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disorder
refers to a state of mental/behavioral ill health
patterns
refers to finding a collection of symptoms that tend to go together, and not just seeing a single symptom
deviant
means differing from the norm
Philippe Pinel
(1745-1826) and others sought to reform brutal treatment by promoting a new understanding of the nature of mental disorders. This person proposed that mental disorders were not caused by demonic possession, but by environmental factors such as stress and inhumane conditions. “Moral treatment” involved improving the environment and replacing the asylum beatings with patient dances. This person’s humane environmental inventions improved lives but often did not effectively treat mental illness.
psychopathology
an illness of the mind, mood disorders (depression, anxiety, and schizophrenia)
The Biopsychosocial Approach
Mental disorders can arise in the interaction between nature and nurture caused by biology, thoughts, and sociocultural environment
culture-bound syndromes
are disorders which only seem to exist within certain cultures; they demonstrate how culture can play a role in both causing and defining a disorder. Examples include Bulimia Nervosa in the US, Running amok in Malaysia, Hikikomori in Japan
Critiques of DSM
calls too many people “disordered”
categorical instead of a web
diagnostic labels direct how we view and interpret the world
GAD: Generalized Anxiety Disorder
Emotional-cognitive symptoms include worrying, having anxious feelings and thoughts about many subjects, and sometimes “free-floating” with no attachment to any subject. Anxious anticipation interferes with concentration. Physical symptoms include autonomic arousal, trembling, sweating, fidgeting, agitation, and sleep disruption.
Panic Attack
many minutes of intense dread or terror
chest pains, choking, numbness, or other frightening physical sensations. Patients may feel certain that it’s a heart attack.
a feeling of a need to escape
Panic disorder
refers to repeated and unexpected panic attacks, as well as a fear of the next attack, and a change in behavior to avoid panic attacks.
Specific Phobia
more than a strong fear or dislike. Diagnosed when there is an uncontrollable, irrational, intense desire to avoid the same object or situation
Agoraphobia
is the avoidance of situations in which one will fear having a panic attack, especially a situation in which it is difficult to get help, and from which it’s difficult to escape.
Social Phobia
refers to an intense fear of being watched and judged by others. It is visible as a fear of public appearances in which embarrassment or humiliation is possible, such as public speaking, eating, or performing
Obsessions
intense unwanted worries, ideas, and images that repeatedly pop up in the mind
compulsion
a repeatedly strong feeling of “needing” to carry out an action, even though it doesn’t feel like it makes sense
distress
when you are deeply frustrated with not being able to control the behaviors
dysfunction
when the time and mental energy spent on these thoughts and behaviors interfere with everyday life
PTSD
about 10 to 35 percent of people who experience trauma not only have burned-in memories, but also four weeks to a lifetime of:
repeated intrusive recall of those memories
nightmares and other re-experiencing
social withdrawal or phobic avoidance
jumpy anxiety or hypervigilance
insomnia or sleep problems
observational learning
If you see someone else avoiding or fearing some object or creature, you might pick up that fear and adopt it even after the original scared person is not around. In this way, fears get passed down in families.
cognition
includes worried thoughts, as well as interpretations, appraisals, beliefs, predictions, and ruminations. Includes mental habits such as hyper vigilance (persistently watching out for danger). This accompanies anxiety in PTSD.
Cognitive errors
such as believing that we can predict that bad events will happenI
Irrational beliefs
such as “bad things don’t happen to good people, so if I was hurt, I must be. bad'“
Mistaken appraisals
such as seeing aches as diseases, noises as dangers, and strangers as threats
misinterpretations
of facial expressions and actions of others, such as thinking “they’re talking about me”
serotonin
a neurotransmitter involved in regulating sleep and mood
glutamate
an excitatory neurotransmitter involved in the brain’s alarm centers
Major Depressive disorder (MDD)
more than just feeling “down”
more than just feeling sad about something
depressed mood most of the day, and/or
markedly diminished interest or pleasure in activities
significant increase or decrease in appetite or weight
insomnia, sleeping too much, or disrupted sleep
etc…
Bipolar disorder
was once called “manic-depressive disorder” two polar opposite moods are depression and mania.
more than just “mood swings”
depression plus the problematic overly “up” mood called “mania”
Depression
the common cold of disorders, #1 reason why people seek mental health, more accurate view of the world and themselves
Schizophrenia
the mind is split from reality, e.g. a split from one’s own thoughts so that they appear as hallucinations. Includes:
disorganized and/or delusional thinking
disturbed perceptions
inappropriate emotions and actions
Psychosis
refers to a mental split from reality and rationality
Bipolar and Schizophrenia
Highest Genetic Correlation
flat affect
facial/body expression is “flat” with no visible emotional content (associated with Schizophrenia)
catatonia
sitting motionless and unresponsive for hours (associated with Schizophrenia)
personality
An individual’s characteristic patterns of thoughts, feelings, and behaviors [persisting over time and across situations]
Psychodyamnic/Psychoanalytic Theories
These theories of human personality focus on the inner and outer forces that interact to make us who we are
dynamic
interacting, changing
Sigmund Freud
(1856-1939) started his career as a Vienna physician. He decided to explore how mental and physical symptoms could be caused by purely psychological factors. He became aware that many powerful mental processes operate in the unconscious, without our awareness. His name for his theory and his therapeutic technique: psychoanalysis. Three models of psychoanalytic thought!
(i) affect-trauma model, (ii) topographic, drive theory model; (iii) structural model of id, ego, and superego
What are Freud’s three frames of reference? Psychoanalytic thought
free association
A techniques for revealing hidden childhood trauma. Freud encouraged patients to speak whatever comes to mind, then the therapist verbally traces the traumatic roots of adult symptoms.
Freud’s Techniques for revealing the unconscious mind (topographic model)
free association
slips of the tongue
dreams = ‘royal road to the unconscious’
personality
develops from the efforts of our ego, our rational self, to resolve tension between our id, based in biological drives, and the superego, society’s rules and constraints
unconscious
in Freud’s view: a reservoir of thoughts, wishes, feelings, memories, that are hidden from awareness because they feel unacceptable | a stream, not a reservoir
id
is focused on the needs of erogenous zones, sensitive areas of the body. People feel shame about these needs and can get fixated at one stage, never resolve how to manage the needs of that zone’s needs.
ego
In a toddler, this develops, a self that has thoughts, judgements, and memories following a “reality principle”, though still focused on serving the id’s needs. This works as the “executive” of this three-part system, to manage bodily needs and wishes in a socially acceptable way
supergo
a conscience internalized from parents and society, following the ideals of a “morality principle”
Oedipus complex
boys seeing fathers as their rivals, feeling guilt and fearing punishment by castration
regression
a defense mechanism retreating to a more infantile psychosexual stage, where some psychic energy remains fixated. Example: A little boy reverts to the oral comfort of thumb sucking in the car on the way to his first day of school
reaction formation
a defense mechanism switching unacceptable impulses into their opposite. Example: Repressing angry feelings, a person displays exaggerated friendliness
projection
a defense mechanism disguising one’s own threatening impulses by attributing them to others. Example: “The thief thinks everyone else is a thief”
rationalization
a defense mechanism offering self-justifying explanations in place of the real, more threatening unconscious reasons for one’s actions. Example: a habitual drinker says she drinks with her friends “just to be sociable”
displacement
a defense mechanism shifting s3xual or aggressive impulses toward a more acceptable or less threatening object or person. Example: a little girl kicks the family dog after her mother sends her to her room
denial
a defense mechanism refusing to believe or even perceive painful realities. Example: A partner denies evidence of his loved one’s affair
Carl Jung
Highlighted universal themes in the unconscious as a source of creativity and insight. Found opportunities for personal growth by finding meaning in moments of coincidence.
Alfred Adler
Focused on the fight against feelings of inferiority as a theme at the core of personality, although he may have been projecting from his own experience.K
Karen Horney
Criticized the Freudian portrayal of women as weak and subordinate to men. She highlighted the ned to feel secure in relationships.
projective tests
are a structured, systematic exposure to a standardized set of ambiguous prompts, designed to reveal inner dynamics
Abraham Maslow
The Humanistic Perspective. He studied healthy people. In his view, people are motivated to keep moving up a hierarchy of needs, growing beyond getting basic needs met.
humanism
focusing on the conditions that support healthy personal growth
self-actualization
fulfilling one’s potential, and self-transcendence. In this ideal state, a personality includes being self-aware, self-accepting, open, ethical, spontaneous, loving, caring, focusing on a greater mission than social acceptance.
Carl Rogers
Humanism, studied healthy people. This person agreed that people have natural tendencies to grow, become healthy, move toward self-actualization
Genuineness, acceptance, empathy
What is needed in client’s approach and the three conditions that facilitate growth
self-concept
In the humanistic perspective, the core of personality is this, our sense of our nature and identity. People are happiest with this that matches their ideal self.
trait
an enduring quality that makes a person tend to act a certain way. Examples: honest, shy, hard-working.T
trait theory of personality
That we are made up of a collection of traits, behavioral predispositions that can be identified and measured, traits that differ from person to person
factor analysis
identifying factors that tend to cluster together
personality inventory
Questionnaire assessing many personality traits, by asking which behaviors and responses the person would choose
empirically derived test
all test items have been selected to because they predictably match the qualities being assessed
Minnesota Multiphasic Personality Inventory (MMPI)
designed to identify people with personality difficulties
T/F questionnaire; items were selected because they correlated with various traits, emotions, attitudes
Example: depressed people tend to answer “true” to “Nothing in the paper interests me except the comics.”
Big Five Personality Factors
CANOE
Conscientiousness self discipline, careful pursuit of delayed goals
Agreeableness helpful, trusting, friendliness
Neuroticism anxiety, insecurity, emotional instability
Openness flexibility, nonconformity, variety
Extraversion drawing energy from others, sociability
defense mechanisms
unacceptable sihes and impulses and how we defend against these feelings by Anna Freud
Maslow’s hierarchy of needs
Bottom to top: physiological needs, safety needs, belonging needs, esteem needs, self-actualization
Albert Bandura
believes that personality is: the result of an interaction that takes place between a person and their social context, involving how we think about ourselves and our situations
reciprocal
a back and forth influence, with no primary cause. Example: a tendency to enjoy risky behavior affects choice of friends, who in turn may encourage rock climbing, which may lead to identifying with the activity
reciprocal determinism
a reinforcing cycle, traits will get reinforced based on interactions with other people and their environment. Example: maybe someone treats Daniel as warm or accepting which makes him happier and will make him smile
Biopsychosocial Approaches to Personality
Biological influences, psychological influences, social-cultural influences
biological influences
genetically determined temperament
autonomic nervous system reactivity
brain activity
psychological influences
learned responses
unconscious thought processes
expectations and interpretations
social-cultural influences
childhood experiences
influence of the situation
cultural expectations
social support
internal locus of control
we feel that we are in charge of ourselves and our circumstances. Too much of this locus of control: We blame ourselves for bad events, or have the illusion that we have the power to prevent bad events
external locus of control
we picture that a force outside of ourselves controls our fate. Too much of this locus of control: We lose initiative, lose motivation to achieve, have more anxiety about what might happen to us, don’t bother developing willpower
self-control
the ability to control impulses and delay gratification, sometimes called “willpower”
this is a finite resource
with practice, it can improve
there seem to be individual differences in this trait in childhood
The Marshmallow study: kids who resisted the temptation to eat marshmallows later had more success in school and socially
learned helplessness
declining to help oneself after repeated attempts to do so have failed.
personal control
when people are given some choices (not too many), they thrive
Martin Seligman
Give a dog no chance of escape from repeated shocks. Result: It will give up trying to escape pain, even when it later has the option to do so
prediction
we can be optimistic or pessimistic this way. We can expect the best or the worst. At the extremes, can get ourselves overconfident or simply depressed or anxious about the future
focus of attention
we can be optimistic or pessimistic this way. We can focus on what we have (half full) or what we don’t have (empty)
attribution of intent
we can be optimistic or pessimistic this way. We can assume that people meant to hurt us or that they were having a bad day
valuation
we can be optimistic or pessimistic this way. We can assume that we or others are useless, or that we are lovable, valuable
potential for change
we can be optimistic or pessimistic this way. We can assume that bad things can’t be changed, or have hope
positive psychology
the scientific study of optimal human functioning, finding ways to help people thrive by Martin Seligman
Focus: building strengths, virtue, emotional well-being, resilience, optimism, sense of meaning
three pillars of positive psychology
Emotions
Character
Groups, Culture, Institutions
social-cognitive perspective on personality
helps us focus on the interaction of behaviors, thoughts, and social situations
May distract us from noticing an individual’s feelings, emotions, inner qualities
Critics notes traits may be more a function of genetics and upbringing, not just situation
self
the core of personality, the organizer and reservoir of our thoughts, feelings, actions, choices, and attitudes
the spotlight effect
assuming that people have attention focused on you when they actually may not be noticing you (adolescent egocetnrism)
normal or high self-esteem
increased resistance to conformity pressure
decreased harm from bullying
increased resilience and increased self-regulation skills
low self-esteem
even temporarily lowered by insults, leads to problems: prejudice, being critical of others
self-serving bias
we all generally tend to think we are above average. This bias can help defend our self-esteem