Chapter 15 Flashcards

1
Q

Psychological Disorder

A

a syndrome marked by a clinically significant disturbance in an individual’s cognitions, emotion regulation, or behavior.

To be diagnosed with one, you must experience distress and dysfunction. Deviance and danger are garbage.

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2
Q

Medical Model

A

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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3
Q

Epigenetics

A

“above” or “in addition to” (epi) genetics; the study of molecular mechanisms by which environments can influence genetic expression (without a DNA change).

Helped to prove the vulnerability-stress model, which states that individual dispositions combine with environmental factors to influence a psychological disorder.

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4
Q

DSM-5

A

the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition; a widely used system for classifying psychological disorders.

The DSM is very imperfect and can be unreliable and may cast too wide of a net.

The RDoC orders disorders based on behaviors and brain activity.

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5
Q

Suicide Facts

A

People usually commit suicide when they rebound from a deep depressive episode and can follow through.

Many people choose suicide to end pain and suffering, especially older adults. They may also do this to relieve a perceived burden on loved ones.

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6
Q

Suicide Stats

A

Women are more likely to consider/attempt suicide. Men are more likely to die by suicide. This is because men use more aggressive means to kill themselves.

Native Americans die twice as often by suicide than other races in the US.

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7
Q

Non-Suicidal Self Injury (NSSI)

A

This can be a self-reinforcing process because after self-harming, people tend to feel distracted from negative thoughts, attract attention, relieve guilt through punishment, or fit in with a peer group.

NSSI does not typically lead to suicide, however, it is still a risk factor.

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8
Q

Immigrant Paradox

A

The immigrant paradox states that compared with races that were born in America, races that recently immigrated to America have less risk for mental disorders.

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9
Q

Risks for Psychological Disorders

A

Some things that increase the risk of developing a mental disorder are living in poverty, difficult childhood, and other disabilities.

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10
Q

Anxiety Disorders

A

psychological disorders characterized by distressing, persistent anxiety or maladaptive behaviors that reduce anxiety.

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11
Q

Generalized Anxiety Disorder

A

an anxiety disorder in which a person is continually tense, apprehensive, and in a state of autonomic nervous system arousal.

To be diagnosed, symptoms must persist for 6+ months.

At its highest, one can’t identify, relieve, or avoid their anxiety. As one ages, symptoms begin to mellow out.

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12
Q

Panic Disorder

A

an anxiety disorder marked by unpredictable, minutes-long episodes of intense dread in which a person may experience terror accompanying chest pain, choking, or other frightening sensations; often followed by worry over a possible next attack.

Can develop agoraphobia, which is fear or avoidance of public places that are difficult to escape.

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13
Q

Specific Phobia

A

an anxiety disorder marked by a persistent, irrational fear and avoidance of a specific object, activity, or situation.

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14
Q

Obsessive-Compulsive Disorder (OCD)

A

a disorder characterized by unwanted repetitive thoughts (obsessions), actions (compulsions), or both.

People can know that their thoughts are irrational

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15
Q

Posttraumatic Stress Disorder (PTSD)

A

a disorder characterized by haunting memories, nightmares, hypervigilance, avoidance of trauma-related stimuli, social withdrawal, jumpy anxiety, numbness of feeling, and/or insomnia that lingers for four weeks or more after a traumatic experience.

Some people have a more sensitive emotion-processing limbic system, which explains why only some people experience it. It is overdiagnosed.

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16
Q

Somatic Symptom Disorder

A

a psychological disorder in which the symptoms take a somatic (bodily) form without apparent physical cause.

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17
Q

Illness Anxiety Disorder

A

a disorder in which a person interprets normal physical sensations as symptoms of a disease (formerly known as hypochondriasis).

No amount of reassurance from a physician will convince the patient otherwise, so they will move to another doctor.

Sympathy can reinforce their behavior.

18
Q

Conditioning in Anxiety Disorders

A

Classical conditioning can link our fear responses to previously neutral objects and events. Operant conditioning’s reinforcement may speed up this process.

Stimulus generation occurs when someone experiences a fear-provoking event and later develops a fear of similar events.

19
Q

Major Depressive Disorder

A

a disorder in which a person experiences, in the absence of drug use or medical condition, two or more weeks with five or more symptoms, at least one of which must be either depressed mood or loss of interest or pleasure.

Persistent depressive disorder is a less, frequent version of MDD.

20
Q

Bipolar Disorders

A

a group of disorders in which a person alternates between the hopelessness and lethargy of depression and the overexcited state of mania (formerly called manic-depressive disorder)

Episodes can span over weeks.

Bipolar 1 has extreme swings, Bipolar 2 has a milder mania state.

21
Q

Mania

A

a hyperactive, wildly optimistic state in which dangerously poor judgment is common.

This affects men and women equally.

22
Q

Depression Facts

A

Depression is widespread, with women everywhere at the greatest risk.

Diminished brain activity in depression, and increased activity during mania.

23
Q

Rumination

A

compulsive fretting; overthinking our problems and their causes.

Self-defeating beliefs may arise from learned helplessness.

24
Q

Psychotic Disorders

A

a group of disorders marked by irrational ideas, distorted perceptions, and loss of contact with reality.

25
Q

Schizophrenia

A

a disorder characterized by delusions, hallucinations, disorganized speech, and/or diminished inappropriate emotional expression.

Positive symptoms are when inappropriate behaviors are present. Negative symptoms are when appropriate behaviors are absent.

One cause of disorganized thinking may be selective attention because people with schizophrenia are easily distracted.

Disordered speech is like word salad.

Diminished and impaired emotions lead people to react uncouthly and have difficulty reading other people’s emotions.

26
Q

Delusion

A

a false belief, often of persecution or grandeur, that may accompany psychotic disorders.

Different from hallucinations, which are false perceptions. Delusions are false beliefs.

27
Q

Chronic Schizophrenia

A

(also called process schizophrenia) a form of schizophrenia in which symptoms usually appear by late adolescence or early adulthood. As people age, psychotic episodes last longer and recovery periods shorten.

28
Q

Acute Schizophrenia

A

(also called reactive schizophrenia) a form of schizophrenia that can begin at any age, frequently occurs in response to a traumatic event, and from which recovery is much more likely.

29
Q

Understanding Schizophrenia

A

People with schizophrenia may have too much dopamine receptors in their brain, causing a hyper-active brain state.

Schizophrenia requires multiple brain abnormalities.

Prenatal development and birth may play a role: when fetal development is interrupted with a virus, low birth weight, poor mother health, and delivery issues.

30
Q

Dissociative Disorders

A

controversial, rare disorders in which conscious awareness becomes separated (dissociated) from previous memories, thoughts, and feelings.

May cause us to lose memory of specific events.

31
Q

Dissociative Identity Disorder (DID)

A

a rare dissociative disorder in which a person exhibits two or more distinct and alternating identities (formerly called multiple personality disorder).

This may just be a form of role playing. Dr. Health denies that this even exists.

32
Q

Personality Disorders

A

inflexible and enduring behavior patterns that impair social functioning.

The 10 disorders form into 3 clusters: anxiety, eccentric or odd behaviors, and dramatic or impulsive behaviors.

33
Q

Antisocial Personality Disorder

A

a personality disorder in which a person (usually a man) exhibits a lack of conscience for wrongdoing, even towards friends and family members; may be aggressive and ruthless or a clever con artist.

34
Q

Anorexia Nervosa

A

an eating disorder in which a person (usually an adolescent female) maintains a starvation diet despite being significantly underweight and has an inaccurate self-perception; sometimes accompanied by excessive exercise.

Begins as an attempt to lose weight.

35
Q

Bulimia Nervosa

A

an eating disorder in which a person’s binge eating (high-calorie foods) is followed by inappropriate weight-loss-promoting behavior, such as vomiting, laxative use, fasting, or exercise.

Weight is usually in or above normal ranges.

36
Q

Binge-Eating Disorder

A

significant binge-eating episodes, followed by distress, disgust, or guilt, but without the compensatory behavior that marks bulimia nervosa.

37
Q

Neurodevelopmental Disorder

A

central nervous system abnormalities (usually in the brain) that start in childhood and alter thinking and behavior (as in intellectual limitations or a psychological disorder).

38
Q

Intellectual Disability

A

a condition of limited mental ability, indicated by an intelligence test score of 70 or below and difficulty adapting to the demands of life. (Formerly referred to as mental retardation)

To be diagnosed, one must have an IQ score below 70 and difficulty adapting to the normal demands of independent living.

39
Q

Autism Spectrum Disorder (ASD)

A

a disorder that appears in childhood and is marked by significant limitations in communication and social interaction, and by rigidly fixated interests and repetitive behaviors.

The source of symptoms seems to be poor communication among brain regions.

Boys are more common, which may be due to girls’ ability to hide symptoms.

40
Q

Attention-Deficit/Hyperactivity Disorder (ADHD)

A

a psychological disorder marked by extreme inattention and/or hyperactivity and impulsivity.

Diagnosing standards may be way too broad.

Twice as common in boys than in girls.