Psychopathologhy Flashcards

(57 cards)

1
Q

Define statistical infrequency

A

Behaviour that is statistically infrequent or very rarely seen in the general population

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2
Q

Define failure to function adequately

A

Behaviour that means that the person is unable to engage or cope with the activities in normal day to day life

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3
Q

Define deviation from ideal mental health

A

When someone does not meet a set of criteria for mental well being e.g. Being unable to make their own decisions or having low self-esteem

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4
Q

Define deviation from social norms

A

Behaviour that is seen as socially unacceptable or undesirable within society

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5
Q

Advantages and disadvantages of statistical infrequent

A

:) it’s very valuable as it enables us to see how common conditions are
:) very objective
:( does not distinguish between infrequent characteristics that are desirable from those that are undesirable
:( fails to take into account the severity of someone’s condition or the impact it does have on their life

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6
Q

Advantages and disadvantages of deviation from social norms

A

:( can result in a form of social control and even persecution
:( may result in ethnocentric biases if psychiatrists do not understand a patients culture
:) can protect society from behaviour that is unacceptable and offensive
:) behaviour that is odd can often be one of the signs that brings someone’s mental illness to the attention of others

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7
Q

Advantages and disadvantages of the failure to function adequately

A

:( many people with mental disorders are functioning quite well
:( people may not be functioning adequately but this does not always mean they have a mental disorder
:) most people seek treatment only when this mental condition is affecting their day to day life
:) allows the severity of abnormal behaviour to be assessed by establishing the extent to which the persons life is affected using a scale like the GAF

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8
Q

Advantages and disadvantages of deviation from ideal mental health

A

:( it would categorise almost everyone as being mentally ill because no one meets all 6 of the criteria
:( difficult to objectively assess people on all six criteria
:) give an outline what individuals and societies should be aiming for in terms of maximising people’s well being

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9
Q

What is autonomy

A

Feeling that you have control of your own future and being able to do what you want and make your own decisions freely

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10
Q

Define a phobia

A

A persistent, intense and irrational fear of certain situations or objects

The fear is out of proportion to the danger posed

The person goes to great lengths to avoid the object or situation that they are afraid of

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11
Q

What are the three main type of phobia

A

Specific- spiders

Social- fear of embarrassment/ humiliation in a public or social situation

Agoraphobia- persistent fear of certain environments

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12
Q

What are behaviour symptoms of a phobia

A

The person will go to great lengths to avoid the phobic situation or to escape from it as soon as possible.

If the person cannot avoid the situation then behaviour signs of the fear may be seen eg shaking, crying, screaming

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13
Q

What are the cognitive symptoms of a phobia

A

The person may show distorted thinking about the phobic stimulus

The person is aware that their fear is irrational

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14
Q

Define depression (unipolar)

A

The two core symptoms of depression are depressed mood most or all of the day and diminished interest in or pleasure in activities

The person must experience at least 5 key symptoms of depression every day for st least two weeks before a diagnosis of depression would be considered

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15
Q

What is bipolar depression

A

The person has periods of weeks where they experience depressed mood with symptoms already described

But they also have phases of mania where the person may show symptoms such as an excessively high or elated mood

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16
Q

What are the behaviour symptoms of depression

A

Lack energy and are very inactive

Sleep problems

Changes in appetite

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17
Q

What are the emotion symptoms of depression

A

Low mood

Irritability- when depressed some people will be more angry then normal

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18
Q

What are the cognitive symptoms of OCD

A

Repetitive and intrusive thoughts and images

Realisation that the thoughts are irrational and self generated

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19
Q

What are the behavioural symptoms of OCD

A

Time spent on it can have serious effects on a persons ability to work/ have relationships

Avoidance- the person may go to great lengths to avoid things that may trigger their obsessional thinking

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20
Q

What is Mowrers tow-process model

A

Acquiring a phobia

Learn to associate the phobic object due to a frightening experience

Classical conditioning

Learns to avoid or escape from the object
Fears reduces when they get away from it

Operant conditioning

Reduction in fear reinforces their avoidance

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21
Q

What is generalisation of a phobia

A

Fear will start to generalise to other objects similar to the one that created the fear

The person who choked on a button may start to have a fear of other small objects

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22
Q

What is observational learning of phobias

A

People may learn to be afraid indirectly by witnessing someone else experiencing intense fear

Children may acquire a fear of spiders if they witness a parent being terrified

Called vicarious learning

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23
Q

What is systematic desensitisation

A

Before exposing the patient to their phobia they are trained in relaxation techniques

1) trained in deep muscle relaxation
2) draw up a fear hierarchy
3) get into relaxed state
4) asked to imagine the first step of their hierarchy
5) move to next step- real life exposure

24
Q

Evaluation of systematic desensitisation

A

:) acceptable to patients
:) easier to explain- more appropriate than flooding for children
:( time consuming

25
What is flooding
Going to the top of someone's fear hierarchy and exposing them to the thing that they are most afraid of for a prolonged period of time
26
Evaluation of flooding
:) can be a rapid and effective treatment | :; ethical issues are raised- very distressing
27
What is necks cognitive triad
Self World Future
28
What us cognitive behaviour therapy and what's its main aim
Focuses on the problems that the patient has in the here and now The main aim is to change dysfunctional thinking
29
How long does CBT for depression last
5-20 sessions
30
How would people identify the distorted thinking
Thought diary
31
What are the two important steps in CBT
Identify the distorted thinking Challenge the distorted thinking
32
What are the two steps in challenging dysfunctional thinking
Socratic questioning Collaborative empiricism
33
What is Socratic questioning
Therapist asks the patient a series of questions to help the patient discover new ways of thinking Therapist asks questions to guide the patient to thinking about whether being hard on hers,et is really helpful
34
What is collaborative empiricism
Patients are encouraged to view their beliefs as hypothesis to be systematically tested by gathering evidence They work together to test the beliefs in a scientific way
35
What is OCD cause by
Neural Abnormalities in the brain May be partly cause by genes Assumed to be a illness which can be treated using medical methods
36
What are the key areas of the brain involved in these circuits
Basal ganglia Or into- frontal cortex
37
What are neurotransmitters
Chemicals in the brain that allow messages to be sent between brain cells across the synapse
38
What is polygenic
Linked to many genres and not just a single gene Up to 230
39
What is MZ and dz
MZ- identical twins- share 100% of Dna Dz- non-identical twins- share 50% of dna Less likely to have OCD - dz twins
40
What is an example of a SSRI and a typical dose
Fluoxetine 20mg a day
41
What is a typical length of treatment
3-4 months At the end of the course of treatment the medication is usually stopped gradually to prevent any withdrawal symptoms
42
Who can prescribe the SSRI and what effect do SSRI have on the brain
GP/ psychiatrist Reduce re-uptake of serotonin back into pre-synapse Serotonin stays in the gap for longer Serotonin increased
43
What are the side effects
``` Irritability Sleep disturbances Headaches Reduce sex drive Suicidal thinking ```
44
Appropriateness of biological treatments for OCD
:)Although it rarely cures OCD, even a small reduction in symptoms can reduce persons distress :) relatively cost effective- taken easily :( side effects are unpleasant :( fluoxetine is not good for young children
45
Define OCD
An anxiety disorder in which the person experiences persistent intrusive thoughts that they find extremely unpleasant and upsetting
46
What's Ellis cognitive model of depression
Depression is not just the result of unpleasant events but depends on the persons beliefs Negative thing in - likely to feel depressed A- adverse event B- beliefs C- consequences
47
What's necks cognitive approach to depression
Negative schemea- extreme negative thinking Cognitive errors- Biased memories More likely to suffer from depression Tend to develop in childhood Can also lay dormant and become activated if there is a triggering event later in life
48
What are the key sy,toms of OCD
Obsessions- intrusive thoughts that the person finds extremely unpleasant Compulsions- repetitive, irresistible urge to perform a behaviour
49
What is the evidence for abnormalities in activity in the basal ganglia
Brain scanning studies- Paul a sue OCD like symptoms
50
What are the emotional symptoms of s phobia
Experience intense fear or feelings of panic The fear is excessive and out of proportion to the danger posed
51
What are the cognitive symptoms of depression
Distorted negative thinking Thoughts of death Poor concentration
52
Emotional symptoms of OCD
Intense anxiety Feeling of panic when the intrusive though occur if prevented from carrying out compulsive behaviour The person May Feel guilt and disgust At the thoughts that they are having
53
Behavioural explanation of phobias
Argues that phobias the fear and avoidance behaviours in phobias are learned as a result of s frightening experience Unlearned through behavioural therapy
54
What is a behavioural treatment for phobias
Exposure to fear d object in order to unlearn the association between the phobic stimulus and fear Gradual weakening of a conditioned response Person needs to encounter the thing that they are afraid of with no unpleasant event Prevented from escaping or trying to avoid the object in any way
55
What are the six factors from ideal mental health
``` Positive attitudes towards yourself Accurate perception of reality Resistance to stress Autonomy Mastery of the environment Self- actualisation ```
56
What are cognitive errors and examples
Catastrophising someone always assumes something will happen Applying a negative filter - ignite positive
57
What is the appropriateness of CBT for depression
:) straightforward and appears sensible :) time limited- not time consuming :( not suitable for patients with severe depression :( sometimes patients have realistically very difficult lives and altering thinking may be impossible