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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 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 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 (OCD)
a disorder characterized by unwanted repetitive thoughts (obsessions) 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 disorders
a group of psychological 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
(also called process 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
(also called reactive 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 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
psychological disorders characterized by 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 disorders 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 alternates binge eating (usually of high-calorie foods) with purging (by vomiting or laxative use) or fasting
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 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
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
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 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 therapies
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 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 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 (CBT)
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
psychophramacology
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, anxiety disorders, OCD, and PTSD
eletroconvulsive 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)
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