general feeling of apprehension about future danger three components 1. physiological: tension 2. cognitive: negative thoughts 3. behavioural: avoidance
question
fear
answer
alarm reaction that occurs in response to immediate danger
question
obsessions
answer
persistent and highly recurrent intrusive thoughts or images that are experienced as disturbing and inappropriate
question
compulsions
answer
repetitive behaviours that a person feels must be performed in response to the obsession.
question
neurotic disorders
answer
group of disorders to which OCD and anxiety belong, not incoherent, dangerous etc. , term dropped from DSMV
question
panic attack
answer
fear response occurs in absence of any obvious danger three components 1. cognitive: death 2. physiological: heart beat 3. behavioural: flee
question
anxiety disorders
answer
group of disorders that have unrealistic, irrational fears or anxieties of disabling intensity 1. phobia 2. social phobia 3. panic disorder 3. agoraphobia 5. generalized anxiety
question
specific/social phobias
answer
anxiety regarding encounter with phobic situation, or possibility of
question
panic disorder
answer
panic attacks + anxiety regarding having another attack
question
agoraphobia
answer
avoid open streets and crowded places
question
generalized anxiety disordy
answer
general sense of anxiety and worry
question
phobia
answer
persistent and disproportionate fear of some specific object or situation that presents no actual danger 3 types 1. specific 2. agoraphobia 3. social phobia
question
specific phobia
answer
trigger causes immediate fear response resmbling panic attack, but with presence of trigger - not treated with drugs
question
blood injection injury phobia
answer
phobia including disgust as well as fear at the sigh of blood or injury, initial accelration of heart rate followed by dramatic drop
question
specific phobia PAG (prevalence, age of onset, gender diferences)
answer
common, more women than men, vary widely in age but most start in childhood
question
specific phobia psychological causal factors
answer
psychoanalytic - defence against axiety stemming from repressed impulses from the id, then displaced to external object, defence present learned behaviour - conditioned to neutral stimuli when coupled with traumatic events, could also condition via observational (vicarious) classical conditioning. - differences in life experiences causes different responses to conditioning evolutionary perspective
question
inflation effect
answer
says that person who acquires mild fear of driving following minor crash will develop full blown phobia if assaulted in the absence of vehicle.
question
prepared learning
answer
evolutionarily prepared to rapidly associate certain objects with frightening/unpleasant events
question
specific phobia biological casual factors
answer
- variant on serotonin-transporter gene -
question
behaviourally inhibited
answer
those who are excessively timid, shy, esaily distressed - more prone to developing phobias
question
exposure therapy
answer
specific phobia treatment - controlled exposure
question
participant modelling
answer
variant on exposure therapy, more effective. Therapist models ways of interacting with phobic stimulus.
question
d-cycloserine
answer
a drug known to facilitate extinction of conditioned fear in animals
question
social phobias
answer
disorder with disabling fear of one or more specific social situations
question
social phobia PAD
answer
common, more in women, begin later in life
question
social phobia psychological causal factors
answer
learned behaviour - direct or vicarious (observational) classical conditioning evolutionary - fears of one's own species: dominance hierarchies perception of uncontrollability and unpredictability cognitive bias - expect rejection/negative evaluation
question
social phobia biological causal factors
answer
temperament - behavioural inhibition
question
cognitive restructuring
answer
social phobia treatment - help clients identify underlying negative automatic thoughts, logical reanalysis
question
social phobia medication
answer
- antidepressants (MAOIs) and (SSRIs)
question
symptoms of panic attack
answer
panic attacks that come randomly in the absence of visible trigger 1. depersonalization: detachment or derealization: unreal world 2. fear of dying 3. fear of losing control
question
nocturnal panic
answer
panic attacks during relaxation or sleep
question
agora
answer
greek word for public places of assembly, used for agoraphobia, frequent complication of panic disorder
question
agoraphobia PAD
answer
many with panic disorder, starts in 20s or 30s, more in women than men
question
agoraphobia comorbidity
answer
panic disorder results in at least one comorbid disorder
question
timing of first panic attack (agoraphobia)
answer
first panic attack usually after highly stressful life circumstance
question
agoraphobia biological causal factors
answer
genetic - moderate heritability brain - amygdala and locue coerulus biochemical - noradrenergic and serotonergic (SSRI used to treat), GABA too low
question
locus coeruleus
answer
early believe regarding brain stem component where panic originates, now believed to be amygdala
question
amygdala
answer
collection of nuclei in front of hippocampus, involved in fear
question
prefrontal cortex
answer
higher brain area conencted to amygdala
question
panic provocation procedures
answer
procedures that produce panic attacks in panic disorder patients at higher rate than in normal subjects: eg. inhaling air with co2
question
agoraphobia psychological causal factors
answer
comprehensive LEARNING THEORY MODEL of panic disorder - initial internal bodily sensation of anxiety/arousal becomes interoceptive conditioned stimuli associated with higher levels of anxiety or arousal. INTEROCEPTIVE CONDITIONING MODEL. cognitive theory of panic (CATASTROPHIC THOUGHTS) - hypersensitivity to bodily sensations, catastrophization about meaning of bodily sensations
question
interoceptive conditioning (exteroceptive conditioning)
answer
part of the comprehensive behavioural theory of panic disorder: panic attacks become associated with neutral internal and external cues. Anxiety becomes conditioned - leads to development of 1) anticipatory anxiety 2) agoraphobic fears
question
3 components of panic disorder
answer
1) agoraphobic fears 2) anticipatory anxiety 3) panic attacks - can be conditioned to internal cues, eg. heart rate
question
automatic thoughts
answer
part of cognitive theory of panic (agoraphobia), thoughts that are catastrophic interpretations just out of realm of awareness, but are triggers of panic
question
anxiety sensitivity
answer
trait-like belief that certain bodily symptoms may have harmful consequences: I will have a heart attack if my heart is beating rapidly
question
perceived control
answer
sense that reduces anxiety and blocks panic during provocation studies (eg. inhale co2)
question
panic disorder treatments
answer
medications 1) anxiolytics 2) antidepressants - SSRIs, SNNRIs, no dependence, takes long time to take effect, side effects like dry mouth behavioural and cognitive-behavioural treatments - variant on exposure treatment: interoceptive exposure - cognitive restructuring:
question
anxiolytics
answer
drug used to treat panic disorders, very quick, imparied performance, dependency
question
interoceptive exposure
answer
deliberate exposure to internal cues, treatment through prolonged exposure
question
panic control treatment
answer
cognitive restructuring treatment - educate, control breathing, logical errors to get rid of automatic thoughts, expose to feared situations
question
generalized anxiety disorder (PAD)
answer
relatively common, more common in women but less dramatic difference, common, age of onset difficult to determine but usually in older adults
question
generalized anxiety disorder comorbidity
answer
often co-occurs with other disorders, eg. panic
question
generalized anxiety psychological causal factors
answer
psychoanalytic - unconscious conflict between ego and id impulses that were not dealt with due to breakdown of defence mechanisms - defence absent uncontrollability and unpredictability cognitive bias for threatening info
question
generalized anxiety biological causal factors
answer
genetic- modest heritability, smaller than other anxiety disorders except phobias functional deficiency in GABA serotonin CRH
question
stria terminalis
answer
extension of amygdala affected by CRH during GAD
question
neurobiological differences between anxiety and panic
answer
fear panic - flight vs fight response GAD: preparation fo possible threat, smaller hippocampus
question
generalized anxiety treatment
answer
medication - anxiolytic cognitive-behavioural - muscle relaxation, cognitive restructuring
question
hoarding disorder
answer
related to OCD
question
obsessive thoughts
answer
uncontrollable invasive thoughts
question
obsessive compulsive disorder PAD
answer
- more prevalent than before, not much gender difference, late adolescence, not uncommon in children, early onset more common in boys
question
OCD comorbidity
answer
frequently co-curs with social phobia, panic, etc.
question
OCD psychological causal factors
answer
learned behaviour: avoidance learning - neural stimuli associated with frightening thoughts and come to elicit anxiety evolutionary - preparedness, displacement activities seen in animals cognitive - attempt to suppress unwanted thoughts leads to paradoxical increase - thought-action fusion: increase perceived harmful consequences - biases: cannot block out negative input
question
thought-action fusion
answer
thinking about something is equivalent to doing it - discussed in cognitive causal factors of OCD
question
biological causal factors
answer
most strongly implicated than other anxiety disorders. genetic- genetic contribution, genetic polymorphisms brain - basal ganglia neurotransmitter - serotonin (SSRIs effective, eg. Prozac)
question
basal ganglia
answer
abnormalities of the brain structure associated with OCD, dysfunction in cortico-basal-ganglionic-thalamic circuit
question
OCD treatments
answer
behavioural - exposure and response prevention
question
exposure and response prevention
answer
behavioural approach to treat OCD, repeated exposure to simuli that trigger obsession, prevent rituals medication - most serotonin affectors eg. PRozac, anafranil, high relapse
question
body dysmorphic disorder
answer
disorder involving preoccupation with certain parts of the body
question
perceived/imagined flaw
answer
obsession by people with BDD, leads to belief of disfigurement, causes distress
question
BDD PAD
answer
difficult to estimate prevalence due to cover ups equal in gender but about different places adolescence
question
BDD causal factors
answer
biopsychosocial approach - moderately heritable - sociocultural context that puts value in appearance (self-schemas of attractiveness = worth) - biased attention relating to words regarding attractiveness
question
BDD treatment
answer
- close to OCD - but higher doses in medication needed
question
hoarding disorder
answer
separated from OCD
question
trichotillomania
answer
compulsive hair pulling, related to OCD, onset childhood or later
question
ataque de nervios
answer
variant of panic disorder from latin america, also include bursting into tears, uncontrollable shoulting, aggresion, seizures
question
koro
answer
culture related syndrome in which men fears retraction of penic, eads to death
question
taijin kyofusho
answer
japan, related to social phobia - concern about doing something embarssing
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question
anxiety
answer
general feeling of apprehension about future danger three components 1. physiological: tension 2. cognitive: negative thoughts 3. behavioural: avoidance
question
fear
answer
alarm reaction that occurs in response to immediate danger
question
obsessions
answer
persistent and highly recurrent intrusive thoughts or images that are experienced as disturbing and inappropriate
question
compulsions
answer
repetitive behaviours that a person feels must be performed in response to the obsession.
question
neurotic disorders
answer
group of disorders to which OCD and anxiety belong, not incoherent, dangerous etc. , term dropped from DSMV
question
panic attack
answer
fear response occurs in absence of any obvious danger three components 1. cognitive: death 2. physiological: heart beat 3. behavioural: flee
question
anxiety disorders
answer
group of disorders that have unrealistic, irrational fears or anxieties of disabling intensity 1. phobia 2. social phobia 3. panic disorder 3. agoraphobia 5. generalized anxiety
question
specific/social phobias
answer
anxiety regarding encounter with phobic situation, or possibility of
question
panic disorder
answer
panic attacks + anxiety regarding having another attack
question
agoraphobia
answer
avoid open streets and crowded places
question
generalized anxiety disordy
answer
general sense of anxiety and worry
question
phobia
answer
persistent and disproportionate fear of some specific object or situation that presents no actual danger 3 types 1. specific 2. agoraphobia 3. social phobia
question
specific phobia
answer
trigger causes immediate fear response resmbling panic attack, but with presence of trigger - not treated with drugs
question
blood injection injury phobia
answer
phobia including disgust as well as fear at the sigh of blood or injury, initial accelration of heart rate followed by dramatic drop
question
specific phobia PAG (prevalence, age of onset, gender diferences)
answer
common, more women than men, vary widely in age but most start in childhood
question
specific phobia psychological causal factors
answer
psychoanalytic - defence against axiety stemming from repressed impulses from the id, then displaced to external object, defence present learned behaviour - conditioned to neutral stimuli when coupled with traumatic events, could also condition via observational (vicarious) classical conditioning. - differences in life experiences causes different responses to conditioning evolutionary perspective
question
inflation effect
answer
says that person who acquires mild fear of driving following minor crash will develop full blown phobia if assaulted in the absence of vehicle.
question
prepared learning
answer
evolutionarily prepared to rapidly associate certain objects with frightening/unpleasant events
question
specific phobia biological casual factors
answer
- variant on serotonin-transporter gene -
question
behaviourally inhibited
answer
those who are excessively timid, shy, esaily distressed - more prone to developing phobias
question
exposure therapy
answer
specific phobia treatment - controlled exposure
question
participant modelling
answer
variant on exposure therapy, more effective. Therapist models ways of interacting with phobic stimulus.
question
d-cycloserine
answer
a drug known to facilitate extinction of conditioned fear in animals
question
social phobias
answer
disorder with disabling fear of one or more specific social situations
question
social phobia PAD
answer
common, more in women, begin later in life
question
social phobia psychological causal factors
answer
learned behaviour - direct or vicarious (observational) classical conditioning evolutionary - fears of one's own species: dominance hierarchies perception of uncontrollability and unpredictability cognitive bias - expect rejection/negative evaluation
question
social phobia biological causal factors
answer
temperament - behavioural inhibition
question
cognitive restructuring
answer
social phobia treatment - help clients identify underlying negative automatic thoughts, logical reanalysis
question
social phobia medication
answer
- antidepressants (MAOIs) and (SSRIs)
question
symptoms of panic attack
answer
panic attacks that come randomly in the absence of visible trigger 1. depersonalization: detachment or derealization: unreal world 2. fear of dying 3. fear of losing control
question
nocturnal panic
answer
panic attacks during relaxation or sleep
question
agora
answer
greek word for public places of assembly, used for agoraphobia, frequent complication of panic disorder
question
agoraphobia PAD
answer
many with panic disorder, starts in 20s or 30s, more in women than men
question
agoraphobia comorbidity
answer
panic disorder results in at least one comorbid disorder
question
timing of first panic attack (agoraphobia)
answer
first panic attack usually after highly stressful life circumstance
question
agoraphobia biological causal factors
answer
genetic - moderate heritability brain - amygdala and locue coerulus biochemical - noradrenergic and serotonergic (SSRI used to treat), GABA too low
question
locus coeruleus
answer
early believe regarding brain stem component where panic originates, now believed to be amygdala
question
amygdala
answer
collection of nuclei in front of hippocampus, involved in fear
question
prefrontal cortex
answer
higher brain area conencted to amygdala
question
panic provocation procedures
answer
procedures that produce panic attacks in panic disorder patients at higher rate than in normal subjects: eg. inhaling air with co2
question
agoraphobia psychological causal factors
answer
comprehensive LEARNING THEORY MODEL of panic disorder - initial internal bodily sensation of anxiety/arousal becomes interoceptive conditioned stimuli associated with higher levels of anxiety or arousal. INTEROCEPTIVE CONDITIONING MODEL. cognitive theory of panic (CATASTROPHIC THOUGHTS) - hypersensitivity to bodily sensations, catastrophization about meaning of bodily sensations
question
interoceptive conditioning (exteroceptive conditioning)
answer
part of the comprehensive behavioural theory of panic disorder: panic attacks become associated with neutral internal and external cues. Anxiety becomes conditioned - leads to development of 1) anticipatory anxiety 2) agoraphobic fears
question
3 components of panic disorder
answer
1) agoraphobic fears 2) anticipatory anxiety 3) panic attacks - can be conditioned to internal cues, eg. heart rate
question
automatic thoughts
answer
part of cognitive theory of panic (agoraphobia), thoughts that are catastrophic interpretations just out of realm of awareness, but are triggers of panic
question
anxiety sensitivity
answer
trait-like belief that certain bodily symptoms may have harmful consequences: I will have a heart attack if my heart is beating rapidly
question
perceived control
answer
sense that reduces anxiety and blocks panic during provocation studies (eg. inhale co2)
question
panic disorder treatments
answer
medications 1) anxiolytics 2) antidepressants - SSRIs, SNNRIs, no dependence, takes long time to take effect, side effects like dry mouth behavioural and cognitive-behavioural treatments - variant on exposure treatment: interoceptive exposure - cognitive restructuring:
question
anxiolytics
answer
drug used to treat panic disorders, very quick, imparied performance, dependency
question
interoceptive exposure
answer
deliberate exposure to internal cues, treatment through prolonged exposure
question
panic control treatment
answer
cognitive restructuring treatment - educate, control breathing, logical errors to get rid of automatic thoughts, expose to feared situations
question
generalized anxiety disorder (PAD)
answer
relatively common, more common in women but less dramatic difference, common, age of onset difficult to determine but usually in older adults
question
generalized anxiety disorder comorbidity
answer
often co-occurs with other disorders, eg. panic
question
generalized anxiety psychological causal factors
answer
psychoanalytic - unconscious conflict between ego and id impulses that were not dealt with due to breakdown of defence mechanisms - defence absent uncontrollability and unpredictability cognitive bias for threatening info
question
generalized anxiety biological causal factors
answer
genetic- modest heritability, smaller than other anxiety disorders except phobias functional deficiency in GABA serotonin CRH
question
stria terminalis
answer
extension of amygdala affected by CRH during GAD
question
neurobiological differences between anxiety and panic
answer
fear panic - flight vs fight response GAD: preparation fo possible threat, smaller hippocampus
question
generalized anxiety treatment
answer
medication - anxiolytic cognitive-behavioural - muscle relaxation, cognitive restructuring
question
hoarding disorder
answer
related to OCD
question
obsessive thoughts
answer
uncontrollable invasive thoughts
question
obsessive compulsive disorder PAD
answer
- more prevalent than before, not much gender difference, late adolescence, not uncommon in children, early onset more common in boys
question
OCD comorbidity
answer
frequently co-curs with social phobia, panic, etc.
question
OCD psychological causal factors
answer
learned behaviour: avoidance learning - neural stimuli associated with frightening thoughts and come to elicit anxiety evolutionary - preparedness, displacement activities seen in animals cognitive - attempt to suppress unwanted thoughts leads to paradoxical increase - thought-action fusion: increase perceived harmful consequences - biases: cannot block out negative input
question
thought-action fusion
answer
thinking about something is equivalent to doing it - discussed in cognitive causal factors of OCD
question
biological causal factors
answer
most strongly implicated than other anxiety disorders. genetic- genetic contribution, genetic polymorphisms brain - basal ganglia neurotransmitter - serotonin (SSRIs effective, eg. Prozac)
question
basal ganglia
answer
abnormalities of the brain structure associated with OCD, dysfunction in cortico-basal-ganglionic-thalamic circuit
question
OCD treatments
answer
behavioural - exposure and response prevention
question
exposure and response prevention
answer
behavioural approach to treat OCD, repeated exposure to simuli that trigger obsession, prevent rituals medication - most serotonin affectors eg. PRozac, anafranil, high relapse
question
body dysmorphic disorder
answer
disorder involving preoccupation with certain parts of the body
question
perceived/imagined flaw
answer
obsession by people with BDD, leads to belief of disfigurement, causes distress
question
BDD PAD
answer
difficult to estimate prevalence due to cover ups equal in gender but about different places adolescence
question
BDD causal factors
answer
biopsychosocial approach - moderately heritable - sociocultural context that puts value in appearance (self-schemas of attractiveness = worth) - biased attention relating to words regarding attractiveness
question
BDD treatment
answer
- close to OCD - but higher doses in medication needed
question
hoarding disorder
answer
separated from OCD
question
trichotillomania
answer
compulsive hair pulling, related to OCD, onset childhood or later
question
ataque de nervios
answer
variant of panic disorder from latin america, also include bursting into tears, uncontrollable shoulting, aggresion, seizures
question
koro
answer
culture related syndrome in which men fears retraction of penic, eads to death
question
taijin kyofusho
answer
japan, related to social phobia - concern about doing something embarssing
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