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Psychological Disorder
- a syndrome marked by a clinically significant disturbance in an individual's cognition, emotional regulation, or behavior
- maladaptive - dysfunctional thoughts, emotions, or behaviors that interfere with day-to-day life
- ex. cleaning rituals that interfere with work and leisure
Medical Model
- the concept that diseases(like psychological disorders) that have physical causes that can be diagnosed, treated, and in most cases, cured
- often through treatment in a hospital
- this model is reflected in the terms we use today(mental health, mental hospital, mental illness, symptoms, treatment)
Epigenetics
- the study of environmental influences on gene expression that occur without a DNA change
- environmental factors can influence whether genes are expressed
DSM-5
- a widely used system for classifying psychological disorders
- The American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders(5th edition)
- Codes outlined in the DSM-5 used to guide mental diagnoses and treatments
Attention-Deficit/Hyperactivity Disorder(ADHD)
- a psychological disorder marked by extreme inattention and/or hyperactivity and impulsivity
- some say that the disorder is being over diagnosed, while others say that more people are getting diagnosed because there is more awareness for it
Anxiety Disorders
- psychological disorders characterized by distressing, persistent anxiety, or maladaptive behaviors that reduce anxiety
- ex. generalized anxiety disorder, panic disorder, phobias
Generalized Anxiety Disorder
- an anxiety disorder in which a person is continually tense, apprehensive, and in a state of autonomic nervous system arousal
- excessive and uncontrollable worry
- anxiety is free-floating, meaning it is not linked to a specific stress or threat
Panic Disorder
- an anxiety disorder marked by unpredictable, minute-long episodes of intense dread in which a person experiences terror and accompanying chest pain, choking, or other frightening sensations
- often followed by worry over a possible next attack
- smokers have a doubled risk of panic disorder
Phobia
- an anxiety disorder marked by persistent, irrational fear and avoidance of a specific object, activity, or situation
- many people avoid the triggers that arouse their fear
Social Anxiety Disorder
- a phobia in which people have an intense fear of others' negative judgements
- social phobia
- shyness to an extreme
Agoraphobia
- fear or avoidance of situations in which escape might be difficult when panic strikes
Obsessive-Compulsive Disorder
- a disorder characterized by unwanted repetitive thoughts(obsessions), actions(compulsions), or both
- becomes a disorder when obsessions or compulsions interfere with everyday living
- ex. checking to see if the door is locked 10 times
- ex. if I don't clean this, my family will die
Posttraumatic Stress Disorder
- a disorder characterized by haunting memories, nightmares, social withdrawal, jumping anxiety, numbness of feeling, and/or insomnia
- most common patients include war veterans, victims of violence or assault, and survivors of accidents
- the higher the emotional distress, the higher the risk for PTSD
- PTSD patients have a smaller amygdala
Major Depressive Disorder
- a disorder in which a person experiences(in the absence of drugs or another medical condition) two or more weeks with 5 or more symptoms, at least one of which must be a depressed mood or loss or interest/pleasure
- feels like the anguish of grief with the sluggishness of jet lag
Mania
- a hyperactive, wildly optimistic state in which dangerously poor judgement is common
- living in fast-forward
- making lots of impulsive decisions
- for some people, higher creativity in this phase
Bipolar Disorder
- a disorder in which a person alternates between the hopelessness and lethargy or depression and the overexcited state of mania
- maniac depressive disorder
- for some people, symptoms may have a seasonal pattern
Rumination
- compulsive fretting
- overthinking about their problems and their causes
- most common in women
Schizophrenia
- a psychological disorder characterized by delusions, hallucinations, disorganized speech, and/or diminished, inappropriate emotion and expression
- Schizo(split) phrenia(mind)
- mind has suffered a split from reality
- patients with positive symptoms exhibit inappropriate behaviors, like laughing when someone dies
- patients with negative symptoms have toneless voices and expressionless faces
Chronic Schizophrenia
- a form of schizophrenia in which symptoms usually appear by late adolescence or early adulthood
- as people age, psychotic disorders last longer and recovery periods shorten
- is a slow-developing process
- harder to cure
Acute Schizophrenia
- a form of schizophrenia that can begin at any age
- frequently occurs in response to an emotionally traumatic event
- has extended recovery periods
- reactive schizophrenia
- easier to treat
Dissociative Disorders
- controversial, rare disorders in which conscious awareness becomes separated(dissociated) from previous memories, thoughts, and feelings
- result may be a fugue state(a sudden loss of memory or change in identity, often in response to a highly stressful situation)
- when we feel trauma, dissociative detachment may protect us from being overwhelmed with emotion
Dissociative Identity Disorder
- a rare dissociative disorder in which a person exhibits two or more distinct and alternative personalities
- formerly known as multiple personality disorder
- ex. being prim and proper in one instance and loud and flirtatious in another
Personality Disorders
- inflexible and enduring behavior patterns that impair social functioning
- these disorder tend to form three clusters characterized by:
- anxiety(avoidant personality disorder)
- eccentric or odd behaviors(schizotypal personality disorder)
- dramatic or impulsive behaviors(borderline personality disorder)
Antisocial Personality Disorder
- a disorder in which a person(usually a man) exhibits a lack of conscience for wrongdoing, even towards friends and family
- may be ruthless and aggressive, or a clever con artist
- sometimes called sociopaths or psychopaths
- show lower emotional intelligence
- many criminals do not fit the description of the disorder because they show responsible concern for friends and family
Anorexia Nervosa
- an eating disorder in which a person maintains a starvation diet despite being severely underweight
- sometimes accompanied by excessive exercise
- usually an adolescent female
- caused by social reasons
Bulimia Nervosa
- an eating disorder in which a person alternates binge-eating(usually of high-calorie foods) with purging(by vomiting or laxative use) or fasting
- eat a lot, then get rid of all the weight gained
- easy to hide because weight fluctuates within normal ranges
Binge-Eating Disorder
- significant binge-eating episodes, followed by distress, disgust, or guilt
- without compensatory purging or fasting that marks bulimia nervosa
- people with the disorder tend to be overweight
Labeling Effect
- labeling a normal person with a disorder can change how we perceive them and see behaviors that don't actually exist
- benefit: mental health professionals and researchers use them to communicate about their work and when discussing their work--clients feel relief that their suffering is not unique and has a name
Bio-Psycho-Social Perspective
- our thoughts, behaviors, and feelings are formed by the interactions of biological, psychological, and social-cultural influences
- emphasizes that the mind and body are inseparable
- negative emotions contribute to physical illnesses and physical abnormalities contribute to negative emotions
Dysthymic Disorder
- persistent depressive disorder
- experiencing a mildly depressed mood for 2 or more years
- symptoms include feeling hopeless, poor self-esteem, reduced energy levels, and problems regulating sleep
Catatonia
- a state in which someone is awake but does not seem to respond to other people and their environment
- can affect movement, speech, and behavior
- associated with schizophrenia and other mental illnesses
Hallucinations
- seeing, smelling, tasting, or feeling things that only exist in their minds
- most often, hallucinations are sounds
- ex. an imaginary voice telling you to burn yourself with a cigarette lighter
Delusions
- a false belief, often of persecution or grandeur, that may accompany psychotic disorders
- ex. thinking you are Mary Poppins
Schizoid Personality Disorder
- a condition in which people avoid social activities and interacting with others
- don't wanna form relationships with others
- don't desire or enjoy close relationships, even with family
Avoidance Personality Disorder
- a mental health condition characterized by a pervasive pattern of social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation
- avoiding interpersonal contact
- people with the disorder may be extremely shy, and might be overly concerned with looking foolish
Narcissistic Personality Disorder
- a mental health condition in which people high an unreasonably high sense of their own importance
- more commonly found in men
Histrionic Personality Disorder
- a personality disorder in which people seek attention and are overly emotional
- people with the disorder may seem highly dramatic, lively, excitable, and impulsive
- symptoms include inappropriate seductive behavior and discomfort when not in the center of attention
Psychotherapy
- treatment involving psychological treatments
- consists of interactions between a trained therapist and someone seeking to overcome psychological difficulties or achieve personal growth
- the therapist may seek to uncover hidden meanings from past relationships, encourage the client to adopt new ways of thinking, or replace old behaviors with new ones
Biomedical Therapy
- prescribed medications or procedures that act directly on the person's physiology
- ex. a person with severe depression may receive antidepressants, ECT, or deep-brain stimulation
Electic Approach
- an approach to psychotherapy that uses techniques from various forms of therapy
- many patients relieve psychotherapy combined with medication
Psychoanalysis
- Sigmund Freud's therapeutic technique
- he believed that the patient's free associations, resistances, dreams, and transferences(and the therapist's interpretations of them) released previously repressed feelings, allowing the patient to gain self-insight
- released feelings devoted to id-ego-superego conflicts
Free Association
- a process in which the patient is encouraged to verbalize without censorship
- say whatever comes to mind without worrying about how trivial, illogical, or embarrassing something is
Resistance
- in psychoanalysis, the blocking from consciousness of anxiety-laden material
- you are defending against sensitive material
- censoring yourself in free association shows resistance
Interpretation
- in psychoanalysis, the analyst's noting of supposed dream meanings, resistances, and other significant behaviors and events in order to promote insight
- ex. not wanting to talk about your mother in free association might illuminate underlying wishes, feelings, and conflicts that you are avoiding
Transference
- in psychoanalysis, the patient's transfer to the analyst of emotions linked with other relationships(such as love or hatred for a person)
- projecting feelings for the people you are talking about onto your analyst
Psychodynamic Therapy
- therapy deriving from the psychoanalytic tradition
- views individuals as responding to unconscious forces and childhood experiences, and seeks to enhance self-insight
Insight Therapies
- a variety of therapy that aims to improve psychological functioning by increasing a person's awareness of underlying motives and defenses
- ex. psychodynamic and humanistic therapies
Client-Centered Therapy
- a humanistic therapy in which the therapist uses techniques such as active listening within a genuine, accepting, empathic environment to facilitate clients' growth
- developed by Carl Rogers
- also called person-centered therapy
Active Listening
- empathic listening in which the listener echoes, restates, or clarifies what the patient is saying
- a feature of Roger's client-centered therapy
Unconditional Positive Regard
- a caring, accepting, nonjudgmental attitude, which Carl Rogers believed would help clients develop self-awareness and self-acceptance
- this allowed people to feel valued and whole, and helps them accept their worst traits
Behavior Therapy
- therapy that applies learning principles to the elimination of unwanted behaviors
- behavior therapists view maladaptive behaviors as learned behaviors that can be replaced by constructive behavior
Counterconditioning
- behavior therapy procedures that use classical conditioning to evoke new responses to stimuli that are triggering unwanted behaviors
- includes exposure therapy and aversive conditioning
- ex, if being in confined spaces made you fear elevators, then reconditioning by pairing elevators with relaxation may help you get over the fear
Exposure Therapies
- behavioral techniques, such as systemic desensitization and virtual reality exposure therapy, that treats anxiety by exposing people to the things they fear and avoid
- could be in real life or virtual reality
- ex. repeatedly seeing bugs makes you feel less afraid of them
Systemic Desensitization
- a type of exposure therapy that associates a pleasant, relaxed state with gradually increasing anxiety-triggering stimuli
- commonly used to treat phobias
- developed by Joseph Wolfe
- you can't be anxious and relaxed at the same time
- ex. if you have bad social anxiety, a behavior therapist might pair the situation with relaxation until you don't feel the anxiety anymore
Virtual Reality Exposure Therapy
- an anxiety treatment that progressively exposes people to electronic stimulations of their greatest fears, like spiders, flying, or public speaking
- studies show that it provides relief from real-life fear
- done mostly for fears that cannot be easily recreated in real life
Aversive Conditioning
- a type of counterconditioning that associated an unpleasant state with an unwanted behavior
- ex. if drinking alcohol makes you nauseous, then you will stop drinking it
- opposite of systemic desensitization
- works in the short term but not the long-term: people know outside the therapists' office they can drink without getting sick
- usually used in combination with other treatments
Token Economy
- an operant conditioning procedure in which people earn a token of some sort for exhibiting a desired behavior and can later exchange their tokens for various treats and privileges
- ex. warrior bills and coins at Ray
- works best for young children and people with autism
Cognitive Therapy
- therapy that teaches people new, more adaptive ways of thinking
- based on the assumption that thoughts intervene between events and our emotional reactions
Cognitive-Behavioral Therapy(CBT)
- a popular integrative therapy that combines cognitive therapy(changing self-defeating thinking) with behavior therapy(changing behavior)
- most widely practiced psychotherapy
- good for treating anxiety, depressive disorders, OCD, and bipolar disorders
- ex. keeping a log of daily situations associated with positive and negative emotions and engaging in more activities that make them feel good
Group Therapy
- therapy conducted with groups rather than individuals, permitting therapeutic benefits from group interaction
- does not provide the same degree of therapist involvement but has many other benefits
Family Therapy
- therapy that treats the family like a system
- views an individual's unwanted behaviors as influenced by, or directed at, other family members
- we live and grow in relation to others
Meta-Analysis
- a procedure for statistically combining the results of many different research studies
- gives the bottom-line result of lots of studies
Evidence-Based Practice
- clinical decision-making that integrates the best available research with clinical research and patient characteristics and preferences
- available therapies should be rigorously evaluated and applied by qualified clinicians
Therapeutic Alliance
- a bond of trust and mutual understanding between a therapist and client, who work together constructively to overcome the client's problems
- therapists who are able to form this bond are more effective than those who are not
Pscyhopharmacology
- the study of the effects of drugs on mind and behavior
- has revolutionized the treatment of people with severe disorders
Antipsychotic Drugs
- drugs used to treat schizophrenia and other forms of severe thought disorders
- ex. chlorpromazine, risperidone, olanzapine
Antianxiety Drugs
- drugs used to control anxiety and agitation
- depress central nervous system and should not be used in combination with alcohol
- ex. xanax, ativan
Antidepressant Drugs
- drugs used to treat depression, anxiety disorders, OCD, and PTSD
- several widely used antidepressant drugs are SSRIs(selective serotonin reuptake inhibitors)
- increase availability of neurotransmitters like norepinephrine and serotonin
Electroconvulsive Therapy(ECT)
- a biomedical therapy for severely depressed patients in which a brief electric current is sent through the brain of an anesthetized patient
- brain manipulation that occurs through shock treatment
- effective treatment for severe depression
Repetitive Transcranial Magnetic Stimulation(rTMS)
- the application of repeated pulses of magnetic energy to the brain
- used to stimulate or suppress brain activity
- used to treat depression
Psychosurgery
- surgery that removes or destroys brain tissue in an effort to change behavior
- most drastic and least used biomedical intervention for changing behavior
Lobotomy
- a psychosurgical procedure once used to calm uncontrollably emotional or violent patients
- procedure cuts the nerves connecting the frontal lobes to the emotion-controlling centers of the inner brain
- decreased misery and tension, but also made the patient lethargic, immature, and uncreative
Resilience
- the personal strength that helps most people cope with stress and recover from adversity and trauma
- never letting your situations control you
Posttraumatic Growth
- positive psychological changes that can occur as a result of struggling with or overcoming a traumatic or highly stressful event
- a recognition that adversity can lead to persona development and a deeper understanding of oneself and the world
Behavior Modification
- the use of operant conditioning principles to alter or change behavior
- involves using reinforcement and punishment to either encourage or discourage specific behaviors
Stress-Inoculation
- teaches people to restructure thinking in stressful situations
- developed by Donald Meichenbaum
- ex. "the test is hard but I studied well"
- positive thinking
Rational-Emotive Behavior Therapy(REBT)
- a form of psychotherapy that helps you identify self-defeating thoughts and feelings
- helps people manage emotions, thoughts, and behaviors in a healthier, more realistic way
- developed by Albert Ellis
Eye Movement Desensitization and Reprocessing(EMDR)
- a therapy adored by many, but lots of people also think it is a scam
- unlocks and reprocesses previously frozen memories by triggering eye movements in the patient while they imagined traumatic scenes
Light Exposure Therapy
- a treatment for seasonal affective disorder
- daily exposure to intense light, which is thought to affect brain chemicals and improve mood and energy levels
Seasonal Affective Therapy
- seasonal affective disorder - seasonal depression; you might feel depressed in the colder months and feel fine in the summer
- exposure to bright lights, especially in the early morning, can help treat this
Mood-Stabilizing Drugs
- drugs that stabilize moods
- most commonly used to treat bipolar disorder
- ex. lithium - a natural salt that can stabilize moods effectively
Tardive Dyskinesia
- a neurological disorder characterized by involuntary, repetitive movements, often affective the face, tongue, and limbs
- can develop as a side effect of taking antipsychotic medications
Therapeutic Lifestyle Changes
- aerobic exercise 30 mins a day, at least 3 days a week
- adequate sleep
- light exposure
- social connection
- proper nutrition
Developmental Psychology
- a branch of psychology that studies physical, cognitive, and social change throughout the life span
- focuses on three major issues:
- nature vs. nurture: how does our genetic inheritance(nature) interact with our experiences(nurture) to influence our development?
- continuity and stages: what parts of development are gradual and what parts change abruptly in stages?
- stability and change: which of our traits persist through life? how do we change as we age?
Zygote
- the fertilized egg
- enters a two-week stage of rapid cell division and develops into an embryo
- fewer than half of all zygotes survive beyond the first two weeks
- about 10 days after conception, the zygote attaches to the mother's uterine wall
Embryo
- the developing human organism from about 2 weeks after fertilization through the second month
- the zygote's inner cells become the embryo and the outer cells become the placenta
Fetus
- the developing human organisms from 9 weeks after conception to birth
- by the sixth month, the vital organs have developed enough that the fetus might survive if born premature
Teratogens
- "monster maker" agents
- chemicals and viruses that can reach the embryo or fetus during prenatal development and can cause harm
- ex. alcohol, drugs, other harmful substances
Fetal Alcohol Syndrome(FAS)
- physical and cognitive abnormalities in children caused by a pregnant woman's heavy drinking
- in severe cases, signs include a small, out of proportion head and abnormal facial features
Habituation
- decreasing responsiveness with repeated stimulation
- as infants gain familiarity with repeated exposure to a stimulus, their interest decreases and they look away sooner
- with repetition, the response to a stimulus weakens
- ex. babies prefer the smell of their mothers, their mother's voice, and stare longer at drawings that look like faces
Maturation
- biological growth processes that enable orderly changes in behavior
- relatively influenced by experience
- ex. we stand before walking
- severe deprivation or abuse can slow development
- maturation sets the basic course of development, experience adjusts it
Cognition
- all the mental activities associated with thinking, knowing, remembering, and communicating
- Jean Piaget studied cognition in children
Schema
- a concept or framework that organizes and interprets information
- ex. cats, dogs, concept of love
Assimilation
- interpreting our new experiences in terms of existing schemas
- ex. a child might call all 4-legged animals dogs
Accommodation
- adapting current understandings(schemas) to incorporate new information
- ex. over time, the schema of marriage has evolved in people's brains to incorporate same-sex marriages
Sensorimotor Stage
- in Piaget's theory, the stage during which infants know the world mostly in terms of their sensory impressions and motor activities
- from birth to around 2 years
Object Permeance
- the awareness that things continue to exist even when not perceived
- babies lack this: out of sight, out of mind
- it isn't until about 8 months that babies remember things they can't see
Preoperational Stage
- in Piaget's theory, the stage during which a child learns to use language but does not yet understand the mental operations of concrete logic
- from 2 to 6-7 years old
- can't imagine and action and mentally reverse it
Conservation
- the principle that properties such as mass, volume, and number remain the same despite changes in forms of objects
- children think that 10 mL in differently shaped containers have different volumes
Egocentrism
- in Piaget's theory, the preoperational child's difficulty taking another's point of view
- ex. if you can't see someone, they can't see you
- sometimes even adults have this problem: curse of knowledge(if you already know it, the answer seems so obvious)
- ex. a child standing in front of you might think you can see the TV because they can see it