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Dysfunction
Required factor for identifying disorders; interferes with functioning and is disturbing everyday life (maladaptive)
Distress
Factor for identifying disorders; troubling/upsetting to self/others
Deviant
Factor for identifying disorders; differs from society’s norms
Diagnosis
The process of identifying and labeling a mental disorder based on specific criteria (consequences: cultural/societal norms, stigma, racism, sexism, ageism, discrimination)
Diagnostic and Statistical Manual of Mental Disorders (DSM)
Widely used system in the U.S. for classifying psychological disorders from the APA
International Classification of Mental Disorders (ICD)
System used worldwide for all diseases and health conditions from WHO
Eclectic approach
An approach to psychotherapy that uses techniques from various forms of therapy
Biopsychosocial model
Model that assumes that biological, social-cultural, and psychological factors combine and interact to produce psychological disorders
Diathesis-stress model
Model that assumes psychological disorders develop due to a genetic vulnerability (diathesis) in combination with stressful life experiences (stress)
Neurodevelopmental disorders
Central nervous system abnormalities (usually in the brain) that start in childhood and alter thinking and behavior (as in intellectual limitations or a psychological disorder)
Attention-deficit/Hyperactivity disorder (ADHD)
A psychological disorder marked by extreme inattention and/or hyperactivity and impulsivity
Autism spectrum disorder (ASD)
A disorder that appears in childhood and is marked by limitations in communication and social interaction, and by rigidly fixated interests and repetitive behaviors
Schizophrenic spectrum disorders
A group of psychotic disorders characterized by significant disturbances in thought, perception, emotion, and behavior, leading to a disconnection from reality
Acute schizophrenia
A form of schizophrenia that can begin at any age; frequently occurs in response to a traumatic event (reactive), and from which recovery is much more likely (mostly positive symptoms)
Chronic schizophrenia
A form of schizophrenia in which symptoms usually appear by late adolescence or early adulthood (process); as people age, psychotic episodes last longer and recovery periods shorten (mostly negative symptoms)
Schizophrenic positive symptoms
Presence of inappropriate behaviors (disorganized speech, inappropriate emotions, delusions, hallucinations)
Schizophrenic negative symptoms
Absence of appropriate behaviors (toneless voice, expressionless face, rigid body, social withdrawal)
Delusion
A false belief, often of persecution or grandeur, that may accompany psychotic disorders
Hallucinations
False sensory experiences, such as seeing something in the absence of an external visual stimulus
Word salad
Correct words, wrong communication
Catatonia
Neuropsychiatric disorder characterized by psychomotor and behavioral abnormalities (no movement at all, then agitated)
Catatonic stupor
A state of marked immobility, minimal or absent responsiveness to stimuli, and reduced spontaneous movement (specific symptom of catatonia)
Flat affect
No emotion
Dopamine hypothesis
States that schizophrenia is linked to overactivity or excess dopamine in the brain
Depressive disorders
A group of disorders characterized by an enduring sad, empty, or irritable mood, along with physical and cognitive changes that affect a person’s ability to function
Major depressive disorder
A disorder in which a person experiences five or more symptoms lasting two or more weeks, in the absence of drug use or a medical condition, at least one of which must be either depressed mood or loss of interest or pleasure
Persistent depressive disorder
A disorder in which people experience a depressed mood on more days than not for at least 2 years (formerly called dysthymia)
Bipolar disorders
A group of disorders in which a person alternates between the hopelessness and lethargy of depression and the overexcited state of mania (formerly called manic-depressive disorder)
Bipolar I disorder
The most severe form, in which people experience a euphoric, talkative, highly energetic, and overly ambitious state that lasts a week or longer followed by depressive episodes
Bipolar II disorder
A less severe form of bipolar in which people move between depression and a milder hypomania
Anxiety disorders
A group of disorders characterized by excessive fear and anxiety and related maladaptive behaviors
Specific phobia
An anxiety disorder marked by a persistent, irrational fear and avoidance of a specific object, activity, or situation
Agoraphobia
Fear or avoidance of situations, such as crowds or wide open places, where one may experience a loss of control and panic
Panic disorder
An anxiety disorder marked by unpredictable, minutes-long episodes of intense dread in which a person may experience terror and accompanying chest pain, choking, or other frightening sensations; often followed by worry over a possible next attack
Ataque de nervios
A panic disorder experienced mainly by people of Caribbean or Iberian descent; often deals with loss of family member
Social anxiety disorder
Intense fear and avoidance of social situations (fear of embarrassing yourself)
Taijin kyofusho
An anxiety disorder experienced mainly by Japanese people; fear of others judging their bodies as undesirable, offensive, or unpleasing (fear of embarrassing others)
Generalized anxiety disorder (GAD)
An anxiety disorder in which a person is continually tense, apprehensive, and in a state of autonomic nervous system arousal
Obsessive-compulsive and related disorders
Disorders characterized by recurring, intrusive thoughts (obsessions) that cause significant anxiety and are often accompanied by repetitive behaviors or mental acts (compulsions) to relieve the anxiety
Obsessions
Irrational thoughts
Compulsions
Irrational behaviors
Obsessive-compulsive disorder
A disorder characterized by unwanted repetitive thoughts (obsessions), actions (compulsions), or both
Hoarding disorder
A persistent difficulty parting with possessions, regardless of their value
Dissociative disorders
A controversial, rare group of disorders characterized by a disruption of or discontinuity in the normal integration of consciousness, memory, identity, emotion, perception, body representation, motor control, and behavior
Dissociative amnesia
A disorder in which people with intact brains reportedly experience memory gaps; people may report not remembering trauma-related specific events, people, places, or aspects of their identity and life history
Fugue
Person experiences a sudden, apparently purposeful travel away from home, work, or significant others, or bewildered wandering, along with the amnesia
Dissociative identity disorder (DID)
A rare dissociative disorder in which a person exhibits two or more distinct and alternative personalities (formerly called multiple personality disorder)
Trauma and stressor-related disorders
A group of mental health conditions resulting from traumatic or stressful experiences
Post-traumatic stress disorder
A disorder characterized by haunting memories, nightmares, hypervigilance, avoidance of trauma-related stimuli, social withdrawal, jumpy anxiety, numbness of feeling, and/or insomnia that lingers for four weeks or more after a traumatic experience
Feeding and eating disorders
A group of disorders characterized by altered consumption or absorption of food that impairs health or psychological functioning (feeding disorders typically occur in infants and young children, whereas eating disorders affect people who self-feed)
Anorexia nervosa
An eating disorder in which a person (usually an adolescent female) maintains a starvation diet despite being significantly underweight, and has an inaccurate self-perception; sometimes accompanied by excessive exercise
Bulimia nervosa
An eating disorder in which a person’s binge eating (usually of high-calorie foods) is followed by inappropriate weight-loss-promoting behavior, such as vomiting, laxative use, fasting, or excessive exercise
Personality disorders
A group of disorders characterized by enduring inner experiences or behavior patterns that differ from someone’s cultural norms and expectations, are pervasive and inflexible, begin in adolescence or early adulthood, are stable over time, and cause distress or impairment
Cluster A personality disorders
Personality disorders that are in the odd, eccentric, and weird cluster
Paranoid personality disorder
A pervasive pattern of distrust and suspicion of others, where individuals misinterpret others’ intentions as malicious, even without sufficient basis (A)
Schizoid personality disorder
A personality disorder characterized by a pervasive pattern of detachment from social relationships and a restricted range of emotional expression in interpersonal settings (A)
Schizotypal personality disorder
A persistent pattern of discomfort in close relationships, along with cognitive or perceptual distortions, and eccentric behaviors (A)
Cluster B personality disorders
Personality disorders that are in the dramatic, emotional, erratic, and wild cluster
Antisocial personality disorder
A personality disorder in which a 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 (B)
Histrionic personality disorder
A personality disorder characterized by excessive emotionality, attention-seeking behavior, and dramatic, overly expressive behavior (B)
Narcissistic personality disorder
A personality disorder characterized by a pervasive pattern of grandiosity, a need for admiration, and a lack of empathy (B)
Borderline personality disorder
A personality disorder characterized by instability in interpersonal relationships, self-image, and mood, as well as marked impulsivity (B)
Cluster C personality disorders
Personality disorders that are in the anxious, fearful, and worried cluster
Avoidant personality disorder
A pervasive pattern of social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation (C)
Dependent personality disorder
A personality disorder characterized by an excessive need to be taken care of, often manifesting as clinging behavior or a fear of separation (C)
Obsessive-compulsive personality disorder
A disorder characterized by a persistent pattern of preoccupation with orderliness, perfectionism, and control (C)
Meta-analytic studies
Synthesize data from multiple studies to determine the overall effectiveness of a treatment
Psychotherapy
Treatment involving psychological techniques; consists of interactions between a trained therapist and someone seeking to overcome psychological difficulties or achieve personal growth
Therapeutic alliance
A bond of trust and mutual understanding between a therapist and client, who work together constructively to overcome the client’s problem
Cultural humility
Recognizing that cultural biases exist and being willing to learn from patients
Psychotropic medication therapy
The use of medication (psychotropic drugs) to treat disorders by altering brain chemistry, often in conjunction with other therapies
Deinstitutionalization
The process, begun in the late twentieth century, of moving people with psychological disorders out of institutional facilities
APA Standards and Ethical Principles
Core ethical principles that guide psychologists’ conduct: nonmaleficence, fidelity, integrity, respect for people’s rights and dignity
Nonmaleficence
Do no harm
Fidelity
Establish relationships of trust
Integrity
Promote accuracy, honesty, and truthfulness
Respect for people’s rights and dignity
Respect the dignity and worth of all people and the rights to privacy/confidentiality
Psychodynamic therapy
Therapy deriving from the psychoanalytic tradition; views individuals as responding to unconscious forces and childhood experiences, and seeks to enhance self-insight
Free association
In psychoanalysis, a method of exploring the unconscious in which the person relaxes and says whatever comes to mind, no matter how trivial or embarrassing
Dream analysis
A therapeutic technique that involves interpreting the content and meaning of dreams to understand a person’s unconscious thoughts, feelings, and conflicts
Cognitive therapy
Therapy that teaches people new, more adaptive ways of thinking; based on the assumption that thoughts intervene between events and our emotional reactions
Cognitive restructuring
Identify negative beliefs and challenge them, then develop alternative thoughts and practice them
Fear hierarchies
A ranked list of feared situations or objects, from least to most anxiety-provoking; used in systematic desensitization
Cognitive triad
A set of three negative beliefs that are thought to characterize depression; these beliefs concern self, world, and future
Applied behavior analysis
Taking principles of conditioning and applying them to help patients
Exposure therapy
A behavioral technique that treats anxieties by exposing people (in imaginary or actual situations) 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 specific phobias
Aversion therapy
Associating an unpleasant state with an unwanted behavior
Token economy
An operant conditioning procedure in which people earn a token for exhibiting a desired behavior and can later exchange tokens for privileges or treats
Biofeedback
A technique that helps individuals gain voluntary control over certain physiological functions that are typically considered involuntary (feedback about your biology)
Cognitive-behavioral therapy
A popular integrative therapy that combines cognitive therapy (changing self-defeating thinking) with behavior therapy (changing behavior)
Dialectical behavior therapy (DBT)
A type of cognitive-behavioral therapy (CBT) that was developed to treat indivduals with borderline personality disorder (BPD); helps patients learn to accept emotions and change thoughts
Rational-emotive behavior therapy (REBT)
A confrontational cognitive therapy, developed by Albert Ellis, that vigorously challenges people’s illogical, self-defeating attitudes and assumptions; therapist yells “stop”
Humanistic therapy
A type of therapy that focuses on a person’s inherent potential for growth and self-actualization
Person-centered therapy
A humanistic therapy, developed by Carl Rogers, in which the therapist uses techniques such as active listening within an accepting, genuine, empathic environment to facilitate clients’ growth
Active listening
Empathic listening in which the listener echoes, restates, and seeks clarification; feature of Rogers’ person-centered therapy
Unconditional positive regard
A caring, accepting, nonjudgmental attitude, which Carl Rogers believed would help clients develop self-awareness and self-acceptance
Group therapy
Therapy conducted with groups rather than individuals, providing benefits from group interaction
Individual therapy
A one-on-one therapeutic approach where a therapist helps a client explore their thoughts, emotions, and behaviors to address mental health concerns
Effective uses of hypnosis
Pain/anxiety; research does not support its use to retrieve accurate memories or age regression