Chapter 15: Psychological Disorders Flashcards

(98 cards)

1
Q

Emil Kraepelin (1856-1926)
§ Considered the father of
_________

A

modern psychiatry

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2
Q

________: views
psychological conditions as
sets of symptoms, causes,
and outcomes, with
treatments aimed at
changing physiological
processes

A

Medical model

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3
Q

______: A more holistic
view of mental
health that
recognizes that
physiological
processes interact
with psychological
and social factors

A

biopsychosocial model

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4
Q

who developed the medical model?

A

Emil Kraepelin

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5
Q

______ behaviour: Causes distress to self or
others
§ Impairs ability to function
in daily activities
§ Increases risk of injury,
death, legal infractions

A

maladaptive

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6
Q

what counts as abnormal?

A

maladaptive behaviour

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7
Q

______:
establishes criteria for
the diagnosis of mental
disorders

A

Diagnostic and
Statistical Manual for
Mental Disorders (DSM)

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8
Q

what three things does the DSM contain for each mental disorder?

A
  1. Set of symptoms
  2. Etiology (causes) of
    symptoms
  3. Prognosis of how
    symptoms change
    over time
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9
Q

T/F: there’s a spectrum to maladaptive behaviour

A

true, there’s “normal” amounts of each maladaptive behaviour… depends on strength and longevity of behaviour!

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10
Q

why is the DSM so important?

A

standardizes it! allows people to talk about disorders with consistent framework

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11
Q

what are some critics of the DSM?

A

Subjective component
from clinician- clinician has personal bias

Lack of objective
diagnostic methods
(genetics, brain imaging)

pharmaceutical industry might have had too much influence in creating it

Arbitrary diagnostic criteria, need to have 6/10 symptoms… but cutoff number should be fluid!

Promoting overdiagnosis
(e.g., ADHD) vs diagnostic
inconsistency

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12
Q

_____: Standardized language and
hope of treatments, makes things consistent! can help patients if they know what’s happening to them

A

labels

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13
Q

______: negative views
of and biases towards the
mentally ill, getting a label can lead to a loss of self-esteem
§ Self-fulfilling prophecies

A

Stigmatization

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14
Q

where does mental illness stigma come from?

A

ignorance
education can solve many of these issues!

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15
Q

what was David Rosenhan’s experiment?

A

being sane in insane places

he pretended to have a mental breakdown, got admitted to psychiatric hospitals, then acted totally sane… took up to weeks-months to be released

once they got the label of a diagnosis, the doctors/nurses viewed all their behaviour through this lens…

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16
Q

T/F: Labels alter the lens
through which we
view people

A

true!! ex: David Rosenhan’s experiment

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17
Q

T/F: insanity is a diagnosis

A

false, its a legal term NOT a diagnosis

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18
Q

________ Defense:
a legal claim that a
defendant was unable to
differentiate between right
and wrong when the
criminal act was
committed

A

Mental Disorder

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19
Q

if someone wins with a mental disorder defense, what happens?

A

held not criminally responsible, go to a psychiatric hospital instead of prison

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20
Q

what is the myth of violence?

A

that whenever a violent act occurs, people ask about mental illness

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21
Q

T/F: Violence associated
with substance abuse,
regardless of mental
illness

A

true!! its the substance abuse that causes this increase in violence

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22
Q

how does the availability heuristic relate to our perceptions of mental illness and violence?

A

we’re much more likely to remeber these weird, gruesome crimes committed by people with mental illness

so its at the front of our mind, affecting our personal biases!

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23
Q

_______: Unusual patterns of behaviour for one’s culture that are
maladaptive and resistant to change

A

personality disorders

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24
Q

______ Disorders
§ Odd or eccentric
behaviour

A

Cluster A

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25
_______ Disorders § Dramatic, emotional, and erratic behaviour
Cluster B
26
______ Disorders § Anxious, fearful, and inhibited behaviour
Cluster C
27
T/F: personality disorders are examined in a culture-specific way
true!! shift and change based on environment, examined differently!
28
________: pervasive distrust of others, overly sensitive to perceived slights, impaired social life
Paranoid personality disorder
29
Paranoid personality disorder is a....
Cluster A personality disorder
30
______: detached and aloof, lacks desire for social relationships; indifferent to social norms (can come across as rude or arrogant)
Schizoid personality disorder
31
Schizoid personality disorder is a....
Cluster A personality disorder
32
_______: odd appearance, mannerisms, and beliefs; prone to unusual perceptual experiences (think everything happens because of them); believe others are harmful
Schizotypal personality disorder
33
Schizotypal personality disorder is a...
Cluster A personality disorder
34
_______: intense extremes between positive and negative emotions, an unstable sense of self, impulsivity, and difficult, unstable social relationships
Borderline personality disorder high risk of suicidal tendencies, lots of risky behaviour (sexual, social etc.)
35
Borderline personality disorder is a...
Cluster B personality disorder
36
_______: inflated sense of self-importance and an intense need for attention and admiration, as well as intense self-doubt and fear of abandonment
Narcissistic personality disorder
37
Narcissistic personality disorder is a...
Cluster B personality disorder
38
______: excessive attention seeking and dramatic behaviour, immature, differentiated from narcissistic personality disorder by overdramatic behaviour
Histrionic personality disorder
39
Histrionic personality disorder is a...
Cluster B personality disorder
40
_______: a habitual pattern of willingly violating others’ personal rights, with very little sign of empathy or remorse, don't consider other people's perceptions... can be helpful in life! ex: corporate world, lots of people in prison have _____ (def overrepresented)
Antisocial Personality Disorder
41
Antisocial Personality Disorder is a...
Cluster B personality disorder
42
_______: characterized by a belief that one is socially inept, fear of rejection, and restraint in personal relationships, reclusive and isolated, kind of get stuck in a self-actualization cycle
Avoidant personality disorder
43
_______: extreme lack of confidence, excessive need to be looked after, fear of abandonment
Dependent personality disorder
44
Avoidant personality disorder is a...
Cluster C personality disorder
45
Dependent personality disorder is a...
Cluster C personality disorder
46
________: preoccupation with details, rules, and achieving perfection
Obsessive-compulsive (anankastic) personality disorder
47
Obsessive-compulsive (anankastic) personality disorder is a...
Cluster C personality disorder
48
_______: characterized by a split between conscious awareness from feeling, cognition, memory, and identity
Dissociative disorders
49
_______: a person claims that their identity has split into one of more distinct personalities or ‘alters’ § Likely therapist-induced- was sensationalized in the media and number of cases skyrocketed (cluster of same therapists using hypnosis for psychiatric treatment)
Dissociative identity disorder (controversially diagnosed as Multiple Personality Disorder in the past)
50
T/F: we all experience dissociation
true! we all can lose track of our surroundings, like when driving or reading a good book
51
T/F: there are cultural differneces within the presentation of dissociative identity disorders
true! people had cultural expectations of how they should be behaving NA patients would flip "alters" multiple times a day, suddenly (like shown in our media) Indian patients would only switch at night, and spend a whole day as their alter (like shown in their media)
52
_______: A category of disorders involving fear of nervousness that is excessive, irrational, and maladaptive
anxiety disorders
53
_________: involves frequently elevated levels of anxiety that are not directed at or limited to any particular situation
Generalized anxiety disorder (GAD)
54
_______: Marked by repeated episodes of sudden, very intense fear (i.e., panic attacks)
panic disorder
55
_______: an intense fear of having a panic attack or lower- level panic symptoms in public
Agoraphobia
56
______: A severe, irrational fear of a very specific object or situation
phobia
57
______ phobias: involve an intense fear of an object, activity, or organism
Specific
58
T/F: we're more likely to develop phobias of things that it makes sense to be scared of, i.e. preparedness!
true, makes sense for our evolutionary ancestors to be scared of
59
what is Parasitic processing?
phobias can be conditioned, and learned! self-destructive feedback loop
60
________: an irrational fear of being observed, evaluated, or embarrassed in public
Social anxiety disorder
61
T/F: Individuals with social anxiety disorder structure their lives to avoid anxiety
true! very extreme cases of social anxiety
62
T/F: Anxiety is independent of the individual’s personality
true, not the same as avoidant personality disorder
63
_______: Characterized by unwanted, inappropriate, and persistent thoughts (obsessions); repetitive stereotyped behaviours (compulsions); or a combination of the two
obsessive-compulsive disorder (OCD)
64
_____: Prolonged periods of sadness, feelings of worthlessness and hopelessness, social withdrawal, and cognitive and physical sluggishness § Depressed cognition § Lethargic and sleepy, yet insomnia § Appetite change and digestive problems
major depression
65
________: self-damaging mental habits of internalizing, stabilizing, and globalizing
Pessimistic explanatory style
66
Pessimistic explanatory style is a...
self-defeating mental habit
67
T/F: women experience major depression more often than males
true!
68
"I'm so stupid! It's my fault, I'm a bad person" is an example of...
internalizing, internal locus of control
69
"It's always going to be this way, things will never change" is an example of...
stabilizing
70
"And this applies to everything, not just the current situation" is an example of...
globalizing (similar to catastrophizing)
71
people with depression show cell loss in _____, _______, and ______
frontal lobes, hippocampus, and amygdala
72
T/F: in depression, Amygdala becomes dysregulated and overstimulates HPA axis, which is no longer effectively inhibited by frontal lobes and hippocampus
true! dysregulates out emotional responses!
73
what happens when the HPA axis is activated (overstimulated) by the amygdala during depression?
increased cortisol, further damages the hippocampus, and impairs neurogenesis
74
________: reduced ability to feel pleasure, loss of interest in usually enjoyed activities
Anhedonia don't feel reward and pleasure from nucleus accumbens
75
_______: dwelling on negative thoughts even as they become self-damaging
Rumination losing executive function from prefrontal cortex
76
T/F: Substantial overlap between brain structures implicated in anxiety and mood disorders
true!!! many people with depression have anxiety and vice versa
77
what are the slight differences between anxiety and depression (brain structure and function)
anxiety is abnormal brain activity mood disorders (like depression) cause atrophy in the brain
78
T/F: Twin studies indicate an underlying genetic risk for developing major depression
true!! monozygotic twins (both same sex always) show more concordance to rates of depression
79
T/F: Socioeconomic status associated with higher risk of mental illness, including depression
true!!
80
________ model: Some people inherit a diathesis (genetic susceptibility), which is incapable of initiating disorder in absence of stress
diathesis-stress model need the interaction (genetics and environment) to have disorder (i.e. need to have genetic vulnerability with a stressful environment)
81
_______: Characterized by extreme highs and lows in mood, motivation, and energy § Episodes vary in length and duration § Mania can take several forms but include problems with inhibition, planning, and risk- taking
bipolar disorder
82
_______: Significant breaks from reality, a lack of integration of thoughts and emotions, and serious problems with attention and memory hallucinations, delusions, confused thoughts and speech
schizophrenia
83
_______: false perceptions
Hallucinations (usually auditory but also visual)
84
_______: false beliefs
Delusions can be delusions of grandeur (belief that you're more important than you are) or persecutory delusions (someone is coming to harm you)
85
how do we classify schizophrenic symptoms?
negative or positive symptoms
86
_______: involve the absence of adaptive behaviour § Flat affect § Poverty of speech § Lack of motivation
Negative symptoms
87
_______: behaviours that are present that should not be occurring § Hallucinations/Delusions § Confused thoughts and speech § Inappropriate affect
Positive symptoms
88
what are the 3 phases of schizophrenia
prodromal, active, residual
89
______ phase: confusion, loss of interest, social withdrawal (early warning signs) ______ phase: hallucinations, delusions, disorganized thoughts, emotions, behaviours (in complete psychotic episode) _______ phase: period of reduced symptoms; may continue to be withdrawn, have difficulty concentrating, and lack motivation (slight recovery)
Prodromal Active Residual
90
T/F: with every schizophrenic episode, people lose more and more function
true! they don't fully recover to the same level as when they started the episode, one of the main goals of treatment is to prevent as many episodes as possible to keep as much function possible
91
Decreased frontal lobe activation Enlarged ventricles due to widespread loss of brain matter (atrophies) § Likely stress related Progressive deterioration over repeat brain scans these are all aspects of...
schizophrenia and its effect on the brain
92
what happens to our neurotransmitters when we have schizophrenia?
Overactive dopamine associated with positive symptoms of schizophrenia (illusions and delusions) Glutamate-blocking drugs produce negative symptoms that mimic those in schizophrenia (disorganized thought patterns)- so people with schizophrenia are lacking in glutamate
93
T/F: if one identical twin has schizophrenia, the other twin has a 25-50% chance of also developing it
true! not 100% monozygotic twins have higher rates of concordance
94
Estimated that _____% of the population has a gene sequence that puts them at risk for schizophrenia
10
95
what are some environmental influences for the development of schizophrenia?
Maternal exposure to influenza virus (winter babies have more chance, first trimester is super important for brain development! don't want to be sick then) Fetal exposure to stress (ex: famine) Marijuana use (need susceptibility) Head injuries (before the age of 10, but only people who have underlying risk factors) Stressful rearing environments
96
_______ protects against relapse of schizophrenia
Supportive family environment
97
________ hypothesis: Emergence of schizophrenia in early adulthood due to outgrowth of neurological systems previously disrupted
the neurodevelopmental hypothesis we don't DEVELOP schizophrenia, we GROW into it
98
what is the prognosis of schizophrenia?
Despite common perception, prognosis is not entirely poor Early treatment and proper social support vastly improves prognosis (supplemented with supportive social environment) Relapses common, though most people make functional recoveries