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what is abnormal
it is culturally-dependent, there is no absolute for what is a disorder. YOU (as a culture) defines what is abnormal
describe the supernatural causes revolving around disorders
we had supernatural ideas of what caused mental health disorders
describe naturalists
maybe the reason things happens are because of some rules around nature? supported hippocrates
describe hippocrates
4 humors, every illness is a misalignment of these four bodily fluids: blood, yellow bile, black bile, flem
what is the importance of hippocrates
it's our first major biological theory about mental health
describe the middle ages in abnormal psychology
at the end of the mental ages, right before the beginning of the renaissance, you had mental health facilities open. they were the asylums
describe the asylum movement in abnormal psychology
people were just put away without treatment at asylums
describe moral treatment in abnormal psychology
"moral treatment of the insane", those with mental illness were in the hospitals and they actually started doing things in those hospitals to help them
**tranquilizer chair
asylums officially start becoming a place of treatment. in America we eventually adopted psychology and created places for psychiatric treatment
describe psychopharmacological revolution
we had an accidental discovery of medicine that calmed down schizophrenia. now we had a pill/drug to help with mental health
describe deinstitutionalization
we started closing these really large hospitals because they were very costly. we also had more medication to give out. the idea was that instead of going to these large hospitals where you stayed there for weeks we'd have community mental health
describe community mental health
clinics in every state where you could get medicine and get help
describe the consequences of community mental health (2)
1. getting rid of all these hospitals caused an increase in homelessness
2. the criminal justice system not "provides" a great deal of mental health resources. doesn't mean that these resources are very good though. but a lot of these people ended up in prison when the hospitals were taken away
what are the two reasons we diagnose
reliability and it became a requirement of insurance companies to get paid care
describe reliability
helps us communicate the disorder, have a shared understanding
describe the american psychiatric association (APA)
devised a system for diagnosing disorders known as the diagnostic and statistical manual of mental disorders (DSM5)
describe the 9 symptoms of DSM5
Symptoms (9): Out of the total nine, you need at least five. One of those five you need at least one of the first two. Have to experiences these systems multiple times a day, everyday, or the majority of the month.
1. Sad mood
2. Anhedonia (loss of interest in pleasurable activities)
1. Sleep
2. Concentration
3. Guilt/Worthlessness
4. Psychomotor Agitation (too much energy)/Retardation (too little energy physically, slouchy)
5. Weight/Appetite Loss/Gain
6. Energy Loss (don’t want to do anything)
7. Suicide/Death Thoughts
describe rumination
not a symptom but often happens in depression
it's when you think about something over and over and over and you cannot stop thinking about it
describe chemical imbalance
a lack of a certain neurotransmitter leads to depression
describe SSRI
selective serotonin re-uptake inhibitor
A neurotransmitter is released, goes into the synapse, and is taken up by the other neurotransmitter. the extra serotonin neurotransmitter goes back up into the first presynaptic cell. The medicine acts as an inhibitor, acts as a serotonin agonists and prevents the serotonin from being absorbed so that is stays in the synapse longer.
key points about SSRI
When we look at people who haven't been medicated, we do not see a different in pre-disease serotonin levels. There is no good research that says before you get medication, there's differences in serotonin levels in people who are and aren't depressed.
There is also no difference in receptor ...
sensitivity
it takes how long to see behavioral effects with SSRI medicine
4-6 weeks
a vast amount of reduction in depression symptoms in mild-moderate depression is due to..
placebo
describe anxiety disorder
a generalized feeling of fear and apprehension that may be related to a situation or object
describe phobias
specific phobias are an excessive and irrational fear and AVOIDANCE of specific objects or situations
what is the most common phobia
blood injection phobia, fear of blood or needles
what are panic attacks
sudden periods of intense fear
what is panic disorder
when your fear of panic attacks prevents you from doing things. like if you don't want to leave your house or go somewhere because you're afraid of having a panic attack
describe generalized anxiety disorder (GAD)
chronic elevation of anxiety at baseline, free-floating anxiety
worries over low probability events
describe psychological therapy
an interactive experience with a trained professional, working on understanding and changing behavior, thinking, relationships, and emotions
describe biomedical therapy
the use of medications and other procedures acting directly on the body to reduce the symptoms of mental disorders
describe psychoanalysis in insight oriented therapies
the talking cure
uses techniques that release the tension of unresolved and unconscious inner conflicts -> freud
describe neo-freudian in insight oriented therapies
psychodynamic therapies, interpersonal therapy
describe methods of insight oriented therapies
free association and dream analysis
describe humanistic therapy
attempts to support growth by helping people gain self-awareness and self-acceptance
describe client-centered therapy
is carl rogers' name for his style of humanistic therapy
goals: humanistic psychotherapy vs psychoanalytic psychotherapy
humanistic: promote growth
psychoanalytic: cure mental illness
how to improve: humanistic psychotherapy vs psychoanalytic psychotherapy
humanistic: take responsibility for feelings and actions
psychoanalytic: bring unconscious conflicts into conscious awareness
role of therapist: humanistic psychotherapy vs psychoanalytic psychotherapy
humanistic: provide an environment in which growth can occur
psychoanalytic: provide interpretations (dreams, resistance and transference)
content of therapy: humanistic psychotherapy vs psychoanalytic psychotherapy
humanistic: conscious feelings, actual self and ideal self
psychoanalytic: unconscious conflicts
time focus: humanistic psychotherapy vs psychoanalytic psychotherapy
humanistic: the present and future
psychoanalytic: the past