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Four D's of abnormal psychology
Deviance, Distress, Dysfunction, Danger
Trephination
An early method to release evil spirits believed to cause mental illness.
Hippocrates' cause of mental illness
Imbalance of the four humors (blood, phlegm, yellow bile, black bile)
Jerome Frank’s three essential features of therapy
A sufferer, a trained healer, and a series of contacts between them
Informed consent in research
Participants must be fully informed of study details and their rights before agreeing to participate
Psychodynamic model
Emphasizes unconscious conflicts and childhood experiences
Cognitive-behavioral model
Emphasizes learning, thinking, and beliefs
Sociocultural model
Focuses on roles, societal norms, and family structure
Humanistic-existential model
Centers on self-actualization and authenticity
Two types of information required by DSM-5 for diagnosis
Categorical and dimensional information
Self-monitoring
A client records their own behaviors or symptoms to track patterns
Observer reactivity
When a subject alters behavior because they know they’re being observed
First step in systematic desensitization
Relaxation training
What distinguishes panic disorder from GAD?
Panic disorder involves sudden panic attacks; GAD involves chronic worry
Safety behavior in anxiety
A behavior that prevents feared outcomes, like avoiding eye contact
Best treatment combo for OCD?
Cognitive-behavioral therapy and antidepressants
Anhedonia
Loss of pleasure in usual activities
Cyclothymic disorder
A milder form of bipolar with periods of hypomania and mild depression
Difference between bipolar I and II?
Bipolar I includes full manic episodes; Bipolar II has hypomania
Theory explains helplessness in depression
Seligman's learned helplessness theory
Death ignorer
Someone who believes death won't end their existence
What increases suicide risk during recovery from depression?
The person gains energy to act on suicidal thoughts
Distinguishes bulimia from binge eating disorder
Bulimia includes compensatory behaviors like purging
Which disorder?
Severe weight loss and fear of gaining weight
Electrolyte problem is common in bulimia?
Low potassium levels (hypokalemia)
Purpose of an antagonist drug?
To block or change the effect of an addictive substance
Cirrhosis
Scarring of the liver due to alcohol use
The brain system linked to pleasure and reinforcement and involved in addiction?
Reward circuit
Difference between hallucinations and delusions?
Hallucinations involve perception; delusions involve belief
Clang association
Speech based on sound rather than meaning (e.g., rhyming words)
Type I vs. Type II schizophrenia?
Type I = positive symptoms; Type II = negative symptoms
Diathesis-stress model?
Schizophrenia arises from a biological predisposition triggered by environmental stress
Tardive dyskinesia
Involuntary facial movements caused by long-term antipsychotic use
Social breakdown syndrome
Institutionalized patients experience withdrawal, anger, and loss of function due to poor care
Goal of milieu therapy
To create a supportive environment promoting self-respect and responsibility
Token economy
A system where patients earn tokens for desired behaviors, which can be exchanged for rewards
Most common hallucination in schizophrenia?
Auditory (hearing voices)
Prodromal phase of schizophrenia
The early phase with mild symptoms like social withdrawal or odd beliefs
Improves schizophrenia prognosis
Good premorbid functioning and primarily positive symptoms
Characterizes narcissistic personality disorder
Grandiosity, need for admiration, and lack of empathy
The Dark Triad
Narcissism, Machiavellianism, and psychopathy
Most effective therapy for borderline personality disorder
Dialectical behavior therapy (DBT)
Associated with antisocial personality disorder
Disregard for others, impulsivity, and criminal behavior
Characterizes histrionic personality disorder
Excessive attention-seeking and emotionality
How does avoidant personality disorder differ from schizoid PD?
Avoidant PD involves desire for social connection but fear of rejection
Conduct disorder
A childhood disorder with aggressive, destructive, and rule-violating behavior
Oppositional defiant disorder
A pattern of angry, defiant, and argumentative behavior toward authority
Theory of mind
Understanding others’ mental states; lacking in autism spectrum disorder
Enuresis
Repeated bedwetting after the age when bladder control is expected
ADHD
A disorder with inattention and hyperactivity; symptoms must occur in at least two settings
Anorexia nervosa's defining symptom
Extreme fear of gaining weight and refusal to maintain a healthy weight
Eating disorder often leads to normal or above-normal weight?
Bulimia nervosa
Binge-eating disorder
Repeated episodes of bingeing without purging, often leading to obesity
Amenorrhea
Loss of menstrual periods; common in anorexia nervosa
Relationship between alcohol and suicide
Alcohol lowers inhibitions and increases suicide risk by impairing judgment
Learned helplessness theory
The belief that one has no control over outcomes, leading to depression
Factitious disorder
Faking illness for attention without external rewards (e.g., Munchausen syndrome)
Conversion disorder
Neurological symptoms (e.g., paralysis) without medical explanation, often from stress
Somatic symptom disorders
Disorders where psychological distress presents as physical symptoms
Illness anxiety disorder
Excessive worry about having a serious illness despite medical reassurance
Glove anesthesia
Numbness in the hand inconsistent with nerve patterns—often seen in conversion disorder
Biofeedback
Controlling involuntary functions like heart rate or muscle tension
Viral theory of schizophrenia
Suggests prenatal exposure to viruses (especially in winter births) increases risk
Delusion of reference
Belief that irrelevant events (e.g., a TV anchor’s words) refer specifically to you
Positive symptoms of schizophrenia
Excesses like hallucinations, delusions, and disorganized speech/behavior
Negative symptoms of schizophrenia
Deficits like flat affect, poverty of speech, and lack of motivation
Schizotypal personality disorder
Eccentric thoughts/behavior, social anxiety, and odd beliefs (not full psychosis)
Borderline personality disorder
Emotional instability, impulsivity, intense relationships, fear of abandonment
DBT
Dialectical Behavior Therapy
Cluster does avoidant personality disorder belong to
Cluster C (anxious/fearful)
Disorder includes a belief that one is superior and entitled
Narcissistic personality disorder
Conduct disorder's relation to antisocial PD?
Conduct disorder in youth often precedes antisocial personality disorder in adulthood
Most effective treatment for autism spectrum disorder
Behavioral interventions like ABA (Applied Behavior Analysis)
Theory of mind help children do
Understand that others have thoughts, feelings, and perspectives different from their own
Disruptive mood dysregulation disorder
A childhood condition involving chronic irritability and frequent temper outbursts
Relational aggression
Harming others through manipulation, rumor-spreading, or damaging social relationships
Frotteuristic disorder
Repeated urges or behavior involving touching or rubbing against a non-consenting person
Sexual sadism disorder
Sexual arousal from inflicting pain or humiliation on others
Voyeuristic disorder
Sexual arousal from watching unsuspecting people who are naked or engaging in sexual activity
Gender dysphoria
Distress due to a mismatch between one’s gender identity and assigned sex
Primary hormone linked to decreased sexual desire when imbalanced
Prolactin
Classical conditioning used for in treating substance use
Creating associations between substance cues and discomfort (e.g., aversion therapy)
Contingency management
Rewarding individuals for staying drug-free with incentives like vouchers
Korsakoff’s syndrome
Memory disorder caused by chronic alcoholism and vitamin B1 deficiency
Fetal alcohol syndrome (FAS)
A condition in infants caused by alcohol exposure in utero, leading to physical and cognitive abnormalities
Synesthesia
A blending of the senses (e.g., tasting colors or hearing images), sometimes seen with LSD use
Makes antipsychotic drugs potentially dangerous long term
Risk of extrapyramidal symptoms, including tardive dyskinesia
Neuroleptic malignant syndrome
A rare, life-threatening reaction to antipsychotic medication causing fever, rigidity, and confusion
Token economy based on
Operant conditioning (reinforcing positive behavior)
Primary goal of CBT for schizophrenia
Help individuals reframe delusional beliefs and reduce distress from symptoms
Schizoid personality disorder
Detachment and limited emotional expression
Paranoid personality disorder
Deep distrust and suspicion of others
Narcissistic personality disorder different from healthy self-esteem?
It lacks regard for others and often masks insecurity
Why is antisocial PD hard to treat?
Lack of remorse and motivation to change
Link between selfies and narcissism
Research shows a weak but present correlation between frequent selfies and narcissistic traits
Covert-destructive pattern in conduct disorder
Secretive destructive behaviors, like vandalism or property damage
Key concern with diagnosing bipolar disorder in children
Overdiagnosis of rage as mania led to creation of DMDD (Disruptive Mood Dysregulation Disorder)
Most common reason for school-aged sleep deprivation
Teens not getting enough sleep compared to their biological needs
Difference between hallucinations and illusions
Hallucinations are false perceptions without stimuli; illusions distort actual stimuli
One of the worst things to mix with alcohol after heavy drinking?
Barbiturates, due to dangerously increased sedation and risk of overdose