Psychological Disorders + Therapy Ch 14 + 15 – Flashcards

Unlock all answers in this set

Unlock answers
question
abnormal behavior
answer
patterns of behaviors, thoughts, or emotions considered pathological (diseased or disordered) for one or more of four reasons: deviance, dysfunction, distress, or danger
question
deviance
answer
believing others are plotting against you. judgments of deviance and abnormality vary from society to society and change over time. women going to college was once abnormal
question
dysfunction
answer
being unable to go to work due to alcohol abuse. behaviors, thoughts, or emotions that seriously interfere with daily functioning may be considered abnormal. not be able to take proper care of themselves, work effectively, or get along with others. ability to think clearly and make rational decisions may be significantly impaired
question
distress
answer
having thoughts of suicide. behaviors, thoughts or emotions that cause significant personal distress may qualify as abnormal
question
danger
answer
fighting with strangers. some people with psych. disorders exhibit behaviors, thoughts, or emotions that indicate potential danger to themselves or others.
question
medical model
answer
perspective that assumes diseases have physical causes that can be diagnosed, treated, and possibly cured
question
psychiatry
answer
branch of medicine dealing with the diagnosis, treatment, and prevention of mental disorders
question
diagnostic and statistical manual of mental disorders
answer
classification system developed by the american psychiatric association used to describe abnormal behaviors
question
neurosis
answer
outmoded term for disorders characterized by unrealistic anxiety and other associated problems; less severe disruptions than in psychosis
question
psychosis
answer
serious mental disorders characterized by extreme mental disruption and defective or lost contact with reality
question
insanity
answer
legal term applied when people cannot be held responsible for their actions, or are judged incompetent to manage their own affairs, because of mental illness
question
7 psychological perspective of abnormal behavior
answer
sociocultural, behavioral, evolutionary, humanistic(blocked personal growth), psychoanalytic/psychodynamic, cognitive, biological
question
anxiety disorders
answer
associated with severe anxiety such as phobias, OCD, and posttraumatic stress disorder
question
mood disorders
answer
problems associated with severe disturbances of mood, depression, mania, bipolar disorder
question
schizophrenia and other psychotic disorders
answer
group of disorders characterized by major disturbances in perception, language and thought, emotion, and behavior
question
dissociative disorders
answer
disorders in which the normal integration of consciousness, memory, or identity is suddenly and temporarily altered such as amnesia and dissociative identity disorder
question
personality disorder
answer
problems related to lifelong maladaptive personality traits, including antisocial personality disorders. violation of others' rights w no sense of guilt or borderline personality disorder - impulsivity and instability in mood and relationships
question
substance-related disorder
answer
problems caused by alcohol, cocaine, tobacco, and other drugs
question
somatoform disorders
answer
problems related to unusual preoccupation with physical health or physical symptoms with no physical cause
question
factitious disorders
answer
conditions in which physical or psychological symptoms are intentionally produced in order to assume a patient's role
question
sexual and gender identity disorders
answer
problems related to unsatisfactory sexual activity, finding unusual objects or situations arousing; gender identity problems
question
eating disorders
answer
problems related to food, anorexia nervosa and bulimia
question
sleep disorders
answer
serious disturbances of sleep such as insomnia, sleep terrors or hypersomnia
question
impulse control disorders
answer
problems related to kleptomania (impulsive stealing), pyromania and pathological gambling
question
adjustment disorders
answer
problems involving excessive emotional reaction to specific stressors such as divorce, family discord, or economic concerns
question
delirium, dementia, amnestic, and other cognitive disorders
answer
problems caused by known damage to the brain including Alzheimer's, strokes, and physical trauma to the brain
question
mental disorders due to a general medical condition
answer
problems caused by physical deterioration of the brain due to disease, strokes, and physical trauma to the brain
question
other conditions that may be a focus of clinical attention
answer
problems related to physical or sexual abuse, rational problems, occupational problems, and so forth
question
five axes of DSM
answer
clinical disorders, personality disorders and mental retardation, general medical condition, psychosocial and environmental problems, global assessment of functioning
question
clinical disorders
answer
symptoms that cause distress or significantly impair social or occupational functioning - anxiety, depression
question
personality disorders and mental retardation
answer
chronic and enduring problems that generally persist throughout life and impair interpersonal or occupational functioning
question
general medical condition
answer
physical disorders that may be relevant to understanding or treating a psychological disorder
question
psychosocial and environmental problems
answer
problems (interpersonal stressors and neg. life events) may affect the diagnosis, treatment, and prognosis (expected outcome) of psych. disorders
question
global assessment of functioning
answer
individual's overall level of functioning in social, occupational, and leisure activities
question
critiques of DSM
answer
casting too wide a net and overdiagnosing. potential cultural bias. problems of labels
question
anxiety disorder
answer
overwhelming apprehension and fear accompanied by autonomic nervous system arousal
question
generalized anxiety disorder
answer
persistent, uncontrollable, and free-floating nonspecified anxiety. unable to identify and articulate the specific fear. - may develop headaches, heart palpitations, dizziness, and insomnia. chronic, excessive fear and worry
question
panic disorder
answer
recurrent episodes of intense anxiety, dizziness, and difficulty breathing with no apparent cause. sudden and inexplicable panic attacks. feelings of impending doom
question
agoraphobia
answer
fear of avoidance of embarrassing or inescapable situations, especially large, open or public spaces. crowded, enclosed, wide-open places where they would be unable to receive help in an emergency
question
specific phobias
answer
fear of a specific object or situation
question
social phobias
answer
fear of embarrassment in social situations - public speaking, eating in public
question
OCD
answer
persistent, anxiety-provoking thoughts and/or irresistible rituals that will not go away- repeatedly checking locks. performing repetitive behaviors to relieve the anxiety. fear of germs, being hurt or hurting others, troubling religious or sexual thoughts. repeatedly checking, counting, cleaning, washing the body or parts of it, putting things in a certain order
question
posttraumatic stress disorder
answer
flashbacks, nightmares, and impaired functioning following exposure to a life threatening or horrific event
question
psychological contributions to anxiety disorders
answer
faulty cognitions and maladaptive laerning
question
faulty cognitions (anxiety disorders)
answer
have certain thinking, habits that make them vulnerable or prone to fear. constantly scan environment for signs of danger and ignore signs of safety. magnify ordinary threats and failures. excessively concerned about others' evaluation, hypersensitive to criticism and obsessively worry about potential mistakes
question
maladaptive learning (anxiety disorders)
answer
result from social learning. neutral stimulus becomes paired with a frightening event so that it becomes a conditioned stimulus that elicits anxiety. result of modeling and imitation
question
biological factors to anxiety disorders
answer
phobias may develop from genetic and evolutionary predisposition to fear of that which was dangerous to our ancestors. disorders may be due to disrupted biochemistry or unusual brain activity. genetically predisposed toward an overreaction of ANS. stress and arousal also play role in caffeine or nicotine
question
sociocultural factors
answer
increased mobility, decreased job security and family support may contribute to anxiety as years pass by. cultures different.
question
mood disorder
answer
extreme disturbances in emotional states
question
major depressive disorder
answer
long-lasting depressed mood that interferes with the ability to function, feel pleasure, or maintain interest in life. no trigger or precipitating event. trouble sleeping, lose/gain weight
question
bipolar disorder
answer
repeated episodes of mania (unreasonable elation, often with hyperactivity) alternating with depression.
question
unipolar
answer
depressive episode eventually ends and people return to normal emotional level
question
rebound of bipolar disorder
answer
mania
question
mania
answer
person is overly excited, extremely active, easily distracted. unrealistically high self-esteem and inflated sense of importance. make elaborate plans for becoming rich and famous. hyperactive and may not sleep. rapid speech. poor judgment
question
biological factors
answer
significant role in major depression and bipolar disorder. decreased over functioning in frontal lobe. imbalance of several neurotransmitters include serotonin, norepinephrine and dopamine. neurotransmitters arouse or energy control of other functions such as sleep and hunger. many times inherited
question
lithium
answer
reduces or prevents manic episodes by prevent norepinphrine and serotonin-sensitive neurons from being overstimulated
question
learned helplessness
answer
seligman's term for a state of helplessness or resignation in which human or nonhuman animals learn that escape from something painful is impossible, and depression results
question
person's attribution to learned helplessness
answer
internal (own weakness) stable (this weakness is long standing and unchanging) and global (this weakness is a problem in lots of settings)
question
schizophrenia
answer
group of severe disorders involving major disturbances in perception, language, thought, emotion, and behavior
question
5 areas of disturbance of schizophrenia
answer
perception, language, thought, emotion, and behavior
question
perception (schiz)
answer
enhanced or blunted. filtering and selection processes that allow most people to concentrate on whatever they choose are impaired. sensory stimulation is jumbled and distorted
question
hallucinations
answer
false, imaginary sensory perceptions that occur without external stimuli
question
language and thought (schiz)
answer
logic is impaired and thoughts are disorganized and bizarre, jumping from topic to topic. sever - phrases and words are jumbled together. mistaken beliefs based on misrepresentations of reality. believe others are stalking them or trying to kill them. some think they are jesus - someone very important. unrelated events are given special significance
question
delusions
answer
mistaken beliefs based on misrepresentations of reality
question
emotion (schiz)
answer
exaggerated and fluctuate rapidly in inappropriate ways. may become blunted or decreased in intensity
question
flattened affect
answer
almost no emotional response of any kind
question
behavior
answer
social withdrawal, unusual actions that have special meaning. shake head rhythmically from side to side to try to shake excess thoughts out of his head
question
cataleptic
answer
assume an uncomfortable, nearly immobile stance for extended period
question
2 groups of symptoms for schizophrenia
answer
positive symptoms: additions to or exaggerations of normal thought processes and behaviors such as delusions and hallucinations - better prognosis for recovery. negative symptoms: loss or absence of normal thought processes and behaviors. impaired attention, limited/toneless speech, flat or blunted affect and social withdrawal
question
biological factors that influence schizophrenia
answer
prenatal stress and viral infections, birth complications, immune responses, maternal malnutrition, advanced paternal age
question
subtypes of schizophrenia - paranoid
answer
delusions and hallucinations
question
subtypes of schizophrenia - catatonic
answer
motor disturbances - immobility or agitated purposeless activity and echo speech - repeating speech of others
question
subtypes of schizophrenia - disorganized
answer
incoherent speech, flat or exaggerated emotions and social withdrawal
question
subtypes of schizophrenia - undifferentiated
answer
varied symptoms that meet the criteria for schizophrenia but do not fall into any other subtypes
question
subtypes of schizophrenia - residual
answer
no longer meets the full criteria for schizophrenia but still shows some symptoms
question
3 biological factors towards schizophrenia
answer
genetics, neurotransmitters, brain abnormalities
question
genetics (schizophrenia factor)
answer
risk for schizophrenia increases with genetic similarity. people who share more genes with a person who has schizophrenia are most likely to develop the disorder
question
neurotransmitters (schizophrenia factor)
answer
overactivity of certain dopamine neruons in brain contribute. amphetamines increases the amount of dopamine and can produce some symptoms of schiz. drugs that reduce dopamine activity in brain reduce or eliminate symptoms of schiz
question
dopamine hypothesis
answer
theory that overactivity of dopamine neurons may contribute to some forms of schizophrenia
question
brain abnormalities (schizophrenia factor)
answer
brain function and structure. larger cerebral ventricles. lover level of activity in frontal and temporal lobes - language and attention and memory
question
psychosocial theories - schizophrenia
answer
communication disorders in family members may be a predisposing factor. unintelligible speech, fragmented communication, parents' frequently sending severely contradictory messages to children
question
diathesis-stress model
answer
suggests that people inherit a predisposition that increases their risk for mental disorders if exposed to certain extremely stressful life experiences
question
critics of theories of causes of schizophrenia
answer
dopamine hypothesis and brain damage theory argue that they fit only some cases of schizophrenia. with both theories, difficult to determine cause and effect
question
substance-related disorders
answer
abuse of, or dependence on, a mood or behavior altering drug
question
substance abuse
answer
when alcohol or other drug interferes with person's social or occupational functioning
question
substance dependence
answer
also causes physical reactions, including tolerance (requiring more drug to get desired effect) and withdrawal (negative physical effects when drug is removed)
question
comorbidity
answer
co-occurrence of 2 or more disorders in same person at the same time as when a person suffers from both depression and alcoholism
question
dissociative disorder
answer
amnesia, fugue, or multiple personalities resulting from a splitting apart of experience from memory of consciousness. dissociate from core of their personality by failing to recall or identify past experience. wandering off, losing sense of reality, developing completely different personalities -> avoiding anxiety and stress that threatens them
question
dissociative identity disorder
answer
presence of two or more distinct personality systems in the same individual at different times; previously known as multiple personality disorder - each personality has unique memories, behaviors and social relationships - transition from personality to another triggered by stress. alternate personalities may be very different from original person
question
personality disorder
answer
inflexible, maladaptive personality traits that cause significant impairment of social and occupational functioning
question
antisocial personality disorder
answer
extreme disregard for and violation of the rights of others; guiltless, exploitive, irresponsible, intrusive, and self-indulgent and violation of the rights. feel little personal distress. bring harm and suffering to others. impulsively without giving thought to consequences. great manipulator. change jobs and relationships suddenly. charming and persuasive. neglectful/abusive parenting styles and inappropriate modeling come from homes by emotional deprivation, harsh and inconsistent disciplinary practices
question
four hallmarks of antisocial personality disorder
answer
egocentrism, lack of conscience, impulsive behavior, and superficial charm
question
borderline personality disorder
answer
severe instability in emotion and self concept along with impulsive and self destructive behavior. instability in emotion and self concept. impulsive and self destructive behavior. see things in black and white - love or hate. feelings of depression, emptiness, intense fear of abandonment, engage in destructive behaviors- promiscuity, drinking, gambling, eating sprees and attempt suicide. typically involves childhood history of neglect emotional deprivation physical, sexual or emotional abuse. run in families- impairment of brain's frontal lobe
question
why women are more depressed
answer
severe depression is higher for women - hormones, genetic, greater poverty, work life conflicts, unhappy marriages, sexual/physical abuse
question
cultural-general symptoms
answer
useful in diagnosing disorders across cultures
question
culture-bound symptoms
answer
people learn to express their problems in ways that are acceptable to others in the same culture
question
insight therapies
answer
variety of therapies seeking to improve psychological functioning by increasing awareness into underlying motives and improvement in thoughts, feelings/ behaviors
question
behavior therapies
answer
classical conditioning - systematic desensitization, aversion therapy. operant conditioning - shaping, reinforcement, punishment, extinction. observational learning - modeling
question
biomedical therapies
answer
psychopharmacology, electroconvulsive therapy, psychosurgery
question
psychotherapy
answer
techniques employed to improve psychological functioning and promote adjustment to life
question
psychoanalysis
answer
freudian therapy designed to bring unconscious conflicts into conscious awareness; also freud's theoretical school of thought
question
free association
answer
in psychoanalysis, reporting whatever comes to mind without monitoring its contents - freud believed first thing to come to patient's mind to be important clue of person's unconscious
question
dream analysis
answer
in psychoanalysis, interpreting the underlying true meaning of dreams to reveal unconscious processes
question
resistance
answer
in psychoanalysis, the person's inability or unwillingness to discuss or reveal certain memories, thoughts, motives, or experiences. - changing subject, not talking/missing appointments
question
transference
answer
in psychoanalysis, the patient may displace unconscious feelings about a significant person in his or her life onto the therapist. help patient relive painful past relationships in a safe therapeutic setting
question
interpretation
answer
a psychoanalyst's explanation of a patient's free associations, dreams, resistance, and transference; more generally, any statement by a therapist that presents a patient's problem in a new way
question
2 main criticisms of psychoanalysis
answer
limited applicability- suit only a select group of highly motivated, articulate patients with less severe disorders - times consuming and expensive - doesn't work well with severe mental disorders - based on verbalization and rationality lack of scientific credibility-how do you know goal of bringing unconscious to conscious is accomplished?
question
psychodynamic therapy
answer
a briefer, more directive, and more modern form of psychoanalysis focusing more on conscious processes and current problems. face to face and therapist takes more directive approach. less on unconscious and more on present current problems
question
cognitive therapy
answer
therapy that treats problem behaviors and mental processes by focusing on faulty thought processes and beliefs. fail to match reality
question
self-talk
answer
internal dialogue, the things people say to themselves when they interpret events
question
cognitive restructuring
answer
process in cognitive therapy to change destructive thoughts or inappropriate interpretations. allows to challenge their thoughts and change how they interpret events and modify behaviors
question
cognitive-behavior therapy
answer
combines cognitive therapy with behavior therapy
question
rational-emotive behavior therapy
answer
ellis's cognitive therapy to eliminate emotional problems through rational examination of irrational beliefs. challenging and changing irrational beliefs
question
REBT
answer
ABCD approach A for activating event B for person's belief system, C the emotional and behavioral consequences and D disputing erroneous beliefs
question
activating event
answer
individual is blocked from desired goal
question
irrational beliefs
answer
individual interprets the frustration in an irrational, erroneous manner
question
emotional consequences
answer
individual experiences negative feelings, which reinforce the original irrational beliefs
question
disputing irrational beliefs
answer
individual challenges irrational beliefs, which changes negative emotions
question
beck's 4 distorted thinking patterns
answer
selective perception, ovegeneralization, magnification, all-or-nothing thinking
question
selective perception
answer
focusing selectively on negative events while ignoring positive - only person alone at a party
question
overgeneralization
answer
overgeneralizing and drawing negative conclusions about one's self worth - worth bc i failed that exam
question
magnification
answer
exaggerating the importance of undesirable events or personal shortcomings and seeing them as catastrophic and unchangeable - she left me and ill never find someone like her again
question
all-or nothing thinking
answer
seeing things in black or white categories - good or bad, right or wrong, success or a failure - if i dont get straight a's ill never get a job
question
criticisms of cognitive therapy
answer
ignoring and denying client's unconscious dynamics, overemphasizing rationalist, and minimizing the importance of client's past
question
cognitive therapy
answer
taught to recognize and keep track of their thoughts. trains client to develop ways to test automatic thoughts against reality. find one instance of things not being true to refute belief. persuade client to actively pursue pleasurable activities
question
humanistic therapy
answer
therapy that focuses on removing obstacles that block personal growth and potential
question
client-centered therapy
answer
roger's therapy emphasizing the client's natural tendence to become healthy and productive; techniques include empathy, unconditional positive regard, genuineness, and active listening. calling them clients instead of patients gave them the power
question
empathy
answer
in rogerian terms, an insightful awareness and ability to share another's inner experience. pay attention to body language and listen for subtle cues
question
unconditional positive regard
answer
rogers's term for love and acceptance with no contingencies attached
question
genuineness
answer
in rogerian terms, authenticity or congruence; the awareness of one's true inner thoughts and feelings and being able to share them honestly with others
question
active listening
answer
listening with total attention to what another is saying; involves reflecting, paraphrasing, and clarifying what the person says and means. reflect hold mirror in front of person. praphrase - summarize in different words. clarify - check that both are on same page
question
criticisms of humanistic therapy
answer
self actualization and self awareness are difficult to test scientifically. relies on client self repots. empathy and active listening have had mixed results
question
group therapy
answer
a number of people meet together to work toward therapeutic goals
question
self-help group
answer
leaderless or nonprofessionally guided groups in which members assist each other with a specific problem, as in alcoholics anonymous
question
group and self-help therapy advantages 4
answer
less expense - 8 or more people. group support - others having same problem can be reassuring and seeing others improve can be source of hope. insight and info- learn from each other's mistakes and share insight hearing from members of group can be more convincing that therapist. behavior rehearsal-can role play one another's spouse, parents, child
question
family and marital therapies
answer
can help family members modify their behavior toward patient
question
behavior therapy
answer
group of techniques based on learning principles used to change maladaptive behaviors. focuses on problem behavior itself rather than underlying causes. use principles of classical conditioning to decrease mladaptive behavior by creating new stimulus associations and behavioral responses to replace faulty ones
question
systematic desensitization
answer
relaxation training, imagining, experiencing various versions of a feared object or situation while remaining deeply relaxed. gradual process of extinguishing a learned fear by working through a hierarchy of fear-evoking stimuli while staying relaxed
question
aversion therapy
answer
pairing an aversion (unpleasant) stimulus with a maladaptive behavior. use classical conditioning to create anxiety rather than extinguish it. provide negative associations to compete with pleasurable ones - antabuse - stop drinking - vomit
question
operant conditioning - behavior therapy
answer
reinforcement and shaping - rewards - language development in children with autism - social skills - role playing giving feedback and reinfocement
question
observational learning - behavior therapy
answer
clients asked to observe and imitate appropriate models as they perform desired behaviors
question
modeling therapy
answer
watching and imitating models that demonstrate desirable behaviors
question
successes and criticisms of behavior therapies
answer
generalizability - in real world, patients are not consistently reinforced and newly acquired behaviors may disappear - must shape clients toward rewards that are typical of life outside the clinical setting. ethics- can be unethical for one person to control another's behavior - rewards and punishments already control our behaviors and increase person's freedom by making these controls overt - teaching people to change own behavior. overall has been effective with phobias, OCD, etc
question
biomedical therapy
answer
using biological interventions (drugs, therapy, psychosurgery) to treat psychological disorders
question
psychopharmacology
answer
the study of drug effects on brain and behavior. to relieve or suppress symptoms
question
electroconvulsive therapy
answer
biomedical therapy based on passing electrical current through brain - using almost exclusively to treat serious depression when drug therapy fails
question
psychosurgery
answer
surgical alteration of the brain to brain about desirable behavioral, cognitive, emotional changes, generally used when patients have not responded to other forms of treatment
question
antianxiety drug
answer
medications used to produce relaxation, reduce anxiety and decrease overarousal in brain
question
antipsychotic drugs
answer
medications used to diminish or eliminate hallucinations, delusions, withdrawal, and other symptoms of psychosis; also known as neuroleptics or major tranquilizers
question
mood stabilizer drugs
answer
medications used to treat the combination of manic episodes and depression characteristic of bipolar disorders
question
antidepressant drugs
answer
medications used to treat depression, some anxiety disorders and certain eating disorders
question
lobotomy
answer
outmoded medical procedure for mental disorders which involved cutting nerve pathways between frontal lobes and thalamus and hypothalamus
question
tardive dyskinesia
answer
movement disorder involving facial muscles, tongue and limbs; a possible side effect of long term use of antipsychotic medications
question
pitfalls of psychopharmcology
answer
barely provides cures, many stop taking medications once they feel better - return of symptoms, become dependent on drugs, long term effects, side effects, inexpensiveness and faster results - not good
question
challenges to ect and psychosurgery
answer
marked improvement in depression. psychosurgery and ect- potential serious or fatal side effects - should be banned
question
repetitive transcranial magnetic stimulation
answer
biomedical treatment involving repeated pulses of magnetic energy being passed through the brain
question
5 common goals of therapy
answer
attempts to change: disturbed thought, disturbed emotions, disturbed behaviors, interpersonal and life situation difficulties, biomedical disturbances
question
disturbed thoughts
answer
therapists work to change faulty or destructive thoughts, provide new ideas or info, and guide individuals toward finding solutions to problems
question
disturbed emotions
answer
therapists help clients understand and control their emotions and relieve their emotional discomfort
question
disturbed behaviors
answer
help clients eliminate troublesome behaviors and guide them toward more effective living
question
interpersonal and life situation difficulties
answer
therapists help clients improve their relationships with others and avoid or minimize sources of stress in their lives
question
biomedical disturbances
answer
therapists work to relieve biological disruptions that directly cause or contribute to psychological difficulties
question
eclectic approach
answer
combining techniques from various theories to find the most appt. treatment
question
people can be sent to psychiatric hospitals if they are believed to be
answer
of danger to themselves or others, in serious needs of treatment or there is no reasonable, less restrictive alternative
question
deinstitutionalization
answer
patients are discharged w/o continuing provision for their protection - not ready to leave
Get an explanation on any task
Get unstuck with the help of our AI assistant in seconds
New