AP Psych Unit 8: Clinical Psychology

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psychological disorder

a syndrome marked by a clinically significant disturbance in an individual's cognition, emotion regulation, or behavior

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attention-deficit/hyperactivity disorder (ADHD)

a psychological disorder marked by extreme inattention and/or hyperactivity and impulsivity

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Medical model

the concept that diseases, in this case psychological disorders, have physical causes that can be diagnosed, treated, and, in most cases, cured, often through treatment in a hospital.

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DSM-5

the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition; a widely used system for classifying psychological disorders.

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Anxiety disorders

psychological disorders characterized by distressing, persistent anxiety or maladaptive behaviors that reduce anxiety

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Generalized anxiety disorder

an anxiety disorder in which a person is continually tense, apprehensive, and in a state of autonomic nervous system arousal

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Panic disorder

An anxiety disorder marked by unpredictable minutes-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

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Phobia

an anxiety disorder marked by a persistent, irrational fear and avoidance of a specific object, activity, or situation

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social anxiety disorder

intense fear and avoidance of social situations

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Agoraphobia

fear or avoidance of situations, such as crowds or wide open places, where one has felt loss of control and panic

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Obsessive-compulsive disorder

a disorder characterized by unwanted repetitive thoughts (obsessions) and/or actions (compulsions)

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Posttraumatic stress disorder

a disorder characterized by haunting memories, nightmares, hypervigilance, social withdrawal, jump anxiety, numbness of feeling, and/or insomnia that lingers for four weeks or more after a traumatic experience

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Posttraumatic growth

positive psychological changes as a result of struggling with extremely challenging circumstances and life crises

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Mood disorders

psychological disorders characterized by emotional extremes

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major depressive disorder

A mood disorder in which a person experiences, in the absence of drugs or a medical condition, two or more weeks with five or more symptoms, at least one of which must be either 1) depressed moods and 2) diminished interest or pleasure in most activities.

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Mania

a hyperactive, wildly optimistic state in which dangerously poor judgement is common

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Bipolar disorder

A mood disorder in which the person alternates between the hopelessness and lethargy of depression and the overexcited state of mania.

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Rumination

compulsive fretting; overthinking about our problems and their causes

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Schizophrenia

a disorder characterized by delusions, hallucinations, disorganized speech, and/or diminished, inappropriate emotional expression

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Psychosis

a mental disorder in which there is a severe loss of contact with reality; it is a common feature of schizophrenia.

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Delusions

false beliefs, often of persecution or grandeur, that may accompany psychotic disorders.

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Hallucination

false sensory experience, such as seeing something in the absence of an external visual stimulus

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somatic symptom disorder

psychological disorder in which the symptoms take a somatic (bodily) form without apparent physical cause

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Conversion disorder

a disorder related to somatic symptom disorder in which a person experiences very specific, physical symptoms that are not compatible with recognized medical or neurological conditions

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Illness anxiety disorder

a disorder related to somatic symptom disorder in which a person interprets normal physical sensations as symptoms of a disease

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Dissociative disorders

controversial, rare disorders in which conscious awareness becomes separated (dissociated) from previous memories, thoughts, and feelings

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dissociative identity disorder (DID)

a rare dissociative disorder in which a person exhibits two or more distinct and alternating personalities.

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Anorexia nervosa

an eating disorder in which a person (usually an adolescent female) maintains a starvation diet despite being significantly underweight; sometimes accompanied by excessive exercise

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Bulimia nervosa

an eating disorder in which a person's binge eating (usually of high-calorie foods) is followed by inappropriate weight-loss promoting behavior, such as vomiting, laxative use, fasting, or excessive exercise

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Binge-eating disorder

significant binge-eating episodes, followed by distress, disgust, or guilt, but without the compensatory purging, fasting, or excessive exercise that marks bulimia nervosa

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Personality disorders

inflexible and enduring behavior patterns that impair social functioning

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Antisocial personality disorder

A personality disorder in which the person (usually a man) exhibits a lack of conscience for wrongdoing, even toward friends and family members. May be aggressive and ruthless or a clever con artist.

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Panic attack

a sudden episode of intense fear that triggers severe physical reactions when there is no real danger or apparent cause.

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Dysthymia

a milder, but long-lasting form of depression. Symptoms usually last for at least two years, and cause significant interference in aspects of daily life and work.

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Flat affect

a severely restricted or nonexistent expression of emotion. they don't express emotions like normal people do. It is not a condition by itself; it's a symptom of various other conditions, including schizophrenia, autism, or post-traumatic stress disorder.

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Catatonia

a disorder that disrupts a person's awareness of the world around them. People with this condition sometimes react very little or not at all to their surroundings, or might behave in ways that are unusual, unexpected or unsafe to themselves or others.

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Positive symptoms

changes in thoughts and feelings that are "added on" to a person's experiences (e.g., paranoia or hearing voices)

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Negative symptoms

things that are "taken away" or reduced (e.g., reduced motivation or reduced intensity of emotion).

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avoidant personality disorder

A personality disorder characterized by consistent discomfort and restraint in social situations, overwhelming feelings of inadequacy, and extreme sensitivity to negative evaluation.

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Schizoid personality disorder

a condition where a person shows very little, if any, interest and ability to form relationships with other people. It's very hard for the person to express a full range of emotions. you may be seen as keeping to yourself or rejecting others.

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Histrionic personality disorder

a personality disorder characterized by excessive emotionality and preoccupation with being the center of attention; emotional shallowness; overly dramatic behavior

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Narcissistic personality disorder

a personality disorder characterized by exaggerated ideas of self-importance and achievements; preoccupation with fantasies of success; arrogance; lack of empathy; need for admiration

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psychotherapy

treatment involving psychological techniques; consists of interactions between a trained therapist and someone seeking to overcome psychological difficulties or achieve personal growth

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biomedical therapy

prescribed medications or procedures that act directly on the person's physiology

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eclectic approach

an approach to psychotherapy that, depending on the client's problems, uses techniques from various forms of therapy

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psychoanalysis

Sigmund Freud's therapeutic technique used in treating psychological disorders. Freud believed 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.

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resistance

in psychoanalysis, the blocking from consciousness of anxiety-laden material

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interpretation

in psychoanalysis, the analyst's noting supposed dream meanings, resistances, and other significant behaviors and events in order to promote insight

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transference

in psychoanalysis, the patient's transfer to the analyst of emotions linked with other relationships (such as love or hatred for a parent)

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psychodynamic therapy

therapy deriving from the psychoanalytic tradition; views individuals as responding to unconscious forces and childhood experiences, and seeks to enhance self-insight

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insight therapies

therapies that aim to improve psychological functioning by increasing a person's awareness of underlying motives and defenses

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client-centered therapy

a humanistic therapy, developed by Carl Rogers, in which the therapist uses techniques such as active listening within a genuine, accepting, empathic environment to facilitate clients' growth.

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active listening

Empathic listening in which the listener echoes, restates, and clarifies. A feature of Rogers' client-centered therapy.

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unconditional positive regard

a caring, accepting, nonjudgmental attitude, which Carl Rogers believed would help clients to develop self-awareness and self-acceptance

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behavior therapy

therapy that applies learning principles to the elimination of unwanted behaviors

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counterconditioning

behavior therapy procedures that use classical conditioning to evoke new responses to stimuli that are triggering unwanted behaviors; include exposure therapies and aversive conditioning

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exposure therapies

behavioral techniques, such as systematic desensitization and virtual reality exposure therapy, that treat anxieties by exposing people (in imagination or actuality) to the things they fear and avoid

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systematic desensitization

A type of exposure therapy that associates a pleasant relaxed state with gradually increasing anxiety-triggering stimuli. Commonly used to treat phobias.

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virtual reality exposure therapy

a counterconditioning technique that treats anxiety by creative electronic simulations in which people can safely face their greatest fears, such as airplane flying, spiders, or public speaking

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aversive conditioning

a type of counterconditioning that associates an unpleasant state (such as nausea) with an unwanted behavior (such as drinking alcohol)

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token economy

an operant conditioning procedure in which people earn a token for exhibiting a desired behavior and can later exchange the tokens for various privileges or treats

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cognitive therapy

therapy that teaches people new, more adaptive ways of thinking and acting; based on the assumption that thoughts intervene between events and our emotional reactions

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rational-emotive behavior therapy (REBT)

a confrontational cognitive therapy, developed by Albert Ellis, that vigorously challenges people's illogical, self-defeating attitudes and assumptions

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cognitive-behavioral therapy (CBT)

a popular integrative therapy that combines cognitive therapy (changing self-defeating thinking) with behavior therapy (changing behavior)

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group therapy

therapy conducted with groups rather than individuals, permitting therapeutic benefits from group interaction

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family therapy

therapy that treats people in the context of their family system. Views an individual's unwanted behaviors as influenced by, or directed at, other family members

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regression toward the mean

the tendency for extreme or unusual scores to fall back (regress) toward their average.

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meta-analysis

a procedure for statistically combining the results of many different research studies

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evidence-based practice

clinical decision making that integrates the best available research with clinical expertise and patient characteristics and preferences

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therapeutic alliance

a bond of trust and mutual understanding between a therapist and client, who work together constructively to overcome the client's problem

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resilience

the personal strength that helps most people cope with stress and recover from adversity and even trauma

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psychopharmacology

the study of the effects of drugs on mind and behavior

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antipsychotic drugs

drugs used to treat schizophrenia and other forms of severe thought disorder

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antianxiety drugs

drugs used to control anxiety and agitation

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antidepressant drugs

drugs used to treat depression, anxiety disorders, obsessive-compulsive disorder, and posttraumatic stress disorder. (Several widely used antidepressant drugs are selective serotonin reuptake inhibitors—SSRIs.)

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76

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

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repetitive transcranial magnetic stimulation (rTMS)

the application of repeated pulses of magnetic energy to the brain; used to stimulate or suppress brain activity

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psychosurgery

surgery that removes or destroys brain tissue in an effort to change behavior

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lobotomy

a psychosurgical procedure once used to calm uncontrollably emotional or violent patients. The procedure cut the nerves connecting the frontal lobes to the emotion-controlling centers of the inner brain.

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interpersonal psychotherapy

a form of psychotherapy that focuses on helping clients improve current relationships

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81

Aaron Beck

sought to reverse patient's catastrophizing beliefs about themselves, their situations and futures using cognitive therapy

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Stress inoculation training

a therapy that helps people to cope with stressful situations by developing positive ways to think about the situation; training in deep muscle relaxation, cognitive restructuring, breathing exercises, assertiveness skills, thought stopping, role playing, and guided self-dialogue.

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EMDR (eye movement desensitization and reprocessing)

a psychotherapy that enables people to heal from the symptoms and emotional distress that are the result of disturbing life experiences.

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Light Exposure Therapy

a client is exposed to daily doses of light that mimics outdoor light; used to fight against seasonal affective disorder (SAD)

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Tardive dyskinesia

a condition where your face, body or both make sudden, irregular movements which you cannot control. It can develop as a side effect of medication, most commonly antipsychotic drugs.

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SSRI (Selective Serotonin Reuptake Inhibitors)

interfere with serotonin transport in the brain's synapses and can work to elevate mood; used to treat depression, obsessive-compulsive disorder, schizophrenia, bipolar disorder, and post-traumatic stress disorder.

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therapeutic lifestyle change

a lifestyle modification that includes exercise, nutrition and diet, relationships, recreation, relaxation and stress management, religious or spiritual involvement, spending time in nature, and service to others

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Alzheimer's Disease

a neurocognitive disorder marked by neural plaques, often with onset after age 80, and entailing a progressive decline in memory and other cognitive abilities

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Borderline Personality Disorder

a mental illness that severely impacts a person's ability to regulate their emotions. This loss of emotional control can increase impulsivity, affect how a person feels about themselves, and negatively impact their relationships with others.

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Major Neurocognitive Disorder (formerly Dementia)

a disorder that represents deficits in cognitive abilities significantly affecting older people

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Huntington's disease

a hereditary disease marked by degeneration of the brain cells and causing chorea and progressive dementia.

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Factitious Disorder

Condition in which a person acts as if he or she has a physical or mental illness when he or she is not really sick.

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