Psychopathology Flashcards

(66 cards)

1
Q

Name the three types of characteristics of phobias?

A

Behavioural
Emotional
Cognitive

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2
Q

What are the behavioural characteristics of phobias?

A

Panic - crying, screaming or running away when in radius of phobia
Avoidance - Avoid contact with phobia
Endurance - Staying in radius of phobia but with high levels of anxiety

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3
Q

What are the emotional characteristics of phobias?

A

Anxiety - unpleasant state of high arousal around phobia

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4
Q

Give me an example of emotional characteristics of phobias?

A

Arachnophobia

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5
Q

What are the cognitive characteristics of phobias?

A

Selective attention to the phobic stimulus - keeping focus on the phobia
Irrational beliefs - in relation to the phobic stimulus
Cognitive distortions - perceptions of phobic stimulus may be distorted e.g. seeing snakes as alien

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6
Q

What does the latest version of the DSM-5 recognise as a category’s of phobia?

A

Specific phobia -phobia of an object or situation
Social anxiety - phobia of a social situation
Agoraphobia - phobia of being outside

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7
Q

What are the behavioural characteristics of depression?

A

Activity levels - sufferers of depression have reduced levels of energy
Disruption to sleep and eating behaviour - sufferers may experience reduced sleep and appetite may increase or decrease
Aggression and self-harm - Sufferers may became physically or verbally aggressive. Or cutting or suicide attempts.

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8
Q

What are the emotional characteristics of depression?

A

Lowered mood - sufferer often feeling sad
Anger - sufferer frequently experience anger can be towards others or themselves
Lowered self-esteem - sufferers liking themselves less than normal

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9
Q

What are the cognitive characteristics of depression?

A

Poor concentration - sufferers find themselves unable to stick with a task or make decisions they usually would
Attending to the negative - sufferers pay more attention to negative aspects of a situation
Absolutist thinking - sufferers experience ‘black or white’ thinking

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10
Q

What are the DSM-5 categories of depression?

A

Major depressive disorder - severe but often short-term depression
Persistent depressive disorder - long-term or recurring depression
Disruptive mood dysregulation disorder - childhood temper tantrums
Premenstrual dysphoric disorder - disruption to mood prior to and during menstruation

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11
Q

What are the emotional characteristics of OCD?

A

Anxiety and distress - sufferers can have overwhelming anxiety
Accompanying depression - anxiety can be accompanied by low mood and lack of enjoyment in activities
Guilt and disgust - sufferers sometimes get irrational guilt over minor moral issues

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12
Q

What are the cognitive characteristics of OCD?

A

Obsessive thoughts - 90% of sufferers have obsessive thoughts and they vary by the person but they are always unpleasant

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13
Q

What are the behavioural characteristics of OCD?

A

Compulsions - sufferers of OCD feel compelled to repeat a behaviour. Around 10% of sufferers have no obsessions but instead have a general sense of irrational anxiety
Avoidance - sufferers try to stay away from situations that trigger their OCD

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14
Q

What categories of OCD does the DSM-5 recognise?

A

OCD - characterised by either obsessions or compulsions
Trichotillomania - compulsive hair pulling
Hoarding disorder - compulsive gathering of possessions regardless of its value
Excoriation disorder - compulsive skin picking

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15
Q

According to the behavioural explanation of OCD how are behaviours acquired and maintained?

A

Acquired through classical conditioning
Maintained through operant conditioning

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16
Q

What experiment shows the behaviourist explanation of OCD?

A

Little Albert (9 month old)
Paired a white rat (NS) with a loud noise (UCS) overtime Little Albert associated the NS with the UCS and created an UCR of fear towards the rat.
They then showed Little Albert other furry white objects like a bunny and santa clause and Albert displayed distress at them

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17
Q

Explain how operant conditioning maintains OCD?

A

In the case of negative reinforcement an individual avoids a situation that is unpleasant. This behaviour is then repeated as it results in a desirable consequence however this maintains the phobia

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18
Q

What is a limitation of the behaviourist explanation of phobias?

A

P- Incomplete explanation
E - Doesn’t account for evolutionist theory
E - We fear spiders and snakes but not guns and cars even though guns and cars are more dangerous as they have been around less so we are not biologically prepared to learn fear responses towards them.
L - Therefore this shows acquiring phobias may be more than just conditioning

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19
Q

What is the alternative explanation for avoidance behaviour?

A

P - Not all avoidance behaviour seems to be the result of anxiety reduction.
E - Evidence to show some avoidance behaviour is motivated by positive feelings of safety
E - Not going out not to avoid the phobic stimulus but to stick with the safety factor
L - This is a problem for the two-process model which suggest avoidance is motivated by anxiety reduction

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20
Q

What are the biological approach to treating phobias?

A

Systematic desensitisation
Flooding

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21
Q

What is systematic desensitisation?

A

A behavioural therapy designed to gradually reduce anxiety through the principle of classical conditioning.

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22
Q

What are the three processes involved in Systematic desensitisation?

A

The anxiety hierarchy - List of situations related to the phobic stimulus that provoke anxiety
Relaxation - Therapist teaches the patient to relax as deeply as possible which might involve breathing exercises.
Exposure - Patient exposed to phobic stimulus while in a relaxed state. This takes place across several sessions

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23
Q

What is flooding?

A

Exposing phobic patients to their phobic stimulus but without a gradual build-up in an anxiety hierarchy. Immediate exposure to a very frightening situation.

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24
Q

What is a strength of SD as a behavioural treatment of phobias? (Effectiveness)

A

P - It is effective
E - Gilroy et al followed up 42 patients who had been treated for spider phobia with three 45 minute sessions of SD.
E - A control group was treated without exposure. At 3 months and 33 months after the treatment the SD group were less fearful than the relaxation group.
L - This shows SD is helpful in reducing the anxiety in spider phobia and that effects are long lasting.

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25
How does flooding work?
Without the option of avoidance behaviour, the patient quickly learns the phobic stimulus is harmless.
26
What is a strength of SD as a behavioural treatment of phobias? (range of patients)
P - Suitable for diverse range of patients. E - SD alternatives like flooding are not well suited to some patients. E - People with learning difficulties and anxiety disorders find it hard to understand what is happening during flooding. L - For these patients SD is most appropriate treatment
27
What is a strength for flooding as a behavioural treatment of phobias?
P - Cost-effective E - Studies shows that flooding is highly effective and quicker than alternatives L - This quick effect means that patients are free of their symptoms as soon as possible
28
What is a limitation of flooding as a behavioural treatment of phobias (effectiveness)?
P - Less effective on complex phobias like social phobias E - Social phobias have cognitive aspects E - Social phobia does not simply experience an anxiety response but thinks unpleasant thoughts L - Complex phobias may benefit from cognitive therapies
29
What is a limitation of flooding as a behavioural treatment of phobias? (Ethics)
P - Flooding is a highly traumatic experience E - Patients often unwilling to see it through to the end L - This is a limitation as time and money are sometimes wasted on preparing patients that refuse to complete treatment
30
Name the two cognitive theory's in explaining depression?
Beck's cognitive theory of depressions Eliis's ABC model
31
What is Beck's cognitive theory of depression?
Faulty information processing - attend to the negative aspects of a situation and ignore positives Negative self schemas - interpreting all information about ourselves in a negative way The negative triad - negative view of the world, negative view of the future and negative view of the self
32
What is Ellis's ABC model?
ABC model explains how irrational thoughts affect our behaviour and emotional state. A - Activating event (experiencing negative events) B - Beliefs (Irrational beliefs) C - Consequences (emotional and behavioural consequences)
33
What is a strength of Becks theory of depression? (Supporting evidence)
P - There is a range of evidence to support E - Grazioli and Terry accessed 65 pregnant women for cognitive vulnerability and depression before and after birth. E - Women judged with higher cog vulnerability were more likely to suffer post natal depression. L - Therefore this supports Beck's theory. + - Lacks generalisbilty as only done on pregnant women
34
Name a strength of the cognitive explanation of depression? (App)
P - Forms the basis of a cognitive behaviour therapy E - All cognitive aspects of depression can be challenged in CBT E - This means a therapist can challenge them and encourage the patient to test whether they are true. L - Strength as it translates well into a successful therapy
35
Give a limitation of Beck's theory of depression?
P - Neck only explains the basic symptoms of depression E - Beck cannot explain why some patients are deeply angry E - Some depressed patients suffer Cotard syndrome, the delusion that they are zombies L - Therefore this is a strength as Beck cannot easily explain these cases This is also a limitations for Ellis
36
Give me a limitation of Ellis' ABC model as a explanation for depression?
P - Only a partial explanation E - Depression following events is known as reactive depression and is different from the kind that arises without an obvious cause L - This means Ellis' model only applies to some kinds of depression
37
Name a strength of Ellis' ABC model as a cognitive explanation for depression? (app)
P - Has real life applications E - Led to a successful therapy E - Challenging irrational beliefs reducing depression has supporting evidence (Lipsky et al). L - This supports the theory as it suggests t hat irrational beliefs had some role in depression
38
What is the cognitive approach to treating depression?
Cognitive behavioural therapy (CBT)
39
What is CBT?
Cognitive behaviour therapy is the most common psychological treatment for depression. CBT begins with an assessment where the patient and therapist work together to clarify the patients problems. They identify goals and put together a plan to achieve them
40
How does Beck's theory link to CBT?
In CBT they try to identify automatic thoughts about the world, the self and the future, this is the negative triad. The therapists job is to prove the patients negative statements incorrect. They might be set homework such as recording when they had enjoyed an event
41
How does Ellis' model influence CBT?
The simple ABC model is extended to ABCDE where D stands for dispute and E for effect. This challenges the patients irrational belief through arguing over it with them.
42
Name a strength for the cognitive treatment of depression?
P - Supporting evidence E - March et al compared CBT and drugs with 327 adolescents with depression E - Both groups saw 81% improvement with both getting 86% L - Therefore this shows CBT is just as effective as medication
43
Give a limitation of the cognitive treatment of depression? (Severe cases)
P - Some cases patients can't motivate themselves to engage with CBT E - In this case antidepressents are better L - This means CBT can't be used as the sole treatment for depression
44
Name a limitation of the cognitive treatment of depression?
P - Differences between CBT and SD are small E - All CBT has one thing in common, the therapist E - It may be the quality of the therapist-patient relationship rather than the therapy L - This supports the view that simply talking to someone could be what matters most
45
What are the genetic explanations to OCD?
Candidate genes - researchers have identified genes which create vulnerability to OCD. Some involve the regulation of seratonin like 5HT1-D beta OCD is polygenic - OCD is not caused by one gene but several genes. Taylor found evidence of 230 genes that may be involved in OCD Different types of OCD - One group of genes may cause OCD in one person but another group of genes may cause it in another
46
What are the Neural explanations of OCD?
The role of seratonin - if a person has low levels of seratonin then normal transmission of mood relevant information does not take place and mental processes are affected Decision-making systems - Hoarding disorder is associated with impaired decision making
47
Give a strength of the genetic explanation of OCD?
P - Supporting evidence E - Twins studies E - Nestadt found that 68% of identical twins shared OCD opposed to 31% of non-identical twins. L - This strongly suggests a genetic influence on OCD
48
Give me a limitation of the genetic explanation of OCD? (candidate genes)
P -
49
50
Give me a limitation of the genetic explanation for OCD? (Environment)
P - Environmental factors can also trigger or increase the risk of developing OCD E - Cromer found that over half of his OCD patients had experienced a traumatic event. E - Also OCD was more sever in those with more than one trauma L - This shows that OCD cannot be completely genetic, at least not in all cases
51
Give me a strength of the biological explanation of OCD? (Supporting evidence)(Neural)
P - Supporting evidence E - Some anti-depressants work purely on the seratonin system E - These drugs are affective in reducing OCD symptoms. L - Therefore this shows that the seraotonin system is involved in OCD
52
Name a limitation of the biological explanation for OCD? (Neural)(Co-Morbidity)
P - Many people with OCD become depressed E - Having two disorders is called comorbidity E - This creates a problem when it comes to serotonin as a possible basis for OCD. L - It could be that serotonin system is disrupted because they have depression aswell
53
What is the biological approach to treating OCD?
Drug therapy
54
What are the aspects of drug therapy?
SSRI's - A drug to prevent the re-absorption of serotonin to increase it levels in the synapse. A typical daily dose of Fluoxetine Alternatives to SSRI's - Tricyclics - very similar to SSRI's but have more severe side effects so only used for people who do not respond to SSRI's SNRI's - a second line of defence after SSRI's. It increases levels of serotonin and noradrenaline
55
Give me a strength of the biological treatment of OCD? (Effectiveness)
P - Evidence to show effectiveness E - Soomro meta-analysis comparing SSRI's to placebos. E - He concluded that all 17 studies reviewed showed better results in SSRI's L - Therefore this shows that drugs are an efffective treatment for OCD
56
Give me a limitation of the biological treatment of OCD (Effects)
P - Although drugs are often helpful to some people they have no benefit E - Some suffer side-effects like indigestion, blurred vision and loss of sex drive E - When taking Clomipramine, side effects are more common and can be more serious L - Such factors reduce effectiveness because people stop taking the medication
57
Name a strength to the biological treatment of OCD? (Cost)
P - Drugs are cheap compared to psycho treatment E - Using drugs to treat OCD is therefore good for the public health system E - You don't have to do the hard work of CBT with drugs L - Many doctors and patients like drug treatments for these reasons
58
What are the definitions of abnormality?
Statistical infrequency Deviation from social norms Failure to function adequately Deviation from ideal mental health
59
What is statistical infrequency give an example?
Defining abnormality by the rarity of behaviours or traits within a population. E.G. Only 2% of people have an IQ score below 70
60
What is deviation from social norms give an example?
Exhibiting behaviours, traits or beliefs that depart from the accepted standards or behaviour E.G. Antisocial personality disorder
61
What is failure to function adequately?
No longer being able to cope with the demands of everyday life. E.G. Maintaining eye contact or when a persons behaviour becomes irrational or dangerous to themselves
62
What is deviation from ideal mental health?
Refers to the characteristics essential for psychological well-being. Jahoda created a list for ideal mental health
63
Name a strength of statistical infrequency as a definition of abnormality? (App)
P - Real life application E - Therefore there is a place for SI in thinking about what a normal and abnormal behaviours L - Therefore SI is a useful part of clinical assessment
64
Give a limitation SI as a definition of abnormality? (Positives)
P - Unusual characteristics can be positive E - IQ over 130 are just as unusual as those below 70. But this unusual characteristic should not need treatment L - This means SI cannot be used alone to make a diagnosis
65
Give a limitation of DFSN as a definition of abnormality? (app)
P - Tremendously different social norms between different communities E - One person from one cultural group may label someone from another culture as behaving abnormally according to their standards E - Hearing voices is socially acceptable in some cultures but would be seen as a sign of mental abnormality in the UK. L - This creates problems for people from one culture living within another group
66
Name a limitation of DFSN as a definition for abnormality?
P - Too much reliance on DFSM can lead to abuse of human rights E - Historic examples of DFSM were there to maintain control over minority ethnic groups and women E - These classifications appear ridiculous now but only because social norms have changed L - Some people believe that some modern categories of mental disorders are really abuse of human rights to be different