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1. distress or impairment
2. dysfunction
3. atypical / not culturally expected
3 characteristics of psychological disorder
psychological dysfunction
breakdown in cognitive, emotional, or behavioral functioning
distress
extreme anxiety, sorrow, or pain
atypical
not typical
prototype
typical profile of a disorder
presenting problem
Original complaint reported by the client to the therapist.
clinical description
the unique combination of behaviors, thoughts, and feelings that make up a specific disorder
Prevalence
percentage of people within a population who have a specific mental disorder
Incidence
The number or rate of new cases of a particular condition during a specific time.
sex ratio
percentage of males and females having a disorder
course
pattern of development and change of a disorder over time
chronic course
disorder tends to last a long time, often a lifetime
episodic course
Pattern of a disorder alternating between recovery and recurrence.
time-limited course
The disorder will improve without treatment in a relatively short period.
acute onset
disorder begins suddenly
insidious onset
disorder develops gradually over an extended period of time
prognosis
a prediction of the course of a disorder
developmental psychopathology
the study of changes in abnormal behavior
life-span developmental psychopathology
study of abnormal behavior across the entire age span
Etiology
the study of the causes of disorders
1. supernatural model
2. biological tradition
3. psychological tradition
3 historical conceptions of abnormal behavior
supernatural model
Abnormal behavior due to possession by gods or demons, or other phenomena such as the moons and stars.
mass hysteria
outbreak of irrational behavior that is spread by social contagion
mob psychology
if one person identifies a "cause" of the problem, others will probably assume that their own reactions have the same source
Hippocrates
Father of modern medicine
He suggested that psychological disorders could be treated like any other diseases.
Humoral Theory
Pertaining to body fluids or substances contained in them.
blood
• "sanguine"
• cheerful and optimistic
black bile
• "melancholic"
• depression
yellow bile
• "choleric"
• anger / hot-tempered
phlegm
• "phlegmatic"
• sluggishness
John P. Grey
Psychiatrist who believed that the causes of insanity were always physical.
Emil Kraepelin
• A pioneer of diagnostic categorization in mental health who was one of the first to assign formal labels to particular clusters of symptoms.
• "diagnosis" & "classification"
Philippe Pinel and Jean-Baptiste Pussin
• proponents of moral therapy
• "patients shouldn't be restrained"
moral therapy
psychosocial approach in the 19th century that involved treating patients as normally as possible in normal environments
Dorothea Dix
proponent of mental hygiene movement
mental hygiene movement
movement to treat mental patients more humanely and to view mental disorders as medical diseases
Franz Anton Mesmer
German physician whose theories and practices led to modern-day hypnotism.
Catharsis
a release of emotional tension
insight
a fuller understanding of the relationship between current emotions and earlier events
1. structure of the mind
2. defense mechanisms
3. psychosexual stages
3 major facets of psychoanalytic theory
1. id
2. ego
3. superego
3 structures of the mind
id
source of our strong sexual and aggressive feelings and energies
pleasure principle
• tendency of the id to strive for immediate gratification
primary process
id's way of processing information wherein this type of thinking is emotional, irrational, illogical, filled with fantasies and preoccupied with sex, aggression, selfishness, and envy.
ego
the largely conscious, "executive" part of personality that, according to Freud, mediates among the demands of the id, superego, and reality. The ego operates on the reality principle, satisfying the id's desires in ways that will realistically bring pleasure rather than pain.
reality principle
seeks to delay gratification of the id's urges until appropriate outlets and situations can be found
secondary process
ego's way of processing information characterized by logic and reason
superego
the part of personality that, according to Freud, represents internalized ideals and provides standards for judgment (the conscience) and for future aspirations
moral principles
the principles of right and wrong accepted by an individual or a social group
Ana Freud
Developed the defense mechanisms more fully
Denial
Defense mechanism by which people refuse to accept reality.
Displacement
psychoanalytic defense mechanism that shifts sexual or aggressive impulses toward a more acceptable or less threatening object or person, as when redirecting anger toward a safer outlet
Projection
psychoanalytic defense mechanism by which people disguise their own threatening impulses by attributing them to others
rationalization
defense mechanism that offers self-justifying explanations in place of the real, more threatening, unconscious reasons for one's actions
reaction formation
Defense mechanism by which people behave in a way opposite to what their true but anxiety-provoking feelings would dictate.
Repression
Defense mechanism by which anxiety-provoking thoughts and feelings are forced to the unconscious.
Sublimation
Defense mechanism by which people redirect socially unacceptable impulses toward acceptable goals.
1. Oral Stage
2. Anal Stage
3. Phallic Stage
4. Latency Stage
5. Genital Stage
5 psychosexual stages
fixation
according to Freud, a lingering focus of pleasure-seeking energies at an earlier psychosexual stage, in which conflicts were unresolved
Oedipus complex
according to Freud, a boy's sexual desires toward his mother and feelings of jealousy and hatred for the rival father
castration anxiety
In psychoanalysis, the fear in young boys that they will be mutilated genitally because of their lust for their mothers.
Electra complex
Conflict during phallic stage in which girls supposedly love their fathers romantically and want to eliminate their mothers as rivals
object relations theory
study of how children incorporate the images, the memories, and sometimes the values of a person who was important to them
free association
a method of exploring the unconscious in which the person relaxes and says whatever comes to mind, no matter how trivial or embarrassing
dream analysis
A psychoanalytic technique in which the therapist interprets the symbolic meaning of the client's dreams.
Transference
in psychoanalysis, the patient's transfer to the analyst of emotions linked with other relationships (such as love or hatred for a parent)
Countertransference
Circumstances in which a psychoanalyst develops personal feelings about a client because of perceived similarity of the client to significant people in the therapist's life.
Introspection
examination of one's own thoughts and feelings
systematic desensitization
A type of exposure therapy that associates a pleasant relaxed state with gradually increasing anxiety-triggering stimuli. Commonly used to treat phobias.
unconditional positive regard
according to Rogers, an attitude of total acceptance toward another person
biological influences
it refers to how evolution, individual genes, brain structure and chemistry contributes to developing of a disorder
social influences
social and cultural factors contributing to development of disorder
emotional and cognitive influences
thoughts and feelings that affect one's behavior
behavioral influences
• acts that contribute to development of disorder
ex.
-conditioned response to sight of blood: similar situations-even words-produce same reaction
-tendency to escape and avoid situations
diathesis-stress model
a diagnostic model that proposes that a disorder may develop when an underlying vulnerability is coupled with a precipitating event
Diathesis
a vulnerability or predisposition to developing a disorder
vulnerability
susceptibility or tendency to develop a disorder
gene-environment correlation
• the idea that heredity influences the environments to which individuals are exposed
• a genetically determined tendency to create the very environmental risk factors that trigger a genetic vulnerability
1. Central Nervous System (CNS)
2. Peripheral Nervous System (PNS)
two divisions of the nervous system
1. brain
2. spinal cord
what are the 2 parts of the central nervous system?
Neuron
a specialized cell transmitting nerve impulses; a nerve cell.
Receptors
parts of the cell membrane that receive the neurotransmitter and initiate or prevent a new electric signal
excitatory neurotransmitters
excite the next cell into firing
inhibitory neurotransmitters
inhibit the next cell from firing
1. Cerebral Cortex
2. Limbic System
3. Basal Ganglia
3 components of the forebrain
hints: CC-LS-BG
cerebral cortex
• the largest part of the forebrain
• it contains more than 80% of all neurons
amygdala
A limbic system structure involved in memory and emotion, particularly fear and aggression.
Hippocampus
A neural center located in the limbic system that helps process explicit memories for storage.
limbic system
this system helps regulate our emotional experiences and expressions, and our ability to learn and control our impulses
basal ganglia
• deep brain structures involved in motor movement
• controls motor activity
thalamus and hypothalamus
involved broadly with regulating behavior and emotion
Midbrain
coordinates simple movements with sensory information
Hindbrain
it consists of medulla, pons, cerebellum
Cerebellum
A large structure of the hindbrain that controls fine motor skills.
1. Somatic Nervous System
2. Autonomic Nervous System
2 parts of the peripheral nervous system
somatic nervous system
A subdivision of the peripheral nervous system. Enables voluntary actions to be undertaken due to its control of skeletal muscles.
autonomic nervous system
A subdivision of the peripheral nervous system. Controls involuntary activity of visceral muscles and internal organs and glands.
Serotonin
• affects mood, hunger, sleep and arousal.
• undersupply linked to depressions
• regulates behavior, moods, and thought processes
Norepinephrine
involved in emergency reactions or alarm responses
Dopamine
• a neurotransmitter that regulates motor behavior, motivation, pleasure, and emotional arousal
• neurotransmitter which is a switch that turns on various brain circuits