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Health psychology
the study of how physical health
and wellness apply to behavior and mental processes
Stress
a state of tension caused by any thought or event that makes someone feel frustrated, angry, or nervous (can lead to disorders and disease)
Hypertension
a combination of high blood pressure and high psychological stress (also known as high blood pressure)
Immune suppression
when the immune system is unable to respond to infections and diseases as well as it normally would (can be caused by stress)
Stressors
specific events or chronic pressures that place demands on a person or threaten their well-being
Eustress
a positive (motivating) stress response that can be beneficial to a person's well-being
Distress
a negative (debilitating) type of stress that can cause unpleasant feelings, anxiety, and decreased performance
Adverse childhood experiences (ACEs)
traumatic childhood experiences, such as abuse, neglect, violence exposure, or death of a parent, that are linked to mental and physical health problems later in life
General adaptation syndrome (GAS)
describes a three-stage process the body goes through when exposed to any kind of stress, positive or negative
Alarm reaction phase
the first stage of GAS when the body reacts to a stressor with protective processes (fight-or-flight response)
Flight-flight-freeze response
an involuntary, physical response to a sudden and immediate stressor that results in fight (facing a threat aggressively), flight (fleeing danger), or freeze (inability to move or act against a threat)
Resistance phase
the second stage of GAS when the body attempts to resist or adapt to the stressor through continued activation of physiological responses
Exhaustion phase
the second stage of GAS when the body has depleted its resources and is unable to cope with stress (often results in fatigue, lethargy, irritability, decreased eating or sleeping, depression, anxiety)
Tend-and-befriend theory
a theory that humans, especially females, cope with stressors by nurturing others and self (tending) and seeking social support (befriending)
Problem-focused coping
a technique that directly addresses a problem in order to eliminate or reduce its impact (actively working to change the situation that's causing stress)
Emotion-focused coping
a technique that manages negative emotions in response to a stressor, rather than trying to change the stressor itself (often used when the problem can't be changed or addressed)
Evidence-based interventions
therapeutic treatments designed with the best available research that also consider patients' unique needs and preferences (also knowns as Evidence-Based Practice)
Cultural humility
a practice of therapists who honor a patient's beliefs, customs, and values while being aware of their own limitations and biases
Therapeutic alliance
the bond of trust between a patient and therapist and their agreement to work together for the patient's well-being
Psychotropic medication
a drug that treats mental illness by altering the brain and nervous system's chemical balance
Decentralized treatment (deinstitutionalization)
the practice of moving people with mental health conditions from long-term psychiatric hospitals to community-based care (sometimes with poor results)
Nonmaleficence
the ethical principle of not causing intentional harm to a patient
Fidelity
a measure of how closely a psychotherapeutic treatment follows the intended method
Integrity
a characteristic of a therapist who is truthful, trustworthy, and upholds high standards of professionalism
Respect
protecting a patient's rights, dignity, and privacy and making them a partner in decision-making
Psychodynamic therapies
treatments that focus on unconscious mental processes (usually about past experiences) and how these influence current behavior
Free association
a method of exploring the unconscious in which a person relaxes and says whatever comes to mind, no matter how trivial or embarrassing
Dream interpretation
the process of analyzing dreams to understand their meaning and uncover unconscious desires and conflicts
Cognitive therapies
treatments based on the theory that when a person changes their thoughts (as opposed to their behaviors), they can change how they feel and how they respond
Cognitive restructuring
a therapy that helps a patient: identify their negative or irrational beliefs, refute them, and modify them so they are adaptive and reasonable
Fear hierarchies
a form of exposure therapy to treat phobias in which a patient makes a list of feared situations ranked from least to most anxiety-provoking
Combating maladaptive thinking
the process of changing harmful thought patterns into more realistic ones
Cognitive triad
a person's negative thoughts about themselves, their world, and their future (which lead to feelings of depression according to cognitive therapists)
Applied behavior analysis
therapy that uses principles of conditioning to address mental
disorders and developmental disabilities
Exposure therapies
treatments for anxieties that safely expose people (in imagination or actuality) to the things they fear and avoid
Systematic desensitization
a treatment for phobias that gradually exposes a person to a feared stimulus while they are relaxed
Aversion therapies
treatments that pair a negative behavior with a negative stimulus to reduce or eliminate the behavior (also known as aversive conditioning or counter conditioning)
Token economies
a behavioral management technique that uses tokens to reward desired behaviors
Biofeedback
a technique that uses external devices to monitor a person's physiological state with the goal of controlling bodily functions to improve health
Cognitive-behavioral therapies (CBT)
a therapy based on the idea that thoughts and behaviors reinforce each other and that changing these can make a person feel better
Dialectical behavior therapy (DBT)
a CBT treatment that helps people learn to accept reality and manage their emotions and relationship skills
Rational emotive behavior therapy (REBT)
a CBT treatment that that helps people identify self-defeating thoughts and feelings, challenge the nature of irrational and unproductive feelings, and replace them with healthier beliefs
Person-centered therapy
a treatment from the humanistic perspective that focuses on creating a supportive and non-judgmental environment for clients to help them develop self-acceptance and personal growth
Active listening
a crucial part of person-centered therapy in which the therapist closely listens then demonstrates that they understand through clarifying questions and feedback
Group therapy
treating several people with similar problems in regular meetings with a trained counselor or therapist
Hypnosis
a state of consciousness characterized by focused attention, increased suggestibility, and heightened mental relaxation used by therapists to treat pain and anxiety
Psychoactive medication
drugs that interact with specific neurotransmitters in the central nervous system to address possible biochemical causes of mental disorders
Antidepressants
psychoactive medications that alter the brain's use of neurotransmitters (e.g., serotonin, norepinephrine, and dopamine) to improve mood and behavior
Antianxiety drugs
psychoactive medications that slow down brain activity and increase serotonin levels to alleviate fear, dread, uneasiness, and muscle tightness
Lithium
a psychoactive medication used as a mood stabilizer (most commonly for bipolar disorder, mania, and depression)
Antipsychotic medications
psychoactive medications that are used to treat symptoms of psychosis, such as hallucinations and delusions
Tardive dyskinesia
a side effect of long-term use of traditional psychoactive medications in which people have uncontrollable movements, tremors, or spasms (related to the regulation of dopamine
in the nervous system)
Psychosurgery
surgical procedures on brain tissue that remove or disconnect nerve pathways to treat mental disorders
Lesioning
a form of psychosurgery involving the removal or destruction of part of the brain
Transcranial magnetic stimulation (TMS)
a non-invasive intervention that uses magnetic fields to stimulate the brain (used for depression, obsessive-compulsive disorder, and other conditions)
Electroconvulsive therapy
a treatment that uses electric shock to induce a seizure in the brain most commonly for drug-resistant or severe disorders
Lobotomy
a now-rare psychosurgical procedure used to calm uncontrollably emotional or violent patients by cutting the nerves that connect the frontal lobes to the emotion-controlling centers of the inner brain
Neurodevelopmental disorders
a group of disorders with onset occurring during the developmental period with a focus on whether the person is exhibiting behaviors appropriate for their age or maturity range
Attention-deficit / hyperactivity disorder (ADHD)
a neurodevelopmental disorder that makes it difficult for people to focus and control their actions
Autism Spectrum Disorder (ASD)
a neurodevelopmental disorder characterized by difficulties with social communication and interaction along with restricted and repetitive patterns in behaviors, interests, and activities
Schizophrenic Spectrum Disorders
a serious mental illness characterized by incoherent or illogical thoughts, bizarre behavior and speech, and delusions or hallucinations, such as hearing voices
Delusions
a positive symptom on the schizophrenic spectrum involving false beliefs (may include delusions of persecution or grandeur)
Delusions of persecution
a positive symptom on the schizophrenic spectrum involving a person believing they are being harmed or mistreated by others
Delusions of grandeur
a positive symptom on the schizophrenic spectrum in which a person falsely believes they are more important or powerful than they actually are
Hallucinations
a positive symptom on the schizophrenic spectrum related to false perceptions (may involve one or more of the senses)
Disorganized thinking
a positive symptom on the schizophrenic spectrum characterized by incoherent and disjointed thought processes (e.g., rambling, illogical remarks, as well as difficulty understanding, remembering, or completing tasks)
Disorganized speech
a positive symptom on the schizophrenic spectrum characterized by incoherent speech
Word salad
a form of disorganized speech involving stringing together words in nonsensical ways
Disorganized motor behavior
a positive symptom on the schizophrenic spectrum characterized by unusual movements or behaviors that can range from childlike silliness to unpredictable agitation
Catatonia
a symptom of disorganized motor behavior that is a positive symptom of schizophrenia in which someone is awake but does not seem to respond to other people and their environment (may involve impaired communication, unusual movements, bizarre postures, limited reactivity)
Excited catatonia
a positive symptom of schizophrenia involving excessive movement, agitation, and unusual behavior
Catatonic stupor
a negative symptom of schizophrenia characterized as unresponsiveness (e.g., lack of movement, isolation, withdrawal, mutism, bizarre posture)
Flat affect
a negative symptom of schizophrenia characterized by a lack of emotional expression (e.g., no facial expression, no eye contact, monotone voice, no body language, apathy)
Negative symptoms
on the schizophrenic spectrum, these are symptoms that involve a decrease or absence of normal behaviors (e.g., the lack of movement or emotional expression)
Positive symptoms
the presence of psychotic behaviors on the schizophrenic spectrum such as hallucinations, delusions, inappropriate affect, and disorganized thinking/speech/behavior
Dopamine hypothesis
a theory that schizophrenia is caused by imbalances with certain neurotransmitters which create an excess of dopamine in the brain
Depressive disorders
mental disorders characterized by the presence of sad, empty, or irritable mood along with physical and cognitive changes that affect a person's ability to function
Major Depressive Disorder
a condition that causes a persistent low mood, loss of interest in activities, and feelings of hopelessness and sadness
Persistent Depressive Disorder
a chronic low-level depression that is not as severe, but may last longer Major Depressive Disorder (also known as dysthymia)
Bipolar disorders
serious mental illnesses that causes extreme mood swings, often unpredictably
Depression
sadness or despair that lasts more than days and interferes with the activities of daily life
Cycling
an aspect of bipolar disorders where a person experiences four or more distinct mood swings within a year
Mania
an aspect of bipolar disorders characterized by abnormal arousal (e.g., high energy, impulsivity, euphoria, irritability)
Bipolar I Disorder
a type of bipolar disorder marked by full manic and major depressive episodes
Bipolar II Disorder
a type of bipolar disorder marked by at least one mildly manic (hypomanic) episode and at least one major depressive episode
Anxiety disorders
mental health conditions characterized by excessive fear and/or anxiety with related disturbances to behavior
Specific phobia
an intense, irrational, and persistent fear of a particular object, situation, or activity that is much greater than the actual risk
Acrophobia
a specific phobia involving an irrational and excessive fear of heights
Arachnophobia
a specific phobia involving an irrational and excessive fear of spiders
Agoraphobia
an intense fear of specific social situations, including using public transportation, being in open spaces, being in enclosed spaces (e.g., shops, theaters, etc.), standing in line or being in a crowd, or being outside of the home alone
Panic disorder
an anxiety disorder characterized by repeated, unexpected panic attacks
Panic attack
unanticipated and overwhelming biological, cognitive, and
emotional experiences of anxiety
Ataque de nervios
a culture-bound anxiety disorder experienced mainly by people of
Caribbean or Iberian descent characterized by mental incapacitation fears, shakiness, chest tightness, palpitations, and a sense of inner heat
Social anxiety disorder
involves the intense fear of being judged or watched by others (may include agoraphobia)
Taijin kyofusho
a culture-bound anxiety disorder experienced mainly by Japanese people characterized by a fear that others are judging your body as undesirable, offensive, or unpleasing
Generalized anxiety disorder (GAD)
prolonged experiences of nonspecific
anxiety characterized by chronic excessive worry along with three or more of the following: restlessness, fatigue, concentration problems, irritability, muscle tension, and sleep disturbance
Obsessive-compulsive (and related) disorders
overlapping disorders involving unwanted thoughts along with behaviors that drive a person to do something over and over
Obsessions
unwanted, intrusive, and distressing thoughts or urges that are difficult to control (e.g., excessive concern about germs)
Compulsions
repetitive actions or mental events that are performed to reduce distress or prevent a feared outcome (e.g., excessive hand washing)
Hoarding disorder
a persistent difficulty discarding possessions even if they have no clear value