a label we attach to a set of symptoms that tend to occur together
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dysfunction, distress, deviance, and dangerousness
what are the 4 D’s of abnormality
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trephination
\-procedure where holes were drilled in skulls of people displaying abnormal behavior, presumably to allow evil spirits to depart from their bodies
\-performed in the Stone Age
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ancient china
this group believed:
* abnormal behavior caused by by imbalance of positive and negative forces (yin/yang) * emotions controlled by internal organs * evil winds/ghosts influence behavior
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ancient Egypt, Greece, and Rome
these groups believed:
* that there is a biological cause of abnormality; rejected supernatural causes * hysteria- disorder of the wandering uterus; symptoms only woman could experience
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wandering uterus
* belief that the uterus would wander around the body and if it wanders in the wrong direction would result in symptoms such as coughing, loss of voice * the ultimate treatment would be the triad of marriage, intercourse and pregnancy
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mental hygiene movement
movement to treat mental patients more humanely and to view mental disorders as medical diseases
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Ivan Pavlov
* Russian physiologist * founder of classical conditioning
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behaviorism
* study of the impact of reinforcements and punishments on behavior * E.L. Thorndike and B.F. Skinner
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psychiatrist
* have an MD degree and have received specialized training in the treatment of psychological disorders * can prescribe medications for the treatment of these problems * trained to conduct psychotherapies as well
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clinical psychologists
* typically have a PhD in psych (there are still many masters degree career options) * specialization in treating and researching psychopathology * can also get a PsyD degree * conduct various forms of psychotherapy
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reliability
consistency of a test/method in assessing what is supposed to measure
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structured interview
* series of carefully worded questions ab symptoms experienced currently or in the past * follows standardized format
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* clients may be resistant to providing info * clients may have strong interest in outcome of the assessment and may be highly selective in the info provided * different cultures experience psych disorders differently
what are some challenges in assessment?
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electroencephalogram
* measures electrical activity along the scalp produced by the firing of specific neurons in the brain
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useful in:
* uncovering unconscious issues of a person * cases when the person is resistant or is heavily biasing the info presented to the assessor
how are projective tests useful?
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* Rorschach Inkblot Test * Thematic Apperception Test (TAT)
what are 2 frequently used projective tests?
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* questionable reliability and validity * lies on subjective interpretation of clinician * evaluation criteria doesn’t include cultural consideration
What are some limitations to projective tests?
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polygenic
multiple genetic abnormalities coming together in one individual to create a specific disorder
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epigenetic
environmental conditions affect the expression of genes
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test-retest reliability
test produces similar results when given at 2 points in time
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internal reliability
different parts of the same test produce similar results
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alternate form reliability
two versions of the same test produce similar results
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interrater or inter judge reliability
two or more raters or judges who administer and score a test come to similar conclusions
what are some basic intellectual abilities that intelligence tests measure
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panic disorder
* recurrent unexpected panic attacks * chronic and often debilitating and disruptive
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* persistent concern or worry about additional panic attacks or their consequences * a significant maladaptive change in behavior related to the attacks
at least __**one**__ of these symptoms has been ongoing for one month or more to be diagnosed with panic disorder
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18-24
what age period do panic attacks typically develop?
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* pay close attention to their bodily sensations and misinterpret them in a negative way * engage in catastrophic thinking, exaggerating symptoms and their consequences
* excessive anxiety and worry about a number of events or activities * occurs more days than not for __**at least 6 months**__ * the individual finds it difficult to control the worry
define generalized anxiety disorder
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Generalized Anxiety Disorder (GAD)
an individual is displaying __**3 or more**__ of the following symptoms more days than not for __**6 months**__
what diagnosis could be considered based off of this information alone?
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\
\
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* cognitive behavioral therapy * confront most common worries * challenge catastrophizing thoughts * develop coping strategies * benzodiazepine drugs
\
what are some common treatments for GAD?
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* marked __fear or anxiety__ about a **specific object** or **situation** * this phobic object or situation almost always provokes immediate fear or anxiety * is actively avoided or endured w intense fear or anxiety
how does the DSM-5 describe specific phobia?
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* exposure to extinguish the persons fear of the object or situation * systematic desensitization * modeling * flooding * applied tension technique * benzodiazepine
what are some treatments for phobias
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* places where they might have trouble escaping or getting help if they become anxious * embarrassing themselves if others notice their symptoms or efforts to escape
people with agoraphobia fear…
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behavioral observation
the purpose of _____ is to assess deficits in the way an individual handles difficult situations
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projective test
presentation of an ambiguous stimulus such as inkblot, to a client, who then projects unconscious motives and issues onto the stimulus in their interpretation of what it means
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social anxiety disorder
marked fear or anxiety ab one or more social situations in which the individual is so afraid of being rejected, judged or humiliated in public
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social anxiety disorders
people with _____ disorder:
* have excessively high standards for their social performances * focus on negative aspects of social interactions and evaluate their own behavior harshly
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* selective serotonin reuptake inhibitors(SSRI’s) * serotonin-norepinephrine reuptake inhibitors (SNRI’s) * cognitive behavioral therapy (CBT) * mindfulness based intervention * teaches individuals to be less judgmental ab their own thoughts/reactions and be more focused/relaxed in the present moment
what are some treatments for social anxiety disorder?
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developmentally inappropriate and excessive distress and fear when separated from primary caregivers
describe separation anxiety disorder
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separation anxiety disorder
\ * excessive distress when thinking ab separation * excessive worry ab losing the caregiver * show fear that leads to avoidance of school or leaving home * physical symptoms of distress
are all associated with ____ disorder
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* symptoms persist for at least 4 weeks * it significantly impairs the child’s functioning
separation anxiety disorder won’t be diagnosed unless..
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obsessions
* thoughts, urges or images that are persistent and intrusive * uncontrollable and unwanted * cause significant anxiety or distress
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compulsions
* repetitive behaviors or mental acts that an individual feels he or she must perform * often aimed at reducing anxiety brought on by obsessions
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OCD
* females are about twice as lucky as males to develop___ * males have an earlier age at onset
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psychodynamic perspective
which perspective toward OCD would say:
* anxiety develops when children come to fear their id impulses and use ego defense mechanisms like displacement to lessen their anxiety * the “battle” for OCD is not only unconscious; it is played out in overt thoughts and action
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cognitive perspective
which perspective toward OCD would say:
* people with OCD blame themselves for normal (although repetitive and intrusive) thoughts and expect that terrible things will happen as a result * to avoid such negative outcomes, they attempt to “neutralize” their thoughts
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* antidepressants that enhance serotonin * cognitive-behavioral treatments such as ERP * exposure and response prevention: expose client to obsession or fear and then prevent compulsive behavior
what are some treatment options for OCD?
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hoarding
difficulty getting rid of items that leads to accumulation of things that clutter and congest active living areas
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hair pulling disorder (trichotillomania)
recurrent pulling out of hair resulting in noticeable hair loss
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skin picking disorder (excoriation disorder)
recurrent picking of scabs or places on the skin, creating significant lesions that often become infected and cause scars
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body dysmorphic disorder (bdd)
people are excessively preoccupied w a part of their body that they believe is defective but that others see as normal or only slightly unusual
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post- traumatic stress disorder
anxiety disorder characterized by
1. repeated mental images of experiencing a traumatic event 2. emotional numbing and detatchment 3. hyper vigilance and chronic arousal
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acute stress disorder
* disorder similar to posttraumatic stress disorder but occurs within 1 month of exposure to the stressor and does not last more than 4 weeks
* often involves dissociative symptoms
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intrusion
repeated reexperiencing of the traumatic event
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avoidance
persistent avoidance of situations, thoughts, or memories associated with the trauma
what are the 4 types of symptoms required in diagnosing PTSD?
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adjustment disorder
consists of emotional and behavioral symptoms that arise with **3 months of the stressor**
person does NOT meet criteria for acute stress disorder or PTSD
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reactive attachment disorder
a consistent pattern of inhibited, emotionally withdrawn behaviors towards adult caregivers
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disinhibited social engagement disorder
a pattern of behavior in which a child actively approaches and interacts w unfamiliar adults
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* brains of people with PTSD are more reactive to emotional stimuli * hippocampal damage * amygdala activity appears to respond more actively in individuals with PTSD
what were the neuroimaging findings for PTSD?
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* cognitive-behavioral therapy and stress management * systematic desensitization (prolonged exposure with emotional and/or cognitive processing) * SSRI’s * benzodiazepines * marijuana? (depending on state regulations)
What are some treatment plans for PTSD?
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true
true or false:
behavioral theories suggest that phobias develop through classical and operant conditioning