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The Four D
Distress ,Dysfunction, Deviance, DangerousnessÂ
Distress
A person’s internal experience cause a significant degree of discomfort/upset/tormentÂ
Dysfunction
Symptoms results in impairment in an important area of day to day life such as work, school, connection with other peopleÂ
Deviance
violation of social norms (cultraully unexpected behavior
Dangerousness
Danger to self or others
Contuum of experienceÂ
Problems in thoughts, feelings, and behaviors vary from typical to disordered
Integrated approach
piecing multiple things together
Modern antiquity (antiquity- something from the distant past; long ago)
Neurotransmitter matter, but mental health depends on whole circuits and systems working together Â
epigenetics
Study of changes in gene expression without change in gene sequence
ex: The non anxious rat mom who raised the pup changed the pups genetic variability which helped them be not anxious rats and the grooming the mother did helped release good hormones in the pup Life experiences alter DNA , not necessarily its sequence but rather its form the structure
Single gene disorder
 you have this gene you will have this disorder ( but that a rare set of genes)
Endocrine system
System of glands that produce chemicals called hormones released directly into the blood
hypothalamic -pituitary-adenal axis
fight or flight response
Immune system
Anything that makes your immune system work hard can lead to symptom behavior which can contribute to your mood.Â
Operant conditioning
A learning process in which the consequence which follow a response determine whether the behavior will be repeatedÂ
Classical conditioning
Learning by associationÂ
cognitive modelÂ
theories can be researched, clinically useful and effective. Difficult to demonstrate that maladaptive cognitions precede and cause disorders (rather than being the symptoms or consequences of the disorders) and overemphasis on the present.Â
Paradigms/models
Equifinality and Multinality
Equifinality
Must consider a number of paths to a given outcome. EX: Delusions ( consider multiple things why someone might be experience a symptom)Â Â
Multinality
Similar initial conditions lead to different end effects. EX: Loss of home during hurricane ( some might develop PTSD, some might relapce in their addiction, some might be fine)Â
 Diathesis stress model
Biological , social , psychological
Categorical classification
Does the person have high blood pressure : yes or not
Dimensional classificationÂ
Where does the person’s blood pressure fall on a continuum of measurement?Â
Prototypical approach
Identifies essential features of a disorder so that it can be classified, but allows for nonessential variations that do not necessarily change the classification
Differential diagnosis
The process of distinguishing between conditions with similar signs or symptoms
Comorbidity
Defined as two or more disorders for the same person
Positive correlation
describes a relationship between two variables where they tend to move in the same direction
negative correlation
a relationship between two variables where one variable increases as the other variable decreases, indicating an inverse relationship
Epidemiological Research
The study patterns of disease occurrence in human populations and by the factors that influence themÂ
Prevalence
Proportion of a population that has a disorder at any given time ( in the last year how many adults were seen with depression in boulder)Â
Incidence
Number of new cases that occur during some time period ( Every week clinics and hospital submit numbers to disease corporations ( think flu thing))Â
Protective factors
conditions that decreased the likelihood of developing the disorder (lowering the risk)Â
Studies large populations
modifiable risk factor
a behavior, condition, or exposure that a person can change to reduce their risk of developing a disease
Causality criteria
Temporality, reversibility, specificity, consistency
The experimental methodÂ
Independent variable and Dependent variable
Independent variable
Manipulated variable
Dependent variable
being observed or measured for change
Causal
Casual relationships can only be determined through experiments
 confounds variables
an extra, unaccounted-for factor in a research study that has a hidden impact on both the independent and dependent variables
Clinical
Treating some symptoms : Randomized clinical trials, Human lab-based studies
Human laboratory studies
Mimic something in the real world for a snapshot of time
Internal validity
Ensuring that changes in the dependent variable can be attributed to the manipulation of the independent variable
Clinical significance
Clinical: How much change large enough to matter Â
Statistically significant
an observed result or difference is unlikely to have occurred by random chance alone and is therefore probably real
Cultural relativism
he view that there are no universal standards or rules for labeling a behavior abnormal; instead, behaviors can be labeled abnormal only relative to cultural norms.Â
Biological approach 2
views disorders as the result of abnormal genes or neurobiological dysfunction.
The psychological approach
views disorders as the result of thinking process, personality styles, emotions, and conditioning
Steven HayesÂ
What helped his anxiety was accepting that he would have anxiety attacks and stopped trying to fight them . He developed a new form of psychological therapy called acceptance and commitment therapy or ACT . Such as using mediationÂ
Behavioral approaches 2
Focuses on how our environment influences and shaped human behavior through the experiences of reinforcement and punishment.Â
Third wave approachesÂ
a movement within Cognitive Behavioral Therapy (CBT) that emphasizes acceptance, mindfulness, and the therapeutic relationship to improve well-being by changing how a person relates to their thoughts and feelings, rather than solely trying to change their content
dialectical behavioral therapy
Constant tension between conflicting images or emotions in people prone to certain forms of psychopathology.Â
Unified Protocol (UP) for emotional disorders
simplifies and organizes treatment by targeting processes common across multiple disorders
Multiculturalism
A clinician’s efforts to integrate and embrace cultural differences of their clients , while also acknowledging the influence of their culture on how they perceive and respond to clients
Psychodynamic therapists
Unconscious conflictsÂ
 cognitive therapies 2
therapists assist their clients to construct narratives that correct distorted thoughts to relieve the emotional challenges with which they are associated.
systemic therapy
therapists aim to understand and accept how each member of a system understands reality and which unique narratives describe the current problem
person-centered therapists
promote a shared and empathetic understanding of clients’ narrativesÂ
psychodynamic therapy 2
clients are encouraged to express painful emotions and thoughts.  Â
Continuum approach
assessment and diagnosis
How are psychological disorders evaluated
Assessment,Psychological assessments, Criteria based on DSM-5-TR, Symptoms cluster together equal to a syndrome. When symptoms cluster together it equals a diagnosisÂ
Hippocrates
divided all mental disorders into mania
Melancholia
states of abnormal depression
simple control group
Consisting of participants who do not receive the experimental therapy but are tracked for the same period of time as the participants who do receive the therapy.Â
The wait list control group
The participants in this type of group do not receive the therapy when the experimental group does but instead are put on a wait list to receive the intervention at a later date, when the study is completed.
Meta-analysisÂ
A statistical technique for summarizing results across several studies.Â
Research Domain Criteria (RDoC)
encourages researches to integrate across such methods Â