Psych Disorders and Treatment – Flashcards
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Narcissistic Personality Disorder
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Personality disorder characterized by self-preoccupation, inflated estimates of one's abilities and attractiveness, and the need for others to focus on oneself.
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Conversion Disorder
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A somatic symptom disorder in which a psychological problem manifests itself as a deficit in physiological functioning (e.g. blindess, paralysis). Freud called these "Hysterias".
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Dissociative Disorders
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Group of disorders that involve dysfunction of memory or an altered state of identity (e.g. dissociative identity disorder, dissociative amnesia)
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Histrionic Personality Disorder
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Personality disorder characterized by excessive emotional reactions and excitability, as well as by the need for attention and overly dramatic behavior
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Somatic Symptom-Related Disorders
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This category of disorders includes psychological disorders characterized by physical symptoms without any (known) physical causes. Illness Anxiety Disorder and Conversion Disorder are examples.
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electroconvulsive therapy (ECT)
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a biomedical therapy for severely depressed patients in which a brief electric current is sent through the brain of an anesthetized patient
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Illness Anxiety Disorder
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A somatic symptom disorder characterized by excessive preoccupation with health concerns and incessant worry about developing physical illnesses.
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Dissociative Identity Disorder (DID)
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also called multiple personality disorder; person displays more than one distinct personality & these personalities are expressed a different times.
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Narcolepsy
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a sleep disorder characterized by uncontrollable sleep attacks
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Bipolar Disorder
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a mental disorder characterized by episodes of mania and depression
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dopamine
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a neurotransmitter that is associated with Parkinson's disease (too little of it) and schizophrenia (too much of it)
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hallucination
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sensory experience without an accompanying sensory stimulus; auditory most common
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Major Depressive Disorder
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depressive disorder characterized by two weeks or more of low energy and mood
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Factitious Disorder
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disorder in which the sufferer purposefully ingests harmful substances or engages in acts of self-harm or mutilation in order to obtain medical attention
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tardive dyskinesia
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side effect of antipsychotic medications; repetitive, uncontrollable muscle movements
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SSRI's
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most commonly used drug treatment for depression; examples include Prozac and Zoloft
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benzodiazepenes
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central nervous system depressants used to treat anxiety disorders; examples include Xanax, Valium, and Librium
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neuroleptics
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drugs used to treat psychotic disorders; includes Risperdal, Clozaril, Thorazine
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Lithium Carbonate
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most common drug treatment for bipolar disorder
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eating disorders
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anorexia nervosa and bulimia nervosa are examples
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bulimia nervosa
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eating disorder marked by episodes of binge eating followed by purging (through use of laxatives or induced vomiting)
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Anorexia Nervosa
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eating disorder wherein the sufferer is irrationally concerned about weight gain and avoids eating, despite being significantly underweight for his/her age and height
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Post-Traumatic Stress Disorder
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caused by exposure to trauma, such as war or violence, which leads to recurring thoughts and anxiety related to the trauma
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sleep disorders
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narcolepsy, sleep apnea, and night terrors are examples
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Rational Emotive Behavior Therapy (REBT)
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cognitive therapy developed by Albert Ellis; therapist often directly challenges the patient's irrational beliefs
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Cognitive Behavior Therapy (CBT)
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cognitive therapy developed by Aaron Beck; therapist works with the patient to correct maladaptive thoughts and harmful beliefs through hypothesis testing
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systematic desensitization
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behavioral treatment for anxiety disorders that requires creation of a fear hierarchy; the patient approaches tasks on the list while practicing relaxation
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flooding
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behavioral treatment for anxiety disorders that requires the patient confront the fearful situation at full force
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counterconditioning
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behavioral treatment (using classical conditioning principles) that seeks to remove the association between a particular stimulus and the fearful response
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psychoanalysis
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Freud's "talking cure" that includes techniques like free association, dream interpretation, hypnosis, etc.
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free association
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Psychoanalytic technique that requires the patient to speak of anything that comes to mind, without censorship
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transference
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in Freudian theory, when a patient redirects feelings for a (for example) parent or loved one toward the therapist
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resistance
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pauses in speech or gaps in memory that occur during free association; believed by psychoanalysts to indicate attempts at repression
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Gestalt Therapy
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methods pioneered by Fritz Perls; includes the "empty chair" technique, use of "I-statements" and metaphor
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client-centered therapy
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therapy developed by Carl Rogers; non-directive
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unconditional positive regard
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according to Rogers, humans develop to their fullest when others display this: a total acceptance of others' value (without judgment)
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active listening
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conversational method used by client-centered therapists: includes summarizing and clarifying questions, as well as non-verbal signals of understanding
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token economy
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system used to encourage positive behaviors by providing small rewards that can be exchanged for desired items; relies on principles of operant conditioning
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rTMS
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treatment for depression that involves passing an electromagnet back & forth close to the person's left eyebrow (left frontal lobe).
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psychopharmacology
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the study of the effects of drugs on the mind and behavior
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Dorothea Dix
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known for her efforts to reform psychiatric institutions and improve living conditions for the mentally ill during the 19th century
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Aaron Beck
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known for developing a model of cognitive therapy
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Albert Ellis
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founder of Rational-Emotive Behavior Therapy
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Sigmund Freud
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father of psychoanalysis
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Carl Rogers
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founder of person-centered (client-centered) therapy
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Joseph Wolpe
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credited with establishing procedure for systematic desensitization
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anxiolytics
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general term for drugs that reduce feelings of anxiety
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Generalized Anxiety Disorder (GAD)
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A disorder characterized by pervasive, "free-floating" anxiety not connected to any one, specific stimulus
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Specific Phobia
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Anxiety disorder characterized by irrational and persistent fear of a particular object or situation, along with a compelling desire to avoid it.
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Obsessive-Compulsive Disorder (OCD)
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a disorder characterized by unwanted repetitive thoughts (obsessions) and/or actions (compulsions).
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Panic Disorder
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anxiety disorder characterized by recurrent, unexpected panic attacks
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Anxiety Disorders
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psychological disorders characterized by distressing, persistent anxiety or maladaptive behaviors that reduce anxiety (includes phobias, GAD, panic disorder, etc.)
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Manic episode
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a hyperactive, wildly optimistic state; occurs in persons with bipolar disorder
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Persistent Depressive Disorder
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a low-grade chronic depression with symptoms that are milder than those of severe depression but are present on a majority of days for 2 or more years; also known as dysthymia
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Somatic Symptom Disorder
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A disorder marked by a history of diverse physical symptoms that appear to be psychological in origin.
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Personality Disorders
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psychological disorders characterized by inflexible and enduring behavior patterns that impair social functioning
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Antisocial Personality Disorder
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a personality disorder in which the person (usually a man) exhibits a lack of conscience for wrongdoing, even toward friends and family members; may be aggressive and ruthless or a clever con artist
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Borderline Personality Disorder
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a personality disorder characterized by lack of stability in interpersonal relationships, self-image, and emotion; impulsivity; angry outbursts; intense fear of abandonment; recurring suicidal gestures
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Behavioral Therapies
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Treatments designed to change behavior through the use of established learning techniques (for example, systematic desensitization, token economies); more concerned with change in behavior than any underlying thoughts
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aversion conditioning
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A method that uses classical conditioning to create a negative response to a particular stimulus (e.g. a client with a paraphilia might be trained to respond negatively to a previously arousing stimulus). Also known as avoidance conditioning.
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behavior modification
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psychotherapy that seeks to extinguish or inhibit abnormal or maladaptive behavior by reinforcing desired behavior and extinguishing undesired behavior (i.e. use of operant conditioning techniques to adjust behavior)
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modeling
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use of observational learning processes to help a client change behavior; the process of observing and imitating a behavior (e.g. a therapist might demonstrate how to introduce oneself to a stranger at a party and have the client repeat/mimic the behavior).
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Cognitive Therapies
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Treatments designed to remove irrational beliefs and negative thoughts that are presumed to be responsible for psychological disorders; includes CBT, REBT
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stress inoculation
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stress management technique in which a person consciously tries to prepare ahead of time for potential stressors
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Psychodynamic therapies
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looks at unconscious conflicts, defense mechanisms and symptom resolution in a broader manner than Freud; often more brief and present-focused than traditional psychoanalysis
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Humanistic therapies
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therapies that emphasize the development of human potential and the belief that human nature is basically positive
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empty-chair technique
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A role-playing intervention often used in Gestalt psychotherapy in which clients play conflicting parts. This typically consists of clients engaging in an imaginary dialogue between different sides of themselves.
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I-statements
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promoted by Gestalt therapists and others, this type of statement illustrates willingness to take responsibility for own feeling and actions by describing our feelings, rather than evaluating others
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Family & Group Therapies
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therapy that treats the family as a system. Views an individual's unwanted behaviors as influenced by, or directed at, other family members. Group therapies, in general, emphasize shared experience and mutual support.
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Biomedical therapies
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the use of medications, electroconvulsive therapy, or other medical treatments to treat the symptoms associated with psychological disorders
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Risperdal
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(Risperidone) antipsychotic used to treat schizophrenia; Dopamine antagonist
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Haldol
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(Haloperidol) tranquilizer used to treat some psychotic disorders and Tourette's syndrome; one of the "old" antipsychotics
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Thorazine
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An "old" antipsychotic drug thought to block receptor sites for dopamine, making it effective in treating the delusional thinking, hallucinations and agitation commonly associated with schizophrenia.
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Clozaril
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Antipsychotic drug; Blocks serotonin activity as well as dopamine. Requires regular blood tests to determine any abnormal changes on white blood cells (thus, less commonly used treatment)
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antidepressants
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drugs that combat depression by affecting the levels or activity of neurotransmitters in the brain (e.g. SSRI's and MAOI's)
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psychosurgery
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brain surgery on human patients intended to relieve severe and otherwise intractable mental or behavioral problems
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lobotomy
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a now-rare psychosurgical procedure once used to calm uncontrollably emotional or violent patients. The procedure cut the nerves that connect the frontal lobes to the emotion-controlling centers of the inner brain
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medical model
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the concept that diseases, in this case psychological disorders, have physical causes that can be diagnosed, treated, and, in most cases, cured, often through treatment in a hospital
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Bio-Psycho-Social Model
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contemporary perspective that assumes biological, psychological, and sociocultural factors combine and interact to produce psychological disorders
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DSM-5
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version of Diagnostic and Statistical Manual of Mental Disorders published in 2013; includes changes to many diagnostic categories and more emphasis on severity of symptoms in diagnosis
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McNaughten Rule
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a rule determing insanity, which asks whether the defendant knew what he or she was doing or whether the defendant knew what he or she was doing was wrong
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sanity/insanity
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LEGAL (not psychiatric) determination of whether someone was aware enough of their own actions to be held responsible for their behavior.
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Mary Cover Jones
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"mother of behavior therapy"; used classical conditioning to help "Little Peter" overcome fear of rabbits
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Fritz Perls
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Creator of Gestalt Therapy
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Paraphilias
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Sexual disorders and deviations in which sexual arousal occurs almost exclusively in the context of inappropriate objects or individuals. (e.g. pedophilia)
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serotonin
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neurotransmitter believed to be in short supply for depression-sufferers
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positive symptoms
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Schizophrenic symptoms that involve behavioral excesses or peculiarities, such as hallucinations, delusions, bizarre behavior, and wild flights of ideas.
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negative symptoms
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Schizophrenic symptoms that involve behavioral deficits, such as flattened emotions, social withdrawal, apathy, impaired attention, and poverty of speech.
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flat affect
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a lack of emotional responsiveness
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delusions
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false beliefs, often of persecution or grandeur, that may accompany psychotic disorders
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flight of ideas
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symptom of schizophrenia; a confused state in which thoughts and speech go in all directions with no unifying concept
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clinical psychologist
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psychologist who treats people serious psychological problems or conducts research into the causes of behavior; holds a Ph.D. in Clinical Psychology
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psychiatrist
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a medical doctor who specializes in the diagnosis and treatment of mental disorders; can prescribe medication; holds an M.D. and likely has extensive training therapy & treatment
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dodo bird verdict
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refers to the finding of similar efficacy (effectiveness) for widely differing therapies; in Alice in Wonderland, the dodo bird declares "all have won and all must have prizes!"
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placebo effect
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the healing effect that faith in medicine, even inert medicine, often has; may be one of the reasons people overestimate the effectiveness of any particular psychotherapy
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light exposure therapy
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Treats seasonal affective disorder (SAD); scientifically proven to be effective, exposure to daily doses of intense light. Increases activity in the adrenal gland and the superchiasmatic nucleus.
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regression toward the mean
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the tendency for unusual events (or emotions) to return toward their average state; may be one reason many suffering from mental disorders seem to improve with time & that benefits of psychotherapy get overestimated
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meta-analysis
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a procedure for statistically combining the results of many different research studies; used to evaluated effectiveness of psychotherapies
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agoraphobia
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a morbid fear of open spaces or places from which quick escape would be difficult (like a large crowd); often occurs with Panic Disorder (though not always)
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depressive disorders
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general category of mood disorders in which people show extreme and persistent sadness, despair, and loss of interest in life's usual activities.
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rumination
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compulsive fretting; overthinknig about our problems and their causes
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Social Anxiety Disorder
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An anxiety disorder involving the extreme and irrational fear of being embarrassed, judged, or scrutinized by others in social situations
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linkage analysis
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genetic research strategy: locate families that have had the disorder across several generations, draw blood from both affected and unaffected and examine DNA looking for differences
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non-suicidal self-injury (NSSI)
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self-harm (e.g., "cutting," self-tattoo, burning oneself) done in order to relieve emotional distress, signal need for help, or to fit in.
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binge eating disorder
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Significant binge-eating episodes, followed by distress, disgust, or guilt, but without the compensatory purging, fasting, or excessive exercise that marks bulimia nervosa.
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insight therapies
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any therapy aimed at improving psychological functioning by increasing a person's awareness of underlying motives and defenses (e.g., psychoanalytic, humanistic, some cognitive approaches)
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diathesis-stress model
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A model of mental disorders that attributes them to a combination of genetic predispositions and environmental stress factors.
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acute schizophrenia
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Type of schizophrenia that develops rapidly (due to stressor) and recovery is better; more likely to display positive symptoms. Also called "reactive"
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chronic schizophrenia
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When schizophrenia is slow to develop, recovery is doubtful. These patients usually display more negative symptoms. Also called "process"
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virtual reality exposure therapy
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an anxiety treatment that uses technology to progressively expose people to simulations of their greatest fears, such as airplane flying, spiders, or public speaking
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therapeutic lifestyle change
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an approach to preventing mental health problems by adopting a healthy lifestyle (which includes aerobic exercise, adequate sleep, light exposure, and social connection)
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therapeutic alliance
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the bond of trust and mutual understanding between therapist and client, who work together to overcome the client's problem; research has suggested that the strength of this relationship predicts the effectiveness of therapy