psychopathology Flashcards

(31 cards)

1
Q

What are the definitions of abnormality? (AO1)

A

• Deviation from Social Norms: Behavior that deviates from social norms and cultural expectations is considered abnormal.
• Failure to Function Adequately: A person is considered abnormal if they cannot cope with everyday life, showing personal distress and an inability to perform normal functions (e.g., work, relationships).
• Deviation from Ideal Mental Health: Abnormality is the absence of characteristics necessary for optimal mental health, such as self-actualization, autonomy, and a realistic view of the world.
• Statistical Infrequency: Abnormality is identified when behavior is statistically rare (e.g., an IQ score significantly lower or higher than the average).

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2
Q

How can definitions of abnormality be applied to real-life scenarios? (AO2)

A

• Deviation from Social Norms: A person exhibiting aggressive or disruptive behavior in public may be seen as abnormal for violating societal norms.
• Failure to Function Adequately: Someone with severe depression who cannot perform daily tasks, such as getting out of bed or maintaining relationships, might be seen as failing to function.
• Deviation from Ideal Mental Health: Excessive anxiety, lack of independence, or unrealistic self-perceptions may be considered abnormal.
• Statistical Infrequency: A person with an IQ score of 55 (far below the average range of 85-115) would be deemed statistically abnormal.

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3
Q

What are the strengths and limitations of definitions of abnormality? (AO3)

A

Strengths:
• Statistical Infrequency: Provides objective, measurable criteria for identifying abnormal behavior.
• Failure to Function Adequately: Focuses on observable behaviors and real-life outcomes, such as the ability to maintain work and relationships.

Limitations:
• Deviation from Social Norms: Culturally relative, as norms differ between cultures, leading to potential bias.
• Failure to Function Adequately: Some abnormal behaviors (e.g., eccentricity) may not prevent daily functioning.
• Deviation from Ideal Mental Health: Subjective criteria that may not be universally achievable or relevant.

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4
Q

What are phobias, and what types exist? (AO1)

A

• Definition: Phobias are excessive, irrational fears of specific objects, situations, or activities, often out of proportion to the actual threat posed.
• Types of Phobias:
1. Specific Phobias: Fear of a specific object or situation (e.g., heights, spiders).
2. Social Phobia: Fear of social situations and being judged (e.g., public speaking).
3. Agoraphobia: Fear of situations where escape is difficult, like crowded places.

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5
Q

How can phobias be applied to real-life scenarios? (AO2)

A

• Specific Phobias: A person with a flying phobia might avoid air travel entirely, experiencing anxiety even at the thought of planes.
• Social Phobia: Individuals may avoid social gatherings, suffer panic attacks, or feel self-conscious in public.
• Agoraphobia: A person might confine themselves to their home due to fear of panic attacks in public spaces.

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6
Q

What are the strengths and limitations of phobia explanations and treatments? (AO3)

A

Strengths:
• Behavioral explanations (e.g., classical conditioning) provide insight into how phobias are learned, and treatments like systematic desensitization are effective.
• Biological approaches (e.g., evolutionary factors) explain why some fears (e.g., of snakes) are more common.

Limitations:
• Behavioral explanations may overlook cognitive factors in phobia development.
• Exposure therapy may increase anxiety for some patients rather than reducing it.

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7
Q

What is depression, and what are its symptoms? (AO1)

A

• Definition: Depression is a mental disorder characterized by persistent sadness, hopelessness, and lack of interest in activities once enjoyed.
• Symptoms:
Emotional: Sadness, feelings of worthlessness.
Cognitive: Negative self-thoughts, difficulty concentrating.
Behavioral: Lack of energy, changes in sleep or appetite.
Physical: Low energy, aches, and pains.

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8
Q

How can depression be applied to real-life scenarios? (AO2)

A

• A person with depression might struggle to get out of bed, withdraw from social interactions, and have difficulty concentrating at school or work.
• Treatments like cognitive-behavioral therapy (CBT) help challenge negative thinking patterns and promote positive thought processes.

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9
Q

What are the strengths and limitations of depression explanations and treatments? (AO3)

A

Strengths:
• The cognitive-behavioral model is well-supported, with Beck’s Cognitive Triad linking negative thought patterns to depression.
• Biological explanations highlight neurotransmitters like serotonin, explaining the efficacy of medications.

Limitations:
• CBT may not work for everyone, particularly those with severe depression who might require medication.
• Biological approaches are criticized as reductionist, ignoring psychological and social factors.

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10
Q

Phobias- Behavioral Approach-
Flooding- AO1+2

A

AO1:
• Flooding: Exposing the individual to the phobic stimulus without gradual buildup, leading to extinction of fear.

AO2:
• Case study: Wolpe (1960) treated a girl with a phobia of cars by driving her around for hours until her anxiety reduced.

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11
Q

Phobias- Behavioral Approach-
Flooding- AO3

A

AO3:
• ✅ Cost-effective (quick and efficient).
• ✅ Evidence-based success (Wolpe’s case study).
• ❌ Highly traumatic (ethical concerns).
• ❌ Symptom substitution (underlying anxiety may manifest elsewhere).

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12
Q

Depression Cognitive Approach- CBT + ABC Model AO1+2

A

AO1:
• Ellis’s ABC Model: Activating event → Belief → Consequence.
• CBT (Cognitive Behavioural Therapy) aims to challenge irrational beliefs and replace them with more adaptive thoughts.

AO2:
• Application: Treating patients with negative automatic thoughts (NATs) through thought records and cognitive restructuring.

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13
Q

Depression Cognitive Approach- CBT + ABC Model AO3

A

AO3:
• ✅ Practical application (CBT is widely used and effective).
• ✅ Research support (March et al. found CBT was as effective as antidepressants).
• ❌ Requires motivation (not suitable for severely depressed patients).
• ❌ Overemphasis on cognition (ignores biological factors like genetics).

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14
Q

OCD Biological Approach-
Drug therapy + neural explanations- AO1+2

A

AO1:
• Neural explanation: Low levels of serotonin and hyperactivity in the orbitofrontal cortex.
• Drug therapy: SSRIs (Selective Serotonin Reuptake Inhibitors) increase serotonin levels.

AO2:
• Case study: Soomro et al. (2009) found SSRIs significantly reduced OCD symptoms.

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15
Q

OCD Biological Approach-
Drug therapy + neural explanations- AO3

A

AO3:
• ✅ Strong scientific evidence (brain scans show neural abnormalities).
• ✅ Effective treatment (SSRIs reduce symptoms in 70% of cases).
• ❌ Side effects of medication (e.g., weight gain, insomnia).
• ❌ Reductionist (ignores psychological factors like trauma).

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16
Q

Phobias- Two process model- AO1+2

A

AO1:
• Two-process model: Classical conditioning (initiation) and operant conditioning (maintenance).

AO2:
• Application: Arachnophobia can develop after a traumatic experience (classical conditioning), and avoidance of spiders reduces anxiety (negative reinforcement through operant conditioning).

17
Q

Phobias- Two process model- AO3

A

AO3:
• ✅ Explains maintenance (why phobias persist over time).
• ✅ Practical application (informs effective treatments like systematic desensitization).
• ❌ Incomplete explanation (doesn’t explain phobias without a traumatic experience).
• ❌ Ignores cognitive factors (e.g., irrational thoughts).

18
Q

Depression (Cognitive Approach)- Beck’s triad + cog distortions AO1+2

A

AO1:
• Beck’s Cognitive Triad: Negative views about the self, the world, and the future.
• Cognitive distortions: Overgeneralisation and catastrophising.

AO2:
• Example: A student who fails one test believes they are destined to fail all future exams.

19
Q

Depression (Cognitive Approach)- Beck’s triad + cog distortions AO3

A

AO3:
• ✅ Supporting research (Grazioli & Terry found that pregnant women with cognitive vulnerabilities were more likely to develop postnatal depression).
• ✅ Practical application (forms the basis for CBT).
• ❌ Doesn’t explain all aspects of depression (e.g., anger or hallucinations).
• ❌ Causation issue (negative thinking may be a consequence, not a cause, of depression).

20
Q

OCD (Biological Approach) AO1+2

A

AO1:
• Genetic explanation: Candidate genes like COMT and SERT influence serotonin and dopamine levels.
• Polygenic: Taylor (2013) found up to 230 genes may be involved in OCD.

AO2:
• Family study: Nestadt et al. (2000) found that first-degree relatives of OCD sufferers had a five times higher risk of developing OCD.

21
Q

OCD (Biological Approach) AO3

A

AO3:
• ✅ Strong research support (twin studies show higher concordance rates in identical twins).
• ✅ Explains why some people are biologically predisposed to OCD.
• ❌ Reductionist (ignores environmental triggers like trauma).
• ❌ Not 100% concordance in twins (suggests other factors are involved).

22
Q

Treating OCD (Biological Approach) Alt drug treatments- AO1+2

A

AO1:
• Alternative drug treatments: Tricyclics and SNRIs (Serotonin-Norepinephrine Reuptake Inhibitors) when SSRIs are ineffective.

AO2:
• Evidence: Soomro et al. (2009) found SSRIs significantly more effective than placebos in reducing OCD symptoms.

23
Q

Treating OCD (Biological Approach) Alt drug treatments- AO3

A

AO3:
• ✅ Cost-effective and non-disruptive (no need for therapy sessions).
• ✅ Quick relief from symptoms.
• ❌ Side effects (nausea, headaches, sexual dysfunction).
• ❌ Treats symptoms, not the root cause (relapse when medication is stopped).

24
Q

The Interactionist Approach to OCD AO1+2

A

AO1:
• Diathesis-Stress Model: Genetic vulnerability combined with environmental stressors triggers OCD.

AO2:
• Example: A person with the COMT gene may only develop OCD after a traumatic life event.

25
The Interactionist Approach to OCD AO3
AO3: • ✅ More holistic explanation (combines biological and psychological factors). • ✅ Practical applications (personalised treatment plans). • ❌ Difficult to measure the exact contribution of genes vs environment. • ❌ Not all individuals with genetic vulnerability develop OCD.
26
Characteristics of Phobias (Behavioural, Emotional, and Cognitive) AO1+2
AO1: • Behavioural: Panic (crying, screaming), avoidance (avoiding the phobic stimulus), and endurance (remaining in the presence of the stimulus but experiencing high anxiety). • Emotional: Anxiety (an unpleasant state of arousal) and unreasonable emotional responses. • Cognitive: Selective attention to the phobic stimulus, irrational beliefs (e.g., “If I see a spider, I’ll die”), and cognitive distortions (perceiving the stimulus as more dangerous than it is). AO2: • Example: Someone with arachnophobia might refuse to enter a room if they suspect a spider is inside.
27
Characteristics of Phobias (Behavioural, Emotional, and Cognitive) AO3
AO3: • ✅ Helps in diagnosis (clear behavioural patterns). • ✅ Supports cognitive treatments like CBT. • ❌ Doesn’t explain the root cause (could be biological or environmental). • ❌ Subjective (one person’s fear might seem irrational to others).
28
Characteristics of Depression (Behavioural, Emotional, and Cognitive) AO1+2
AO1: • Behavioural: Reduced activity levels, disruption to sleep and eating patterns, aggression, and self-harm. • Emotional: Lowered mood, anger, and lowered self-esteem. • Cognitive: Poor concentration, dwelling on the negative, and absolutist thinking (all-or-nothing thinking). AO2: • Example: A depressed individual might struggle to get out of bed or have difficulty concentrating in class.
29
Characteristics of Depression (Behavioural, Emotional, and Cognitive) AO3
AO3: • ✅ Allows for accurate diagnosis using criteria like the DSM-5. • ✅ Supports CBT by targeting negative thought patterns. • ❌ Doesn’t account for biological influences (e.g., serotonin imbalance). • ❌ Overlaps with other mental health conditions like anxiety.
30
Characteristics of OCD (Behavioural, Emotional, and Cognitive) AO1+2
AO1: • Behavioural: Compulsions (repetitive behaviours like handwashing) and avoidance (avoiding situations that trigger anxiety). • Emotional: Anxiety and distress, accompanying depression, and feelings of guilt and disgust. • Cognitive: Obsessive thoughts (e.g., fear of contamination), cognitive strategies to cope (e.g., prayer), and insight into excessive anxiety. AO2: • Example: An individual with contamination OCD may excessively wash their hands to reduce anxiety.
31
Characteristics of OCD (Behavioural, Emotional, and Cognitive) AO3
AO3: • ✅ Supported by biological explanations (e.g., serotonin levels). • ✅ CBT can target cognitive distortions. • ❌ Ignores environmental triggers like trauma. • ❌ Can be difficult to distinguish from other anxiety disorders. ⸻