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compulsions
unwanted repetitive actions
transference
the patient's transfer to the therapist of emotions linked with other relationships
resistance
mental blocks hint that anxiety lurks and the person is defending against sensitive material
risk factors of schizophrenia
low birth weight, maternal diabetes, older paternal age, oxygen deprivation during delivery, famine, and fetal virus infections
interpretation
why someone has resistance may illuminate the underlying wishes, feelings, and conflicts someone's avoiding
the medical model
the concept that psychological disorders have physical causes that can be diagnosed, treated, and in many cases cured
obsessions
unwanted repetitive thoughts
psychodynamic therapy today
therapists try to help people understand their symptoms by focusing on important relationships childhood experience; therapist-client relationship
to be classified as "abnormal" or disordered behavior, it must have what characteristics?
deviant, distressing, or dysfunctional (maladaptive)
why do people develop Dissociative Identity Disorder
way of coping with anxiety PTSD physically, sexually, or emotionally abused as a child
resilience
the personal strength that helps most people cope with stress and recover from adversity and trauma
brain abnormalities schizophrenia paranoia
increased activity in the amygdala, a fear-processing center
psychopharmacology
the study of the effects of drugs on mind and behavior
personality disorders
long standing, inflexible personality traits that impair social functioning feel little distress and frequently lead seemingly normal lives
placebo effect
when patients or mental health workers expect positive results, they may see what they expect, not reality
psychological disorder
a syndrome (collection of symptoms) marked by a clinically significant disturbance in an individual's cognition, emotion, regulation, or behavior
free association
a therapist asks a client to freely share thoughts, words, and anything that comes to mind
excoriation disorder
repeated picking at one's own skin, which results in skin lesions
deviant
violates cultural norms; behaviors that are considered unacceptable or intolerable
body dysmorphic disorder
preoccupation with an imagined or exaggerated defect in personal appearance
psychoanalysis
emphasizes the power of childhood experiences in molding an adult help reduce growth-impeding inner conflicts: reclaim unconscious thoughts and feelings; insight into origins of their disorder
anxiety-prone personality disorders
avoidant personality disorder ex: fearful sensitivity to rejection
biomedical therapy
offers medication and other biological treatments
hoarding disorder
persistent difficulty discarding or parting with possessions because of a perceived need to save them
systematic desensitization
a type of exposure therapy that associates a pleasant relaxes state with gradually increasing anxiety-triggering stimuli
averse conditioning
creates a negative response to a harmful stimuli helps you learn what not to do
Aaron Beck
his approach assumes that changing people's thinking can change their functioning
antipsychotic drugs
chlorpromazine (thorazine), risperidone (risperdal), alanzapine (zyprexa) positive symptoms of schizophrenia
exposure therapy
tries to change people's reactions by repeatedly exposing them to stimuli that trigger unwanted actions; with repeated exposure, people adapt
trichotillomania
recurrent, irresistible urges to pull out hair from your scalp, eyebrows, or other areas of your body
preventative mental health
seeks to prevent psychological casualties by identifying and alleviating the conditions that cause them creating environments that support psychological health empowering people and enhancing competence, health, and well-being
post-traumatic stress disorder (PTSD)
disorder characterized by haunting nightmares, hypervigilance, social withdrawal, jumpy anxiety, and/or insomnia that lingers for 4 weeks or more after a traumatic experience more sensitive limbic system (where we process emotion)
antianxiety drugs
Xanax, Ativan
antidepressant drugs
prozac, zoloft, paxil selective serotonin rebuke inhibiters (SSRI) depression, anxiety disorders, ODC, PTSD
stress inoculation training
teaching people to restructure their thinking in stressful situations
dramatic/impulsive personality disorders
borderline personality disorder (attention-getting) narcissitic personality disorder (self-focused and self-inflation) antisocial personality disorder
major depressive disorder
disorder where 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 either be
depressed mood or
loss of interest/pleasure
symptoms of major depressive disorder
depressed mood most of the time; dramatically reduced interest or enjoyment in most activities much of the times; significant challenges regulating appetite and weight; significant challenges regulating sleep; physical agitation or lethargy; feeling listless with much less energy; feeling worthless, or unwarranted guilt; problems with thinking, concentrating, or making decisions; thinking repeatedly of death and/or suicide
anxiety
a feeling of unease, fear, or sorry that something bad is about to happen
agoraphobia
fear or avoidance of situations, such as crowds or wide-open places, from which escape may be difficult
binge-eating disorder
engage in significant bouts of overeating, followed by remorse don't purge, fast, or excessively exercise
persistent depressive disorder
a milder form of depression that has lasted for 2 years or more
bipolar disorder
a disorder where a person alternates between the hopelessness and lethargy of depression and the overexcited state of mania
mania
a hyperactive, wildly optimistic state in which dangerously poor judgement is common little need for sleep abnormally elevated mood and intensely high energy
anxiety disorders (12 types)
psychological disorders characterized by distressing, persistent anxiety or maladaptive behaviors that reduce anxiety
social anxiety disorder
intense fear and avoidance of social situations; feeling extremely anxious in social settings
hypomania
a condition that's similar to mania, but less severe
Bipolar 1
to be diagnosed, an individual must have experiences at least 1 full manic episode
Bipolar 2
to be diagnosed, an individual would have experiences a hypomanic episode, but never a manic one
suicide
suicidal urges arise when people feel disconnected from others, when they see themselves as a burden to others, and/or when they feel trapped by an inescapable situation
generalized anxiety disorder
a person is continually tense, apprehensive, and in a state of autonomic nervous system arousal (alarm/distress) excessive and uncontrollable worry more common in women (2/3)
nonsuicidal self-injury (NSSI)
self harm (cutting, burning, hitting) people who engage in NSSI do not intend to end their own life NSSI is most often performed in the absence of suicidal ideation occurs at the highest rates among adolescents and young adults
demonology and trephination
a procedure where a physician drilled holes in the skull of a patient to allow demonic forces to escape
why do people NSSI
pain distracts them from intense negative thoughts (temporary relief) relieve feelings of guilt by punishing themselves produces a physical sign of emotional distress, which may lead to getting help
the stress vulnerability model (diathesis-stress model)
individual characteristics combine with environmental stressors to increase or decrease the likelihood of developing a psychological disorder some disorders run in families genetic predisposition doesn't always mean you'll develop a disorder
pros of labeling psychological disorders
labels can be helpful for healthcare professionals (communication, consistency in diagnosis, better targeted treatment) labels can be helpful to patients and their families (greater understanding and patience, sense of comfort/hope)
cons of labeling psychological disorders
once we label a person, we may view them differently labels can lead to stigma (disgrace) labels can be self-fulfilling people may think 1 symptom means a mental disorder labels can have power in everyday life
phobia
a persistent, irrational fear and avoidance of a specific object, activity, or situation many people avoid triggers and learn to live with it, but some can't
obessive-compulsive disorder (OCD)
disorder characterized by obsessions and compulsions persistently interferes with every day life obsession --> anxiety or stress --> compulsive ritual --> relief
David Rosenhan's experiment
he and 7 others acted as pseudo-patients and were admitted to psychiatric hospitals said they had auditory halluciantions all were admitted and diagnosed with schizophrenia experience revealed the biasing powers of labels
impact of culture in therapy
therapists differ from each other and clients in matters of culture and values
eccentric/odd personality disorders
schizotypal personality disorder ex: emotionless disengagement
positive symptoms of schizophrenia
inappropriate behaviors are present hallucinations; talk in disorganized and deluded ways; exhibit inappropriate laughter, tears, or rage
early warning signs of schizophrenia
social withdrawal; abnormal behavior; mother had severe, long-lasting schizophrenia; birth complications; separation from parents; short attention span; poor muscle coordination; disruptive or withdrawn behavior; emotional unpredictability; poor peer relations; childhood physical, sexual, or emotional abuse
Hippocrates and Philippe Pinel
both recognized that mental illness has a biological cause madness is a result of sickness of the mind curing requires moral treatment
nature vs. nurture NATURE
behavior is determined by the genes we inherit
epigenetics
the study of environment influences on gene expression that occur without a DNA change how our DNA and environment interact
transcranial direct current stimulation (tDCS)
treats depression psychiatrist applies a weak current to the scalp
psychosis
a severe mental condition where thought and emotions are so affected that contact is lost with reality
a fugue state (DID)
a sudden loss of memory or change in identity, often in response to stressful situations
What did David Rosenhan's experiment tell us about labels?
once labeled, the label can determine how professionals perceive and act to a person, how the person perceives themselves, and they might act differently
are people with psychological disorders dangerous?
the vast majority aren't clinical prediction of violence is unreliable better predictors: use of drugs or alcohol; past violent behavior; gun-availability
what disorders does cognitive and CDT therapy work best for?
anxiety, PTSD, insomnia, and depression
eclectic therapy approach
combining techniques with different approaches psychodynamic, humanistic, behavioral, or cognitive
brain imaging of OCD patients
high-rate of metabolic activity in the frontal love, which directs our attention
what disorders does behavioral therapy work best for?
specific behavioral problems bed wetting, phobias, compulsions, marital problems, and sexual dysfunctions
schizophrenia spectrum disorder
a serious brain disorder that causes people to interpret reality abnormally
bulimia nervosa
weight fluctuations within or above normal ranges eat in spurts, followed by vomiting, laxative use, fasting, or excessive exercising bouts of depression, guilt, and anxiety
catastrophizing
relentless, overgeneralized, self-blaming behavior
disorganized speech
someone's thoughts and ideas can be jumbled and in no particular order word salad
conversion disorder (neurological symptom disorder)
anxiety is converted into a physical symptom
counterconditioning
pairs the trigger stimulus with a new response that's incompatible with fear
behavior therapy
therapy that applies learning principles to the elimination of unwanted behaviors
illness anxiety disorder
common people interpret normal sensations as symptoms of a dreaded disease
lobotomy
a psychological procedure used to calm uncontrollably emotions or violent patients the procedure cuts the nerves connecting the frontal lobes to the emotion-controlling centers of the inner brain produced a permanently lethargic, immature, uncreative person
psychosurgery
surgery that removes or destroys brain tissue in an effort to change behavior
self-help groups
small religious, interest, or support groups that meet regularly group member support each other emotionally
family therapy
treats people in the context of their family system views an individual's unwanted behaviors as influences by, or directed at, other family members
benefits of group therapy
saves therapists time and clients money social labs for exploring social behaviors and developing social skills lets people see that others share their problems feedback as people try new behaviors
group therapy
conducted with groups rather than individuals, providing benefits from group interaction
cognitive behavioral therapy
integrative therapy that combines cognitive therapy with behavior therapy alter the way people think and act makes people aware of their irrational negative thinking and replace it with new ways of thinking teaches people a more positive approach in everyday life
electroconvulsive therapy (ECT)
treats depression psychiatrist administers a strong current, triggers a seizure in the anesthetized patient
somatic symptom disorder
psychological origin distressing symptoms take a bodily form without apparent causes
anorexia nervosa
begins as a weight-loss diet drop significantly below normal weight feel fat, fear being fat, diet obsessively, sometimes exercise excessively
mood-stabilizing drugs
lithium treats bipolar disorder
cognitive therapy
teaches people new, more adaptive ways of thinking based on the assumption that thoughts intervene between events and our emotional interaction
token economy
an operant conditioning procedure where people earn a token for exhibiting a desired behavior and can later exchange tokens for privileges or treats
antisocial personality disorder
lack of conscious as a child (lie, steal, fight) adults act in violent or criminal ways unable to keep a job, behave irresponsibly, lower emotion intelligence frontal lobes are less active (impulse) emotion controlling amygdala is smaller behave impulsively, then feel and fear little
psychotherapy
a trained therapist uses psychological techniques to assist someone seeking either to overcome difficulties or to achieve personal growth early relationships, encourage client to adopt new ways of thinking, coach in replacing old behaviors with new ones
psychology
the scientific study of behavior and mental processes