Psychopathology Flashcards

(35 cards)

1
Q

4 definitions of abnormality

A
  • Statistical infrequency
  • Deviation from social norms
  • Deviaton from ideal mental health
  • Failure to function adequately
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2
Q

Statistical infrequency

A

Occurs when individual has a less common characteristic. For example, being more depressed or less inelligent. IQ- 2% below score of 70 and classed as ‘abnormal’

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3
Q

Cognitive approach to explaining depression- Becks negative triad

A

Explain why some ppl more** vulnerable to depression** than others proposing 3 kinds of negative thinking:
1. Faulty info processing- depressed ppl attend to negatives and ignore positives. ‘black and white thinking’- somethings either all bad or all good.

  1. Negative self-schema: Person interprets all info about them in negative way.
  2. Negative triad:3 types of negative thinking that contribute to becoming depressed.
    Negative view of the world, future and self.
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4
Q

Evaluation of Beck’s negative triad

A

+Research support: Cohen et al- Tracked 473 adolescents development who regularly displayed cognitive vulnearbility. Showing cognitive vulnerability led to later depression.

+RWA in screening & treating depression: Cohen et al-** cog vulnerability allows psychologists to screen young ppl and monitor those most at risk of developing depression in future. Can be applied in CBT. Therapists alter kind of cognitions that make ppl vulnerable to depression, making them more resiliant to negative life events.

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5
Q

Cognitive approach to explaining depression- Ellis’ ABC model

A
  • Depression occurs when (A) activating event (e.g. failing important test), triggers an (B) irrational belief (major disaster you don’t succeed), producing a (C) consequence (when person fails depression may be triggered with this attitude)
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6
Q

Evaluation of Ellis’ ABC model

A

+RWA in treatment of depression: Ellis’ approach to cog therapy is called REBT- by vigorously arguing w depresswed person they can alter the irrational beliefs that are making them unhappy, changing negative symptoms and relieving depression symptoms. Support of REBT through David et al.

-Only explains reactive depression: Ellis can’t explain life events that don’t have an ‘activating event’ and isn’t traceable to life events. Ellis’ ABC less useful for explaining endogonous depression.

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7
Q

What is CBT

A

Cognitive Behavioral Therapy (CBT) is a type of talking therapy that helps individuals manage mental health problems by changing the way they think and behave. Focuses on the present and helps individuals identify and change unhelpful thought patterns and behaviors.

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8
Q

Failure to function adequately

A

Occurs when someone’s unable to cope w ordinary demands of day-day living. Things like not maintaining nutrition and hygeine, not being able to hold down a job or stay in relationships w ppl around them.

Rosenhan & Seligman also said when a person experiences severe personal distress, bvr becomes irrational, person no longer conforms to interpersonal rules (e.g. eyecontact)
Example- Intellectual disability disorder

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9
Q

Deviation from social norms

A

**Bvr that’s different from the expected (acceptable) standards of bvr in a society. **
Few bvrs wld be considered universally abnormal as norms are specific to the culture and generation we live in. For example homosexuality seen as abnormal in UK in the past and is still seen as ‘abnormal’ in some cultures.

Example- Antisocial personality disorder (impulsive, aggressive and irresponsible.

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10
Q

Deviation from ideal mental health

A

**Occurs when someone does not meet a set of criteria for a good mental health. **

What Jahoda suggests ideal mental health looks like:
* No symptoms or distress
* We’re rational and percieve ourselves accurately
* Self-actualise (strive to potential)
* Can cope w stress
* Realistic view of the world
* Good self-esteem and lack guilt
* Independent
* Successfully work, love and enjoy our leisure

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11
Q

Bvh characteristics of phobias

A

Panic- (crying, screaming, running away)
Avoidance- prevent contact w stimilus
Endurance- remain in presence of phobic stimilus but keep an eye on it

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12
Q

Emotional characteristics of phobias

A

Anxiety
Fear
Unreasonable

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13
Q

Cognitive characteristics of phobias

A

Selective attenion of phobic stimilus
Irrational beliefs
Cog distortions

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14
Q

Bvh characteristics of phobias

A
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15
Q

Bvh characteristics of depression

A

Activity levels- Typically reduced energy levels
Sleep & eating bvr disruption
Aggression & self-harm

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16
Q

Emotional characteristics of depression

A

Lowered mood
Anger
Lowered self-esteem (like ourselves less)

17
Q

Cognitive characteristics of depression

A

Absolutist thinking (something is either all-good or all-bad)
Dwelling on -ve and ignore +ves
Poor concentration

18
Q

Bvh characheristics of OCD

A

Repetitive compolsions (e.g. hand washing)
Compulsions reduce anxiety
Avoidance of situations that may trigger compulsions

19
Q

Emotional characteristics of OCD

A

Anxiety & distress (unpleasant experience)
Guilt
Accompanying depression

20
Q

Cognitive characteristics of OCD

A

Obsessive thoughts (reccuring thoughts that are usually unpleasant)
Cognitive coping stratergies
Insight into excessive anxiety

21
Q

What did Mowrer propose?

A

Proposed the two-process model that phobias are acquired through CC and continue due to OC.

22
Q

Acqusition of phobias through CC

A

Associating something we initially have no fear of (NS) with something that triggers a fear response (UCS)
Watson & Rayner- Little Albert who associated loud banging noise w rat. Generalisation occured as he associated his phobia w other furry things.

23
Q

Maintenance by OC

A

As individual avoids unpleasant situation they gain negative reinforcement which removes unpleasant situation.
Mowrer said reduction in fear reinforces avoidance bvr so bvr repeated.

24
Q

Bvr approach to treating phobias (SD)

A

SD- Gradually reduce phobic anxiety through CC as if person can learn to relax in phobic stimilus presence they will be cured. This learning of a diff response is Counterconditioning.
3 Processes involved:
1. Anxiety hierachy
2. Relaxation- Impossible to relax and be afraid at same time (reciprocal inhibition)
3. Exposure

25
Bvr approach to treating phobias (flooding)
Person w phobic stimilus has immidiate exposure to very frightening situation. Usually one session 2/3 hrs. Works as client can't use avoidance so quickly learns phobic stimilus is harmless. Leads to extinction. Clients need to give fully informed consentand need to be prepared.
26
Becks negative triad
Suggests ppl become depressed due to cog vulnerability: Faulty info processing: Attending to negative aspects of situation Negative self-schema: Interpret info about them in negative way Negative triad: Having negative view on world, self, future
27
Ellis' ABC model
Irrational thoughts affect our bvr and emotional state. Activating event: Negative life event that triggers irrational response. Belief: Lead us to over react to activating event. Musturbation (we must succeed). Utopianism (must always be fair) Consequences: Depression
28
Beck's cog therapy
Aims to identify negative thoughts and challenge them directly. 'Client as scientist' by giving them hw to test the reality of their negative beliefs. E.g. record when they enjoyed an event. This Hw can be used as evidence to challenge negative beliefs.
29
Ellis' REBT
Adds D (dispute) and E (effect). Therapist has vigarous argument to change irrational beliefs (break link between negative life events and depression) Empirical argument: if it follows the facts Logical argument: if makes logical sense
30
Behavioural activation in CBT
Encourage depressed person to engage in enjoyable activities. This means depressed ppl don't avoid difficult situations so mood is improved.
31
Genetic explanation to OCD
Genes are involved in individual vulnerability to OCD. Lewis (36)- Of his OCD patients 37% had parent w OCD and 21% had sibling w OCD. Suggests genetic vulnerability passed on through generations. Can be triggered through diathesis-stress model.
32
# Genetic explanation Candidate genes involved in OCD? Polygenic?
Genes that are involved in regulating serotonin system. E.g. 5HT1-D beta is implicated in the transport of serotonin across synapses. OCD seen to be caused by combination of gene variations that increase vulnerability. Taylor (13) found evidence that up to 230 genes may be involved in OCD. Its Heterogeneous (origins vary from person to person)
33
# Worry circuit Neural explanation to OCD
1. OFC identifies worry 2. If caudate nucleus is damaged it fails to filter out minor worry signals 3. So thalamus transfer minor and major worry signals from CN to OFC. 4. OFC becomes 'hyperactive', obsessions over minor worries acting in disporportinate manner (compulsions) Low levels of serotonin associated w OCD
34
# Drug therapy Biological approach to treating OCD
SSRIs (antidepressant)- Prevents the reabsorption and breakdown of serotonin effectively increasing serotonin levels in the synapse and continue to stimulate the post-synaptic neurone. Compensates for whats wrong w serotonin system. E.g. Fluoxetine Drugs often used alongside CBT. Alternatives to SSRIs are tricyclics (act on serotonin & other systems) and SNRIs (act on serotonin & noradrenaline)
35
Evaluation of bio approach to treating OCD
**+ Evidence of effectivness:** Soomro et al (09) reviwed 17 studies comparing SSRIs to placebos. SSRIs much more effective, finding symptoms to reduce by 70% for ppl taking SSRIs. Drugs appear to be helpful. **-Counterpoint: Skapinakas (16)-** Cog & Bvr therapies more effective in treatment of OCD. Drugs may not be best treatment. **+ Drug therapy is cost-effective and widely available:** Cheaper (& more readily available than other psychological treatments such as CBT so the impact on the economy is lessened. This benefits health services budgets (NHS). If more people are treated, they may return to work quicker which positively impacts the economy. Also non-disruptive to patients (don't need to allocate time to therapy sessions). Means drugs are popular treatment. **-Serious side effects:** Indigestion, blurred vision, loss of sex drive (temporary but distressing). Clomipramine (a tricyclic)- 1 in 10 experience erection problems & weight gain and 1 in 100 experience heart related problems and aggressive. Side effects may lead to the stopping of taking drugs meaning they cease to be effective. **-May be biased evidence** as drug companies sponsor researchers encouraging them to publish positive outcomes.