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Symptom
subjective complaints as reported by the client
Sign
objective observations made by the clinician which indicate abnormality/disorder
Can be directly (client avoiding eye contact) or indirectly (client’s score on severity rating form) observed
Diagnosis
a label given by a professional
Disorder
the concept of a given cluster of mental health problems
Epidemiology
study of distribution of health issues in a given population
Lifetime Prevalence
percentage of people who experience a condition at any point in life (47%)
Culture
set of customs, beliefs, and norms shared amongst a group
Case Study
can prove existence of something interesting and provide lots of detail, but CANNOT generalize
DSM-5
the medical model of mental disorders is a tool for communicating about mental health problems
Punishment
violating established rules and expectations of society/religion, needs reprimanding
Glorification
being blessed with deep insight, connection to Gods, etc. Should be treated with praise
Healing
i.e., those behaving abnormally are ill, sick, or incapacitated in some way, and therefore need help and care from some sort of expert
Mass Madness
large-scale mental health phenomenon wherein individuals have shared abnormal thoughts and/or behaviors
Illness
subjective understanding of symptoms, shaped by one's culture
(e.g., “you have a cold—you need some ginger ale and lots of soup”)
Disease
framing of an illness in a particular theoretical light based on the professional's training
(e.g., when a client reports pain in upper back and shoulders, a chiropractor sees spine misalignment, a physician sees slipped/degenerative discs, a psychologist sees stress/anxiety, and a physical therapist sees lacking exercise and poor posture)
Sickness
the ill response of a social group to some sort of maco-level force causing them misery
(e.g., through their victimization, oppression, prejudice, disadvantage, etc.)
Tautological Fallacy
saying the same thing twice (it is what it is)
Nominal Fallacy
Assuming that because something has been labeled, it has been explained and the cause is identified
Reification Fallacy
logic where an abstract concept is identified, named, and mistreated as existent in the tangible world
Etiology
the causes, risks, influences, and predictors for a human problem
Necessary Cause
a factor must be present for the disorder to occur
if Disorder Y occurs, Factor X preceded it
Sufficient Cause
if a factor occurs, the disorder will follow
if factor X occurs, Disorder Y will follow
Contributory Cause
if a factor occurs, the probability of a disorder increases
if Factor X occurs, probability of Disorder Y goes up, aka “risk factors”
Distal Cause
contributors to the disorder which were in the past (child abuse, early loss, etc)
Proximal Cause
contributors to the disorder in current timeframe (divorce, stress, etc)
Resilience
state of NOT becoming disordered after major stressors
Protective Factors
variables which increase probability of resilience (social support, high IQ)
Biopsychosocial Model
the best attempt in the field of psychopathology to approach the etiology and treatment of mental disorders through a multi-systems approach, utilizing research from various areas of science, and addressing all levels of analysis
Moderator
Variable B influences the strength or direction of the A --> C relationship
sex(B) moderates impact of traumas(A) on distress level(C)
Mediator
Variable B is influences by A, which then influences C
death of a spouse(A) leads to lower social support(B) leading to depression(C)
Stress Diathesis Model
models the likelihood of a disorder occurring based on one's combo of stress level and diathesis level
Over-diagnosis
a recently stretched diagnostic definition led to inflated prevalence estimates
Greenberg's Noble Lie
that diagnostic labels of mental disorders and their classifications are valid, truthful, and accurate ways for clients to understand their woes; truth=social constructs
true
the clinician made the right decision
false
the clinician made the wrong decision
positive
the clinician deemed the disorder as present
negative
the clinician deemed the disorder as absent
Reliability
the degree to which the test yields true scores
Validity
degree to which the test yields meaningful data
standardization
degree to which the test is administered identically
objective tests
specific forms of responses (clear/exact stimuli, quantitative scoring)
projective tests
responses to ambiguous stimuli (ink blots, qualitative)
Psychoanalysis
Freud's focus is the unconscious, and making its content explicit
-Free association, Analysis of dreams, Analysis of resistance, Analysis of transference
Psychodynamic
exploring emotions, examining avoidances, identifying recurring patterns, discussing past experiences, focusing on relationships
Interpersonal
Focused on relationships and interpersonal transactions, use of transference and attachment notions
Humanistic
focused on self-actualization and underlying positive drive in humans (genuineness, empathy, unconditional positive good)
Existential
focused on utilizing the framework of existence and being as unifying as the human condition (death, isolation, freedom)
Community and Family Systems
focused on placing psych. problems into their larger contexts (marriage, family, school)
Cognitive/CBT
tries to change a client's maladaptive thought processes, which in turn affect emotions and behaviors
Eclectism
an eclectic theoretical orientation involves borrowing and combining techniques and concepts from various approaches
Integrationism
an integrative theoretical orientation combines 2-3 specific approaches together
cognitive + Behavioral = cbt
Regression to the Mean
when an extreme data point is followed later by a more average data point within the same case, moving closer to the average/mean
Efficacy
determined via randomized clinical trials in which therapy is compared to placebo
Empirically-Supported Treatments (EST)
data from tightly designed experimental studies (focused on specific symptom efficacy)
Effectiveness
determined via various study designs with a focus on external validity/generalizability
Evidence-Based Practices (EBP)
broader data including case studies, correlational studies etc. (focused on general effectiveness)
Therapist
not a legally protected term, can be used by anyone
Therapy
Collaborative exploration with an unbiased helper seeking improvement
Prevalence
Number of cases in a population with a condition, usually shown as percentage
Ex: “About 10% of the world is left-handed”
Point Prevalence
Percentage of cases at a specific point in time (Always the smallest prevalence estimate)
Period Prevalence
Percentage who experienced the condition at any point during a certain period
Ex: “Approximately 10% of college students experience depression in their first year of school
Incidence
rate of new cases of a condition within a population within a certain amount of time
(e.g., “There are approximately 10 new cases of bubonic plague in the US each year.”)