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Psychopathology
study of psychological disorders
Subjective discomfort
person feels like something is wrong
Social nonconformity
not complying w/ your culture's standard for normal behavior
Loss of control
person cannot change behaviors/thoughts on their own
Maladaptive
harms your daily life and makes it more challenging
Diagnostic and Statistical Manual (DSM)
- is used to diagnose individuals for psychological disorders
- most recent version is DSM-5
- is atheoretical: doesn't include specific causes for disorders, so any psychologist can use DSM to give patient what they feel is the best treatment
International Classification of Diseases (ICD)
series of books that listed medical illnesses, symptoms, and causes
Different theories of abornomal behavior
- Psychoanalytic perspective: due to balance between id, ego, and superego, and childhood trauma
- Humanistic perspective: issue w/ how person views themselves, self-esteem, oversensitivity to judgment of others
- Cognitivists: irrational thoughts manifest into symptoms
- Behaviorists: conditioning goes wrong
- Biological: brain-based disease
Eclectic
believe in variety of perspectives
David Rosenhan
- he believed it was important to label the symptom of a disorder and not the person
- Him and others went to different hospitals saying they heard empty thuds in their head, and all got diagnosed w/ a mental illness
- Once admitted, they never complained of the symptom but still labeled mentally ill
- Their normal behaviors were seen as further symptoms of a mystery disorder
Cluster A
odd/eccentric behaviors
Paranoid personality disorder
- distrust in others, avoidance of close relationships, reading into others to look for hidden meanings, and blaming others
- cluster A
Schizoid personality disorder
- avoid relationships, little social contact/interaction, weak social skills, humorless
- cluster A
Schizotypal personality disorder
- bizarre patterns of thought, speech, and mannerisms, believe they have extrasensory abilities
- cluster A
Cluster B
dramatic/emotional behaviors
Antisocial personality disorde
- criminal prone behavior, lack of conscience, aggressiveness, and impulsivity
- Psychopathic and sociopathic describe these symptoms
- cluster B
Borderline personality disorder
- mood instability, impulsivity, suicidal thoughts, and self harm
- cluster B
Histrionic personality disorder
- attention seekers, exaggerated language, clothing, and mannerisms
- cluster B
Narcissistic personality disorder
- exaggerated self-esteem, self-centered, inconsiderate
- cluster B
Cluster C
anxious/fearful behaviors
Avoidant personality disorder
- social anxiety, fear of being rejected, want social interaction but feel not capable of doing so
- cluster C
Dependent personality disorder
- neediness, clingy, oversensitivity to what people say, and feeling of helplessness
- cluster C
Obsessive compulsive personality disorder (OCPD)
- focus on orderliness and perfection to the point that it interferes w/ task completion and avoiding working w/ others
- cluster C
Generalized anxiety disorder
- excessive and unrealistic anxiety, free floating (changes from source to source), restlessness, irritability, muscle tension, sleep problems, and trouble concentrating
- Diagnosed: symptoms cause distress and are out of control, and present for at least 6 months
Panic disorder
brief periods of intense and uncontrollable anxiety, heart palpitations, sweating, dizziness, confusion, chest pain, difficulty breathing
Phobias
- intense and irrational fears of specific objects or situations
- Diagnosed: symptoms present for at least 6 months and causes clinically significant distress
Obsessive-Compulsive disorder (OCD)
pattern of repeated and unwanted thoughts (obsessions) followed by unwanted behaviors (compulsions) that occur in an effort to reduce anxiety
Post-traumatic stress disorder (PTSD)
- avoidance of event of location, persistent intrusive thoughts of event, distorted cognitions and moods, sleep disturbances, hypervigilance, and startled responses
- Diagnosed: symptoms present for at least 4 weeks and often accompanied by social isolation, depression, and substance abuse
Major depressive disorder
- Depressed mood, less interest in activities you used to enjoy, weight loss/gain, oversleeping/insomnia, fatigue, feeling worthless/guilty, difficulty thinking/focusing, thoughts of death
- Diagnosis: 5 or more symptoms present everyday for 2 weeks
Persistent depressive disorder
2 or more symptoms of major depressive disorder (usually a more mild form) for 2+ years
Bipolar disorder
periods of depression and mania/hypomania (mild mania)
Bipolar 1
manic episode followed by hypomania or depressive episode
Bipolar 2
depression w/ at least one hypomanic episode
Manic episode
unrestrained euphoria, decreased need for sleep, feeling pressured to talk, disconnected ideas, distracted, recklessness, hyper-focused behavior
Schizophrenia diagnosis
- Exhibits 2 of following symptoms:
delusions, hallucinations, disorganized speech, disorganized or catatonic behavior (odd or lacking movement), and negative symptoms (deficits of speech, motivation, or emotions)
- At least one symptom has to be delusions, hallucinations, or disorganized speech
Negative symptoms
absent in people w/ schizophrenia but present in normal people
Positive symptoms
present in people w/ schizophrenia but absent in normal people
Schizoaffective disorder
symptoms of schizophrenia plus symptoms of depression or mania
Causes of schizophrenia
genetics, hyper-responsive dopamine receptors in brain, large ventricles or fluid-filled cavities in the brain, mid-pregnancy viral infection
Dissociative disorders
- splitting of normal consciousness and identity
- Dissociative identity disorder, Dissociative amnesia, Dissociative fatigue
Dissociative identity disorder (multiple personality disorder)
two or more distinct personalities
Dissociative amnesia
period of memory loss, typically of autobiographical memories, caused by a stressor
Dissociative fatigue
desire to flee or leave home
Somatic disorders
- physical complaints that cause distress
- Somatic symptom disorder, Conversion disorder, Illness anxiety disorder
Somatic symptom disorder
multiple unexplained physical complaints that disrupts life, excessive worries about symptoms
Conversion disorder
loss of physical function of body that can follow a traumatic event
Illness anxiety disorder
hyper-focused on developing a disease which leads to them worrying about their health
Anorexia nervosa
starving yourself to reach perfection
Bulimia nervosa
bingeing and then purging (laxative use, vomiting, exercise)
Binge-eating disorder
no purge after binge cycles
Neurodevelopmental disorders
- brain-based disorders presented during childhood
- autism, ADHD, tic, tourettes
Autism spectrum disorders
- appear during first 3 years of life
- Deficits in social communication, 2+ symptoms of restricted, repetitive patterns of behaviors (motor movements, inflexibility of routine, over/under sensitivity of stimuli)
Attention-deficit hyperactivity disorder (ADHD)
inattention, lack of follow-through, losing things, easily distracted, hyperactivity, impulsivity
Tics
recurrent motor movements (blinking, head jerking) or vocalizations (yelping, sniffing)
Tourettes
presence of multiple motor and at least one vocal tics that occur daily for more than a year
Psychotherapy
psychological techniques used to facilitate positive change in someone
Trepanning
boring a hole in skull to allow bad spirits to exit brain
Exorcism
ritual to rid body of demonic spirits
Jean Martin Charcot
used hypnosis to treat hysteria
Josef Breuer
used hypnosis and his patient "Anna O" got help from "talking cure"
Psychoanalytic therapies
hope to create an insight of unconscious motives to help patients
Insight therapies
if you understand source of symptoms, you will be able to control them better
Free association
patient talks about anything that comes to mind
Resistance
attempt by patient to block progression of therapy
Transference
patient projects feelings to psychoanalyst
Humanist therapies
hope to guide clients to a more conscious insight for them to reach self-actualization
Roger's Client Centered Therapy
- client guides most of discussions
- Goal is to create an "atmosphere of growth" which includes:
1. Unconditional positive regard
2. Authenticity: facilitator is honest and genuine
3. Empathy
4. Active listening: facilitator rephrases and clarifies client's thoughts rather than interprets them or makes suggestions
Albert Ellis's Rational Emotive Therapy
- psychological distress is due to people reciting harmful thoughts to themselves
- ABC: Activating experience → triggers false Beliefs → emotional Consequence (doing bad on test → thinking you're a failure → depression)
Selective perception
focusing on negatives instead of positives
Overgeneralization
thinking one event will extend to other events
All-or-nothing thinking
events are seen as all great or all bad
Mary Cover Jones
counter conditioned Little Albert children by giving them something they enjoyed when the rat was in the room
Joseph Wolpe's Systematic Desensitization
reduces anxiety in phobias by pairing relaxation techniques with anxiety-provoking situations
Desensitization hierarchy
each session builds up in anxiety rather than starting with a high-anxiety situation
Aversion therapy
- pairs unpleasant stimulus with a bad behavior
- treats alcohol addiction
Token economy
uses tangible rewards to reinforce positive behavior
Electroconvulsive therapy (ECT/shock therapy)
electric current passing through brain helps with depression
Prefrontal lobotomy
severs frontal lobe from rest of brain to reduce impulsive actions and emotional outbursts
Pharmacotherapy
medical treatments through use of drugs
Psychotropics
drugs that alter one's mental state
Anti-anxiety drugs
- treat anxiety and tension
- Side effects: impaired alertness, addiction, overdose
Valium and Xanax
Antidepressants
- treat symptoms of depression
- Selective serotonin reuptake inhibitors (SSRIs): block reabsorption of unused serotonin
- Side effects: nausea, dizziness, nervousness
- Prozac and Zoloft
Mood-stabilizers
- treat bipolar disorder by reducing severity of manic and depressive episodes
- Lithium
Antipsychotic drugs (neuroleptics)
- treat agitation, delusions, and hallucinations
- Block dopamine transmission
- Side effects: dry mouth, muscle tremors, tardive dyskinesia (involuntary facial movement)
- Thorazine and Haldol
Central route of persuasion
rely on facts to persuade someone
Peripheral route of persuasion
rely on emotions and smaller details
Mere exposure effect
the more you're exposed to a message, you're more likely to change your mind
Cognitive dissonance
experience uncomfortable feelings when your attitude and behavior don't align
Justification
justify our behavior to get rid of cognitive dissonance
Attributions
ways we try to explain causes of things we see
Situational cause
we guess that a cause of a behavior is attributed to an event
Dispositional attribute
we guess that a cause of a behavior is related to that person's personality
Fundamental attribution error
tendency to underestimate power of a situation and overemphasize personality of someone
Just-world phenomenon
tendency to feel that people get what they deserve so we victim blame them
Self-serving bias
tendency to be overgenerous to ourselves when making attribution calls
Social roles
- expected behaviors we have as a function of our position and relationships
- ascribed and achieved roles
Obedience
- change behavior due to presence of authoritative figure
- Milgram study
Compliance
change behavior because an unauthoritative figure asks you to
Foot-in-the-door
ask for a small request that person will likely say "yes". Then you ask for a larger request that you were hoping for all along
Door-in-the-face
ask for a large favor that they will probably decline. Then ask for a small favor that they will say "yes" to