psychpathology - psychology p1 Flashcards

(76 cards)

1
Q

What is meant by failure to function adequately (FFA)?

A

Failure to function adequately is when an individual is defined as abnormal because they cannot cope in their daily lives, including their ability to interact with the world and meet their challenges.

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2
Q

What are the features of failure to function, according to Rosenhan and Seligman?

A
  1. Maladaptive behaviour: Behaving in ways that go against long-term interests.
  2. Personal anguish: Suffering from anxiety and distress.
  3. Observer discomfort: Behaviour that causes distress to others.
  4. Irrationality: Hard to understand motivation behind behaviour; appears unpredictable.
  5. Unconventionality: Behaviour that doesn’t match societal expectations.
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3
Q

What is a criticism of FFA related to clinician subjectivity?

A

The decision about whether someone is coping is subjective and based on the clinician’s opinion, which can vary between observers.

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4
Q

What is a limitation of FFA regarding people who cannot cope?

A

FFA only includes those who show signs of not coping. Psychopaths, for example, may function well in society and not show distress but still cause harm to others.

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5
Q

Why is it a limitation to link all maladaptive behaviour with mental illness?

A

Not all maladaptive behaviours indicate mental illness. For example, extreme sports or unhealthy eating may be seen as maladaptive but not necessarily abnormal.

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6
Q

What is a positive of the FFA definition of abnormality?

A

It respects the individual and their experience. It considers personal distress, unlike statistical or social norm definitions.

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7
Q

What did Soomro’s meta-analysis reveal about SSRIs and OCD?

A

Soomro’s meta-analysis showed that SSRIs significantly reduced the symptoms of OCD compared to placebos between 6 and 17 weeks post-treatment.

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8
Q

What is a potential bias in drug therapy research?

A

Most research studies on drug therapies are conducted by the pharmaceutical companies that created them, leading to a financial interest in showing the drugs are effective.

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9
Q

What are the economic advantages of drug therapy compared to CBT?

A

Drug therapy is relatively inexpensive and more convenient than CBT, which requires multiple sessions with a trained therapist.

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10
Q

What are common side effects of drug therapy for OCD?

A

Common side effects include nausea, headache, and insomnia.

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11
Q

What is a potential drawback of drug therapy for OCD?

A

Drug therapy may only cover up the symptoms of OCD and not treat the underlying cause.

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12
Q

What did Cromer’s study find regarding traumatic life events and OCD?

A

Cromer found that 54% of participants with OCD reported at least one traumatic life event, which was associated with increased severity of OCD symptoms.

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13
Q

What implication does Cromer’s study have for treating OCD?

A

It suggests that psychological therapies addressing traumatic life events may be more effective long-term treatments for OCD.

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14
Q

What is the behavioural explanation for phobias?

A

The behavioural approach suggests that phobias are learned through experience — acquired via classical conditioning and maintained via operant conditioning.

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15
Q

What is the two-process model by Mowrer (1960)?

A

The two-process model states that phobias are acquired through classical conditioning and maintained through operant conditioning.

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16
Q

How are phobias acquired through classical conditioning?

A

A neutral stimulus (NS) is paired with an unconditioned stimulus (UCS) that causes fear. The NS becomes a conditioned stimulus (CS) that produces a conditioned response (CR) of fear.

For example, a bee (NS) paired with a sting (UCS) results in fear (UCR), turning the bee into a CS with the CR of fear.

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17
Q

What is stimulus generalisation in phobias?

A

The conditioned fear can generalise to similar objects or situations — e.g., fear of bees generalising to all flying insects.

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18
Q

How are phobias maintained through operant conditioning?

A

Avoidance behaviour is negatively reinforced because it reduces anxiety. This makes the phobic behaviour more likely to be repeated.

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19
Q

What was the Little Albert study?

A

Watson and Rayner (1920) conditioned a child, Albert, to fear rats by pairing the rat with a loud noise. He then showed fear to similar stimuli like dogs and blankets — demonstrating classical conditioning and generalisation.

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20
Q

What evidence challenges the behavioural explanation of phobias?

A

DiNardo et al. found that traumatic dog experiences were common in both phobic and non-phobic people. Menzies & Clarke found 56% of parents of water-phobic kids could recall a traumatic event, but only 2% of the children could — suggesting other factors are involved.

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21
Q

How does evolutionary theory critique the behavioural approach?

A

Evolutionary theory argues humans are biologically prepared to fear ancient threats (e.g. snakes, spiders) more than modern dangers (e.g. cars), suggesting some phobias may be inherited.

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22
Q

What are the practical applications of the behavioural explanation of phobias?

A

It has led to effective therapies like systematic desensitisation and flooding, supporting the validity of the theory.

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23
Q

What is systematic desensitisation?

A

SD is a behavioural therapy that gradually reduces phobic anxiety through counterconditioning, using relaxation techniques and an anxiety hierarchy.

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24
Q

What are the 3 stages of systematic desensitisation?

A
  1. Relaxation training (e.g., breathing).
  2. Creating an anxiety hierarchy.
  3. Gradual exposure while staying relaxed. The new relaxed response replaces the fear (extinction).
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25
Why is systematic desensitisation effective?
It is controlled by the client, making it more pleasant and tolerable. It’s proven effective in many real-world cases.
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What is flooding?
Flooding is a behavioural therapy that exposes the client to the most feared object or situation immediately and for a long period, with no gradual build-up.
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How does flooding treat phobias?
It prevents escape or avoidance, so the client learns the phobic object is harmless. Anxiety naturally declines, and the fear response becomes extinct.
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What are limitations of flooding?
It’s not suitable for everyone — e.g. children, the elderly, or those with heart conditions. It may be traumatic, so dropout rates are high.
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What are strengths of SD and flooding?
• They are effective for specific phobias. • They are often quicker and cheaper than talking therapies.
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What’s a practical limitation of phobia treatments like SD and flooding?
They may not work well outside the therapy room — e.g., a person might conquer bird phobia in therapy but still panic in public.
31
What alternative to behavioural therapy exists?
Drug therapies such as benzodiazepines and antidepressants are quicker and less distressing, but often only treat symptoms and are not long-lasting.
32
How has virtual reality supported SD?
Garcia-Palacios et al. found 83% of spider phobics improved after VR-based SD — showing the technique is effective and can treat a wide range of phobias.
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What is Beck’s cognitive explanation for depression?
Beck suggested that depression is caused by faulty thinking patterns, particularly negative schemas and cognitive biases, which lead to negative automatic thoughts and irrational beliefs.
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What are negative schemas in Beck’s theory?
Negative schemas are learned in childhood (e.g., through criticism or rejection) and lead individuals to interpret information in a negative way.
36
What are cognitive biases according to Beck?
Cognitive biases are faulty patterns of thinking, such as overgeneralisation, catastrophising, or black-and-white thinking.
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What is the negative triad?
Beck’s negative triad refers to three types of negative thinking that occur automatically in depression: 1. Negative views of the self 2. Negative views of the world 3. Negative views of the future
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How does the negative triad cause depression?
These three elements interact and reinforce each other, leading to low mood, lack of motivation, and other depressive symptoms.
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What is a strength of Beck’s explanation?
It has strong supporting evidence, such as studies that show depressed individuals consistently display negative thinking patterns.
40
How is Beck’s theory applied in therapy?
It forms the basis of Cognitive Behavioural Therapy (CBT), which challenges and replaces negative thoughts with more realistic ones.
41
What is a limitation of Beck’s theory?
It doesn’t explain all aspects of depression, such as anger or hallucinations in severe cases. It focuses only on cognitive symptoms.
42
What is Ellis’s ABC model?
Ellis believed depression results from irrational thoughts. The ABC model explains how activating events (A) lead to irrational beliefs (B), which cause emotional and behavioural consequences (C).
43
What is an example of the ABC model?
A – Failing an exam B – Belief: “I’m worthless, I’ll never succeed” C – Depression
44
What types of irrational beliefs did Ellis identify?
• Musturbation – The belief that one must always succeed. • I-can’t-stand-it-itis – Believing minor setbacks are unbearable. • Utopianism – Believing life must always be fair.
45
What is a strength of Ellis’s explanation?
It has led to successful treatments like CBT, which supports the idea that challenging irrational beliefs can reduce depression.
46
What is a limitation of Ellis’s explanation?
It only explains reactive depression (from obvious events), not depression that arises without any clear cause.
47
What is CBT?
CBT is a structured therapy that helps patients identify, challenge, and replace negative or irrational thoughts with more realistic ones.
48
What are the two key components of CBT?
1. Beck’s cognitive therapy – Challenging automatic negative thoughts using reality testing and evidence. 2. Ellis’s Rational Emotive Behaviour Therapy (REBT) – Challenging irrational beliefs using argument (logical, empirical, pragmatic) and behavioural activation.
49
What is behavioural activation in CBT?
The therapist encourages the patient to take part in enjoyable or fulfilling activities to improve mood and challenge negative beliefs.
50
What does REBT stand for?
Rational Emotive Behaviour Therapy.
51
What are the three types of dispute used in REBT?
• Logical dispute – “Does this belief make sense?” • Empirical dispute – “Where is the evidence?” • Pragmatic dispute – “Does this belief help me?”
52
What is a strength of CBT?
It is the most widely used treatment for depression, supported by strong research evidence and often as effective as medication.
53
What is a limitation of CBT?
It requires motivation and commitment, which can be difficult for severely depressed individuals.
54
Why might CBT not be suitable for all depression cases?
Some people have deep-rooted childhood trauma or biological depression that may require additional treatment like medication or counselling.
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What is the biological explanation for OCD?
The biological approach argues that OCD is caused by internal physical factors such as genetics and brain function, not environment or learning.
58
What are genetic explanations for OCD?
OCD can be inherited through genes passed from parents to offspring. Researchers have identified specific genes associated with the disorder.
59
What is a candidate gene in OCD?
Candidate genes are specific genes thought to be involved in creating vulnerability to OCD. For example, SERT and COMT are linked to serotonin and dopamine regulation.
60
What is the SERT gene?
The SERT gene affects the transport of serotonin. A mutation in this gene can reduce serotonin levels, which is associated with OCD symptoms.
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What is the COMT gene?
The COMT gene regulates dopamine. A variation of this gene has been linked to higher dopamine activity, also associated with OCD.
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What is meant by OCD being polygenic?
OCD is influenced by several genes, not just one. Taylor (2013) found that up to 230 different genes may be involved in OCD.
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What is meant by OCD being aetiologically heterogeneous?
Different genes may cause OCD in different people — meaning one person’s OCD might be genetically different from another’s.
64
What evidence supports the genetic explanation of OCD?
Nestadt et al. (2010) reviewed twin studies and found a 68% concordance rate for identical twins (MZ) versus 31% for fraternal twins (DZ), showing a genetic basis.
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What is a limitation of the genetic explanation of OCD?
There is not 100% concordance in MZ twins — so environmental factors must also play a role. The theory is biologically deterministic and ignores free will.
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What are neural explanations for OCD?
OCD is linked to abnormalities in neurotransmitter systems and specific brain structures — especially serotonin and the functioning of the frontal lobes and basal ganglia.
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How is serotonin involved in OCD?
Low levels of serotonin are believed to affect mood regulation. Disruption to serotonin systems may lead to obsessive thoughts and anxiety.
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How is the brain structure involved in OCD?
Brain structures involved include: * Frontal lobes: Responsible for decision-making and logical thinking — overactivity here is linked to OCD. * Basal ganglia: Involved in coordination of movement — may malfunction and result in repetitive behaviours (compulsions). * Orbitofrontal cortex (OFC): Involved in detecting threats — may be overactive, leading to heightened anxiety.
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What is a strength of the neural explanation?
Brain scans consistently show increased activity in the OFC in OCD patients. Also, SSRIs (which increase serotonin) often reduce symptoms, supporting the link.
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What is a limitation of the neural explanation?
It’s unclear whether brain abnormalities cause OCD or result from it. Not all patients respond to serotonin drugs, so other systems may be involved.
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What is the main drug treatment for OCD?
SSRIs (Selective Serotonin Reuptake Inhibitors), such as fluoxetine, are antidepressants that increase serotonin activity in the brain.
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How do SSRIs work?
SSRIs block the reabsorption of serotonin in the synapse, increasing serotonin levels available to stimulate the postsynaptic neuron and improve mood.
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How long do SSRIs take to work?
They typically take 3 to 4 months of daily use to significantly impact OCD symptoms.
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What happens if SSRIs are ineffective?
The dose may be increased, or combined with other drugs like Tricyclics (e.g., clomipramine) or SNRIs (serotonin-norepinephrine reuptake inhibitors).
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What are the strengths of drug therapy for OCD?
Strengths include: * Cost-effective and non-disruptive to the patient’s life * Supported by research (Soomro et al. 2009: SSRIs more effective than placebo) * Convenient and quick to administer.
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What are the limitations of drug therapy for OCD?
Limitations include: * Side effects such as nausea, headaches, and insomnia * Doesn’t treat the root cause — only symptoms * High relapse rates if medication is stopped.