psychological disorder
a syndrome marked by a clinically significant disturbance in an individual’s cognition, emotion regulation, or behavior.
medical model
the concept that diseases, in this case psychological disorders, have physical causes that can be diagnosed, treated, and, in most cases, cured, often through treatment in a hospital.
epigenetics
the study of environmental influences on gene expression that occur without a DNA change.
DSM-5
the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition; a widely used system for classifying psychological disorders.
attention-deficit/hyperactivity disorder
a psychological disorder marked by extreme inattention and/or hyperactivity and impulsivity.
anxiety disorders
psychological disorders characterized by distressing, persistent anxiety or maladaptive behaviors that reduce anxiety.
social anxiety disorder
intense fear and avoidance of social situations
generalized anxiety disorder
an anxiety disorder in which a person is continually tense, apprehensive, and in a state of autonomic nervous system arousal.
panic disorder
an anxiety disorder marked by unpredictable, minutes-long episodes of intense dread in which a person may experience terror and accompanying chest pain, choking, or other frightening sensations; often followed by worry over a possible next attack.
agoraphobia
fear or avoidance of situations, such as crowds or wide open places, where one has felt loss of control and panic.
phobia
an anxiety disorder marked by a persistent, irrational fear and avoidance of a specific object, activity, or situation.
obsessive-compulsive disorder
a disorder characterized by unwanted repetitive thoughts (obsessions), actions (compulsions), or both.
post traumatic stress disorder
a disorder characterized by haunting memories, nightmares, hyper-vigilance, social withdrawal, jumpy anxiety, numbness of feeling, and/or insomnia that lingers for four weeks or more after a traumatic experience.
major depressive disorder
a disorder in which a person experiences, in the absence of drugs or another medical condition, two or more weeks with five or more symptoms, at least one of which must be either (1) depressed mood or (2) loss of interest or pleasure.
bipolar disorder
a disorder in which a person alternates between the hopelessness and lethargy of depression and the overexcited state of mania.
mania
a hyperactive, wildly optimistic state in which dangerously poor judgment is common.
rumination
compulsive fretting; overthinking our problems and their causes.
schizophrenia
a disorder characterized by delusions, hallucinations, disorganized speech, and/or diminished, inappropriate emotional expression.
psychotic disorders
a group of disorders marked by irrational ideas, distorted perceptions, and a loss of contact with reality
hallucinations
false sensory experiences, such as seeing something in the absence of an external visual stimulus.
delusion
a false belief, often of persecution or grandeur, that may accompany psychotic disorders.
chronic schizophrenia
a form of schizophrenia in which symptoms usually appear by late adolescence or early adulthood. As people age, psychotic episodes last longer and recovery periods shorten.
acute schizophrenia
a form of schizophrenia that can begin at any age; frequently occurs in response to a traumatic event.
somatic symptom disorder
a psychological disorder in which the symptoms take a somatic (bodily) form without apparent physical cause
conversion disorder
a disorder related to somatic symptom disorder in which a person experiences very specific, physical symptoms that are not compatible with recognized medical or neurological conditions.
illness anxiety disorder
a disorder related to somatic symptom disorder in which a person interprets normal physical sensations as symptoms of a disease.
dissociative disorders
controversial, rare disorders in which conscious awareness becomes separated (dissociated) from previous memories, thoughts, and feelings.
dissociative identity disorder
a rare dissociative disorder in which a person exhibits two or more distinct and alternating personalities.
personality disorders
inflexible and enduring behavior patterns that impair social functioning.
antisocial personality disorder
a personality disorder in which a person (usually a man) exhibits a lack of conscience for wrongdoing, even toward friends and family members; may be aggressive and ruthless or a clever con artist.
anorexia nervosa
an eating disorder in which a person (usually an adolescent female) maintains a starvation diet despite being significantly underweight; sometimes accompanied by excessive exercise.
bulimia nervosa
an eating disorder in which a person’s binge eating (usually of high-calorie foods) is followed by inappropriate weight-loss promoting behavior, such as vomiting, laxative use, fasting, or excessive exercise.
binge-eating disorder
significant binge-eating episodes, followed by distress, disgust, or guilt, but without the compensatory behavior that marks bulimia nervosa.
virtual reality exposure therapy
a counterconditioning technique that treats anxiety through creative electronic simulations in which people can safely face their greatest fears, such as airplane flying, spiders, or public speaking.
antidepressant drugs
drugs used to treat depression, anxiety disorders, obsessive-compulsive disorder, and posttraumatic stress disorder
electroconvulsive therapy
a biomedical therapy for severely depressed patients in which a brief electric current is sent through the brain of an anesthetized patient.
psychotherapy
treatment involving psychological techniques; consists of interactions between a trained therapist and someone seeking to overcome psychological difficulties or achieve personal growth.
biomedical therapy
prescribed medications or procedures that act directly on the person’s physiology
eclectic approach
an approach to psychotherapy that uses techniques from various forms of therapy
psychoanalysis
Sigmund Freud’s therapeutic technique. Freud believed the patient’s free associations, resistances, dreams, and transferences—and the therapist’s interpretations of them—released previously repressed feelings, allowing the patient to gain self-insight.
resistance
in psychoanalysis, the blocking from consciousness of anxiety-laden material
interpretation
in psychoanalysis, the analyst’s noting supposed dream meanings, resistances, and other significant behaviors and events in order to promote insight
transference
in psychoanalysis, the patient’s transfer to the analyst of emotions linked with other relationships (such as love or hatred for a parent).
psychodynamic therapy
therapy deriving from the psychoanalytic tradition; views individuals as responding to unconscious forces and childhood experiences, and seeks to enhance self-insight.
insight therapies
therapies that aim to improve psychological functioning by increasing a person’s awareness of underlying motives and defenses.
client-centered therapy
a humanistic therapy, developed by Carl Rogers, in which the therapist uses techniques such as active listening within an accepting, genuine, empathic environment to facilitate clients’ growth.
active listening
empathic listening in which the listener echoes, restates, and clarifies. A feature of Rogers’ client-centered therapy.
unconditional positive regard
a caring, accepting, nonjudgmental attitude, which Carl Rogers believed would help clients develop self-awareness and self-acceptance
behavior therapy
therapy that applies learning principles to the elimination of unwanted behaviors.
counterconditioning
behavior therapy procedures that use classical conditioning to evoke new responses to stimuli that are triggering unwanted behaviors; include exposure therapies and aversive conditioning.
exposure therapies
behavioral techniques, such as systematic desensitization and virtual reality exposure therapy, that treat anxieties by exposing people (in imaginary or actual situations) to the things they fear and avoid.
systematic desensitization
a type of exposure therapy that associates a pleasant relaxed state with gradually increasing anxiety-triggering stimuli. Commonly used to treat phobias.
aversive conditioning
a type of counterconditioning that associates an unpleasant state (such as nausea) with an unwanted behavior (such as drinking alcohol).
token economy
an operant conditioning procedure in which people earn a token for exhibiting a desired behavior and can later exchange tokens for privileges or treats.
cognitive therapy
therapy that teaches people new, more adaptive ways of thinking; based on the assumption that thoughts intervene between events and our emotional reactions.
rational-emotive behavior therapy
a confrontational cognitive therapy, developed by Albert Ellis, that vigorously challenges people’s illogical, self-defeating attitudes and assumptions
cognitive-behavioral therapy
a popular integrative therapy that combines cognitive therapy (changing selfdefeating thinking) with behavior therapy (changing behavior).
group therapy
therapy conducted with groups rather than individuals, providing benefits from group interaction.
family therapy
therapy that treats people in the context of their family system. Views an individual’s unwanted behaviors as influenced by, or directed at, other family members.
meta-analysis
a procedure for statistically combining the results of many different research studies.
evidence-based practice
clinical decision making that integrates the best available research with clinical expertise and patient characteristics and preferences.
therapeutic alliance
a bond of trust and mutual understanding between a therapist and client, who work together constructively to overcome the client’s problem.
psychopharmacology
the study of the effects of drugs on mind and behavior
antipsychotic drugs
drugs used to treat schizophrenia and other forms of severe thought disorder.
antianxiety drugs
drugs used to control anxiety and agitation.
repetitive transcranial magnetic stimulation
the application of repeated pulses of magnetic energy to the brain; used to stimulate or suppress brain activity.
psychosurgery
surgery that removes or destroys brain tissue in an effort to change behavior.
lobotomy
a psychosurgical procedure once used to calm uncontrollably emotional or violent patients. The procedure cut the nerves connecting the frontal lobes to the emotion-controlling centers of the inner brain.
resilience
the personal strength that helps most people cope with stress and recover from adversity and even trauma.
posttraumatic growth
positive psychological changes as a result of struggling with extremely challenging circumstances and life crises.