week 2 powerpoint Flashcards

1
Q

plato

A

○ Humans animal-like- therefore act irrational at times
○ Emotional forces impact behavior which impact our lives
○ Conflicts among the psyche contribute to feelings and behavior

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2
Q

Aristotle

A

○ Experimental verification and observable data
○ Significance of cognitive processes, dreams and emotional catharsesq

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3
Q

Middle Ages

A
  • Mysticism, religion and satanic forces/explanations
  • Exorcisms and other religious rituals to treat mental illness
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4
Q

renaissance (history of psychopathology)

A

Thomas Willis
■ Originator of term neurology and psychology

Georg Ernst Stahl
■ Soul- force of energy of all living things
● Combined with nature- power to effect desired cures

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5
Q

what was the view of mental disorders in the 18th and 19th c?

A
  • View that mental disorders may result from organic pathology
  • Beginning of classifications of mental disorders
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6
Q

Modern Psychiatry (Kraeplin, Jaspers)

A

Emil Kraeplin- Compendium of Psychiatry (1893)
■ Onset, course and outcome of disorders
■ Identification and distinctions of different conditions and their causes
Karl Jaspers
■ Distinction between feelings and sensations
■ Focus on each individual experience and their perspective as the means to
understanding

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7
Q

Psychoanalysis

A

pierre janet
sigmund freud
Alfred Adler

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8
Q

Pierre Janet (psychoanalysis)

A

■ Neuroses- inability to integrate co-occurring psychic processes
■ Intolerable thoughts and feelings take on an independent existence-dissociation

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9
Q

freud

A

Sigmund Freud
■ Childhood experiences/defensives lead directly to adult disorders
■ Behavioral expressions manifestations of hidden forces that live in the unconscious
■ Psychosexual development

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10
Q

Adler (psychoanalysis)

A

■ Individual psychology
■ Strivings for superiority to overcome childhood weakness
■ Led to pattern of behavior-style of life

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11
Q

Carl Jung

A

Carl Jung
○ Collective unconscious- instinctual forces- animalistic and social disposition
○ Two personality types
■ Introvert and Extrovert

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12
Q

Karen Horney (probably dont need to know)

A

Three personality types
■ Compliant- moving toward
■ Aggressive- moving against
■ Detached- moving away

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13
Q

Melanie Klein

A

Object-relations theory
○ The way mother-infant interact effects impacts later functioning
○ Mind was pre-wired to try and fulfill external relationships
■ Maternal relationship
■ “Object world”

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14
Q

beyond psychoanalysis

A

● Kurt Schneider
○ 10 variants of psychopathological personalities
■ Hyperthymic, depressive, insecure, fanatic, attention-seeking, labile, explosive,
affectionless, weak-willed, asthenic
● Aaron Beck
○ Cognitive-Behavioral Therapy
○ Cognitive schemas
○ Cognitive distortions
■ Can be corrected through evidence base and challenging core beliefs
● John Bowlby
○ Attachment learning-significance of early maternal relationships

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15
Q

Beck

A

○ Cognitive-Behavioral Therapy
○ Cognitive schemas
○ Cognitive distortions
■ Can be corrected through evidence base and challenging core beliefs

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16
Q

bowlby

A

○ Attachment learning-significance of early maternal relationships

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17
Q

Etiology

A

specific causes of disease

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18
Q

pathogenesis

A

process by which these causes eventuate into the disease

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19
Q

vulnerability

A

refers to underlying susceptibility reflecting coexistence of
organismic and environmental factors leading to pathology
● Risk factor

20
Q

does a single event lead to a single effect?

A

A single event does not always lead to a single effect
● End result tends to arise from interaction of large number of causes
● Single cause can play a part in a variety of end results
● Determining the varied and intricate pathways to psychopathology
complex and difficult to define

● Identical causal factors can lead to many different outcomes
○ Two people experiencing the same event- different reactions or outcomes
○ Other factors/life experiences impact how we are impacted

21
Q

predisposition (and what does that contain? 4)

A

contributory conditions that serve as foundation for
development of disorder- but not necessary for it to occur
○ Socioeconomic status
○ Hereditary factors
○ Family dynamics
○ Learned trauma responses

22
Q

precipitating

A

clearly defined event that happened shortly before onset of
disorder
○ Death of a parent
○ Severe car accident
○ Sudden breakup

23
Q

are studies able to capture complexity of developmental pathogenesis?

A

● Many different factors that could lead to psychopathological disorders
● There is no finite explanation and are many different schools of
thought/approaches
● Studies/research are unable to fully capture complexity
○ Limits to studies and viewpoint of researcher
○ Studies can “prove” many different antecedents
○ Many are inconclusive

24
Q

development

A

totality of changes that occur from birth to death

25
similarity
organizing construct for defining disorders and symptoms ○ Individuals with similar presentations could have different disorders ○ Surface similarity- how things appear ○ Latent similarity- how things really are ■ Theoretical, developmental and explanatory
26
biological hypothesis
○ Genes and hereditary makeup lead to the manifestation of disorders ○ Milder pathologies represent undeveloped expressions of “defective genes” ■ Schizoid personality vs schizophrenia ○ "Defective gene” is modified by other genes or favorable environmental experiences ○ Gene expression can modify or change due to environmental factors
27
Anna Freud
Anna Freud ○ Freud’s daughter ○ Object relations theory ○ Thought the mind was not pre-wired but we did have instinctual urges
28
Psychoanalytic Approach
○ Early childhood experiences accounts for psychological disorders ○ Disorders exist due to defense mechanisms developed in childhood to protect against unwanted feelings ○ Adult behavior arises from direct antecedent causes
29
freud's psychosexual stages of development
○ Psychosexual stages of development ■ Oral (birth to 1 year) ■ Anal (1-3 years) ■ Phallic (3-6 years) ■ Latency (6 to puberty) ■ Genital (puberty to adulthood)
30
● What role do parents have in behavior outcomes? In what ways?
● Many aspects of behavior can be shaped by modeling of caretaker behavior ● Children are impacted by the behaviors of both parents (and siblings) ○ How this manifests reflects a complex interaction of these combined experiences ● Insufficiency of experiences learning adaptive behaviors can be a source of psychopathology ● Nuances and subjectivity in research/researchers makes areas of psychopathology difficult to study ● Does the child feel accepted or rejected by the parents? ○ Difficult to define and study parental neglect and its impacts
31
what happens to brain during traumatic events
○ High level of neural activation ensues in response to marked distress or anxiety ■ Neural connections become associated with event and create a learned reaction ○ Heightened stress creates inability to make accurate discriminations in the environment ■ Emotional reaction of trauma becomes associated with all aspects of the environment
32
are experiences in early life easily changed?
Experiences early in life are more ingrained, tend to persist and are more difficult to modify ○ Presymbolic level ○ Cannot be easily recalled or unlearned Acquired behaviors are not fixed or permanent ○ Extinction- behavior can be modified or eliminated under appropriate conditions ■ Opportunities for new learning can replace previously learned behavior ■ Similar environment where learning took place recreated ● This is challenging to do for early life experiences ● Presymbolic, random and generalized learning
33
what is the impact of of social/interpersonal relationships on early behavior?
Social and interpersonal relationships have one of the largest impacts on early behavior patterns ○ Repetitive experience ○ Reciprocal reinforcement ○ Social stereotyping ■ tendency to simplify and categorize the attributes of others
34
adaptability factor
○ Regularity- positive approach to new stimuli- high degree of flexibility ○ Irregularity- inflexible, withdrawal from new stimuli- intense, negative mood
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3 Fundamental Temperaments
○ Activity ○ Emotionality ○ Sociability
36
can we define what traits in children relate to psychopathology?
Difficult to define what ways trait differences in children relate to psychopathology and at what degree
37
DSM- 1952
○ First official manual of mental disorders focussing on clinical use ○ Glossary of descriptions of diagnostic categories ○ later used for billing insurance/ making diagnoses goal to create a common language for communication between clinicians regarding disorders
38
2019- APA began work on DSM-TR
● Work groups- 20 Disorder review groups- 4 cross-cutting review groups - Culture, sex and gender, suicide and forensic - Purpose to incorporate these factors through diagnoses and remove outdated material ● Criteria goal to create a common language for communication between clinicians regarding disorders ● Organized along developmental/lifespan trajectory - Early in life adulthood and later ● Consider symptom criteria as well as biological, social and psychological impact of symptoms ○ Use of clinical judgement/expertise is necessary to differentiate criteria exceeding normal range ● ICD and APA worked to synchronize diagnostic criteria- Harmonize with ICD 11
39
Key Differences Between DSM 5 & DSM 5-TR
● Greater addition and distinction for childhood disorders ● Culture, race and discrimination and how it effects pathology included in disorders ○ Difference in symptom expression across cultures/races/ethnicities, cultural norms and pathology ○ Prevalence across demographic groups ○ Culture-related diagnostic issues & sex and gender related diagnostic issues included for each diagnosis ● Addition of certain disorders and revision of others ○ Prolonged Grief Disorder, Unspecified mood disorder, Suicidal behavior and nonsuicidal self injury, Stimulant induced mild neurocognitive disorder- able to code for insurance
40
mental disorder
● A behavioral or psychological pattern that occurs in an individual ● Reflects an underlying psychobiological dysfunction ● Consequences are clinically significant distress or disability ○ Painful symptoms ○ Impairment in one or more important areas of functioning ● Must not be an expected response to common stressors and losses ○ Loss of loved one, natural disaster ● Must not be a culturally sanctioned response to a particular event ○ Trance states in religious rituals ● Primarily a result of social deviance or conflicts with society
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DSM challenges and Limitations
● Oversimplification ● Overdiagnoses or Misdiagnoses ● Labeling and Stigmatization
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DSM Challanges and Limitations- Oversimplification
oversimplification ○ Reduction of complex problems to labels and numbers ○ Loss of uniqueness of human expression of mental disorders
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DSM Challanges and Limitations- overdiagnosis and misdiagnosis
overdiagnosis and misdiagnosis ○ Many symptoms and disorders are subjective- can vary from clinician to clinician ○ Changing criteria can lead to incorrect diagnoses or increase in diagnoses
44
DSM Challanges and Limitations- labeling and stigmatization
labeling and stigmatization- ○ Diagnosing can add stressor to the individual and carry “stigma” ○ Insurance companies require a diagnosis ○ Not everyone “fits” the criteria for a specific disorder
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