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a fear beyond normal (irrational) regarding a specific situation or object that disrupts regular functioning
Specific Phobia
all encompassing
Holistic
behavior or disorder may have several causes
Equifinality
Around for 5000 years, started by devout Hindus in India. This would be culturally abnormal in the U.S.
Body Suspension
Diagnostic and Statistical Manual of Mental Disorders-5th edition
DSM-V
Patient/Client
1st Party
Counselor
2nd Party
Insurance
3rd Party
client's thoughts, behaviors, feelings that signify a disorder (DSM-V criteria)
Clinical Description
how many people have disorder (schiz. 1 in 100 in a year)
Prevalence
number of new cases in a given time (why increase/decrease?)
Incidence
pattern the disorder often takes
Course
long term
Chronic
come and go
Episodic
get better in a fairly short time without treatment
Time-Limited
onset in which symptoms appear distinctly/quickly
Acute Onset
onset in which symptoms appear gradually over time
Insidious Onset
how things often turn out
Prognosis
treat more difficult psychological disorders, have a PhD or PsyD
Clinical Psychologist
psychologists that treat milder issues, (job struggles, relationships)
Counseling Psychologist
Medical Doctor with Mental Health specialization, cam prescribe medication
Psychiatrist
study of causation or origins of a disease
Etiology
believed that abnormal behaviors was due to demon-possession, being a witch, or someone making a deal with the devil.
The Supernatural Tradition
2500 yrs ago thought psychological disorders were due to head trauma, brain illness, or genetics. Also, 4 body fluids called blood, black bile, yellow bile, and phlegm were out of balance
Hippocrates
1800s, he said all disorder behavior was biologically based. More emphasis on biological treatments, greater effort in medication development
John Grey
thoughts in our unconscious that can impact our daily lives & we can have no idea why, often due to some trauma. The trauma remains in our unconscious unless therapy can bring it to our conscious awareness for treatment.
Fixations
Works by the pleasure principle. we are born with it and its job is to remove anxiety and fulfill desires. Ignores rules/other's feelings.
Id
Works by the morality principle. Age 5 or 6 we learn right & wrong. Very concerned about perfect behavior, do what is expected
Superego
Works by the reality principle. Works to get desires of other 2 components of psyche met. Freud said a psychologically healthy adult will have the it involved in most of their decisions.
Ego
alter/distort reality when it is too uncomfortable (anxiety) for us to handle
Defense Mechanisms (DM)
to not believe something that is reality
Denial
replaces unacceptable thoughts, feelings, or actions with acceptable ones.
Reaction Formation
to psychologically revert to a time that was less stressful
Regression
when a patient says whatever comes to mind, no censoring. This demonstrates themes, leading to fixations
Free Association
actual dream
Manifest Content
what a dream means
Latent Content
patient unconsciously reacts to analyst as another important person in their life
Transference
Any time the patient resists talking, laughs something off, or is late. Means therapy is getting closer to important issues
Resistance
when one believes there is nothing they can do to better the situation
Learned Helplessness
what one observes is very powerful, especially in children. one can learn unhealthy behaviors or ways of viewing the world
Observational Learning / Modeling
to be the best we can be if we have the freedom to grow
Self-Actualization
Self actualization
Self esteem
Love & Belonging
Safety
Physiological
Hierarchy of Needs
To be valued, acknowledged, and be heard by another human being
Unconditional Positive Regard
biochemical element that assists in chemically communicating from one neuron in the brain to another
Neurotransmitter
excites (turns on) other neurons, leading to the action (behavior). if low, insomnia, poor concentration, mental exhaustion, less energy
Glutamate
reduces activity between neurons (calming).
- helps lessen anxiety, especially generalized (everywhere) anxiety
- can be addictive (important to have careful medical support)
GABA (Gamma-Aminobutyric Acid)
assists in processing info. & movement coordination
helps regulate thought processes, behavior, and moods
- very low level associated with impulsivity, overreactions, aggression, suicide, overeating, excessive sexual behavior
Serotonin
involved in heart rate, respiration, and blood pressure
- low levels can cause anxiety, depression, and panic attacks.
- similar to adrenaline. used for severe low blood pressure and CPR
- this is an EpiPen
Norepinephrine
involved in outgoing, exploratory, and pleasure-seeking behaviors
- too much has been found in people with schizophrenia
- low levels are associated with depressive symptoms
Dopamine
medication meant to increase the activity of a neurotransmitter
Agonist
medication meant to decrease/block the impact of a neurotransmitter
Antagonist
idea that if one's friends/family downplay a disorder, this may cause guilt, confusion. and self doubt
Social Influence
events in one's past & age at which an event takes place can influence one's response and its intensity
Developmental Influence
predisposition for particular disorder
- genetics + enough stress = disorder
- ie. depression, anxiety, alcoholism
Diathesis
Looks at ways people develop maladaptive behaviors & ways to treat them
Behavioral Model
gradual exposure of fear issue/item along with relaxation
Systematic Desensitization
scientific study of mental disorders
Psychopathology
Measurement & evaluation of biological, social, and psychological factors due to suspicion of a psychological disorder
Clinical Assessment
designed to assess 5 areas, shows mental state/behaviors that represent mental struggles
Mental Status Exam
looking for physiological/psychological concern
- neat, disheveled, clean, appropriately dressed, posture, facial expression, motor behavior
Appearance & Behavior
people want to kill or harm me
Delusions of Persecution
I am the greatest, will save the world, above laws
Delusions of Grandeur
distorted senses (voices, seeing things)
Hallucinations
how one feels internally
Mood
how one feels going along with statements
Affect
speech: vocab, ideas, possibilities, memory
- age & educational fit
Intellectual Function
how senses are working regarding reality
Sensorium
seeks to reveal what appears to be a psychological disorder but is caused by other problems.
Physical Exam
causes sudden weight loss, a rapid or irregular heartbeat, sweating, and nervousness/irritability
Hyperthyroidism
observing someone in daily interactions to gain a better understanding of what is happening in their world
Behavioral Assessment
what happened before a behavior
Antecedent
what was done that is concerning
Behavior
what happened after a behavior
Consequence
when someone keeps track of their own thought, feelings, and behaviors
Self-Monitoring
Rorschach Test, Thematic Apperception Test
Projective Testing
a blank object to project inner thoughts, beliefs, and values onto
Ambiguous Stimuli
AKA ink blot test. Cards with nonspecific ink splotches on. Person is asked what they see
Rorschach Test
examiner shows picture and says, “tell me what is going on here. use imaginations and give as much detail as you can.”
- what was happening before that led up to this point?
- what will happen next?
Thematic Apperception Test
degree to which measure is consistent over time & with different individuals
Reliability
degree to which the test measures what it is supposed to measure
Validity
seeks to discover what might be in a person's psychological makeup that could be a disorder
Personality Inventories
most widely used book of its kind in the U.S.
Minnesota Multi-phasic Personality Inventory (MMPI)
long standing health concerns
lots of complaining
Hypochondriasis
unhappy long term
Depression
avoid responsibility by physical complaints
Hysteria
engage in antisocial behavior
good first impression but lacks a healthy conscience
Psychopathic Deviate
involves intense and irrational feelings of distrust and suspicion about other people without any clear or real evidence, stems from a very likely psychotic experience
Paranoia
anxious, tense, agitated, rigid, moralistic
- Moralistic = perfectionistic
Psychathenia
blatant psychotic behavior, confusion, disorientation
Schizophrenia
over activity, accelerated speech
- possible hallucinations/delusions
Hypomania
more comfortable alone, great difficulty with decisions
Social Introversion
assessing the brain & nervous system functioning by testing performance of behavioral tasks
Neuropsychological Testing
photos of the brain
Neuroimaging
Studying adolescent SIB (self injurious behavior)
- Study 12, 14, 16, 18 yr olds. Entire age span at one time, a plus
Cross-Sectional Design of Research
Follow group of 12 yr olds for 6 years. Time & possible dropouts, cost.
Longitudinal Design of Research
when one agrees to participate after understanding what is involved. A formal, signed document
- Assurance of competent decisions & choices by researcher
- The participant is truly volunteering (not forced).
- Participant has full comprehension of what is taking place.
Informed Consent
a concern about the future which includes a degree of physical tension (muscle & increased heart rate)
- small amounts of anxiety can be positive. can motivate, raise awareness, etc.
- excessive amounts can make functioning difficult
Anxiety
works to keep important functions running
- happens automatically in a fraction of a second
Autonomic Nervous System (ANS)
reacts when there is a perceived emergency or threat
- when startled/threatened, adrenaline rushes in, breathing increases, sweating starts, eyes dilate
Sympathetic Branch
responsible for returning various systems to average
- heart rate slows, sweating stops, eyes return to normal
- takes about 20 minutes after the threat is gone
Parasympathetic Branch