2 Flashcards

(41 cards)

1
Q

Psychodynamic theories

A

mportance of a strong id
o Child development affects later behaviour
▪ Fixations linked to specific events
▪ Little Hans. Castration anxiety, oedipal complex.
o Importance of “insight”. Making links is everything. This is the cure ▪ Does this really matter? And is the “trauma” even relevant?

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2
Q

limits of psychodynamic theory

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Not falsifiable (unempirical)
▪ Biased methods and biased populations
* Free association (not super meaningful), recollections of childhood,
reports of dreams
* His only sample was the adults that were going to his therapy, but his
theories were supposed to be generalizable ▪ Biased views (male superiority, penis envy)
* In general, he really overgeneralized

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3
Q

Contributions to the field of psychodynamics theories

A

Focus on the mother-infant relationship led to attachment theories
▪ Unconscious thoughts and motives underlie prejudice/stereotyping

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4
Q

Behavioral theories

A

Emphasize how behaviours are acquired through a gradual and continuous process of learning. The individual plays a more passive role, directed by the environment.
▪ We have learned maladaptive behaviours. Equally, we can unlearn them.
▪ Skinner (1904-1990), Watson (1878-1958), Pavlov (1849-1936)
▪ Watson believed that all maladaptive behaviour was purely learned (extreme).
Was a very controlling parent.

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5
Q

behavioral theories, classical conditioning

A

Learning through associations
▪ Unconditioned stimulus (biologically salient) paired with neutral stimulus.
Unconditioned response turns into conditioned response to conditioned
stimulus.
▪ Pavlov’s dogs. Sound (NS) + food (US) = saliva (CR)
▪ Watson’s Little Albert. Sound (US) + white rabbit (NS) = fear (CR)
▪ This could provide a better explanation of the case of Little Hans (he saw a horse
collapse in the street)
▪ Accounts for the development of strong emotions in response to certain
objects. Treatment: systematic desensitization

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6
Q

behavioral theories, operant conditioning

A

Specific consequences are associated with voluntary behaviour. Rewards increase it, punishment decreases it
▪ Four types:

  • Positive reinforcement: add something desirable
  • Positive punishment: add something unpleasant
  • Negative reinforcement: remove something unpleasant
  • Negative punishment: remove something desirable
    ▪ They can be either intermittent or continuous * Intermittent works best
    ▪ We can use these principles to understand why unhealthy behaviours are maintained, plus how to modify social behaviours
  • Ex: addiction
  • Ex: avoidance is an example of negative reinforcement. Unhelpful long
    term
  • Ex: children’s aggressive behaviour is often increased by attention
    (positive reinforcement). Time outs (negative punishment) can diminish
    aggressive behaviour
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7
Q

Mowrers 2 factor phobia theory

A

Step 1: classical conditioning establishes the aversive response to a previously neutral stimulus (ex: a dog bite)
▪ Step 2: person avoids the stimulus to prevent feeling afraid (negative reinforcement), which blocks extinction of the fear.
* It’s important to be exposed to a fear in moderation to get better

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8
Q

cognitive theories

A

Perception (remembering, thinking, etc.) that causes dysfunctional behaviour (not
necessarily the “reality” of the event)
o Cycle: thoughts create feelings, feelings create behaviour, behaviour reinforces thoughts

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9
Q

Albert Ellis theory of rational emotive behavioral theory

A

Associations between events and beliefs
▪ Ex: irrational beliefs. “Shoulds” and “musts” are strong words. Create
maladaptive behaviour. Too black and white. No room for failure
▪ Pushed clients to look for evidence for their thoughts, to question familiar
automatic beliefs

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10
Q

Aaron Becks Cognitive theory and therapy

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Cognitive triad. Negative views about the world, the future, and the self ▪ Dysfunctional schemas
* Representations which affect our view of the future ▪ Information processing biases
* How we pay attention to/interpret/recall information ▪ Automatic thoughts
* Thoughts about failure and loss (common in depression)
* Thoughts about danger and uncertainty (common in anxiety) ▪ Also acknowledged the role of the individual

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11
Q

3rd Wave CBT

A

Treatment based on mindfulness. Acknowledges the role of cognition and
behaviours in psychological disorders
* Those who are low in mindfulness (being grounded in the here and now) are at greater risk for psychological disorders.
* Learn to disengage from the thought
▪ Emphasizes the role of attention in distress (attention can exacerbate
maladaptive thoughts)
* Anxiety about maladaptive thoughts can fuel them

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12
Q

Humanistic and Existential theories

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Behaviour is determined not just by experience, but our choices. o Importance of the dignity of the client, fostering self-actualization

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13
Q

Abraham Maslow theory of self actualization

A

Inspired by the indigenous Siksika (Blackfoot) way of life. They were very integrated into their communities, felt purpose.
▪ Hierarchy of needs: when fully satisfied, result is the actualization of the person’s potential
▪ Self-actualized individuals are grounded in reality (comfortable with it), problem-centered (not ego-centered),
▪ Abnormal/dysfunctional behaviour results from failure to attain the necessary self-esteem for self-actualization
* Not necessarily clinical diagnoses.

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14
Q

Carl Rogers Person centered theory

A

Permissive “growth promoting” climate
▪ Being present in the relationship. Focus on the client’s immediate experience
(contrary to Freud)
* Therapists are not the sole authority on their client’s life
▪ Maladaptive behaviour is because you are “stuck”. You are not trusting your experiences.

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15
Q

Roll May and Viktor Frankl Extentialist theories

A

▪ Development of meaning and responsibility for one’s actions is critical. ▪ Issues stem from failure to take responsibility and find meaning
* Angst = anxiety and distress
▪ Therapy focuses on proactivity
▪ The “bad cops”. Would confront their clients.
* Good for people with a “midlife crisis” type issue

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16
Q

theory of genes

A

searching for concordance between family members (behavioural genetics)
▪ Ex: does ADHD run in the family
▪ Research to determine the separate effects of genetics and environment:
* Adoption studies:
o Rates of disorder in biological vs adoptive parents o Cross fostering (doesn’t happen as much now)
* Twin studies
o Monozygotic (MZ) twins have 100% same genes o Dizygotic (DZ) twins have 50% same genes

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17
Q

neurotransmitter theories

A

Disturbances in neurotransmitters can result in abnormal behaviour
* Transmitter can be under/overproduced in the synapse
* Receptors can be under/overproduced on the dendrites
* Transmitter-deactivating substance can be under/overproduced in the
synapse
* Re-uptake process can be too fast/slow
▪ Complex interactions between the roles of dopamine, serotonin, norepinephrine, and gamma aminobutyric acid (GABA)
* Ex: it’s oversimplified to say that depression is just a lack of serotonin
* Neurotransmitters have different concentrations
* Dopamine: pleasure seeking
* Serotonin: constraint, exercise, sleep

18
Q

Peripheral nervous system theory

A

SNS (muscles)
▪ ANS (automatic processes. Organs, etc.)
* Sympathetic: fight or flight (stress!)
* Parasympathetic: rest and digest (shut down)
▪ Overactive/underactive parasympathetic or sympathetic responses are tied to certain psychological disorders
* Too much sympathetic responses: anxiety (PTSD), more acquisition of phobias
* Can be due to genetics or early experiences
* The ANS can be a factor in individual differences. Some people are just
born more resistant.

19
Q

Theory of a Hypothalamic pituitary adrenal axis

A

Activated in response to stress. Releases cortisol (via CRH and ACTH)
▪ Interacts in a feedback loop
▪ Studied in stress-related disorders. Can have an abnormal reaction to stress

20
Q

integrative theories, diathesis stress

A

Mental disorders = predisposition (biological or psychological (ex: history of abuse, social factors)) + stress (can happen in early infancy
▪ A predisposition will not produce a disorder without a trigger. A trigger will not always produce a disorder.
▪ Some people will be highly sensitive to their environment (dandelion vs orchid)
▪ Some people are more resilient/less reactive
* Temperament-dependent (regulation of emotions)

21
Q

integrative theories, Biopsychosocial model

A

Biological, social, and psychological factors all contribute to mental health * Very similar to the diathesis stress perspective
▪ Brain plasticity. More emphasis on the person’s response:
▪ Differential susceptibility: behaviour is predicted by a combination of genetic/environmental factors

22
Q

perfect classification and diagnostic system

A

Classification based on symptoms (clusters) ▪ Clear etiology (cause)
▪ Strong prognosis (future development)
▪ Know the response to treatment
▪ No overlap between them
▪ Perfect cure

23
Q

Strong diagnostic systems have

A

Inter-rater reliability (agreement)
* We want multiple opinions to converge!
* Ex: Beck et al. (1962): 4 psychiatrists interviewed 153 new inpatients.
Low IRR: 54%.
o Could be due to different interview techniques, different
focuses, but also due to inadequate diagnostic criteria (old
DSM). Now the DSM is better
* Ex: if someone believes the patient is lying, they are more likely to turn
to a different set of diagnoses.

24
Q

Validity of a strong diagnostic system, concurrent validity

A

presence of non- symptoms attributes Common observations/facts. Well known “red flags” o Ex: for schizophrenia, this is often correlated with
underachievement in school and social isolation

25
Validity of a strong diagnostic system, predictive validity
key to understanding of a disorder is its progression o Ex: oppositional-defiant disorders (children) can lead to conduct disorder (teenagers) can lead to antisocial personality disorder in adulthood o If there is low predictive validity, maybe there was a misdiagnosis
26
issues with labelling
stigmatization nad unfair classification, loss of information through the use of a Lebel and that mental illness can be seen as a permanent part of identity
27
Psychological assessments
A series of scores (not relying on one single facet) placed within the context of the history, referral information, behavioural observations, and life ▪ A good assessment tool gives the ability to measure some aspect of the person, as well as how people in general perform (comparing to norms) ▪ Should include biological and psychological methods ▪ Typically starts with an interview. Sometimes very structured (list of questions), sometimes less so (to build a rapport)Rel
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Test retest reliability of an assessment
: degree to which a test generates the same results when given more than once to the same person * Alternate-form reliability: a method where two versions of the same test are designed and scores from each are correlated with each other. They should be correlated!
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internal socnsistancy
degree of reliability within a test
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Split half reliability
a method that compares responses on odd numbers to responses on even numbers. Basically, less chaos = better test (or the person did not answer carefully)
31
Coefficient alpha
calculated by averaging the intercorrelations of all items within a test. Higher = better (max = 1)
32
face validity
do the items on the test resemble the characteristics of the concept being measured (does this superficially make sense) * People know where it’s going
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content validity
requires that the test’s items reflect behaviours believed to be related to the overall construct * Ex: in depression, it touches on sleep, eating, etc. Not just one component.
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criterion validity
correlation between a measure and a criterion * Some qualities are easier to recognize than to define completely (ex: creativity) * If artists are creative, then how do they score?
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construct validity
validity of a test within a specific theoretical framework * Does the scoring match up with the theoretical correlations?
36
Biological and Neuropsychological assessments
Medical conditions can play a role in behaviour * Ex: Anxiety/depression can also be linked to thyroid dysfunction, iron deficiency, atypical levels of estrogen, auto-immune disorders, mold poisoning
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Techniques of biological assessment
EEG: electrical activity. Seizures, tumors, etc. * CAT scan: structural abnormalities * MRI/fMRI: structure/function. In schizophrenia, there is reduced connectivity (less control over thoughts) * PET
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techniques of neuralphysioligcal assessments
ender Gestalt Visual-Motor Test: screens for possible pressence of neuropsychological impairment. Copy images from a card and then from memory. Certain errors are characteristic of neurological problems o Individually can be not sensitive enough. A whole battery.
39
personality projective tests
Rorschach inkblot test o Problem: coding of responses has been shared with the public. o Time it takes to give an answer can also see if you struggle with social interaction * Thematic apperception tests o Patient interprets ambiguous images on the basis of existing ideas o Can be helpful to get children to talk
40
personalisty standardised test
Minnesota Multiphasic Personality Inventory (MMPI-2) o Multiple aspects of personality (567 questions) o Profile of charactersitics compared to psychiatric and non- psychiatric groups * Millon Clinical Multiaxial Inventory (MCMI) o Helps clinicians make diagnostic judgements about personality disorders and other syndromes o 195 self-reported true-false items: 25 clinical scales (15 personality plus 10 clinical) and 5 validity scales * Personality Assessment Inventory (PAI) o 4 point Likert scale o 11 clinical scales, 4 validity, 5 treatment-consideration, 2 interpersonal o Assesses symptoms (mild to severe)
41
behavioral and cognitive measures
Observational techniques ▪ Rating scales to assess changes in behaviours over time ▪ Questionnaires assessing thoughts ▪ Self-monitoring: phone diary apps. Note behaviours in real time