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Study Guide for Exam 1 of abnormal psych
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What are the 5 ways mental disorders were defined HISTORICALLY?
Deviations from social expectations
Conditions that mental health professionals treat
Labeled for disliked actions
Subjective distress or unhappiness
Dysfunctions that cause harm
What is the DSM definition for mental disorders?
A syndrome characterized by clinically significant disturbance in cognition, emotion regulation, or behavior which reflects dysfunction in psychological, biological, or developmental processes underlying mental functioning
What is the role of culture in the DSM?
Shapes how mental distresses are experienced, expressed, or interpreted and helps prevent misdiagnosis.
What is an example of culture playing a role in the DSM
A grieving individual from a specific background reports hearing the voice of a deceased loved on or talking to a spirit
What are the 3 steps with assessment tools?
Gather info
Organize + process info to form clinical description
Compare description using nosology to get diagnosis
What are the 5 assessment tools?
Life Records
Interviews
Psychological Tests
Observations
Biological Measures
*Why is reliability + validity important for assessment?*
to ensure mental health diagnosis and treatment plans are accurate (valid), consistent (reliable), and meaningful
If valid = ?
reliable
Reliable ≠ ?
validity - if reliable can still be invalid
What type of validity is this: an intelligence test that only measures math skills, would be low in
Content validity — a tool measures all aspects of domain it’s suppose to measure
What type of validity is this: checking someone’s GPA or how many suicide attempts they have
Predictive validity — accurately forecasts a person’s behavior
What type of validity is this: A school creates a fast 15-minute math quiz and test students using this quiz during the same week the students take an official, state-wide math exam. If the scores match closely, the new quiz is valid
Concurrent validity — results of one procedure agree closely with results of another assessment method
What validity is this: Theories of anxiety predict that people’s anxiety levels will increase under stressful circumstances
Construct validity — when results coincide with what a theory about some construct would predict
M in MAPS stands for?
Medical Myths
A in MAPS stands for?
Attempted Answers
P in MAPS stands for?
Prejudicial Pigeonholes
S in MAPS stands for?
Superficial Syndromes
What is medical myths?
pills are not always the first-line treatment for most of disorders in DSM-5
What is attempted answers?
mental disorders are a collection of potentially interpreted symptoms with subjective observations that assesor indicates something is wrong
What is Prejudicial Pigeonholes?
Thinking an individual unfairly as belonging to a particular group, can have consequences for person’s future
What is Superficial Syndromes?
Diagnoses made using features that clinicians or clients can easily see/observe such as depressed mood, restlessness, social awkwardness, rather than understanding the symptoms deeply
What is the meaning of models of abnormality?
theoretical frameworks led by psychologists to explain causes, developments, or treatments
What is the biological model explain?
The nervous system controls all thought and behavior whether normal or abnormal — any event/substance that affects nervous system also affects thinking + behavior
What are neurotransmitters?
Chemicals released by neurons that acts on other neurons
What are examples of neurotransmitters?
Acetylcholine
Norepinephrine
Dopamine
Serotonin
GABA
What is the Genetic Influences of abnormality?
Our genes: genotype (genetic) and phenotype (physical) AND behavioral genetics
How are behavioral genetics studied?
Family, Adoption, and Twin studies
Who created the psychodynamic theory?
Freud
What is the psychodynamic theory?
Normal and abnormal behaviors are influenced by unconscious forces
What is behavior theory?
Explains abnormal behavior in terms of the laws of learning (operant and classical conditioning)
What is operant conditioning and which theorist is associated with it?
Reward based learning with positive/negative reinforcement or punishment by Skinner
What is classical conditioning and which theorist is associated with it?
Pairing associations with stimuli by Pavlov
What is cognitive theories and who was this by?
from Bandura + Ellis, this theory explains abnormal behavior via maladaptive information processing — what we pay attention to, perceive, think about, remember.
What is humanism (humanistic + positive behavior theory) and who was this by?
the belief that human behavior is determined by each person’s unique perception of the world by Rogers + Maslow
What is social causation theory?
Explains abnormality in terms of external factors: harmful environments, adverse social policies, powerlessness, and cultural tradition
What is social justice theory?
Addressing issues of power, privilege and oppression can improve mental health outcomes
*What is the Diathesis Stress Model?*
Abnormal behavior results from the interaction of particular people within specific environments. It results from both a stressor AND diathesis (predisposition of vulnerability for disorder)
*What is the difference between correlations and experiments?*
Correlations = observes natural connections without proving what caused them
Experimental = actively manipulates variables to prove cause and effect
*What is a placebo?*
Improvements that results from expectations or other psychological factors rather than from treatment/active ingredient
*What is a control?*
no treatment is recieved
*What is a double-bind?*
experimental design in which only the director knows which participants are in the experimental group and which are in control
*What are representative samples?*
Samples in which participants are selected to represent levels of important subject variables → small group selected from larger group
What is internalizing?
deficit in desired child behaviors accompanied by subjective distress in the child
What is externalizing?
Disruptive childhood behavior that is a nuisance to others — aggression, hyperactivity, impulsivity, or inattention
What are some neurodevelopment disorders?
Intellectual development disorder
Autism spectrum disorder
Specific learning disorder
Attention-deficit/hyperactivity disorder
What are associated symptoms with Intellectual development disorder (IDD)?
below average intellectual functioning
impairments in adaptive functioning
Occurs before 18
What are the major causes for IDD
Down syndrome
Fragile X syndrome teratogens
Premature birth and low birth weight
adverse psychosocial conditions
What are some treatment options for IDD?
ABA, Normalization Movement, and Special education
What are associated symptoms for Autism Spectrum Disorder?
Social relationship problems
poor nonverbal cues
Expressive language deficit
Insistence on sameness
What are associated symptoms for Attention-Deficit/Hyperactivity Disorder?
inattention
Hyperactivity
impulsivity
What are associated symptoms for Specific Learning Disorder?
Problems with reading (not dyslexia)
difficulties with phonetic decoding, letter perception, and remember verbal info
What are the four domains for development?
Motor Skills
Language
Cognition
Adaptive functioning
What is ODD?
Pattern of negativistic, disobedient, and defiant behavior, usually shown at home and sometimes at school
What is Conduct Disorder (CD)?
A pattern of antisocial behavior at home or in the community, including significant physical aggression, property damage, deceitfulness or rule violations
What is a main difference between ODD and CD
ODD struggles with authority, CD struggles with major societal rules and violates others rights
What is a treatment option for Autism?
Applied Behavior Analysis (ABA)
What are treatment options for ADHD?
Stimulant or Non-stimulant medication, both options work!
CBT interventions
Psychoeducation
Family therapy
School-based interventions
What are treatment options for ODD and CD?
Parent management training
Problem-solving skills training
Multi systemic treatment
What is psychosis?
Serious mental state where individuals lack accurate perception/understanding of reality, and little insight into how their behavior appears to others
What does psychosis contain?
periods of hallucinations and delusions, auditory hallucinations are most common
What is Dementia Praecox? (history of schizophrenia)
Term in 1800’s that meant premature loss of rational thought.
What are the positive symptoms for schizophrenia?
Symptoms involving distorted or excess behaviors, such as hallucinations, delusions, bizarre behavior, confused thinking, and disorganized speech.
*What are the negative symptoms for schizophrenia?*
Symptoms involving a diminution, absence, or loss of normal psychological functions; examples include apathy, flat emotions, lack of self-care, and social withdrawal
What is the prodromal phase?
The usual first phase of schizophrenia in which there is an insidious onset of problems, suggesting psychological deterioration.
What is the active phase?
The stage of schizophrenia during which one or more psychotic symptoms, such as delusions or hallucinations, appear.
What is the residual phase?
A stage of schizophrenia during which most psychotic symptoms have subsided in frequency and intensity; the affected person may still be withdrawn and apathetic, behave strangely at times, and continue to show social and occupational impairments
What is brief psychotic disorder?
The sudden onset of psychotic symptoms marked by intense emotional turmoil and confusion
What is schizophreniform disorder?
A disorder in which people experience symptoms of schizophrenia for only a few months.
What is schizoaffective disorder?
A mental disorder in which the person displays symptoms of both schizophrenia and a mood disorder without satisfying the full criteria for either diagnosis.
What is substance-induced psychotic disorders?
A mental disorder in which a person experiences psychotic symptoms beyond what is expected from intoxication or withdrawal from a substance, and in which the person is not aware that the substance is producing the psychotic symptoms.
What are outcomes for schizophrenia in terms of culture playing a role?
researchers further hypothesize that the better outcomes for those with schizophrenia in developing nations are due to relative levels of social connectedness and acceptance in these cultures
What do twin studies show for schizophrenia?
if one MZ twin has schizophrenia, then the other should as well if schizophrenia were due solely to genetic transmission.
What do adoption studies show for schizophrenia?
If children born to parents with schizophrenia but then raised by adoptive families without a family history of schizophrenia go on to develop schizophrenia at a higher rate than adopted children born to parents without schizophrenia, there is support for a genetic contribution to schizophrenia
*How does the diathesis-stress model explain that cases of schizophrenia develop?*
schizophrenia results from the interacting effects of a predisposition or genetic vulnerability for the disorder (the diathesis) and stressors that trigger the diathesis into a full clinical diagnosis.
What are the brain regions implicated in Schizophrenia?
the frontal lobe
the temporal lobe and parts of the limbic system that lie beneath the temporal lobe
the thalamus
How does dopamine play a role with schizophrenia symptoms?
increased dopamine activity in the brain tend to intensify symptoms of schizophrenia
Drugs that block the action of dopamine in the brain are effective in relieving some positive symptoms of schizophrenia
neuroleptics block dopamine is correlated with their clinical ability to reduce symptoms of schizophrenia
What is the social drift hypothesis?
explains higher rates of mental disorders among lower socioeconomic groups as the consequence of disordered people sinking to lower socioeconomic levels because of their disorders
What is the social causation theory?
theory suggesting that stress, poverty, racism, inferior education, unemployment, and social changes are sociocultural risk factors leading to mental disorders.
What is expressed emotion?
people with schizophrenia show a strong relationship between a certain family climate and the rate at which that person suffers relapses of schizophrenia. usually involves high levels of:
criticism
hostility
over involvement
What are some of the treatment options for schizophrenia?
Psychosocial treatments
Biological Treatments
Antipsychotics/Neuroleptics