Abnormal Psychology 1- Duke – Flashcards
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psychological disorder
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psychological dysfunction associated with distress or impairment in functioning that is not a typical or culturally expected response
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phobia
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psychological disorder characterized by marked and persistent fear of an object or situation
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abnormal behavior
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actions that are unexpected and often evaluated negatively because they differ from typical or usual behavior
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psychopathology
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scientific study of psychological disorders
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scientist-practitioner
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mental health professional expected to apply scientific methods to his or her work; must know the latest research on diagnosis and treatment, must evaluate his or her methods for effectiveness, and may generate research to discover information about disorders and their treatment
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presenting problem
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original complaint reported by the client to the therapist; the actual treated problem may be a modification derived from this
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clinical description
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details of the combination of behavior, thoughts, and feelings of an individual that make up a particular disorder
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prevalence
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number of people displaying a disorder in the total population at any given time
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incidence
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number of new cases of a disorder appearing during a specific period
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course
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pattern of development and change of a disorder over time
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prognosis
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predicted development of disorder over time
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etiology
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cause or source of a disorder
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exorcism
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religious ritual that attributes disordered behavior to possession by demons and seeks to treat the individual by driving the demons from the body
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psychosocial treament
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treatment practices that focus on social and cultural factors (such as family experience), as well as psychological influences; these approaches include cognitive, behavioral, and interpersonal methods
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moral therapy
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psychosocial approach in the 19th century that involved treating patients as normally as possible in normal environments
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mental hygiene movement
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19th century effort to improve care of the mentally disordered by informing the public of their mistreatment
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psychoanalysis
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assessment and therapy pioneered by Sigmund Freud that emphasizes exploration of, and insight into, unconscious processes and conflicts
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behaviorism
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explanation of human behavior, including dysfunction, based on principles of learning and adaptation derived from experimental psychology
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unconscious
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part of the psychic makeup that is outside the awareness of the person
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catharsis
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rapid or sudden release of emotional tension thought to be an important factor is psychoanalytic theory
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psychoanalytic model
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complex and comprehensive theory originally advanced by Sigmund Feud that seeks to account for the development and structure of personality, as well as the origin of abnormal behavior, based primarily on inferred inner entities and forces
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id
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in psychoanalysis, the unconscious psychic entity present at birth representing basic drives
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ego
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in psychoanalysis, the psychic entity responsible for finding realistic and practical ways to satisfy id drives
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superego
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in psychoanalysis, the psychic entity representing the internalized moral standards of parents and society
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intrapsychic conflicts
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in psychoanalytic theory, a struggle among the id, ego and supergego
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defense mechanisms
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common pattern of behavior, often an adaptive coping style when it occurs, in moderation, observed in response to a particular situation; psychoanalytic theory suggests that defense mechanisms are unconscious processes originating in the ego
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psychosexual stages of development
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psychoanalytic concept of the sequence of phases a person passes through during development; each stage is named for the location on the body where id gratification is maximal at that time
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castration anxiety
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in psychoanalysis, the fear in young boys that they will be mutilated genitally because of their lust for their mothers
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neurosis
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obsolete psychodynamic term for a psychological disorder thought to result from an unconscious conflict and the anxiety it causes
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ego psychology
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psychoanalytic theory that emphasizes the role of the ego in development and attributes psychological disorders to failure of the ego to manage impulses and internal conflicts (also known as self psychology)
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object relations
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modern development in psychodynamic theory involving the study of how children incorporate the memories and values of people who are close and important to them
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collective unconscious
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accumulated wisdom of a culture collected and remembered across generations, a psychodynamic concept introduced by Carl Jung
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free association
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psychoanalytic theory technique intended to explore threatening material repressed into the unconscious; the patient is instructed to say whatever comes to mind without censoring
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dream analysis
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psychoanalytic therapy method in which dream content is examined as symbolic of id impulses and intraphysic conflicts
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psychoanalyst
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therapist who practice psychoanalysis after earning either an MD or PhD degree and receiving additional specialized postdoctoral training
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transference
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psychoanalytic concept suggesting that clients may seek to relate to the therapist as they do to important authority figures, particularly their parents
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psychodynamic psychotherapy
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contemporary version of psychoanalysis that still emphasizes unconscious processes and conflicts but is briefer and more focused on specific problems
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self-actualizing
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process emphasized in humanistic psychology in which people strive to achieve their highest potential against difficult life experiences
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person-centered therapy
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therapy method in which the client, rather than the counselor, primarily directs the course of the discussion seeking self-discovery and self-responsibility
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unconditioned positive regard
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acceptance by the counselor of the client's feelings and actions without judgment or condemnation
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behavioral model
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explanation of human behavior, including dysfunction, based on principles of learning and adaptation derived from experimental psychology
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classical conditioning
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fundamental learning process first described by Ivan Pavlov, an event that automatically elicits a response is paired with another stimulus event that does not (a neutral stimulus); after repeated pairings, te neutral stimulus becomes a conditioned stimulus that by itself can elicit the desired response
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extinction
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learning process in which a response maintained by reinforcement in operant conditioning or pairing in classical conditioning decreases when that reinforcement or pairing is removed; also the procedure of removing that reinforcement or pairing
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introspection
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early, nonscientific approach to the study of psychology involving systematic attempts to report thoughts and feelings that specific stimuli evoked
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systematic desensitization
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behavioral therapy technique to diminish excessive fears, involving gradual exposure to the feared stimulus paired with a positive coping experience, usually relaxation
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behavior therapy
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array of therapeutic methods based on the principles of behavioral and cognitive science, as well as principles of learning as applied to clinical problems; it considers specific behaviors rather then inferred conflicts as legitimate targets for change
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reinforcement
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in operant conditioning, consequences for behavior that strengthen it or increase its frequency; positive reinforcement involves the contingent delivery of a desired consequence; negative reinforcement is that contingent escape from an aversive consequence; unwanted behaviors may result from reinforcement of those behaviors or failure to reinforce desired behaviors
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shaping
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in operant conditioning, the development of a new response by reinforcing successively more similar versions of that response; both desirable and undesirable behaviors may be learned in this manner
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mood disorders
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a group of disorders involving severe and enduring disturbances in emotionality ranging from elation to severe depression
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major depressive episode (single or recurrent)
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mood disorder involving one major depressive episode; mood disorder involving multiple (separated by at least 2 months without depression) major depressive episodes
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mania
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period of abnormally excessive elation or euphoria associated with some mood disorders
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hypomanic episode
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less severe and less disruptive version of a manic episode that is one of the criteria for several mood disorders
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mixed features
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term for experiencing depressive symptoms during a manic or hypomanic episode, or experiencing manic symptoms during a depressive episode
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recurrent
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term used to characterize repeated mood episodes divided by periods of full or partial remission
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persistent depressive disorder
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mood disorder characterized by two years or more of depressed or dysthmic mood which may vary in severity
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double depression
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severe mood disorder typified by major depression episodes superimposed over a background of dysthmic disorder
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integrated grief
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a stage of grieving at which the finality of death and the meaning of the loss are acknowledged and appreciated
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complicated grief
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a reaction to loss characterized by persistent intense grief and persistent distracting or impairing concerns about the consequences or circumstances of the loss
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premenstrual dysphoric disorder
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a mood disorder in women characterized by marked depressive, anxious, or irritable symptoms, regularly occurring around the time of menstruation
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disruptive mood dysregulation disorder
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in children, a mental disorder characterized by recurrent temper outbursts occurring against a black-ground of irritable mood
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bipolar I disorder
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alternation of major depressive episodes with full manic episodes
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bipolar II disorder
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alternation of major depressive episodes with hypomanic episodes (not full manic episodes)
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cyclothymic disorder
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chronic (at least 2 years) mood disorder characterized by alternating mood elevation and depression levels that are not as sever as manic or major depressive episodes
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multidimensional integrative approach
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approach to the study of psychopathology that holds psychological disorders are always the products of multiple interacting causal factors
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genes
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long deoxyribonucleic acid (DNA) molecule, that basic physical unit of heredity that appears as a location on a chromosome
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diathesis-stress model
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hypothesis that both an inherited tendency and specific stressful conditions are required to produce a disorder
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vulnerability
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susceptibility or tendency to develop a disorder
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gene-environment correlation model
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model that posits one's genetic make-up may increase the probability that an individual will experience certain events (such as stressful relationships) that trigger genetic vulnerabilities to disorders
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epigenetics
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the study of factors other than inherited DNA sequence, such as new learning or stress, that alter the phenotypic expression of genes
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neuroscience
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study of the nervous system and its role in behavior, thoughts, and emotions
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neuron
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individual nerve cell responsible for transmitting information
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synaptic cleft
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space between nerve cells where chemical transmitters act to move impulses from one neuron to the next
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neurotransmitters
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chemical that crosses the synaptic cleft between nerve cells to transmit impulses from one neuron to the next; relative excess or deficiency of neurotransmitters is involved in psychological disorders
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hormone
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chemical messenger produced by the endocrine glands
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brain circuits
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neurotransmitter current or neural pathway in the brain
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agonist
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in neuroscience, a chemical substance that effectively increases the activity of a neurotransmitter by imitating its effects
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antagonist
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in neuroscience, a chemical substance that decreases or blocks the effects of a neurotransmitter
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inverse agonist
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in neuroscience, a chemical substance that produces effects of opposite of those of a particular neurtransmitter
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reuptake
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action by which a neurotransmitter is quickly drawn back into the discharging neuron after being released into a synaptic cleft
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glutamate
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amino acid neurotransmitter that excites many different neurons, leading to action
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gamma-aminobutyric acid (GABA)
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neurotransmitter that reduces activity across the synaptic cleft and thus inhibits a range of behaviors and emotions, especially generalized anxiety
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serotonin
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neurotransmitter involved in processing of information and coordination of movement, as well as inhibition and restraint; it also assists in the regulation of eating, sexual and aggressive behaviors, all of which may be involved in different psychological disorders, its interaction with dopamine is implicated in schizophrenia
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norepinephrine
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neurotransmitter active in the central and peripheral nervous system, controlling heart rate, blood pressure, and respiration, among other functions; because of its role in the body's alarm reaction, it may also contribute to generally and indirectly to panic attacks and other disorders
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dopamine
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neurotransmitter whose generalized function is to active other neurotransmitters and to aid in exploratory and pleasure-seeking behaviors, a relative excess of dopamine is implicated in schizophrenia (although contradictory evidence suggests the connection is not simple), and its deficit is involved in Parkinson's disease
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cognitive science
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field of study that examines how humans and other animals acquire process, store and retrieve information
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learned helplessness theory of depression
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Martin Seligman's theory that people become anxious and depressed when they make an attribution that they have no control over the stress in their lives (whether or not they actually have control)
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modeling
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learning through observation and imitation of the behavior of other individuals and consequences of that behavior
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prepared learning
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ability adaptive for evolution, allowing certain associations to be learned more readily than others
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implicit memory
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condition of memory in which a person cannot recall past events despite acting in response to them
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flight or fight response
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biological reaction to alarming stressors that musters the body's resources to resist or flee a threat
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emotion
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pattern of action elicited by an external event and a feeling state, accompanied by a characteristic physiological response
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mood
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enduring period of emotionality
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affect
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conscious, subjective aspect of an emotion that accompanies an action at a given time
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equifinality
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developmental psychopathology principle that a behavior or disorder may have several causes
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neurohormones
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hormones that affect the brain and are increasingly the focus of study in psychopathology
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clinical assessment
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systematic evaluation and measurement of psychological, biological and social factors in a person presenting with a possible psychological disorder
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daignosis
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process of determining whether a presenting problem meets established criteria for a specific psychological disorder
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reliability
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degree to which a measurement is consistent - for example. over time or among different raters
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validity
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degree to which a technique measures what it purports to measure
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standardization
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process of establishing specific norms and requirements for a measurement technique to ensure it is used consistently across measurement occasions (exp. instructions for administering the measure, evaluating its findings, and comparing these to data for large numbers of people)
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mental status exam
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relatively coarse preliminary test for a client's judgment, orientation to time and place, and emotional and mental state; typically conducted during an initial interview
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behavioral assessment
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measuring, observing and systematically evaluating (rather than inferring) the client's thoughts, feelings, and behavior in the actual problem situation or context
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self-monitoring
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action by which clients observe and record their own behaviors as either an assessment of a problem and its change or a treatment procedure that makes them more aware of their responses
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projective tests
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psychoanalytically based measure that presents ambiguous stimuli to clients on the assumption that their responses can reveal their unconscious conflicts, such tests are inferential and lack high reliability and validity
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personality inventory
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self-report questionnaire that assesses personal traits by asking respondents to identify descriptions that apply to themselves
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intelligence quotient, IQ
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score on an intelligence test estimating a person's deviation from average test performance
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neuropsychological testing
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assessment of brain and nervous system functioning by testing an individual's performance on behavioral tasks
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false positive
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assessment error in which pathology is reported (test results are positive) when none is actually present
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false negative
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assessment error in which no pathology is noted (test results are negative) when one is actually present
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neuroimaging
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sophisticated computer-aided procedure that allows non intrusive examination of nervous system structure and function
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psycho physiological assessment
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measurement of changes in the nervous system reflecting psychological or emotional events such as anxiety, stress and sexual arousal
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electroencephalogram (EEG)
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measure of electrical activity patterns in the brain, taken through electrodes placed on the scalp
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idiographic strategy
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a close and detailed investigation of an individual emphasizing what makes the person unique
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nomothetic strategy
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identification and examination of large groups of people with the same disorder to note similarities and develop general laws
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classification
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assignment of objects or people to categories on the basis of shared categories
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taxonomy
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system of naming and classification (for example, of specimens) in science
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nosology
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classification and the naming system for medical and psychological phenomena
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nomenclature
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in a naming system or nosology, the actual labels or names that are applied; in psychopathology, these include mood disorders and eating disorders
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classical categorical approach
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classification method founded on the assumption of clear-cut differences among disorders, each with a different known cause (also known as pure categorical approach)
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dimensional approach
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method of categorizing characteristics on a continuum rather than on a binary, either-or, or all-or-none basis
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prototypical approach
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system for categorizing disorders using both essential, defining characteristics and a range of variation on other characteristics
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familial aggregation
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extent to which a disorder would be found among a patient's relatives
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comorbidity
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presence of two or more disorders in an individual at the same time
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labeling
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applying a name to a phenomenon or a pattern of behavior, the label may acquire negative connotations or be applied erroneously to the person rather than that person's behavior
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hypothesis
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educated guess or statement to be tested by research
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research design
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plan of experimentation used to test a hypothesis
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dependent variable
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in an experimental study, the phenomenon that is measured and expected to be influenced
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independent variable
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phenomenon manipulated by the experimenter in a study and expected to influence the dependent variable
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internal validity
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extent to which the results of a study can be attributed to the independent variable after confounding alternative explanations have been ruled out
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external validity
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extent to which research findings generalize, or apply, to people and settings not involved in the study
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testability
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ability of a hypothesis, for example, to be subjected to scientific scrutiny and to be accepted or rejected, a necessary condition for the hypothesis to be useful
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confound
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any factor occurring in a study that makes the results uninterpretable because a variable other than the independent variable also affect the dependent variable
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control group
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group of individuals in a study who are similar to the experimental subjects in every way but are not exposed to the treatment received by the experimental group; their presence allows for a comparison of the differential effects of the treatment
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randomization
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method for placing individuals intro research groups that assures each an equal chance of being assigned to any group, thus eliminating any systematic differences across groups
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analogue model
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approach to research that employs subjects who are similar to clinical clients, allowing a replication of a clinical problem under controlled conditions
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generalizibaility
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extent to which research results apply to a range of individuals not included in the study
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statistical significance
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small probability of obtaining the observed research findings by chance
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clinical significance
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degree to which research findings have useful and meaningful applications to real problems
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effect size
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a statistical process that eliminates how large a change in measure occurred, often used before and after a clinical treatment to determine its relative success
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patient uniformity myth
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tendency to consider all members of a category as more similar than they are, ignoring their individual differences
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case study method
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research procedure in which a single person or small group is studied in detail; the method does not allow conclusions about cause-and-effect relationships, and findings can be generalized only with great caution
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correlation
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degree to which two variables are association, in a positive correlation, the two variables increase or decrease together; in a negative correlation, one variable decreases as the other increases
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positive correlation
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association between two variables in which one increases as the other increases
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correlation coefficient
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computed statistic reflecting the strength and direction of any association between two variables, it can range from 21.00 through 00.00 (indicating no association) to 11.00, with the absolute value indicating the strength and the sign reflecting the direction
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negative correlation
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association between two variables in which one increases as the other decreases
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directionality
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possibility that when two variables, A and B, are correlated variable A causes variable B or variable B causes variable A
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epidemiology
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psychopathology research method examining the prevalence, distribution, and consequences of disorders in populations
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experiment
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research method that can establish causation by manipulating the variables in question and controlling for alternative explanations of any observed effects
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placebo effect
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behavior change resulting from the person's expectation of change rather than from the experimental manipulation itself
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placebo control group
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in outcome research, a control group that does not receive the experimental manipulation but is given a similar procedure with an identical expectation of change, allowing the researcher to assess any placebo effect
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double-blind control
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procedure in outcome research that prevents bias by ensuring that neither the subjects nor the providers of the experimental treatment know who is receiving treatment and who is receiving a placebo
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comparative treatment research
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outcome research that contrasts two or more treatment methods to determine which is most effect
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single-case experimental design
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research tactic in which an independent variable is manipulated for a single individual, allowing cause-and-effect conclusions but with limited generalizibaility
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repeated measurement
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when responses are measured on more than two occasions to asses trends
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variability
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degree of change in phenomenon over time
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trend
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direction of change of a behavior or behaviors (increasing or decreasing)
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level
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degree of behavior change with different interventions (high or low)
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withdrawal design
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removing a treatment to note whether it has been effective; in single-case experimental designs, a behavior is measured (baseline), an independent variable is introduced (intervention), and then the intervention is withdrawn, because the behavior continues to be measured throughout (repeated measurement) any effects of the intervention can be noted
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baseline
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measured rate of a behavior before introduction of an intervention that allows comparison and assessment of the effects of the intervention
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multiple baseline
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single-case experimental design in which measures are taken on two or more behaviors or on single behavior in two or more situation; a particular intervention is introduced for each at different times; if behavior change is coincident with each introduction, this is strong evidence the intervention caused the change
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phenotype
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observable characteristics or behaviors of an individuals
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genotype
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specific genetic makeup of an individual
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human genome project
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ongoing scientific attempt to develop a comprehensive map of all human genes
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endophenotype
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genetic mechanism that contributes to the underlying problems causing the symptoms and difficulties experienced by people with psychological disorders
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family studies
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genetic study that examines patterns of traits and behaviors among relatives
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proband
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in genetics research, the individual displaying the trait or characteristic being studied
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adoption studies
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in genetics research, the study of first-degree relatives reared in different families and environments; if they share common characteristics, such as a disorder, this finding suggests that those characteristics have a genetic component
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twin studies
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in genetics research, the comparison of twins with unrelated or less closely related individuals; if twins, particularly monozygotic twins who share identical genotypes, share common characteristics such as a disorder, even if they were reared in different environments, then strong evidence of genetic involvement in those characteristics exist
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genetic linkage analysis
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study that seeks to match the inheritance pattern of a disorder to that of a genetic marker; this helps researchers establish the location of the gene responsible for the disorder
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genetic marker
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inherited characteristic for which the chromosal location of the responsible gene is known
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association studies
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research strategy for comparing genetic markers in groups of people with and without a particular disorder
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cross-sectional design
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methodology to examine a characteristic by comparing individuals of different ages
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cohort
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participants in each age group of a study with a cross-sectional design
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cohort effect
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observation that people of different age groups differ in their values and experiences
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retrospective information
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literally "the view back"; data collected by examining records or recollections of the past; it is limited by the accuracy, validity, and thoroughness of the sources
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longitudinal design
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systematic study of changes in the same individual or group examined over time
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cross-generational effect
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limit on the generalizability of longitudinal research because the group under study may differ from others in culture and experience
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sequential design
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combination of cross-sectional and longitudinal designs involving repeated study of different cohorts over time
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depressive cognitive triad
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thinking errors by depressed people negatively focused in three areas: themselves, their immediate world, and their future
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anxiety
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mood state characterized by marked negative affect and bodily symptoms of tension in which a person apprehensively anticipates future danger or misfortune; anxiety may involve feelings, behaviors and physiological responses
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fear
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emotion of an immediate alarm reaction to present danger or life-threatening emergencies
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panic
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sudden, overwhelming fright or terror
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panic attack
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abrupt experience of intense fear or discomfort accompanied by several physical symptoms, such as dizziness or heart palpitations, and/or catastrophic thoughts, such as fear of dying
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behavioral inhibition system
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brain circuit in the limbic system that responds to threat signals by inhibiting activity and causing anxiety
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flight/fight system
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brain circuit in animals that when stimulated causes an immediate alarm-and-escape response resembling human panic
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generalized anxiety disorder
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anxiety disorder characterized by intense, uncontrollable, unfocused, chronic and continuous worry that is distressing and unproductive, accompanied by physical symptoms such as tension, irritability, and restlessness
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panic disorder
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recurrent, unexpected panic attacks accompanied by anxiety about future attacks
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agoraphobia
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anxiety about being in places or situations from which escape might be difficult in the event of panic-like symptoms or other unpleasant physical symptoms
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panic control treatment
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cognitive-behavioral treatment for panic attacks, involving gradual exposure to feared somatic sensations and modification of perceptions and attitudes about them
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specific phobia
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unreasonable fear of a specific object or situation that causes significant distress or markedly interferes with daily life functioning
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blood-injection-injury phobia
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unreasonable fear and avoidance of exposure to blood, injury, or the possibility of an injection; victims experience fainting and a dropping in blood pressure
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situational phobia
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anxiety involving enclosed places or public transportation
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natural environment phobia
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fear of situations or events in nature, especially heights, storms, and water
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animal phobia
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unreasonable, enduring fear of animals or insects that usually develop early in life
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separation anxiety disorder
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excessive, enduring fear about being apart from caregiving loved ones such as a spouse or parent
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social anxiety disorder
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extreme, enduring, irrational fear and avoidance of social or performance situations
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selective mutism
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developmental disorder characterized by a consistent failure to speak in specific social situations despite speaking in other situations
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trauma-and stressor- related disorders
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a group of mental disorders distinguished by their origin in stressful events
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posttraumatic stress disorder
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enduring, distressing emotional disorder that follows exposure to a traumatic event; the victim reexperiences the trauma, avoids stimuli associated with it, and develops a numbing of responsiveness and an increased vigilance and arousal
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acute stress disorder
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severe reaction immediately following a traumatic event, often including amnesia about the event, emotional numbing, and derealization; many victims later develop PTSD
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adjustment disorders
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prolonged negative emotional reaction following a major life stressor
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attachment disorders
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childhood mental disorders characterized by difficulty forming normal relationships, usually as a result of inadequate caregiving relationships
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reactive attachment disorder
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in children, a pattern of inhibited, withdrawn behavior toward adult caregivers
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disinhibited social engagement disorder
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in children, a pattern of abnormally extroverted behavior toward unfamiliar adults
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body dysmorphic disorder
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mental disorder featuring a disruptive preoccupation with some imaged defect un appearance (imagined ugliness)
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trichotillomania
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mental disorder characterized by recurrent pulling out of one's own hair from anywhere on the body, including the scalp, eyebrows and limbs
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excoriation
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mental disorder characterized by recurrent picking of one's own skin
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obsessive-compulsive and related disorders
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a group of mental disorders characterized by compulsive behaviors, often functioning to relieve anxiety or distress
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obsessive-compulsive disorder
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anxiety disorder involving unwanted, persistent, intrusive thoughts and impulses, as well as repetitive actions intended to suppress them
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obsessions
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recurrent, intrusive and distressing thoughts or impulses that may be neutralized by compulsive behaviors
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compulsions
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repetitive, ritualistic, time-consuming behavior or mental acts a person feels driven to perform, often in response to obsessive thoughts
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somatic symptom disorder
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disorder in which an individual experiences intense and excessive distress or anxiety focused on physical symptoms to the point where daily life is disrupted
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dissociative disorder
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disorder in which individuals feel detached from themselves or their surroundings and feel reality, experience, and identity may disintegrate
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illness anxiety disorder
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disorder in which individuals experience anxiety about the possibility of having a serious disease or illness even though physical symptoms are mild or non existent
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conversion disorder
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physical malfunctioning, such as blindness or paralysis, suggesting neurological impairment but with no organic pathology to account for it
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malingering
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deliberate faking of a physical or psychological disorder motivated by gain
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factitious disorder
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nonexistent or psychological disorder deliberately faked for no apparent gain except, possibly, sympathy and attention
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depersonalization
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altering of perception that causes people to temporarily lose a sense of their own realty, most prevalent in people with the dissociative disorders; there is often a feeling of being outside observers of their own behavior
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derealization
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situation in which the individual loses a sense of the reality of the external world
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depersonalization-derealization disorder
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disorder in which individuals lose a sense of reality to both their external world and their own body
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dissociative amnesia
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dissociative disorder featuring the inability to recall personal information; usually of a stressful or traumatic nature
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generalized amnesia
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loss of memory of all personal information, including identity
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localized / selective amnesia
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memory loss limited to specific times and events, particularly traumatic events
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dissociative fugue
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dissociative disorder featuring sudden, unexpected travel away from home, along with an inability to recall the past, sometimes with assumption of a new identity
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dissociative trance disorder
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altered state of consciousness in which people firmly believe they are possessed by spirits; considered a disorder only where there is distress and dysfunction
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dissociative identity disorder
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disorder in which as many as 100 personalities or fragments of personalities coexist within one body and mind
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alters
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shorthand term for alter ago, one of the different personalities or identities
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mood-stabilizing drug
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a medication used in the treatment of mood disorders, particularly bipolar disorder, that is effective in preventing and treating pathological shifts in mood
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electroconvulsive therapy
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biological treatment for severe, chronic depression involving the application of electrical impulses through the brain to produce seizures; the reasons for its effectiveness are unknown
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cognitive therapy
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treatment approach that involves identifying and altering negative thinking styles related to psychological disorders such as depression and anxiety and replacing them with more positive beliefs and attitudes and, ultimately, more adaptive behavior and coping styles
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interpersonal psychotherapy
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brief treatment approach that emphasizes resolution of interpersonal problems and stressors, such as role disputes in marital conflict, forming relationships in marriage, or a new job; it has demonstrated effectiveness for such problems as depression
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maintenance treatment
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combination of continued psychosocial treatment, medication, or both designed to prevent relapse following therapy
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suicidal attempts
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effort made to kill onself
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suicidal ideation
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serious thoughts about committing suicide
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suicide plans
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the formulation of a specific method of killing oneself
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psychological autopsy
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postmortem psychological profile of a suicide victim constructed from interviews with people who knew the person before death
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behavioral medicine
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interdisciplinary approach applying behavioral science to the prevention, diagnosis and treatment of medical problems
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health psychology
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sub field of behavioral medicine that studies psychological factors important in health promotion and maintenance
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general adaptation syndrome
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sequence of reactions to sustained stress describes by Hans Selye; these stages are alarm, resistance and exhaustion, which may lead to death
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stress
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body's physiological response to a stress, which is any event or change that requires adapatation
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self-efficacy
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perception of having the ability to cope with stress or challenges
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immune system
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body's means of identifying and eliminating any foreign materials that enter
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antigens
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foreign material that enters the body, including bacteria and parasites
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autoimmune disease
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condition in which the body's immune system attacks healthy tissue rather than antigens
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rheumatoid arthritis
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painful, degenerative disease in which the immune system essentially attacks itself, resulting in stiffness, swelling and even destruction of the joins; cognitive-behavioral treatments can help relieve pain and stiffness
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psychneuroimmunology
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study of psychological influences on the neurological responding involved in the body's immune response
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AIDS- related complex
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group of minor health problems such as weight loss, fever and night sweats that appears after HIV infection but before development of full-blown AIDS
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cancer
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category of often fatal medical conditions involving abnormal cell growth and malignancy
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psycho-oncology
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study of psychological factors involved in the course and treatment of cancer
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cardiovascular disease
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afflictions in the mechanisms, including the heart, blood vessels, and their controllers, responsible for transporting blood to the body's tissues and organs; psychological factors may play important roles in such diseases and their treatments
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stroke/cerebral vascular accident (CVA)
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temporary blockage of blood vessels supplying the brain, or a rupture of vessels in the brain, resulting in temporary or permanent loss of brain functioning
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hypertension
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major risk for stroke and heart and kidney disease that is intimately related to psychological factors; also known as high blood pressure
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essential hypertension
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high blood pressure with no verifiable physical cause, which makes up the overwhelming majority of high blood pressure cases
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coronary heart disease (CHD)
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blockage of the arteries supplying blood to the heart muscle; a major cause of death in Western culture, with social and psychological factors involved
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type A behavior pattern
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cluster of behaviors including excessive competitiveness, time-pressured impatience, accelerated speech, and anger, originally thought to promote high risk for heart disease
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type B behavior pattern
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cluster of behaviors including a relaxed attitude, indifference to time pressure, and less forceful ambition; originally thought to promote low risk for heart disease
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acute pain
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pain that typically follows an injury and disappears once the injury heals or is effectively treated
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chronic pain
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enduring pain that does not decrease over time; may occur in muscles, joints, and the lower back; and may be caused by enlarged blood vessels or degenerating or cancerous tissue; other significant factors are social and psychological
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endogenous opioids
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substance occurring naturally throughout the body that functions like a neurotransmitter to shut down pain sensation even in the presence of marked tissue damage; these opioids may contribute to psychological problems such as eating disorders
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chronic fatigue syndrome (CFS)
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incapacitating exhaustion following only minimal exertion, accompanied by fever, headaches, muscle and joint paint, depression and anxiety
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biofeedback
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use of psychological monitoring equipment to make individuals aware of their own bodily functions, such as blood pressure or brain waves, that they cannot normally access, with the purpose of controlling these functions
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relaxation response
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active components of meditation methods, including repetitive thoughts of a sound to reduce distracting thoughts and closing the mind to other intruding thoughts, the decrease the flow of stress hormones and neurotransmitters and cause a feeling of calm