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Alcmaeon of Croton
Suggested the brain, not the heart, is the seat of thought; linked mental illness to internal brain dysfunction
Humoural theory (Hippocrates)
Four body fluids whose imbalances cause disorders - yellow bile, blood, black bile, phlegm
Søren Kierkegaard
Described dread (anxiety) as a human condition
Ernst Weber
Described the "just noticeable difference"
Wilhelm Wundt
First psychologist; wrote the first textbook and founded the first lab of experimental psychology
William James
American protopsychologist who studied consciousness
Sigmund Freud
Founder of psychoanalysis; studied medicine, spoke 9 languages; shifted toward clinical focus (illness, causes, new treatments, clinical cases)
Vienna Psychoanalytic Society
Group of Freud's followers
Anna Freud
Freud's youngest child; focused on child psychology
Behaviorism
Backlash against psychoanalysis; behavior can be studied objectively and explained without reference to inner mental states
Ivan Pavlov
Russian antecedent of behaviorism who provided the experimental foundation; classical conditioning (Pavlov's dog)
John B. Watson
American behaviorist who emphasized external behavior and reactions to situations over internal mental states; applied conditioning to advertising
B.F. Skinner
Founded radical behaviorism; shaping voluntary behaviors through their consequences; applied operant conditioning to education and therapy
Skinner box
Apparatus showing four outcomes: positive reinforcement, positive punishment, negative reinforcement, negative punishment
Aaron Beck
Developed cognitive-behavioral therapy (CBT); urged patients to identify and evaluate thoughts; shifted clinical psychology from behaviorism to CBT
Cognitive distortions
Distorted thought patterns that CBT has patients identify and evaluate
Carl Rogers
Humanistic psychology; emphasized personal growth, empathy, unconditional positive regard, and client-centered therapy
Viktor Frankl
Existential psychology; founded logotherapy, which sees the search for meaning as the core of mental health
Martin Seligman
Positive psychology; shifts focus from illness to human strengths and flourishing
René Descartes' dualism
Human being consists of two distinct substances: an immaterial mind/soul and a physical body
Structural view (body-brain-mind)
Brain = hardware that contains the mind = software
Functional view (body-brain-mind)
The mind emerges from the activity of the brain
Phineas Gage
Iron rod passed through his frontal lobe at age 25; personality changed from responsible, reliable, calm to impulsive, irresponsible, emotionally unstable
Charles Darwin
Theory of evolution; Expression of the Emotions in Man and Animals argued emotions have biological roots and evolutionary functions
Evolutionary medicine
Symptoms and disorders may appear as deregulations of normal functions
Function to dysregulation (examples)
Anxiety = threat detection; eating disorders = energy and status regulation; addiction = reward learning
Function, symptom, disorder sequence
Psychological process, normal manifestation, alteration/symptom; several alterations form an episode; a symptom or episode (single/recurrent) can become a disorder
Psychological processes
Dynamic mental and behavioral operations that take in information, give it meaning, respond to it, and adjust over time (input, process, response)
Classification of psychological processes
States of consciousness, cognitive, emotional, motivational, regulatory, and motor processes
Consciousness (William James)
Continuous flow/stream; constantly adapting, selective, personal, goal-directed
Consciousness (modern definition)
Capacity to experience internal and external events through awareness, supported by an adequate level of arousal
Wakefulness
Arousal plus awareness; ability to respond to sensory stimuli, self-awareness, awareness of environment, capable of goal-directed behavior
Normal wakefulness
14-18 hours/day; cognitive impairment after 18-24 hours without sleep
Randy Gardner
Holder of the longest voluntary wakefulness
Sleep
Actively generated by the brain and rapidly reversible by sensory stimulation (unlike unconsciousness); reduced awareness, decreased responsiveness, relative immobility
Arousal threshold
Intensity of stimulus required to produce awakening; depends on age, stage of sleep, and relevance of stimulus
Sleep inertia
Grogginess during awakening, the gradual restoration of awareness and sensory responsiveness
Ascending Reticular Activating System (ARAS)
Brainstem system that maintains wakefulness and arousal, receives sensory input, and activates widespread cortical regions; damage may cause coma
Hypothalamus (consciousness)
Regulates sleep-wake transitions
Thalamus (consciousness)
Gates sensory input during sleep
Quantitative decreases of consciousness
Confusion, somnolence, obnubilation/obtundation, stupor/sopor, coma
Confusion
Disturbance in the clarity and organization of conscious experience
Somnolence
State of near-sleep
Obnubilation
Mild/moderate reduction of consciousness
Stupor
Deep state of unresponsiveness
Coma
No response to any stimuli; brain metabolism may fall to 40-60% of normal
Causes of coma
Trauma, hypoxia, infections, disorders, drugs, hepatic/renal failure
Medically induced coma
Reduces cerebral metabolism, lowers intracranial pressure, prevents seizures, protects injured brain
Syncope
Temporary global cerebral hypoperfusion causing transient loss of consciousness
Vegetative state
Arousal without awareness; eyes open spontaneously, sleep-wake cycles and brainstem reflexes present, no purposeful responses or reproducible evidence of awareness
Minimally conscious state
Arousal with minimal awareness; inconsistent but reproducible signs of awareness that may fluctuate day to day
Delirium (acute confusional state)
Qualitative alteration of consciousness; risk factors are age, change of environment, medications; typical in aged hospital patients
Twilight state
Narrowed awareness, automatic behaviors, and subsequent amnesia
Oneiroid state
Dreamlike state with alterations in perception and impaired contact with reality
Cognition
Set of processes by which an organism acquires, represents, transforms, stores, and uses information to guide behavior
Orientation
Ability to correctly identify oneself and understand one's relationship to time, place, and situation (domains: time, space, person)
Disorientation
Can be partial, global, or fluctuating; lost in order of time, then space, then person; recovery in order of person, then place, then time
Causes of acute-onset disorientation
Delirium, intoxication/withdrawal, infection, injury, sleep deprivation
Causes of progressive-onset disorientation
Dementia, mental disorders, diseases, brain tumors
Attention
Selectively focusing on certain information while ignoring other stimuli
Bottom-up attention
Stimulus-driven, automatic, effortless
Top-down attention
Goal-directed; requires mobilization, time, and motivation; involves dopamine and norepinephrine
Hypoprosexia
Decreased attention (depression, fatigue, boredom)
Hyperprosexia
Excessive, heightened but unstable and poorly focused attention (mania, anxiety, stimulant drugs)
Distractibility
Inability to filter irrelevant stimuli
Lability of attention
Excessive fluctuations or rapid shifts in focus
Perseveration
Inability to shift focus despite changing demands
Paraprosexia
Misallocation of attention (e.g., hypochondria)
Perception process
Stimulus, reception, transduction, transmission, processing, organization and integration, interpretation
Perception vs. representation
Perception: stimulus present, objective, external or internal (own body), independent of will, high sensory quality. Representation: stimulus absent, subjective, internal, dependent on will, low sensory quality
Main human senses
Vision, hearing, smell, taste, touch, thermoception, nociception, equilibrioception, proprioception
Hyperesthesia
Increased perception (stimulant drugs, traumatic event)
Hypoesthesia
Decreased perception (sedative drugs, depression)
Metamorphopsias
Visual sensory distortions (migraines, epilepsy, retinal disorders, brain injuries)
Micropsia
Objects appear smaller
Macropsia
Objects appear larger
Alice in Wonderland Syndrome
Alternating micropsia and macropsia
Derealization
External world feels unreal (dissociative disorders, anxiety, trauma)
Depersonalization
Feeling detached from oneself (dissociative disorders, PTSD, stress, drugs, epilepsy)
Synesthesia
Alteration in perceptual integration (neurological trait, psychedelics)
Illusion
Distortion or misinterpretation of a real external stimulus; low sensory quality, no conviction of reality
Illusion by inattention / of completion
The brain fills in missing details
Affective illusion
Illusion driven by strong emotions
Pareidolia
Perceiving meaningful patterns in random stimuli (visual, less commonly auditory)
Hallucination
Perception without an external object; as vivid as real perception, conviction of reality, high pathological significance
Auditory hallucinations (types)
Commentary voices, conversing voices, command voices, thought echo
Cenesthetic hallucination
Internal bodily sensation hallucination
Kinesthetic hallucination
Hallucination of body movement
Hallucinosis
Hallucination without conviction of reality; usually visual and indicates organic origin
Delirium tremens
Hallucinosis caused by abrupt alcohol withdrawal
Episodic memory
Personal experiences and events (distal = childhood, mid-term, recent)
Semantic memory
Concepts and information
Procedural memory
Skills and habits
Working memory
Short-term holding and manipulation of information
Encoding
Transformation of perceived information into a neural representation
Consolidation
Time-dependent process that makes new memories more resistant to disruption through synaptic change and gradual reorganization across brain networks; helped by sleep
Storage
Maintenance of information over time; different kinds of memory are stored in different locations
Retrieval
Access to stored information through recall or recognition
Reconsolidation
Restabilization of a memory after retrieval
Declarative learning
Learning corresponding to semantic memory