Chapter 13 flashcards

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89 Terms

1

Psychological disorder

A clinically significant disturbance in an individual’s cognition, emotional regulation, or behavior that is usually associated with significant distress or disability in social, occupational, and other important activities.

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Syndrome

A cluster of physical or mental symptoms that are typical of a particular condition or psychological disorder and that tend to occur simultaneously.

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Symptom

A physical or mental feature that may be regarded as an indication of a particular condition or psychological disorder.

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psychopathology

(1) the scientific study of psychological disorders, or (2) the disorders themselves.

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Abnormal psychology

Seeks to characterize the nature and origins of psychological disorders

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Clinical psychology

assessment and treatment of psychological disorders

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7

To qualify as a disorder, a syndrome must not be

a. An expectable response to common stressors and losses,

b. A culturally approved response to a particular event

c. A simple deviance from social norms.

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8

Point prevalence

The percentage of people in a given population who have a given psychological disorder at a particular point in time.

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Lifetime prevalence

The percentage of people in a certain population who will have a given psychological disorder at any point in their lives.

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10

Clinical assessment

A procedure for gathering the information that is needed to evaluate an individual’s psychological functioning and to determine whether a clinical diagnosis is warranted.

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Clinical interview

Where a clinician asks the client to describe their problems and concerns.

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Self-report measure

A standardized clinical assessment tool that consists of a fixed set of questions that a patient answers.

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13

Projective tests

When a person responds to unstructured or ambiguous stimuli; is thought that responses reveal unconscious wishes and conflicts.

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14

International classification of diseases (ICD-11)

Used to classify the diseases and health problems recorded in health records and death certificates.

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15

Diagnostic and statistical manual of mental disorders (DSM-5)

Used as the standard guide on mental disorders in the US. Guides most research on psychological disorders.

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benefits of diagnostic labels

Improves treatment and facilitates research

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Costs of diagnostic labels

Creates stigma and encourages researchers/clinicians to think of a psychological disorder as “fixed.”

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18

Diathesis-stress model

A conception of psychopathology that distinguishes the factors that create a risk of illness from the factors that turn the risk into a problem.

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19

Learned helplessness

A state of passive resignation to an aversive situation that one has come to believe is outside of one’s control.

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20

Neuroticism

A personality dimension associated with heightened levels of negative affect.

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21

Biopsychosocial model

A way of understanding what makes people healthy by recognizing that biology, psychology, and social context all combine to shape health outcomes.

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22

Anxiety

A feeling of intense worry, nervousness, or unease. The main symptom of this class of disorders.

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Specific phobia

A marked fear of or anxiety about a particular object or situation, such as snakes, bridges, lightning, dentists, or blood.

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Social anxiety disorder

A disorder characterized by extreme fear of being watched, evaluated, and judged by others.

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Panic disorder

A disorder characterized by the occurrence of unexpected panic attacks

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Panic attack

Sudden episodes of uncontrollable fear or anxiety accompanied by terrifying bodily symptoms

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Agoraphobia

A fear of being in situations in which help might not be available or escape might be difficult of embarrasing.

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Generalized anxiety Disorder

A disorder characterized by continuous, pervasive, and difficult-to-control anxiety.

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Obsessions

A recurrent unwanted or disturbing thought

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Compulsions

A ritualistic action performed to control an obsession.

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Mental rituals

Compulsions that have no visual signs

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32

Trauma and stressor related disorders

Disorders that are triggered by an event that involves actual or threatened death, serious injury, or sexual violation.

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Dissasociation

When someone feels wholly alienated, socially unresponsive, and oddly unaffected by the event.

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Intrusive symptoms

Can include recurrent nightmares and waking flashbacks of a traumatic event.

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Arousal symptoms

When someone maintains a high state of readiness to guard against harm. Includes sleep disturbances, agitation, restlessness, difficulties with concentration, and a state of pervasive hypervigilance.

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Avoidance symptoms

When someone tries to avoid thoughts, activities, people, objects, or locations that relate to a traumatic event.

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Negative alterations in cognition and mood

Includes outbursts of anger, loss of interest in things that were once pleasurable, or survivors guilt.

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Acute stress disorder

A trauma- or stressor-related disorder than lasts less than one month.

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Posttraumatic stress disorder (PTSD)

A trauma- or stressor-related disorder that lasts one month or longer.

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Comorbidity

The occurrence of two or more disorders in a single individual at a given point in time.

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General risk factors

Make someone vulnerable to more than one anxiety disorder

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Specific risk factors

Make someone vulnerable to one of the anxiety disorders but not the others

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Concordance rate

The probability that a person with a particular familial relationship to a patient (for example, an identical twin) has the same disorder as the patient.

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Amygdala and insula

Brain areas associated with phobias

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Vicarious learning

When what we learn from others may create a psychological diathesis for a specific phobia

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Mood related disorders

Disorders that involve prominent disturbances in a person’s positive and negative feeling states.

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Major depressive disorder

A disorder characterized by feelings of sadness, emptiness, and anhedonia.

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Anhedonia

Diminished interest or pleasure in nearly all of the activities that usually provide pleasure, such as eating, exercising, or spending time with friends.

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Rumination

The process of repetitively turning emotional difficulties over and over in the mind.

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Psychotic delusions

Unshakable false beliefs

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51

Bipolar disorder

A disorder characterized by manic episodes, often in addition to depressive episodes.

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Hypomania

Marked by high spirits, happiness, self-confidence, and a high level of nervous energy.

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Mania

A state of high excitement and energy often characterized by racing thoughts, a feeling of invincibility or omnipotence, and a lack of boundaries or inhibitions.

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54

Serotonin

People who die by suicide have low levels of this

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Norepinephrine, dopamine, and serotonin

Three neurotransmitters associated with mood-related disorders

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Negative cognitive schema

A mental framework in which a person consistently interprets events negatively

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Explanatory style

How a person explains why bad things happen to him or her.

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Schizophrenia

A psychological disorder characterized by a loss of contact with reality and a breakdown of the normal functions of the mind, leading to bizarre perceptions.

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Positive symptoms of schizophrenia

Behaviors that are not present in healthy people

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Delusions

False beliefs that are rigidly maintained despite overwhelming contradictory evidence.

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Delusions of persecution

When patients are convinced that they are being singled out for punishment or death

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Delusions of reference

When patients are convinced that some neutral environmental event is somehow directed at them

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Hallucinations

Sensory experiences that occur in the absence of any sensory input or stimulation.

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Disorganized behavior

Unusual actions that are not usually seen in healthy individuals.

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Negative symptoms

An absence of behaviors usually seen in healthy people.

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Dopamine hypothesis

The hypothesis that schizophrenia arises from an abnormally high level of activity in brain circuits that are sensitive to this neurotransmitter

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Classical antipsychotics

Block the D2 receptor for dopamine

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Enlarged ventricles and loss of grey matter

Structural abnormalities related to schizophrenia

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69

A mother’s exposure to infection or malnutrition

Non-genetic risk factor of schizophrenia

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70

Neurodevelopmental disorder

A disorder that stems from early brain abnormalities

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71

Civil commitment laws

Laws that specify when people can be hospitalized against their will for mental treatment

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Commitment is usually permitted when (1)

Individuals have a mental illness

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Commitment is usually permitted when (2)

They are either a danger to themselves or others or are unable to care for themselves.

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74

Not guilty by reason of insanity

A modern legal concept that holds that people are not responsible for criminal behavior if at the time of that behavior they had a mental disorder that left them substantially unable either to understand that what they were doing was wrong or to behave as they knew they should.

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75

Criminal commitment

Enforced hospitalization for criminals who plead not guilty by reason of insanity

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76

Autism spectrum disorder

involves a wide range of developmental problems, including (1) persistent deficits in social communication and social interaction and (2) restricted or repetitive patterns of interest or behavior.

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A cardinal feature of autism

Substantial deficits in social communication

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Theory of mind

The ability to represent others as individuals who have their own unique thoughts, feelings, and perspectives. Something that people with autism might lack.

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79

Attention-deficit/hyperactivity disorder (ADHD)

A disorder usually diagnosed in young children that involves a wide range of symptoms, including blurting out answers in class, fidgeting, and difficulty in shifting attentional focus.

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methylphenidate

The stimulant most often used to treat ADHD

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81

Dissociative identity disorder (DID)

defined by the presence of two or more distinct personality states within a single person, each with its own style, habits, beliefs, and memories.

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Interidentity amnesea

The partitioning of memory in different identities

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83

Posttraumatic model of DID

When a child dissociates to cope with serious trauma

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Sociocognitive model of DID

When a client responds to a therapist’s suggestions and to widespread cultural conceptions of DID.

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85

Personality disorder

A pattern of behavior and inner experience that (1) deviates markedly from cultural norms and expectations, (2) is inflexible and pervasive across a broad range of personal and social situations, and (3) leads to clinically significant distress or impairment.

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Paranoid, schizoid, schizotypal

Personality disorders characterized by odd or eccentric behavior

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Antisocial, borderline, histrionic, and narcissistic

Personality disorders characterized by dramatic or emotional behavior

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Avoidant, dependant, and obsessive-compulsive

Personality disorders characterized by heightened levels of fear or anxiety

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Antisocial personality disorder

marked by a pervasive pattern of disregard for and violation of the rights of others, as well as a lack of empathy and remorse.

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