Chapter 15: Psychological disorders Flashcards

(80 cards)

1
Q

Mental disorder

A

-Psychopathology
-No universal agreement
-Persistent disturbance or dysfunction in behavior, thoughts, or emotions
-Cause significant distress or impairment

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2
Q

Psychopathology throughout histroy

A

-God’s punishment
-Evil Spirits (Chisel holes in peoples heads)
-“Crime” deviates from the normal

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3
Q

Medical model

A

-Abnormal psychological experiences are illnesses like physical illnesses
-Biological and environmental causes
-Defined symptoms
-Possible cures

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4
Q

Signs

A

Objectively observed indicators of a disorder

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5
Q

Symptoms

A

Subjectively reported behaviors, thoughts and emotions

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6
Q

Disorder VS Disease VS Diagnosis

A

Disorder: Common set of signs or symptoms
-Disease: Pathological process affecting the body
-Diagnosis: Determination as to whether a disorder or disease is present

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7
Q

Physiognomy

A

-Mental disorders could be diagnosed from facial features
-NOT VALID

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8
Q

DSM-5

A

-The Diagnostic and Statistical Manual, 5th edition
-Official book with all the major mental disorders by the American Psychiatric Association

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9
Q

ICD-11

A

-International classification of diseases, 11th edition
-International classification of all diseases (Including mental disorders) by the World Health Organization

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10
Q

DSM (1952)

A

-Classification system
-Describes the features used to diagnose each recognized mental disorder
-Indicates how the disorder can be distinguished from other similar problems

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11
Q

DSM-ll

A

-1968
-First revision
-Provides common language about disorders

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12
Q

DSM-lll + DSM-IV

A

-1994
-Moved from vague disorder descriptions
-Provided detailed list of symptoms/diagnostic criteria for more than 200 disorders
-Improved reliability in diagnosis of mental disorders

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13
Q

Current DSM

A

-DSM-5; DSM-5-TR, 2022
-Includes fully revised text and references of the DSM-5 and updated diagnostic criteria and ICD-10-CM insurance codes
-It also features a new disorder, prolonged grief disorder and codes for suicidal vs non suicidal behavior
-Provides framework for thinking about differences in cultural concepts of distress

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14
Q

Comorbidity

A

-Most of those with a mental disorder report Comorbidity
-Co-occurrence of two or more disorders in a single individual

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15
Q

Cultural context

A

-Influences how mental disorders are
-Experienced
-Described
-Assessed
-Treated

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16
Q

Cultural syndromes

A

-Taijin kyofusho: Japanese syndrome in which a person fears and avoids contact with others due to the belief that they are inadequate or offensive in some way
-Combines 2 DSM-5-TR conditions
-Social anxiety and body dysmorphic disorder

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17
Q

Medical model of mental disorder

A

-Knowing a persons diagnosis is useful because any given category of mental illness is likely to have distinctive cause
-Specific etiology (Pattern of causes)
-Common prognosis (Course over time and susceptibility to treatment and cure)

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18
Q

Biopsychological perspective

A

-Mental disorders are a result of interaction among biological, psychological and social factors
-Different individuals may experience a similar psychological disorder for other reasons
-rarely a single cause that is internal to the person with a single cure

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19
Q

Psychological disorders caused by

A

-Diathesis (vulnerability factor):
-Genetic/developmental risk factor
-Brain structure
-Social support
and
-Stressors: Traumatic or upsetting event that triggers disorder

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20
Q

RdoC

A

-Research domain criteria project
-New initiative to guide classification and understanding of mental disorders by revealing the basic processes that give rise to them
-Long-term goal: Better understand what abnormalities cause different disorders
-Classify disorders based on those underlying causes rather than on observed symptoms

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21
Q

Cause of abnormal functioning

A

-Biological factors
-Psychological domains
-Social processes and behavior

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22
Q

Dangers of labelling

A

-Psychiatric labels can have negative consequences because of their association with negative stereotypes and stigma
-may prevent seeking help
-May create negative self view
-May contribute to lower self esteem and self-efficacy
-Higher levels of depressive symptoms

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23
Q

Anxiety disorder

A

-Anxiety is the predominant feature
-More than one type of anxiety at a time
-Comorbid with depression

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24
Q

DSM-5-TR

A

-Phobic disorders
-Panic disorders
-generalized anxiety disorders

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25
Phobic disorders
-Anxiety disorder -Characterized by marked, persistent and excessive fear and avoidance of specific objects, activities or situations -Characterized by: Heritability, temperament, abnormalities in serotonin or dopamine, amygdala, -Specific phobia -Social phobia
26
Specific phobia
-Animals -Natural environments -Situations (bridges, elevators) -Blood -Injections etc
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Social phobias
-Typically emerge between early adolescents and early adulthood
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preparedness theory
-People are instinctively predisposed towards certain fear -Predisposed us to avoid (Fear)
29
Panic disorder
-Sudden occurrence of multiple psychological and physiological symptoms that contribute to a feeling of stark terror; panic attacks -Shortness of breath, heart palpitation, sweating, dizziness, depersonalization, derealization, fear of death/insanity -Twice as prevalent among women -Hypersensitive to physiological signs of anxiety -experiments with sodium lactate
30
Agoraphobia
-Specific phobia involving fear of public places -Fear something terrible will happen
31
Generalized Anxiety disorder (GAD)
-Chronic excessive worry accompanied by 3 or more symptoms -Restlessness, fatigue, concentration problems, irritability, muscle tension, sleep disturbance -Biological and psychological factors contribute -Neurotransmitter imbalance -Occurs more in people who are in lower SES groups, large cities, unpredictable environments, higher rate in women
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OCD
-Obsessions: Repetitive, intrusive thoughts. Could be read threat (phobia; preparedness theory) and though suppression can backfire -Compulsions: Ritualistic behaviors, designed to prevent thoughts that interfere with an individuals functioning
33
OCD in DSM-5-TR-
-Separated from anxiety disorders -Distinct causes and brain neural activity -High activity or connectedness between areas involved habitual behavior (cortical-striato-thalamo-cortical loop) -behavioral therapy success = 3 in 4 -50-70% heritability -Higher in women
34
PTSD
-Characterized by chronic physiological arousal -Recurrent, unwanted thoughts or images of the trauma -avoidance of things that call the traumatic event to mind
35
PTSD stats
-Higher in non-western and developing countries -3 in 4 Canadians at some point were involved in an event that could trigger PTSD (does not mean they developed it) -Brain imaging techniques identified important neural correlates -heightened amygdala activity -Decreased medial-prefrontal cortex -Smaller hippocampus
36
Mood
-Relatively long-lasting nonspecific emotional state -For some with mood-disorders, moods can become so intense that they endanger life-threatening actions
37
Mood disorders
-Mental disorders that have mood disturbances as their predominant feature -2 main forms 1) depression (unipolar depression) 2) Bipolar depression (Swing between extreme depression and extreme mania)
38
Depressive disorders
-Depressive disorders are dysfunctional and chronic, beyond socially or culturally expected responses -Major depressive disorder (unipolar) -Persistence depressive disorder
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Major depressive disorder (unipolar)
-Characterized by severely depressed mood that lasts 2 or more weeks -Feelings of worthlessness -Lack of pleasure -Lethargy (tired) -Sleep/appetite disturbances
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Persistence depressive disorder
-Same cognitive and bodily problems as in depression are present -Less severe and last longer -Persist for at least 2 years
41
Double depression
-Occurs when major depressive disorder and persistent depressive disorder co-occur -Moderately depressed mood that persists at least 2 years and punctuated by periods of major depression
42
Seasonal affective disorder
-SAD -Involves recurrent depressive episodes in a seasonal pattern -Pattern due to reduced levels of light in colder seasons; higher latitudes
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risk for depression
-Approx. 1 in 9 people in Canada and US meet the criteria for depression at some point -linked with gender, SES, hormones (estrogen, androgen, progesterone) and willingness to seek treatment
44
Recurrent depression
-More severe symptoms, higher rates of depression in their families -More suicidal attempts -Higher rates of divorce
45
Neurotransmitters
-Depression may involve absolute or relative decrease of norepinephrine and serotonin -Zoloft and Prozac to increase serotonin
46
Genes
-Depression shows moderate heritability -Increases as function of severity (35-50%)
47
Diathesis-stress model
-Genetic diathesis related to serotonin activity and major stressful life events -Not been verified
48
Brain
-Increased emotional processing information processing areas -Decreased in cognitive control areas
49
Aaron beck
-1967 -Dysfunctional activity and negative mood states in individuals who were depressed -Helplessness theory: Attribute negative experiences to causes that are internal, stable, global -Beck updated cognitive model of depression as negative scheme characterization by biases -Interpretation of information, attention and memory
50
Bipolar disorder
-Unstable emotional condition characterized by cycles of abnormal, persistent high mood (mania) -Low mood (depression -45-90% of people with bipolar disorder experience major depression disorder before manic phase -Higher creativity and intellectual ability
51
Bipolar subtypes
bipolar l: At least one depressive episode and one manic episode bipolar ll: depressive episode followed by a hypomanic episode (lower intensity) Rapid cycling disorder: At least 4 mood episodes a year
52
Genetics with bipolar disorder
-40-70% heritability with identical twins -likely polygenic (multiple genes) -Pleioptropic effects (One gene influence susceptibility to multiple disorder) -Mood regulation, cognitive impairment and social withdrawal
53
Epigenetics
-Stressful life experiences often precede manic and depressive episodes -People living with family members who are high in expression emotion (criticism towards family member with mental disorder) are more likely to relapse than people with supportive families
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Psychosis
Break from reality
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Schizophrenia
-Psychosis -Disorder characterized by profound disruption of basic psychological processes -Distorted perception of reality -Altered or blunted emotion -Disturbances in thought, motivation and behavior
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symptoms from schizophrenia
-Positive: Things that weren't present before the disease -Negative: Things that were present before the disease -Disorganized: Disruptions or deficits in abilities of speech, movement and cognition -Cognitive: Deficit in cognitive abilities
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Hallucinations
-False perceptual experiences that have compelling sense of being real despite the absence of external stimulation -65% report hearing voices -Activity in Broca's area (speech) self generated -Does not sound like self-talk/a kind person talking
58
Delusions
-False beliefs, bizarre and grandiose that are maintained in spite of their irrationality -Jesus Christ, Napoleon -Misconception of multiple personalities -Delusions of persecution -No understanding of their disordered perceptual and though process so develop unusual beliefs about being controlled through external agents
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Negative symptoms
-Deficits of disruptions of normal emotions and behaviors -Emotional and social withdrawal -Apathy -Poverty of speech -absence/insufficiency of normal behavior, motivation and emotion -Deadpan responses, loose interest in people or events
60
Disorganized symptoms
-Disorganized speech -Grossly disorganized behavior -Catatonic behavior
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Disorganized speech
-Severe disruption of verbal communication with ideas shift rapidly and incoherently among unrelated topics -Difficulty organizing thoughts and focusing attention -Irrelevant response to questions -Associate ideas loosely -Use words in bizarre ways
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Grossly disorganized behavior
-Inappropriate behavior for situation or for attaining goals; often with motor disturbances -Constant childlike silliness -Improper sexual behavior -Inappropriate attire -Loud shouting and swearing -Strange movement, rigid posture, odd mannerism and hyperactivity
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Catatonic behavior
-Decrease in all movement or increase muscular rigidity and overactivity -Keeping an unusual posture and fail to move for hours -Resist movement -can be side effect from medication
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Deficits in cognition
-Executive functioning -Attention -Working memory -Prevents good performance in jobs or friendships -1 in 200 -onset 20-29 years
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Genetic factors
concordance rates (how similar twins are) increase dramatically with biological relatedness
66
Environmental factors
-Prenatal, perinatal environments also affect concordance rates -Environmental stressors can trigger epigenetic changes that increase susceptibility to schizophrenia
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Dopamine hypothesis
-Schizophrenia involves excessive dopamine activity -Some believe hypothesis is incomplete -Favorable response rate to dopamine blocking drugs is not 100% -Difference between rapid drug blocking action and patient beneficial response -Other neurotransmitters implicated with schizophrenia
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Enlarged ventricles in schizophrenia theory
-In minority of individuals with schizophrenia -In individuals without schizophrenia as well -Effects of long term antipsychotic medication
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Social/psychological factors
-Disturbed family environmental may affect development and recovery of schizophrenia -Disturbed families: Those with extreme conflict, lack of communication or chaotic relationships -Findings provide support for the diathesis stress model
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Disorders in childhood VS adolescence
-Some disorders begin in childhood or adolescence and never develop after this developmental period -Autism spectrum disorder -ADHD -Conduct disorder -Intellectucal -Learning disorders -Motor skill disorders -Communication disorders
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Autism spectrum disorders
-persistent communication deficits -Restricted and repetitive patterns of behaviors, interests or activities -in DSM, autism includes multiple disorders sperate in DSM-IV
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Statistics of ASD (Autism spectrum disorder)
-230 per 10,00 (1 in 44) children in disorders that fall under the ASD in the DSM-5 -Many children diagnosed with ASD no longer fit criteria in adulthood -Impaired capacity for empathizing -Superior capacity for systemizing -Highly variable trajectories
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Theories
- Early: Childhood schizophrenia -Current theory: Heterogeneous traits that cluster together in some families (90% heritability)
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ADHD
-Persistent pattern of severe problems with inattention (sustained attention, organization, memory, instruction) -Hyperactivity or impulsiveness
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ADHD diagnosis criteria
-Predominantly inattentive symptoms and hyperactive/impulsive symptoms -Combined presentation (DSM-5) -Does not emerge from one single cause -Biological influence -Effective drug treatments
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Conduct disorder
-Persistent pattern of deviant behavior -Aggression towards people or animals -Destruction of property -Deceitfulness or theft -Serious rule violations
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Symptoms of conduct disorder
-Diverse and wide range -Range of genetic, environmental and biological -Maternal smoking during pregnancy, affiliation with peer groups and presence of deficits in executive functioning -Comorbidity with ADHD, substance use disorders, antisocial personality disorder
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Extreme personality disorder
-Deeply ingrained, inflexible patterns of thinking -Feeling, or relating to others or controlling impulses that cause distress or impaired functioning -10 specific personality disorders that fall under 3 clusters 1) Odd/eccentric 2) Dramatic/erratic 3) Anxious/inhibited
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Antisocial personality disorder (APD)
-Pervasive pattern of disregard and violation of the rights of others -Begins in childhood or early adolescence and continues into adulthood -History of conduct disorder before age 15 -3.6% of population (men 3x more than women) -Sociopaths, psychopaths -Brain abnormalities
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Suicidal behavior VS nonsuicidal, self-injury disorder
-Suicidal behavior disorder: Intentional self-inflicted death (2nd most common cause of death for people aged 15-34 in Canada) -Nonsuicidal, self-injury disorder: Direct, deliberate destruction of body tissue in the absence of any intent to die. Absent in childhood and increases in adolescence with decrease into adulthood -Nonfatal suicide attempt: Potential harmful behavior with some intention of dying, higher incidence than suicide deaths