Clinical Psychology Flashcards

week 1-3 (55 cards)

1
Q

Define Mental Health

A

= state of mental wellbeing that enables people to cope with the stresses of life, realise their potential, learn and work well and contribute to a community

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2
Q

Define Mental Illness

A

= clinically diagnosable disorder the significantly interferes with an individuals cognitive, emotional or social abilities

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3
Q

Define Mental Disorder

A

= a syndrome characterised by clinically significant disturbance in an individuals cognition , emotional regulation, or behaviour that reflects a dysfunction in their psychological, biological, or developmental processes that lead to distress or disability

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4
Q

What does not classify a mental disorder

A

socially deviant behaviour
acceptable response to a life event, e..g death of a loved one

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5
Q

How does categorical classification classify a mental disorder

A
  • no mental disorder
  • mental disorder
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6
Q

Pros of categorical classification

A
  • better clinical and administrative utility
  • easier communication
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7
Q

How does dimensional classification classify a mental disorder

A

continuum between little issues/ distress to many issues/distress

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8
Q

Pros of dimensional classification

A
  • shows lack of sharp boundaries
  • greater capacity to detect change and facilitate monitoring
  • can develop treatment related symptom targets
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9
Q

DMSTR5 diagnosis steps

A
  1. interviews, text descriptions,. diagnostic criteria
  2. current presenting symptoms
  3. rule out disorder due to medical condition or substance
  4. establish boundaries with no disorder
  5. determine disorder and add subtypes
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10
Q

what does the biopsychosocial model do

A

interrelates the domains of life to explain causes of mental illnesses

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11
Q

List 4 P factors

A
  • predisposing
  • precipitating
  • perpetuating
  • protective
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12
Q

Define predisposing factor and name an example

A

= inherited factors that increase risk of developing a mental illness e.g. family history

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13
Q

Define precipitating factors and name an example

A

= immediate factors that cause symptoms now e.g. substance use

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14
Q

Define perpetuating factors and name an example

A

= factors that cause a continuation of symptoms e.g. divorce

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15
Q

Define protective factors and name an example

A

= factors that reduce risk of illness e.g. mindfulness

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16
Q

List the types of stigma ( 7)

A
  • self stigma
  • percieved stigma
  • experienced stigma
  • anticipated stigma
  • stigma by association
  • structural discrimination
  • public stigma
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17
Q

What is perceived stigma

A

= an individuals perception of public stigmatised stereotypes, prejudicial emotions, discriminatory behaviour or practices

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18
Q

What is experienced stigma

A

= experience of having been the rage of expressed negative stereotypes, prejudice and manifest discrimination related to mental health

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19
Q

what is anticipated stigma

A

= extent to which individuals living with mental health issues expect experience stereotypes, prejudice and discrimination

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20
Q

what is structural discrimination

A

ingrained stigma manifest at societal levels, e.g. government, religion, law and policies

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21
Q

3 types of public stigma

A

misinformation
prejudice
discrimination

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22
Q

4 stages of corrigan’s model

A
  1. awareness
  2. agreement
  3. application to self
  4. damage to self
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23
Q

Approaches to reduce stigma

A

1.contact
2. education

24
Q

how does contact reduce stigma

A

challenges stereotypes and builds empathy

25
how does education decrease stigma
increases understanding reduces myths opens societal discourse about mental illness which reduces self stigma
26
which types of education increase stigma and how
- psychosocial leads to increased blame - biomedical leads to increased perception of uncontrollability
27
Mood
= a persons sustained experience of emotion
28
Affect
= the immediate experience and expression of emotion
29
Mood disorders
= a depressive or elevation of food as the primary disturbance
30
Depressive episode criteria
- Depressed mood - Anhedonia - Decrease in appetite or significant weight gain - Persistently increased or decreased sleep - Psychomotor agitation of retardation - Fatigue or low energy Feeling of worthlessness or guilt
31
Depressive episode criteria
- Psychotic feature s - Melancholic features - Catatonic features - Postpartum onset - Anxious distress Seasonal pattern
32
major depressive disorder criteria
- Presence of major depressive episode - Episode not explained by another diagnosis - No history of mania, hypomania or mixed episode
33
anxiety disorders
- Panic disorder - Specific phobia - Social anxiety disorder - Generalised anxiety disorder - Obsessive compulsive disorder - Post traumatic stress disorder - Acute stress disorder
34
Panic disorder features
1. Palpitations, pounding heart, or accelerated heart rate. 2. Sweating. 3. Trembling or shaking. 4. Sensations of shortness of breath or smothering. 5. Feelings of choking. 6. Chest pain or discomfort. 7. Nausea or abdominal distress. 8. Feeling dizzy, unsteady, light-headed, or faint. 9. Chills or heat sensations. 10. Paraesthesia's (numbness or tingling sensations). 11. Derealization (feelings of unreality) or depersonalization (being detached from oneself). 12. Fear of losing control or “going crazy.” 13. Fear of dying
35
generalised anxiety disorder features
- Excessive anxiety and worry occurring more days than not - Difficulty controlling the worry Associated with three or more or the following : restlessness or feeling on edge, being easily fatigues, difficulty concentrating
36
Becks cognitive model of depression 4 stages
- Schema based on early experience - Negative events establish negative schema - Incidents trigger and activate negative schema
37
ABC cognitive model
A = activating event B = belief C = consequence
38
Psychoses positive symptoms
hallucinations delusions
39
Psychoses negative symptoms
- avolition = lack of motivation to achieve goals - alogia = poverty of speech and content latency of speech - anhedonia = inability to experience pleasure - affective flattening = dulled emotional expression - inattention = disturbance in selective attention
40
Criteria of psychoses
- delusions - hallucinations - disorganised - grossly disorganised speech - negative symptoms
41
what is personality
= individuals unique character and values
42
diathesis-stress models
= most mental disorders involve the combined action of personality vulnerability and environmental stress
43
what are some forms/causes of stress
- traumatic experiences - major life changes - accumulation of hassles
44
specific diatheses of diathesis
- dependency - autonomy - self-criticism - pessimistic attribution style
45
schizophrenia diatheses
social anhedonia physical anhedonia perceptual abberation magical thinking
46
anorexia diatheses
perfectionism
47
bipolar diatheses
hypomanic temperament
48
OCD
thought-action fusion
49
panic disorder diatheses
anxiety sensitive
50
odd cluster of personality disorders
= persuasive distrust and suspiciousness of others paranoid schizoid schizotypal links to psychosis
51
dramatic cluster
= pervasive pattern of gradiosity, need for admiration, lack of empathy * Antisocial * Borderline * Histrionic * Narcissistic
52
anxious personality disorders
= pervasive pattern of social inhibition, feelings of inadequacy, hypersensitivity to negative evaluation * Avoidant * Dependant * Obsessive Compulsive Links to anxiety and depression
53
dissociative personality disorder
Dissociative Identity Disorder = 2 or more distinct personalities * 1 host personality * 1 or more 'alters' 'alters' are usually uninhibited, often childlike, may have different allergies, optical prescriptions
54
DID traumatic theory
Traumatic * People w DID often report 'extreme trauma' * Score highly on susceptibility to hypnosis * 'dissociation' as auto-hypnotic defence in which consciousness is 'split' during traumatic stress * Skilled in this defence and construct alternative personalities
55
DID sociocognitive therapy
* Caused by therapists and culture * Therapists may use leading questions is suggestibility and unstable people may create apparent distinct personalities * Culture sanctions this manner of expression through mass media and news