psychopathology Flashcards

(38 cards)

1
Q

definitions of abnormality

A

Deviation from social norms
Failure to function adequately statistical infrequency deviation from ideal mental health

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2
Q

deviation from social norms

A

unwritten rules created by society to guide behaviour learned by association.

antisocial personality disorder - absence of social norms

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3
Q

evaluation of deviation from social norms

A

problem of the context of behaviour - not easy to create laws that apply worldwide.
cultural relativity - lack of reliability in determining the abnormality.
human rights abuse - limits, freedom, and discriminates against those who don’t fit in

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4
Q

failure to function adequately

A

Can’t cope with every day life.
indicators by Rhosenhan and Seligmen:
dysfunctional behaviour - behaving in a way that interferes with a normal life
Personal distress - can’t function due to emotional instability
Observer discomfort - upset to others by breaking rules
Unpredictable behaviour - unexpected way.
Irrational behaviour - makes no sense to others

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5
Q

evaluation of failure to function adequately

A

Recognises subjective experience to allow us to view disorder from their pov.
Subjective judgements for main indicators - questions reliability.
Hard to distinguish from deviation from social norms

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6
Q

deviation from ideal mental health

A

if absence of criteria - behaviour is labelled abnormal.
Jahoda identified common concepts to what makes people normal:
Self attitudes - confidence
Personal growth - achieve full potential
Resistance to stress
Autonomy - make own decisions
Perception of reality - rational
Environmental mastery - meet demands of situation

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7
Q

evaluation of deviation from ideal mental health

A

Comprehensive range of criteria - limits stigma attached
Quite vague hard to measure objectively - inconsistent
Criteria are cultural-bound
Unrealistically high standards

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8
Q

statistical in frequency

A

If behaviour uncommon it’s abnormal (statistically rare)
intelligence can be abnormal if score high or low on an IQ test.
Less than than 5% to be abnormal.

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9
Q

evaluation of statistical infrequency

A

fails to distinguish between behaviour that should be treated or just desirable.
Not everybody benefits from a label impacts them and how others view them.
Doesn’t consider cultural factors so can’t generalise .
Real life application diagnose IDD (intellectual disability disorder)

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10
Q

The behavioural approach to explaining phobias

A

Two-process model (mowrer)
classical conditioning explains how they are acquired.
second stage operant conditioning maintains

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11
Q

Watson and rayner - little Albert study

A

create a phobia from white fluffy objects by making a loud noise when they appeared

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12
Q

evaluation of the two process model

A

Research to support - little Albert.
alternative explanation for avoidance - motivated by positive feelings of being safe not negative (fear).
other factors to be considered, incomplete model evolutionary factors - fear things that threaten us, face validity.
Limited as can’t explain cognitive characteristics, only observable behaviour

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13
Q

behavioural approach to treat phobias: system desensitising

A

based on classical conditioning.
involves person replacing fear response with alternative and harmless response of relaxation.
called counterconditioning as can’t be scared and relaxed at the same time.
one emotion prevents the other - reciprocal inhibition.

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14
Q

System desensitisation process

A

Make anxiety hierarchy.
Therapist train, client and relaxation techniques.
Patient exposed to phobic stimulus while relaxed .
When client comfortable at that level, imagine next step.
repeated

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15
Q

flooding

A

New association learned between relaxation procedure and feared stimulus.
Phobic individual placed in situation where forced to face fear .
Immediate exposure lasts until fear response disappears as limit to how long body can sustain fear .
Association is extinguished .

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16
Q

evaluation of systematic desensitisation

A

Research to support effectiveness of treatment - Gilroy- arachnophobia.
Advancements in tech - positive implications using VR software instead of imagination so it’s realistic- high success rate.
Not appropriate for everyone struggle with imagination and relaxation .
Ethical concerns risk of psychological harm if ineffective .

17
Q

evaluation of flooding

A

Cost-effective as sometimes only one session - quick cure.
Ineffective - don’t treat underlying cause, simply symptoms substitution .
Intense, traumatic high drop out rate not suitable for all.

18
Q

depression clinical characteristics

A

Behavioural: activity levels shift, sleep and eating, aggression
Cognitive : concentration, negative thoughts, absolutest thinking
Emotional : low mood, anger, low self-esteem

At Sunset All Cows Nap And Snore And Snuggle

19
Q

characteristics of phobias

A

Behavioural: avoidance, panic, endurance - remain in presence
Cognitive: selective attention, irrational beliefs and cognitive distortions
Physical: anxiety, fear and emotional responses are Unreasonable.

Albanian Pink Elephants Said Iguanas Catch Apples For Us

20
Q

clinical characteristics of OCD

A

behavioural: compulsions (receptive), reducing anxiety - perform behaviours, avoidance
cognitive: obsessive thoughts cognitive coping strategies insight into excessive anxiety - aware they’re irrational
physical : anxiety and distress, accompanying Depression, guilt, and disgust.

Cubs Roared And Our Croc Is A Dangerous Guy

21
Q

Becks Negative Triad

A

behaviour influenced by schemas.
negative events in early life = negative automatic thoughts.
these lead to cognitive distortions.
depressed ppl often have faulty processing so focus on negatives.
made up of negative views of self.

22
Q

Ellis ABC model

A

depression is result of irrational thoughts.
Activating events lead to certain Beliefs about the events, then as a result - emotional response, Consequence.
called - achieve perfect musturbation.
Utopianism - belief always meant to be fair. ppl with this will be depressed.

23
Q

CBT

A

treatments will encourage patients to challenge thought n replace with rational thinking.
starts with assessment where patient n therapist clarify problems, identify goals.

24
Q

Becks cognitive therapy

A

patients record thought and identify negative triad.
therapist challenges these thoughts by drawing attention to positives.
uses behavioural techniques which can be shown next appt.

25
Ellis rational emotive behaviour therapy (REBT)
based on ABC model of how problems emerge. client n therapist work together to identify activating event and event irrational beliefs produced. patient encouraged to Dispute beliefs by empirical disputing where they are Encouraged to think about self-defeating isn’t constant with reality. Also logical disputing
26
evaluation of cognitive approach to explaining depression
both beck and ellis led to practical applications - treatments, effective. correlational, doesn’t show cause and effect - limited - or how or why. ABC partial explanation - only some cases follow an activating event. called reactive depression - diff type of depression - limits applicability. both theories limited, cant explain certain depressive symptoms. incomplete (hallucinations?)
27
evaluation of cognitive approach to treating depression
effective - research to support from march et al (81% significantly improved) more effective for some than others, requires motivation- people with rigid attitudes wouldn’t. focus on changing thoughts only, ignoring environmental. only effective if good relationship with therapist. costs a lot, more time consuming.
28
biological explanation of OCD
neural theory: brain chemical, brain areas genetic theory
29
brain chemical (neurotransmitter)
OCD due to low levels of serotonin (mood chemical). Low levels in orbit-frontal cortex. OFC is decision making centre so can't stop repeating same action (compulsions).
30
brain areas (neuroanatomy)
OFC - frontal lobes - OCD = impaired decision making. para hippocampus gyrus responsible for processing unpleasant emotions so if faulty may lead to OCD too.
31
evaluation of neural theory
drug treatments for OCD. drugs to increase serotonin (SSRI, prozac) 70% success. real world application, validated theory. scientific, labs. controlled, standardised, replicable, objective. FMRI highly reliable. scientific status. can’t establish cause n effect, only correlated. problematic as could be 3rd variable. link isn’t unique. depression also. co-morbidity. unclear if typical of both or just either one.
32
genetic theory
hereditary. lewis et al - family study on OCD patients. 37% had parent with it, 21% siblings. candidate genes - SERT. Taylor et al - 230 genes, polygenic. Aetiologically heterogeneous - combination of genes that can vary from person to person.
33
evaluation of genetic theory
supporting evidence. nestadt et al: twin study. MZ= 68%. DZ= 31%. genetic risk as higher MZ. increases validity. animal research - Ahmarl et al: mice, genes involved in reputable actions. however humans n mice differ in cognitive processing. cautious when generalising.
34
biological approach to treating OCD : drug therapy
aims to increase/decrease NT levels to normalise them so symptoms go. block the re uptake of serotonin so NT forced to stay in synapse where it increases overtime n continues to bind to post-synaptic receptor sites, eventually leading to decrease in symptoms.
35
the drugs
most common anti-depressants : SSRI’s and prozac. average dose: 20mg a day takes 3-4 months to work tablets/syrup.
36
alternatives
1) tricyclics - work in same way as SSRI, block re uptake of serotonin. has worse side effects. 2) SNRI’s - block re uptake of serotonin & noradrenaline
37
strengths of drug therapy
soomro et al - meta-analysis. SSRI vs placebo drug trial. 70% success. practical, cost - effective and non-disruptive. cheap - NHS. little effort from patient. popular with patients and doctors
38
weaknesses of drug therapy
unpleasant side effects which can discourage patients if SSRI fails, worse with tricyclic. decreases quality of life. not a cure, only treats, patients who stop quickly relapse. combining drugs and CBT tackles symptoms and cause but costly for NHS. controversy over effectiveness. publication bias - researchers sponsored by drug companies - Goldacre, questions validity.