Unit 8 Clinical Psych & Treatment

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 (ADHD)

a psychological disorder marked by the appearance by age 7 of one or more of three key symptoms: extreme inattention, hyperactivity, and impulsivity

anxiety disorders

psychological disorders characterized by distressing, persistent anxiety or maladaptive behaviors that reduce anxiety

social anxiety disorder

intense fear of social situations, leading to avoidance of such

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 experiences terror and accompanying chest pain, choking, or other frightening sensations.

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

An anxiety disorder characterized by unwanted repetitive thoughts (obsession) and/ or actions (compulsions).

posttraumatic stress disorder (PTSD)

a disorder characterized by haunting memories, nightmares, 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 mood disorder in which a person experiences, in the absence of drugs or a medical condition, two or more weeks of significantly depressed moods, feelings of worthlessness, and diminished interest or pleasure in most activities.

bipolar disorder

A mood disorder in which the 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 judgement is common

rumination

compulsive fretting; overthinking about our problems and their causes

schizophrenia

a psychological disorder characterized by delusions, hallucinations, disorganized speech, and/or diminished, inappropriate emotional expression

psychotic disorder

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

delusions

false beliefs, 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 an emotionally traumatic event, and has extended recovery periods

somatic symptom disorder

psychological disorder in which the symptoms take a somatic (bodily) form without apparent physical cause

conversion disorder

A rare somatoform disorder in which a person experiences very specific genuine physical symptoms for which no physiological basis can be found.

illness anxiety disorder

a 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 (DID)

a rare dissociative disorder in which a person exhibits two or more distinct and alternating personalities. Formerly called multiple personality disorder.

personality disorders

inflexible and enduring behavior patterns that impair social functioning

antisocial personality disorder

A personality disorder in which the 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 an irrational fear of weight gain leads people to starve themselves

bulimia nervosa

an eating disorder characterized by episodes of overeating, usually of high-calorie foods, followed by vomiting, laxative use, fasting, or excessive exercise

binge eating disorder

significant binge-eating episodes, followed by distress, disgust, or guilt, but without the compensatory purging, fasting, or excessive exercise that marks bulimia nervosa

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 medical procedures that act directly on the patient's nervous system

eclectic approach

an approach to psychotherapy that, depending on the client's problems, 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 that views individuals as responding to unconscious forces and childhood experiences, and that seeks to enhance self-insight

insight therapies

a variety of 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 a genuine, accepting, empathic environment to facilitate clients' growth. (Also called person-centered therapy.)

active listening

empathetic 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 to develop self-awareness and self-acceptance

behavior therapy

therapy that applies learning principles to the elimination of unwanted behaviors

counterconditioning

a behavior therapy procedure that uses classical conditioning to evoke new responses to stimuli that are triggering unwanted behaviors; includes exposure therapies and aversive conditioning

exposure therapy

behavioral techniques, such as systematic desensitization, that treat anxieties by exposing people (in imagination or actuality) 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.

virtual reality exposure therapy

a counterconditioning technique that treats anxiety by creative electronic simulations in which people can safely face their greatest fears, such as airplane flying, spiders, or public speaking

aversive therapy

associating an unpleasant state with an unwanted behavior

token economy

an operant conditioning procedure in which people earn a token of some sort for exhibiting a desired behavior and can later exchange the tokens for various privileges or treats

cognitive therapy

therapy that teaches people new, more adaptive ways of thinking and acting; based on the assumption that thoughts intervene between events and our emotional reactions

rational-emotive behavior therapy (REBT)

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 self-defeating thinking) with behavior therapy (changing behavior)

group therapy

therapy conducted with groups rather than individuals, permitting therapeutic benefits from group interaction

family therapy

therapy that treats the family as a 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

antidepressant drugs

drugs used to treat depression; also increasingly prescribed for anxiety. Different types work by altering the availability of various neurotransmitters

electroconvulsive therapy (ECT)

a biomedical therapy for severely depressed patients in which a brief electric current is sent through the brain of an anesthetized patient

repetitive transcranial magnetic stimulation (rTMS)

an 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