AP Psychology Review

Unit 0

  • Overview of psychology: The scientific study of behavior and mental processes, exploring how individuals think, feel, and act.

Approaches to Psychology:

Approach

Focus

Behavioral

How we learn observable responses

Biological

How the body and brain enable emotions, memories, and sensory experiences; how our genes and our environment influence our individual differences

Cognitive

How we encode, process, store, and retrieve information

Evolutionary

How the natural selection of traits has promoted the survival of genes

Humanistic

How we achieve personal growth and self-fulfillment

Psychodynamic

How behavior springs from unconscious drives and conflicts

Social-cultural

How behavior and thinking vary across situations and cultures

Biopsychosocial

How the brain and nervous system influence mental processes and behavior *best approach

Types of Psychologists

  • Clinical Psychologists: Focus on diagnosing and treating mental disorders.

  • Cognitive Psychologists: Study mental processes such as perception, memory, and problem-solving.

  • Developmental Psychologists: Examine psychological growth and change throughout the lifespan.

  • Social Psychologists: Investigate how individuals influence and are influenced by others in social contexts.

  • Industrial-Organizational Psychologists: Apply psychological principles to workplace environments to enhance productivity and employee well-being.

  • Personality Psychologists: investigate our persistent traits

  • Human Factors Psychologists: focus on the interaction of people, machines, and physical environments

  • Counseling Psychologists: help people cope with challenges and increase their personal and social functioning

  • Community Psychologists: work to create social and physical environments that are healthy for all

  • Experimental Psychologists: do experiments to discover information about the workings of behavior and mental processes

  • Quantitative and Psychometric Psychologists: discover the numbers/math behind psychological principles

  • Sports Psychologists: work with athletes

  • Health Psychologists: psychologists that study and promote the relationship between psychological factors and physical health, focusing on how behaviors, stress, and lifestyle choices impact overall well-being.

  • Rehabilitation Psychologists: psychologists that help people who have lost functioning, often after a traumatic event

  • Educational Psychologists: psychologists who study the processes of learning and development in educational settings, focusing on how students learn and how to improve educational outcomes.

  • School Psychologists: psychologists who provide assessment and intervention to individual students, usually work for just one school or district

  • Neuropsychologists: psychologists that study, diagnose, and treat neurological and neurodevelopmental disorders such as Alzheimer’s disease, attention-deficit/hyperactivity disorder, and autism spectrum disorder.

Scientific Method

The scientific method: a systematic process used in psychology to formulate hypotheses, conduct experiments, collect data, and draw conclusions, ensuring that research findings are reliable and valid.

In science, a theory explains behavior or events by offering ideas to organize observations.

A hypothesis is a testable prediction used in science.

Operational definitions are precise, defined explanations of procedures and concepts used in an experiment that allow other scientists to replicate the research (do it again).

Types of methods:

  • Experimental Method: Involves manipulating one or more independent variables to observe the effect on a dependent variable, allowing researchers to establish cause-and-effect relationships.

  • Correlational Method: Examines the relationship between two or more variables to determine if they are associated, but does not imply causation.

  • Descriptive Method: Describes behaviors, often using case studies and surveys to gather in-depth information, but lacks the ability to establish cause-and-effect relationships.

Correlation coefficient: A number from -1 to 1 that describes how closely related two phenomena are. A correlation coefficient close to 1 implies a close positive relationship, while a correlation coefficient close to -1 implies a close negative relationship.

Correlation does not mean causation!!!

An experiment has an experimental group that receives the treatment and a control group that does not receive the treatment.

A good experiment uses random assignment - participants in the experiment will be randomly assigned to the experimental group or the control group to account for other factors influencing results!

Placebo effect - if someone thinks they are doing something that will help them, they will likely be helped anyway even if the thing actually does nothing (eg a sugar pill vs a real pill)

Single blind study - participants don’t know if they’re receiving the placebo or not, but the researchers do

Double blind study - neither the researchers nor the participants know who is receiving the placebo and who is receiving the experimental treatment

Standard deviation - represents how dispersed the data is from the mean

High SD = data is very spread out, Low SD = data is very close together

  • 68% of data falls within 1 standard deviation of the mean

  • 95% of data falls within 2 standard deviations of the mean

  • 99.7% of data falls within 3 standard deviations of the mean

Null hypothesis - hypothesis that says that the independent variable of an experiment does not affect the dependent variable

Alternate hypothesis - hypothesis that says that the independent variable of an experiment does affect the dependent variable

p-value - likelihood of observing the experimental results under the null hypothesis

p-value < 0.05 is generally considered statistically significant

statistically significant data means that the odds are low enough that the null hypothesis is true, so you can reject the null hypothesis

Unit 1: Biological Bases of Behavior

Physiology of the Brain

Anatomy of a Neuron

  • Cell body - also called soma, integrates and processes information coming from dendrites, initiates the action potential

  • Dendrites - receive messages from other cells

  • Axon - passes messages via the action potential from the cell body to the terminal bulbs

  • Myelin sheath - covers the axon, speeds up neural impulses

  • Terminal bulbs - at the end of the axon, form junctions with other cells

  • Synapse - gap between two neurons, neurotransmitters pass from terminal bulbs to dendrites

Action potential works because the electrical charge causes sodium channels to open, causing sodium ions to flood in and depolarize the axon. Then, the sodium channels are closed and potassium channels are opened to repolarize the axon and return it to its resting state. This happens like a chain reaction through the axon, allowing it to spread messages far.

Neurotransmitters that are released by neurons bind to receptors on the dendrites of the receiving cell. Neurotransmitters that have already transmitted the signal then get reabsorbed by the cell that originally released it, though this process is inhibited by certain medications like SSRIs (selective serotonin reuptake inhibitors).

Parts of the Brain

3 main parts:

  1. Cerebrum - largest part of the brain, only some animals have it, more advanced functions

  2. Cerebellum “little brain” - back of the brain, contains two hemispheres, influences thoughts, emotions, and social behavior, affects coordination

  3. Brainstem - connects the cerebrum with the spinal cord, mostly basic, essential-for life functions, most animals have one

Parts of cerebrum:

  • frontal lobe - executive functioning, emotional regulation

  • motor cortex (part of frontal lobe) - responsible for voluntary motor movements

  • prefrontal cortex (part of frontal lobe) - controls attention, inhibition, emotion, complex learning, theory of mind processing

  • Broca’s area (part of frontal lobe) - responsible for speech/language production. Someone with an aphasia of Broca’s area would struggle to communicate.

  • parietal lobe - integrating sensory information, self-perception/proprioception, awareness of body movements, awareness of location in space (kinesthetic sense)

  • somatosensory cortex (part of parietal lobe) - involves touch, pain, temperature, temperature, position, pressure, and vibration

  • temporal lobe - processing sensory input, particularly auditory

  • amygdala (part of temporal lobe) - emotional responses, decision making, memory

  • hippocampus (part of temporal lobe) - memory storage

  • auditory cortex (part of temporal lobe) - processes auditory information

  • Wernicke’s area (part of temporal lobe) - processes language. Someone with an aphasia of Wernicke’s area would struggle to understand language, even if they could communicate perfectly.

  • occipital lobe - processing visual input

  • visual cortex (part of occipital lobe) - processing visual information

Parts of brainstem:

  • pons - unconscious processes such as the sleep-wake cycle and breathing

  • midbrain - relays sensory information

  • medulla - controls processes essential to life such as heart rate and blood pressure

thalamus - lies above brainstem, relays sensory information NOT SMELL

hypothalamus - lies right below thalamus, controls hunger/thirst, body temperature, mood, sleep

pineal gland - responds to light and dark and secretes melatonin, regulating the circadian rhythm

corpus callosum - connects two “halves” of the brain

limbic system - parts of the brain that regulate emotions and behavior, includes thalamus, hypothalamus and amygdala

endocrine system - glands that make hormones and release them into the blood, generally result in slow changes over time (such as puberty)

central nervous system - brain and spinal cord

peripheral nervous system - everything else, delivers messages from brain and spinal cord

autonomic nervous system - governs involuntary processes

sympathetic nervous system (part of autonomic nervous system) - induces “fight or flight” responses

parasympathetic nervous system (part of autonomic nervous system) - calms your body down after “fight or flight” moments

somatic nervous system - governs voluntary processes

Types of Brain Scans

CT scan (computed topography) - uses x-ray beams passed through head, measures brain’s structure but not function

MRI (magnetic resonance imaging) - uses echo waves to discriminate between gray matter, white matter, and cerebrospinal fluid; can show if there’s fracture or bleeding

fMRI (functional MRI) - a series of MRI images taken less than an MRI, can show the brain’s functions

PET scan (positron emission topography) - uses radioactive glucose to measure brain metabolism

Sleep

Consciousness involves levels of awareness of one’s thoughts, feelings, behaviors, and events

Two types of consciousness are sleep and wakefulness

Hypnosis can be used to put someone into a state of suggestibility

We have a circadian rhythm - 24 hour sleep cycle

Memory consolidation and restoration are leading theories on why sleep exists

Sleep disorders and sleep disruptions can disrupt healthy sleep

Stages of Sleep

  1. Awake - beta waves (alert) or alpha waves (tired/relaxed)

  2. NREM 1 - alpha waves, hypnogogic hallucinations

  3. NREM 2 - theta waves, sleep spindles, K-complexes

  4. NREM 3 - delta waves, slow breathing/heart rate

  5. REM (rapid eye movement) - temporary paralysis, irregular breathing, elevated heart rate, beta waves, called paradoxical sleep: brain “seems” awake, but you really are asleep, very important to get REM sleep

Frequency of REM sleep increases the more you sleep, while deep sleep decreases

Sensation

Sensation is the process of detecting information from the environment that meets a certain threshold and transducing stimuli into neurochemical messages for processing (perception) in the brain.

Absolute threshold - threshold where a stimulus can be detected 50% of the time

Difference threshold - the smallest amount by which two stimuli can differ for someone to perceive them as different

Weber’s law - the difference threshold stays proportionally constant as the amount of stimulus gets smaller of larger

Synesthesia - “mixing” up of senses, ex seeing numbers as colors

Transduction - sensory receptors convert sensory input into electrical signals that can be read by neurons

Perceptual Constancies - we tend to view familiar objects as having the same size/shape/color even if the distance/angle/lighting changes

Nociceptors - detect potentially harmful sensations, causing pain sensation

Gate control theory - a painful sensation can be blocked by another nonpainful sensation because the painful messages are slower

Phantom limb - many people who have lost a limb can “feel” their lost limb

Visual

Parts of the eye:

  • Cornea: clear outer part of the eye’s focusing system located at the front of the eye

  • Iris: colored part of the eye that regulates the amount of light entering the eye

  • Lens: clear part of the eye behind the iris that helps to focus light, or an image, on the retina

  • Optic nerve: largest sensory nerve of the eye. It carries impulses for sight from the retina to the brain.

  • Pupil: opening at the center of the iris. The iris adjusts the size of the pupil and controls the amount of light that can enter the eye.

  • Retina: the light-sensitive tissue at the back of the eye. The retina converts light into electrical impulses that are sent to the brain through the optic nerve.

  • Macula: small, sensitive area of the retina that gives central vision. It is located in the center of the retina.

  • Vitreous gel: transparent, colorless mass that fills the rear two-thirds of the eyeball, between the lens and the retina.

Color vision:

  1. Trichromatic theory - our eyes have cones that detect colors

  2. Opponent-process theory - differently-colored afterimages are formed when certain ganglion cells are activated while certain ones are not: red/green, blue/yellow, black/white

Color vision deficiency occurs when one or more cones/ganglion cells doesn’t work.

Damage to the occipital lobes can result in blindsight (thinking you can’t see even though you can) and prosopagnosia (face-blindness)

Hearing

Parts of the ear:

  • Pinna/outer ear: exterior of the ear

  • Eardrum: vibrates when sound waves hit it, separates outer ear from middle and inner ear

  • Hammer/stirrup/anvil: Amplify the vibration from the eardrum

  • Eustachian tube: equalizes the pressure between the air outside the ear and in the air in the middle ear

  • Cochlea: has tons of tiny hairs, converts vibrations into electrical signals

Pitch (frequency of a sound wave): how high or low the sound is

Loudness/volume (amplitude of a sound wave): how loud or soft the sound is

How we hear:

  • Place theory: the brain perceives pitch based on the location of vibration in the cochlea

  • Frequency theory: the brain perceives pitch based on the number of signals sent to the brain per second

  • Volley theory: the brain perceives pitch by firing neural impulses at slightly different times to create a greater frequency of messages to the brain (works to perceive high pitched noises)

Sound localization - helps us determine where a sound is coming from, easiest when the sound is directly to our left or right

Conductive hearing loss - sound waves are blocked from reaching the inner ear, hearing aids are a solution

Sensorineural hearing loss - damage inside the inner ear, cochlear implant is a solution

McGurk effect - if you hear someone saying something but see their mouth moving in a different position, you might hear it differently to align with their mouth movements

Other Senses

Smell:

Anatomy of the Nose:

Sinuses: secrete mucus and filter dust

Nasal passage: where the air goes through

Nostril: opening of the nose

Adenoids: stop infection, fight germs

Tonsils: filter out germs, prevent infection

Epiglottis: protects your larynx

Larynx/voice box: allows you to breathe and make sounds

Smell is not first processed in the thalamus!!!

Taste:

Aka gustation

Sweet, sour, bitter, salty, umami, oleogustus (taste of fat)

“Supertasters” are extra sensitive to taste

Each taste bud can detect all different tastes

No taste zones!!!

Without smell, taste is muted

Touch:

Temperature, pressure, texture, temperature, vibration, pain

Cold + pressure = wet

Vestibular sense - sense of balance

Kinesthetic sense - awareness of the position of our body in space

Unit 2: Cognition

Prototypes - our mental example for any given concept

Algorithms - solve problems in a methodical way

Priming - subtly influencing someone based on a stimulus without their knowledge

Framing - the way an issue is posed

Divergent thinking - expanding on an idea

Convergent thinking - narrowing your thinking down to one idea

Obstacles in Decision-Making:

Heuristics - mental shortcuts that often make errors in judgement

  • Representativeness Heuristic - making assumptions based on stereotypes

  • Availability Heuristic - recalling the first or most vivid example that comes to mind

Mental set - the tendency to only use strategies that have worked in the past, even if they’re not the best option in that scenario

Sunk cost fallacy - not abandoning something because you have put too much time and effort into it, even if abandonment would be the best option

Gambler’s fallacy - believing that the probability of an event has changed based on previous results, even when those previous results objectively have no connection to the odds of future outcomes (for example, believing that after a losing streak, you have to win soon)

Functional fixedness - believing that objects or methods can be only used for one specific task (generally the one they were designed for)

Perception

2 types of perceptual processing

  • Top-down processing: using internal prior expectations to interpret a situation

  • Bottom-up processing: using sensory input to interpret a situation


Schema - the cognitive framework that allows a person to interpret a new situation based on their experience in similar, prior experiences (influenced by cultural experiences/expectations, experiences, and context)

Perceptual Set - our tendency to perceive some aspects of sensory data and ignore others (part of top-down processing)

Accommodation - altering one's existing schemas, or ideas, as a result of new information or new experiences

Assimilation - making new information fit in with your existing understanding of the world

Gestalt Principles:

  • Emergence - seeing groups of clustered objects as part of one whole

  • Closure - automatically filling in the gaps in images, such as a dashed line

  • Common Region - things that are part of the same region are part of one group

  • Continuity - our eyes tend to follow a continuous path in one direction and we group objects based on that

  • Proximity - we group close-together objects

  • Figure/ground - we see the foreground first and typically look for solid, stable objects

  • Invariance - we still objects/shapes as identical despite transformations

  • Similarity - when objects share superficial characteristics, we see them as grouped

Change Blindness - a phenomenon in which a person fails to recognize changes to their environment or visual stimuli, despite their being very obvious

Inattentional Blindness - the phenomenon where someone fails to perceive a visible object or event in their direct line of sight because their attention is completely focused on something else

Cocktail Party Effect - the ability to focus one's auditory attention on a particular stimulus while filtering out a range of other stimuli (such as one’s name at a cocktail party)

Memory

Types of memory:

  • Explicit memory: memory that is easily described or explained to other people

    • Episodic memory: specific experiences and events from the past

    • Semantic memory: facts and general knowledge

  • Implicit memory: memory that is hard to explain or describe to other people

    • Procedural memory: unconscious memory of how to do a task

Long term potentiation: synaptic connections between neurons become stronger with frequent activation (Kandel)

Memory Models

Working memory model:

Visuospatial sketchpad: our ability to temporarily hold visual and spatial information in our memory

Phonological loop: stores and recites information in our memory (such as reciting the directions to a location in your head)

Episodic buffer: bridges information from the visuospatial sketchpad and the phonological loop

Central executive: decides which information is attended to and which parts of the working memory to send that information to be dealt with

Levels of Processing Model:

Structural: shallowest, physical characteristics of the word / what the word looks like (eg: does the word start with a vowel?)

Phonetic: medium, auditory characteristics of the word / what the word sounds like (eg: does the word rhyme with train?)

Semantic: deepest, meaning of the word (eg: does the word fit in this sentence?)

Multi-Store Model:

Systems of sensory memory, short-term memory, and long-term memory interact

Sensory memory:

  • Quick collection of information from your senses

  • Iconic memory (visual memory) - 0.25 seconds

  • Echoic memory (auditory memory) - 2-4 seconds

Short term memory:

  • Temporary storage space that holds information from a few seconds to a few minutes

  • You can generally store 5-9 pieces of information in short-term memory at a time

Long term memory:

  • Lasts indefinitely long

  • Can fade over time

  • Infinite storage capacity

Encoding and Storage

Encoding - processes and strategies that store memories

Examples of strategies to improve encoding: pneumonic devices, chunking, categorizing and hierarchies

Semantic encoding - converting sensory information into memories by associating it with existing knowledge and experiences

Massed practice (learning all the information at once) is less effective than distributed practice (learning it over time)

Primacy effect - we remember information at the beginning of a list

Recency effect - we remember information at the end of a list

Primacy effect + recency effect = serial position effect

Recognition - remembering information with cues (ie MCQs)

Recall - remembering information without cues (ie FRQs)

Relearning - learning something after a period of time of not having learned it, usually you pick it up faster the second time around (ie studying for finals)

Overlearning - learning past the point where you are actively improving

Automatic processing - does not require conscious awareness or effort

Effortful processing - mental activity that requires conscious attention and effort

Retrieval and Forgetting

Maintenance rehearsal - repeating something over and over

Elaborative rehearsal - rehearsing information in a way that promotes meaning

It’s easier to remember when…

  • you’re in the same place as when you encoded the memory (context-dependent memory)

  • you’re feeling the same way as when you encoded the memory (mood-dependent memory)

  • you’re in the same physical state as when you encoded the memory (state-dependent memory)

Testing effect - remembering is easier when you devote part of the learning process to testing yourself on your knowledge!

Forgetting

  • Forgetting curve - memory sharply declines at first but levels off over time

  • Proactive interference - previously learned information is making it hard to learn new information

  • Retroactive interference - later learning is making it hard to remember old information

  • Repression - forgetting distressful memories

  • Source amnesia - not remembering or misremembering the source of information

  • Misinformation effect - a person’s memory of the past is changed after being exposed to misleading information (Elizabeth Loftus)

  • Infantile amnesia - inability to remember information from first 3 years of life

  • Retrograde amnesia - can’t remember anything from before a brain injury

  • Anterograde amnesia - can’t make new memories after a brain injury

Intelligence and Achievement

Intelligence and how to measure it has been debated for years by researchers. Researchers debate whether intelligence is a main factor (g) or composed of several different factors.

IQ tests used to be mental age / chronological age * 100. Now, they have a SD (generally 15) and are mostly used to identify students for educational services.

Types of Intelligence:

  • Crystalized - acquired knowledge and skills

  • Fluid - ability to reason in an unfamiliar situation

  • Emotional - ability to understand your own and others’ emotions and respond appropriately

Stereotype Threat - fear of representing a stereotype makes you do worse

Flynn Effect - IQ scores have increased over the past century

Discrimination, poverty, and inequity can affect IQ score

Intelligence is highly heritable, meaning that a large part of the distribution of intelligence scores is caused by genetics

Hereditability % does NOT equal % of your intelligence that is due to your genetics!!!

Types of Tests:

  • Achievement test - measures your knowledge

  • Aptitude test - measures your ability to learn

People who believe that intelligence is malleable (growth mindset) tend to do better on achievement tests than people who believe that intelligence is inborn (fixed mindset).

Stanford-Binet was initially a popular IQ test

Now, the WAIS-4 (Weschler Adult Intelligence Scale) and WISC-5 (Weschler Intelligence Scale for Children) are more popular

Test Construction:

  • Standardization: everyone gets tested with consistent procedures and environment

  • Reliability: test gets similar results every time it is administered

    • Split-half reliability: if the test is split into two or more parts, does each part yield similar results?

    • Test-retest reliability: if someone is tested again, will they get a similar score?

  • Validity: test measures what it’s supposed to measure

    • Predictive validity: ability of a test to measure future outcome

    • Construct validity: ability of a test to measure factors that aren’t directly observable

Researchers of Intelligence:

Researcher

Belief

Alfred Binet

IQ tests do not measure an inborn or permanent level of intelligence and should be used to identify students who needed more academic assistance. Intelligence is too complex to be quantified by a number

Lewis Terman

IQ is inherited and the strongest predictor of one’s success in life

Charles Spearman

IQ is made up of S-factors (specific factors) that make up one big G-factor (general intelligence). Specific factors are often positively correlated with each other

Louis Leon Thurstone

IQ is made up of seven factors: verbal comprehension, verbal fluency, numerical ability, perceptual speed, spatial visualization, inductive reasoning, and memory

Howard Gardner

IQ is made up of eight factors: naturalist, spatial, musical, kinesthetic, linguistic, intrapersonal, interpersonal, and logical

Robert Sternberg

IQ is made up of three main factors: analytical intelligence (book smarts), practical intelligence (street smarts), and creative intelligence (creativity)

Unit 3: Development

Development is the chronological order of development and thematic issues in development across the lifespan.

Three main areas of interest:

  • Nature vs nurture

  • Stability vs change

  • Continuity vs stages

Observational learning - observing and modeling another person’s behaviors, attitudes, or emotional expressions

Bobo doll experiment - an experiment that proved that children can learn by observing another person’s behaviors

Development

Physical Development

Infants have reflexes such as the rooting reflex (when the corner of a baby’s mouth is stroked or touched, it will begin to “root” towards the source of the touch in search of a nipple)

Visual cliff - infants have a basic sense of depth perception that allow them to tell when a large drop is incoming.

Critical periods - there is a period for which children are best able to learn things. If they miss that period, they may never be able to do it.

Adolescence is when puberty and sexual development occur, happens around 8-12 years old.

Adults generally have a stagnation in development and then a gradual decline in older adulthood.

Teratogens are substances that negatively impact development in utero, such as alcohol.

Cognitive Development

Piaget’s Stages of Cognitive Development

Stage

Age

Milestones

Sensorimotor

Infancy through toddlerhood

Object permanence

Preoperational

Toddlerhood through early childhood

Usage of mental symbols, pretend play, egocentrism, animism, basic theory of mind

Concrete operational

Early through late childhood

Conservation, reversibility, thinking logically

Formal operational

Late childhood through adulthood

Thinking abstractly, thinking hypothetically, understanding abstract concepts

Note: Piaget theorized that not all people make it to the formal operational stage.

Children are social learners who learn by interacting with other people (Vygotsky)

Zone of proximal development - space between what a learner can do with assistance and what they can do without assistance

Language Development

Language is a shared (mutually agreed upon) system of arbitrary symbols (often expressed as and combined into phonemes, morphemes, and semantics) that are rule-governed (via grammar and syntax) and generative to produce an infinity of ideas.

Phoneme - smallest basic unit of sound

Morpheme - smallest meaningful unit of sound

Semantics - the meaning of language

People of all cultures also use nonverbal gestures to communicate.

Babies learn how to talk in a certain order:

  1. Cooing - doesn’t sound like anything

  2. Babbling - meaningless word sounds, may not be used in parents’ native language

  3. One-word stage - one word sentences or phrases

  4. Telegraphic speech - short sentences where only words that carry information are used (ie “go bed”)

Linguistic determinism - human thought and knowledge is limited by language

Chomsky - psychologist who believed that children are biologically predisposed to want to learn language

Social/Emotional Development

Ecological Systems Theory:

  • Microsystem - groups that have direct contact with the individual

  • Mesosystem - the relationships between groups in the microsystem

  • Exosystem - indirect factors in an individual’s life

  • Macrosystem - cultural events that affect the individuals and others around them

  • Chronosystem the individual’s current stage of life

4 Parenting Styles

  • Authoritarian - parents are demanding and often don’t listen to their child

  • Authoritative (best) - parents are demanding but listen to their child and respect their child’s wants and needs

  • Permissive - parents are lax on rules, have a “friend” relationship with their child

  • Uninvolved - parents aren’t around much and don’t have much of a relationship with the child

Attachment Styles:

  • Secure attachment - not too clingy, but not aloof. People with secure attachment generally had attentive parents as babies.

  • Insecure attachment - often overly clingy, overly aloof, or both. People with insecure attachment generally had inattentive parents as babies.

    • Anxious attachment - characterized by a persistent fear of abandonment and rejection, insecurity, low self-esteem, and clinginess

    • Avoidant attachment - characterized by difficulties trusting others, forming relationships, and being emotionally close to others

    • Disorganized attachment - combination of anxious and avoidant attachment styles

Separation anxiety - babies and young children often feel anxious or upset when separated from their parents

Social Relationships Over Time:

  • Children - engage in play with peers

    • Parallel play - playing next to another child, but not with them

    • Pretend play - playing imaginative games with another child

  • Adolescents - often egocentric and self-conscious, but with strong desire for social relationships

    • Imaginary audience - believing people are constantly watching/paying attention to you

    • Personal fable - the belief that one is special, unique, and protected from life’s consequences

  • Adults - social pressures influence life choices

    • Social clock - culture plays a role in determining when adulthood starts and when life milestones (ie marriage, having kids, buying a home) should occur

Erikson’s Stages of Psychosocial Development:

  • Trust vs mistrust - caregivers meeting basic needs

  • Autonomy vs shame and doubt - the desire to be independent vs doubting one’s abilities

  • Initiative vs guilt - initiative leads to a sense of purpose, while failure results in feelings of guilt

  • Industry vs inferiority - children begin to learn what they are and aren’t good at

  • Identity vs role confusion - adolescents begin to develop their own concept of self-identity

  • Intimacy vs isolation - wanting to form close relationships

  • Generativity vs stagnation - wanting to make a positive impact on the world vs feeling stuck and unproductive

  • Integrity vs despair - looking back at life as well lived or with regrets

Kohlberg’s Theory of Moral Development:

  • Preconventional morality - early childhood, focused on doing the right thing to not get punished

  • Conventional morality - adolescence to adulthood, focused on maintaining social order

  • Postconventional morality - some adults, rare, focused on doing the right thing even if it violates societal conventions

Adverse childhood experiences - traumatic events in childhood that can have impacts on someone as an adult

Conditioning

Classical Conditioning

Classical conditioning - the association of one stimulus with another to elicit a response

Unconditioned stimulus and neutral stimulus paired together to get unconditioned response. Eventually, the former neutral stimulus becomes the conditioned stimulus, which on its own is enough to get the conditioned response (formerly the unconditioned response).

Unconditioned - inborn, innate

Conditioned - learned

After a while, a conditioned response will become extinct! However, if you wait a period of time without the conditioned stimulus and then reintroduce it, the conditioned response will reoccur, albeit with less strength.

Higher order conditioning - using an old conditioned stimulus as the new unconditioned stimulus in a new session of classical conditioning

Stimulus generalization - ability to group several similar stimuli and respond to all of them

Stimulus generalization - ability to distinguish between several similar stimuli

Habituation - occurs when one gets accustomed to a stimulus, decreasing

response to it

Operant Conditioning

Law of effect - rewarded behaviors are likely to be repeated while punished behaviors are likely not to be repeated (Thorndike)

Operant conditioning - using rewards and punishments to modify behavior (Skinner)

Shaping - gradually getting behavior closer to a goal by having the subject do closer and closer approximations of a goal behavior

Instinctive drift - some behaviors can’t be trained because they go against an animal’s instincts

Latent learning - knowledge acquired without immediate reinforcement (Tolman)

Cognitive maps - people create mental maps of their surroundings that they can use to get around even if they’re forced to take an unfamiliar path (Tolman)

Types of Reinforcement and Punishment:

Reinforcement

Punishment

Positive

Positive reinforcement - something good is added to reward a behavior

Positive punishment - something bad is added to punish a behavior

Negative

Negative reinforcement - something bad is removed to reward a behavior

Negative punishment - something good is removed to punish a behavior

Reinforcement increases the likelihood of a behavior happening again while punishment decreases it.

Types of Reinforcement Schedules:

Fixed

Variable

Interval

Fixed interval - reinforcement is given after every fixed period of time

Variable interval - reinforcement is given after varying amounts of time

Ratio

Fixed ratio - reinforcement is given after a fixed number of occurrences of the behavior

Variable ratio - reinforcement is given after a varying number of occurrences of the behavior

Continuous reinforcement schedules reward behaviors after every instance.

Unit 4: Social Psychology

Attributions and Attitudes

Attributions

Attributions - how people explain behavior and mental process of themselves and others

Explanatory style - how people explain good and bad events in their lives and the lives of others

Explanatory style can be optimistic or pessimistic

Locus of control - whether people believe that their lives are controlled by themselves (internal locus of control) or by outside factors they can’t control (external locus of control)

Common cognitive biases

  • Actor-observer bias: we tend to attribute the behavior of others to their personality, and our own behavior to the situation

  • Fundamental attribution error: we tend to attribute the behavior of others to dispositional, rather than situational, factors

  • Self-serving bias: we tend to credit our successes to our dispositions, but fault the situation for our failures

Mere exposure effect - people tend to like something better simply by being exposed to it repeatedly

Self-fulfilling prophecy - people behave in ways that will cause the thing to happen that they already believe will happen

Social comparison - comparing your own status to others in your social circle or environment

Relative deprivation - a feeling of deprivation (having less) compared to others in your social circle or environment

Beliefs and Stereotypes

Stereotype - generalized concept about a group

  • Stereotypes can help us reduce cognitive load (the mental load required to process information) when making decisions or judgements

  • Stereotypes can be the basis of prejudiced attitudes and discriminatory behavior

Implicit attitudes - attitudes people hold but are unaware of

Belief perseverance - continuing to believe something even after evidence suggests that it isn’t true

Cognitive dissonance - mental discomfort when someone’s actions and attitudes/beliefs don’t align

Social Situations

Social norms - expectations and norms that society has for an individual

  • Social norms can differ for different groups of people (eg men and women)

Social influence theory - social influences pressure people to behave differently

  • Normative social influence - people do something because everyone else is doing it

  • Informational social influence - people believe something because everyone else believes it

Conformity - adhering to unspoken rules and norms to fit in with everyone else

Obedience - people tend to do what an authority figure tells them to, even if it doesn’t align with their beliefs

Persuasion - the act of convincing someone of particular ideas, actions, or beliefs

  • Central route persuasion: using facts and logic to convince someone of an argument

  • Peripheral route persuasion: using indirect methods of persuasion, such as emotional cues, to convince someone of an argument

    • Halo effect: the tendency for positive impressions of a person, company, country, brand, or product to positively influence one’s opinions or feelings

Foot-in-the-door phenomenon - agreeing to a small request increases the odds we’ll agree to a large request later

Face-in-the-door phenomenon - agreeing to a large request increases the odds that we’ll agree to additional small requests

Cultural Phenomena:

Individualism - the idea that individuals should control their own lives, rather than being focused on the collective (most Western countries follow this philosophy)

Collectivism - the idea that the needs of the collective, rather than the individual, are most important (most Eastern countries follow this philosophy)

Multiculturalism - integrating ideas and principles from different cultures

Mental Processes in Group Situations:

Group polarization - when members of a group who share a common opinion or belief discuss it, the individuals tend to get more radical in their beliefs

Groupthink - a group makes decisions that may not be optimal in order to preserve the harmony of the group, regardless whether individual members of the group believe it’s the best decision or not

Diffusion of responsibility - people are less likely to take action when many other people are around

Social loafing - people tend to do less work in a group than they would have on their own

Social facilitation - people tend to do better at simple/well-learned tasks and worse at complex/poorly-learned tasks when other people are watching

False consensus effect - people tend to overestimate the extent to which other people agree with them

Superordinate goals - goals that unite an entire group to work towards one goal

Social traps - when members of a group individually seek their own self-interests rather than the interests of the group

Altruism - selfless actions to help other people

Social reciprocity norm - social rule that people should return a favor when someone has helped them

Social responsibility norm - social rule that we should help others in need, even when we don’t expect anything in return

Personality, Motivation and Emotion

Theories of Personality

Psychodynamic Theory

  • Unconscious processes drive personality

  • Our brains subconsciously defend our egos from threats

  • We can use projective tests (tests involving the interpretation of ambiguous stimuli like inkblots) to determine someone’s personality

  • 3 parts of our personality

    • Id: impulsive, rash, selfish

    • Superego: selfless, moral, conscientious

    • Ego: balances the id and superego

Ego defense mechanism

Definition

Denial

Insisting that something isn’t actually true or real when it is

Displacement

Redirecting an emotional reaction from one object or person to another

Projection

Convincing yourself that your own actions or mental processes also apply to other people to protect yourself from internal discomfort

Rationalization

Justifying your behavior/mental processes or those of others by creating seemingly logical explanations to avoid confronting the actual reason

Reaction formation

Acting in a way opposite of your true feelings

Regression

Reverting to more childlike behaviors in response to stress or an overwhelming situation

Repression

Putting distressing thoughts or memories out of your mind

Sublimation

Channeling unacceptable or uncomfortable emotions or impulses into constructive, socially acceptable activities

Freud’s Theory of Psychosexual Development

  • We go through different stages of development in childhood related to unconscious sexual behaviors and mental processes

  • If someone becomes “fixated” in a stage, it could have adverse effects for them as an adult

Stage

Age

Description

Results of Fixation

Oral

0-1

Babies like to put things in their mouth

Oral passive - trusting, dependent

Oral aggressive - aggressive, dominating

Anal

2-3

Children begin potty training

Anal retentive - tidy, obsessive, perfectionist

Anal expulsive - untidy, generous

Phallic

3-6

Children become more attached to their opposite-sex parent

Vain, self-obsessed, envious, feelings of inadequacy, sexual anxiety

Latency

6-puberty

No psychosexual impulses in this stage

N/A

Genital

Puberty and beyond

Teens begin experiencing sexual attraction and wanting to have sex

Well-balanced, warm, caring

Humanistic Theory

  • We aim to self-actualize: become the best people we can be

  • We want to grow and fulfill our potential

  • Humans are intrinsically good

  • Carl Rogers and Abraham Maslow were big proponents of this theory

Social-Cognitive Theory

  • “Reciprocal determinism” shapes personality

  • Reciprocal determinism - behavior, personal factors, and environmental factors mutually influence each other

  • Self-concept - how we view ourselves, made up of self-esteem and self-efficacy

  • Self-esteem - our view of our own worth and value

  • Self-efficacy - our view of our own competence

  • Albert Bandura was a proponent of this theory

Trait Theory

  • Our personalities are made of mostly stagnant traits

  • Our traits determine our behavior

  • “Big Five” theory: our personalities are governed by 5 main traits

    • Openness, conscientiousness, extraversion, agreeableness, neuroticism (OCEAN)

Motivation

Theories of Motivation

Theory

Description

Drive-reduction

People are motivated to maintain homeostasis

Arousal

People are driven to maintain an optimal level of arousal

Self-determination

People are motivated by intrinsic (internal) factors and extrinsic (external) factors

Instinct

Animals are driven by universal, innate fixed patterns of behavior

Motivational conflicts

Our behavior is based on our responses to motivational conflicts

  • Approach-approach: there are multiple good things and you can’t have all of them

  • Approach-avoidance: to get a good thing you also have to get a bad thing

  • Avoidance-avoidance: to avoid a bad thing you have to get another bad thing

Sensation seeking

People are driven to experience novel sensations and experiences

Eating

  • Eating is a complex behavior driven by both physical and mental processes

  • Hormones regulated by the hypothalamus and pituitary gland, such as leptin and grehlin, make us hungry

  • Other factors such as time of day, presence of food, and social gatherings influence hunger

Emotion

  • Emotions are influenced by internal and external factors affecting an individual

  • Some psychologists believe that emotions are caused by physical responses, some believe that a cognitive label is needed to experience an emotion, and some believe that they happen simultaneously

  • Facial-feedback hypothesis: our emotions are influenced by our facial expressions

  • Broaden-and-build theory: positive emotions tend to broaden awareness and increase new thoughts/actions; negative emotions tend to narrow awareness and decrease new thoughts/actions

  • Psychologists aren’t sure if there are universally felt emotions, such as anger, disgust, sadness, happiness, surprise, and fear

  • Social rules and demographics such as culture, age, gender, and socioeconomic status influence how we express and interpret emotions

Mental and Physical Health

Health Psychology

Stress

Stress increases someone’s susceptibility to disease and disorders. It weakens the immune system and can also increase someone’s susceptibility of autoimmune disorders (the immune system attacks itself).

Some physiological conditions that stress contributes to include:

  • Hypertension

  • Headaches

  • Heart attack

  • Type 2 diabetes

  • Infertility

Eustress - stress that motivates and excites you

Distress - debilitating, harmful stress

Adverse childhood experiences - a group of 10 childhood experiences that increases someone’s likelihood of experiencing physical and mental conditions as well as poverty

General adaptation syndrome - 3 stage model of stress reactions created by Hans Selye

  • Alarm reaction - first exposure to the stressor, frequently involves a fight/flight/freeze reaction

  • Resistance - a phase where the stress is confronted, this phase is difficult but the person is still able to cope with the stressor

  • Exhaustion - a phase that occurs either when the stressor subsides or someone’s mental/physical resources are spent. They can’t cope well with the stressor anymore if it’s still around and they have a high susceptibility to physical illness

Responses to stress differ among people, cultures, and genders. Some common stress responses and coping mechanisms include:

  • Tend-and-befriend response: responding to a stressor by interacting with or tending to the needs of other people. This is more common in women than men

  • Problem-focused coping: focusing on the source of the stressor as a problem to be solved and trying to come up with a solution

  • Emotion-focused coping: managing emotional responses to the stressor as a way of coping (ex deep breathing, meditation)

Positive Psychology

Positive psychology seeks to identify factors that lead to increased mental well-being, resilience, and positive emotions.

Expressing gratitude and exercising character strengths can increase someone’s mental well-being. Some common character strengths (virtues) include:

  • Wisdom - being curious and creative, seeking to gain knowledge, trying to see from different perspectives

  • Courage - bravery, persistence, integrity

  • Humanity - love, kindness, being a good person, helping others

  • Justice - fairness, leadership, being an active citizen

  • Temperance - forgiveness, humility, self-control

  • Transcendence - gratitude, hope, spirituality, a sense of purpose, a connection with the greater world

Post-traumatic growth may be experienced after experiencing periods of stress (“what doesn’t kill you makes you stronger”)

Mental Disorders

Classification of Mental Disorders

Three main criteria are used to determine if something would be considered a mental disorder or if someone has a mental disorder:

  • Level of dysfunction: is the person unable to do things that people typically can? To what extent do these things impact their life?

  • Perception of distress: is the person harmed by these traits? Do these traits decrease their mental wellbeing?

  • Deviation from the social norm: are the person’s experiences significantly different from what is typical? This can vary between cultures.

Being diagnosed with a mental disorder can be considered positive or negative for a person depending on the specific disorder, the specific person, the level of stigma around the disorder, and factors related to discrimination, racism, sexism, and ageism. Labels can cause us to make unjustified assumptions about people, but they can also be a revelation for other people and help them get access to support.

Psychologists and psychiatrists use two manuals to classify and diagnose mental disorders. The International Classification of Diseases (ICD) is a manual used worldwide that includes many different diseases and disorders, not just psychological ones. The Diagnostic and Statistical Manual of Mental Disorders (DSM) is a manual created by the American Psychological Association and is used primarily in the United States, although also in other countries. The DSM only contains information about mental and psychological disorders.

Frequently, both the ICD and the DSM are revised due to new scientific and psychological information and viewpoints. As of 2025, we are currently on the DSM-5-TR (5th edition, text revision) and the ICD-11 (11th edition).

Psychologists and psychiatrists are not sure what causes mental disorders, but the current scientific consensus is that it’s a mix of genetic, environmental, and biological factors (biopsychosocial approach). The diathesis stress model says that mental disorders develop as a result of genetic predispositions (diathesis) and stressful life experiences (stress).

Perspective

Causes of mental disorders

Behavioral

Maladaptive (not suitable for the situation) learned associations between or responses to stimuli

Example: A veteran associating any explosion with war, even the explosions of fireworks and firecrackers.

Psychodynamic

Unconscious thoughts and experiences, commonly developed during childhood

Example: A child frequently feels angry towards their parents. They begin to have unconscious anger for all authority figures and frequently lash out at their bosses as an adult.

Humanistic

Lack of social support, inability to fulfill one’s potential

Example: A woman in poverty raising 2 small children has very little social support to help her handle the stress and develops an anxiety disorder.

Cognitive

Maladaptive thoughts, beliefs, attitudes, or emotions

Example: After a streak of bad luck, a man starts to believe he is worthless and ends up developing depression.

Evolutionary

Behaviors and mental processes that reduce the likelihood of survival

Example: A person with borderline personality disorder frequently makes rash and emotional decisions, endangering themself and others.

Sociocultural

Maladaptive social and cultural relationships/dynamics

Example: After moving to a new country, a teenager struggles to fit in and understand the country’s culture, and begins to feel depressed and anxious because of it.

Biological

Physiological and genetic issues

Example: A woman and her husband have ADHD. Because ADHD has a significant genetic component, 2 out of her 3 children also have ADHD.

Most psychologists use an eclectic approach (mix of all of these) when determining the cause of someone’s mental illness or disorder.

Neurodevelopmental Disorders

Neurodevelopmental disorders are disorders that affect the way someone’s brain develops and functions. Unlike most other disorders, neurodevelopmental disorders have an onset before or soon after birth and last someone’s entire life.

Attention-Deficit/Hyperactivity Disorder (ADHD) is a common neurodevelopmental disorder that affects about 10% of the population. It involves a difficulty in executive function, a set of cognitive skills relating to someone’s ability to plan, concentrate, solve problems, and manage emotions. It is made up of 3 types of symptoms: inattention, hyperactivity, and impulsivity.

  • Inattention - trouble directing one’s attention properly. This is more common in women with ADHD than men and can include lack of attention and abnormally high focus on a specific thing or topic.

  • Hyperactivity - excessive moment and energy that can result in impatience, restlessness, and overtalkativeness.

  • Impulsivity - quick and rash decision making—”not thinking before you speak”. This can result in making thoughtless decisions, engaging in dangerous behaviors without thinking about the consequences, or oversharing in a conversation.

Autism Spectrum Disorder (ASD) is a neurodevelopmental disorder that impacts social functioning. It was created as a merger of several previously recognized disorders including autistic disorder and Asperger’s disorder. It is called a “spectrum disorder” because it can manifest in many different ways. Autism is characterized by 2 types of traits: social difficulties and restrictive/repetitive behaviors.

  • Social difficulties are difficulties that impair someone’s ability to communicate and socialize. Autistic people have trouble in the following domains:

    • Social reciprocity - someone’s ability to hold a back-and-forth conversation and respond to social cues

    • Nonverbal communication - someone’s ability to use and understand nonverbal gestures and vocal inflection

    • Maintaining relationships - making and keeping friends, relationships with family members

  • Restrictive and repetitive behaviors are atypical, strong, fixated behaviors including:

    • Atypical motor (physical) movements (“stimming”)

    • Oversensitivity or undersensitivity to sensory stimuli such as sound and touch

    • Strictly following routines and resistance to change

    • Very strong and specific interests (“special interests”)

Autism encompasses a wide variety of levels of “functioning” and support needed. Some autistic people may be able to live alone, have a job, and/or hide their autistic traits. Others might need a caregiver and not be able to hold a job.

It is unclear what exactly causes autism, but most psychologists and psychiatrists agree that it is a combination of genetic factors and environmental factors in the womb. Vaccines do not cause autism.

Schizophrenia Spectrum Disorders

Schizophrenia spectrum disorders are a group of severe mental illnesses, such as schizophrenia and schizoaffective disorder, and that can be chronic or temporary. They are characterized by issues in five areas:

  • Delusions - false beliefs about reality, despite incontrovertible proof to the contrary

  • Hallucinations - false sensory input, ie seeing or hearing things that aren’t really there

  • Disorganized speech/thinking - speech or thoughts that are jumbled or don’t make sense, “word salad”

  • Disorganized motor behavior - nonsensical and abnormal motor (physical) behavior, such as repeating a useless physical motion or being in a state of immobility and irresponsiveness (stupor).

  • Negative symptoms - symptoms that occur in healthy people but not people with schizophrenia spectrum disorders, such as flat affect (a lack of emotional expression) or a lack of movement (stupor)

Delusions, hallucinations, disorganized speech/thinking, and disorganized motor behaviors are examples of positive symptoms - symptoms that occur in people with schizophrenic spectrum disorders and not healthy people.

Psychosis - a general term for a collection of symptoms where someone is unable to distinguish between what’s real and what’s not. It includes symptoms such as hallucinations and delusions

Schizophrenic spectrum disorders are highly genetic, with a heritability of around 80%. Being born in winter months, prenatal virus exposure, and having a family member with a schizophrenic spectrum disorder increases someone’s risk of having a schizophrenic spectrum disorder.

The dopamine hypothesis of schizophrenic spectrum disorders hypothesizes that these disorders are caused or influenced by increases in dopamine in certain areas of the brain.

Depressive Disorders

Depressive disorders are disorders characterized by the long-term presence of a sad, empty, irritable mood and other psychological changes that affect a person’s ability to function. Depressive disorders can be, but are not necessarily, observable to other people around the depressed person. Having a depressive disorder increases someone’s risk of suicide or a suicide attempt, but not all depressed people will consider or attempt suicide.

Risk factors for depression include both environmental factors and biological factors. A history of abuse, major life changes, and a family history of depression can increase someone’s risk.

Major Depressive Disorder (MDD), also just called “depression”, is one of the most common mental illnesses and is characterized by a depressed mood for at least two consecutive weeks. Symptoms of depression include:

  • a depressed mood - feelings of sadness, hopelessness, and/or emptiness most of the day, almost every day.

  • loss of interest or pleasure in day-to-day activities, including typically fun activities such as hobbies

  • fatigue, insomnia, and/or hypersomnia (oversleeping)

  • feelings of worthlessness or guilt

  • thoughts of death or suicide

Major depressive disorder is sometimes called the “common cold” of mental illnesses due to its prevalence.

Persistent Depressive Disorder (PDD), sometimes called “dysthymia”, is a long-term mental illness where someone experiences depressive symptoms most days for two years. It is characterized by the same symptoms of major depressive disorder but is typically not as severe as MDD, but it lasts for a very long period of time. A person can have both persistent depressive disorder and major depressive disorder.

Bipolar Disorders

Bipolar disorders are disorders characterized by long-term, cycling periods of depression and mania or hypomania. Each period lasts days to weeks. Bipolar disorder is different from being emotional or rapidly cycling between emotions within a single day.

Depression - a sad, hopeless, or empty mood that lasts for at least 2 weeks.

Mania - an abnormally euphoric or elevated mood that significantly affects social and/or occupational functioning and lasts for at least a week.

Hypomania - a less severe form of mania that doesn’t necessarily significantly affect social or occupational functioning and lasts for at least 4 days.

Bipolar disorders are highly heritable—approximately 80 to 90 percent of people with bipolar disorder also have a relative with bipolar disorder. Stress, sleep disruption, and drug/alcohol use can also trigger bipolar disorders.

Bipolar I Disorder is a disorder characterized by at least one manic episode. Someone with Bipolar I may have had hypomanic or depressive episodes as well, but it’s not necessary for a diagnosis.

Some symptoms of a manic episode associated with Bipolar I disorder include:

  • inflated (increased) self-esteem

  • decreased need for sleep

  • being more talkative than usual

  • racing thoughts or distractibility

  • impulsive activities and choices such as shopping sprees

Some people who have a manic episode may need to be hospitalized due to the intensity of their episode. Some people with a manic episode might also experience psychotic features (schizophrenia-like symptoms such as hallucinations and delusions).

Bipolar II disorder is a disorder characterized by at least one hypomanic episode and at least one depressive episode. While a depressive episode is not required for a diagnosis of Bipolar I, it is required for a diagnosis of Bipolar II.

To be diagnosed with Bipolar II, someone should have never had a full manic episode and have only had hypomanic episodes. If they’ve had a manic episode, they should be diagnosed with Bipolar I instead.

Symptoms of a hypomanic episode are similar to symptoms of a manic episode, but don’t last as long, significantly affect occupational/social functioning, cause psychotic features, or result in hospitalization.

Anxiety Disorders

Anxiety disorders are disorders characterized by excessive fear or worry. While everyone experiences stress sometimes, to be diagnosed with an anxiety disorder, someone has to experience anxiety-related symptoms to the point that it is interfering with their life for a long period of time.

Women are more likely than men to have an anxiety disorder. Low self-esteem, past traumatic experiences, and a family history of depressive or anxiety disorders can increase someone’s likelihood of having an anxiety disorder.

Generalized Anxiety Disorder (GAD), sometimes called just “anxiety,” is characterized by abnormally high levels of worry about many different things that lasts at least 6 months. The anxiety is not restricted to social situations or one specific thing/situation. Some symptoms of GAD include:

  • excessive and/or uncontrollable levels of worry

  • fatigue

  • difficulty concentrating

  • sleep disturbance

  • restlessness

If MDD is the “common cold” of mental illnesses, GAD is the flu — it is one of the most common mental illnesses and affects about 3% of people per year.

Specific Phobia is a disorder characterized by excessive, disproportionately high anxiety about one specific thing or topic. A lot of people have phobias, but to be diagnosed with specific phobia the phobia must be long-term and negatively affect someone’s wellbeing. Some common phobias include acrophobia (fear of heights) and arachnophobia (fear of spiders)

Social Anxiety Disorder is characterized by an excessive fear of being judged, watched, or scrutinized by others. This anxiety occurs in public situations such as talking with new people, eating dinner in public, or giving a speech. People with social anxiety might avoid triggering social situations, or try to persist through them while feeling extreme fear.

Agoraphobia is characterized by fear of being trapped or unable to escape while in a public space. Some potentially anxiety-inducing situations for a person with agoraphobia could include standing in line, being in a crowded place, or using public transportation.

Panic Disorder is an anxiety disorder in which people experience sudden, unexpected “panic attacks”. Panic attacks can last for minutes to hours and are characterized by extreme fear and physical symptoms. Someone with panic disorder might also feel additional anxiety about not knowing when they might have a panic attack or if one will happen in a public situation.

During a panic attack, someone might feel:

  • intense terror

  • a sensation of being unable to breathe

  • sweating

  • dizziness

  • feelings of depersonalization (being disconnected from yourself) or derealization (being disconnected from the world)

Obsessive-Compulsive and Related Disorders

Obsessive-compulsive disorders are disorders that involve uncontrollable and recurring thoughts (obsessions) and actions done to resolve the anxiety caused by those thoughts (compulsions). These disorders may be caused by genetic factors, learned associations between stimuli, or maladaptive thinking.

Obsessive-Compulsive Disorder (OCD) is a mental illness in which someone experiences obsessions and compulsions. Obsessions generally involve an irrational fear of something bad happening or unwanted urges to do things the person would never actually do (intrusive thoughts). To stop these obsessions, a person with OCD feels the need to do a compulsion - a seemingly illogical task that relieves the anxiety caused by the obsession. A compulsion might not seem to have anything to do with an obsession, but it makes sense inside the person with OCD’s head.

Some common topics of obsessions include:

  • getting sick, having a rare disease, or things being contaminated

  • having forgotten to do something important, such as lock the door

  • harming oneself or other people

  • things being unordered or asymmetric or otherwise “imperfect”.

  • unwanted sexual or violent imagery

Some common compulsions include:

  • repeatedly washing one’s hands

  • checking things repeatedly, such as if a stove is off

  • counting things

  • self-harming behaviors

Someone with OCD might repeat a compulsion several times. They might also feel the need to restart a compulsion if they feel they’ve made a mistake.

Hoarding Disorder is a disorder in which people have difficulty throwing things away or getting rid of things, resulting in a large accumulation of extra stuff. Someone with Hoarding Disorder might feel distressed at the idea of getting rid of the items, feel that they need to save the items, or feel that the items will be sad if they throw them away. People with Hoarding Disorder feel this way regardless of an item’s monetary or sentimental value.

Dissociative Disorders

Dissociative disorders are characterized by feelings of disconnect from your consciousness, identity, memory, emotion, perception, and even motor control. Dissociative disorders are thought to be caused by severe stress or trauma, particularly childhood trauma. People with dissociative disorders might experience depersonalization.

Depersonalization - a feeling of detachment from your body, or like your body isn’t real or isn’t really yours

Derealization - a feeling of detachment from the world, or like the world isn’t real

Dissociative Amnesia happens when someone’s brain blocks out certain memories after a very stressful or traumatic experience. It is generally caused by the person’s brain trying to protect them from unpleasant, distressing, or traumatic experiences. People with dissociative amnesia still have the memories, but can’t retrieve them. Some types of dissociative amnesia include:

  • Localized - all memories from a short, specific period of time

  • Selective - one or some memories from a short, specific period of time

  • Generalized - all memories from a long period of time (months to years)

  • Continuous - memories formed after the onset of the dissociative amnesia (a form of anterograde amnesia)

  • Systematized - all memories related to a certain topic

Some people with dissociative amnesia might experience dissociative fugue, a temporary state where someone can’t remember personal details about themselves and may impulsively wander away.

Dissociative Identity Disorder (DID) is a disorder in which someone experiences two or more distinct identities or personality states. People with DID frequently experience large gaps in memory and cannot remember anything that their other identities said or did. They might not know they have DID. DID is strongly associated with severe trauma in early childhood. DID was formerly called Multiple Personality Disorder.

Trauma and Stressor-Related Disorders

Trauma and stressor-related disorders are disorders caused by a traumatic event or experience. People with these disorders may experience intense anxiety, but these disorders are different than anxiety disorders because they arise from a specific traumatic experience. Traumatic experiences can be short-term, long-term, or ongoing.

Post-Traumatic Stress Disorder (PTSD) is a disorder in which someone experiences severe anxiety related to a traumatic event they have experienced. PTSD is common among veterans, but can also occur in other groups, such as people who have experienced or witnessed violence or assault. A person with PTSD might have intrusive reminders or thoughts about the traumatic event.

Some symptoms of PTSD include:

  • recurring, unwanted memories, dreams, or flashbacks

  • avoidance of things that could remind the person of the traumatic event

  • persistent negative emotions and inability to experience positive emotions

  • out-of-proportion negative beliefs about or negative expectations for the world or oneself

  • hypervigilance

Feeding and Eating Disorders

Feeding and eating disorders involve altered consumption of food. They can involve undereating, overeating, eating non-food objects, and other abnormal eating practices. People who are overweight or obese can have eating disorders. Eating disorders are more common among women than men, but men can have them as well. Eating disorders may be caused by social and sociocultural influences, as well as biological or genetic factors.

Anorexia Nervosa is a disorder in which a person severely limits their eating out of extreme fear of becoming “fat” and a distorted body image. People with anorexia might refuse to eat certain foods, set a calorie limit for themselves, or exercise obsessively. They might also binge-eat or purge the food they have eaten.

Symptoms of anorexia include:

  • intense fear of gaining weight

  • underweight

  • denial of the seriousness of one’s low weight

  • missed periods

Bulimia Nervosa is a disorder in which a person has repeated episodes of binge-eating followed by compensatory behaviors to get rid of or make up for the food they have eaten. A person with bulimia might throw up the food they just ate, use laxatives, or excessively exercise to “make up” for the food.

Personality Disorders

Personality disorders are groups of stable, persistent traits that interfere with a person’s ability to function socially and/or occupationally. Personality disorders usually onset in childhood, adolescence, or early adulthood and are strongly linked to genetics and adverse childhood experiences. Despite this, personality disorders are typically not diagnosed until someone is an adult because someone’s personality traits can change rapidly while they are a child or teenager.

There are 3 clusters, or groups, of personality disorders, each defined by a specific trait that makes it hard for the person with the personality disorder to fit into society. These clusters are:

  • Cluster A - Odd, eccentric

    • Paranoid Personality Disorder - pervasive distrust and suspiciousness of others

    • Schizoid Personality Disorder - little interest in close relationships, limited emotional expression (note: this disorder is not linked with schizophrenia or psychosis)

    • Schizotypal Personality Disorder - paranoia, isolation and lack of close relationships, odd or magical thinking (note: this disorder is associated with schizophrenia and schizophrenic spectrum disorders)

  • Cluster B - Dramatic, emotional, erratic

    • Histrionic Personality Disorder (HPD) - attention-seeking behavior, overexaggerated displays of emotion

    • Narcissistic Personality Disorder (NPD) - excessive need for admiration, inflated self-image (ego)

    • Borderline Personality Disorder (BPD) - unstable and intense relationships, strong fear of abandonment, impulsivity

    • Antisocial Personality Disorder (ASPD) - lack of empathy and disregard for others

  • Cluster C - Anxious, fearful

    • Avoidant Personality Disorder (AVPD) - strong fear of rejection and low self-esteem (Note: this is different from social anxiety disorder because people with social anxiety disorder typically know that their feelings of anxiety are irrational, while people with AVPD don’t.)

    • Dependent Personality Disorder - long-term need for others to take care of them

    • Obsessive-Compulsive Personality Disorder (OCPD) - perfectionism and excessive need for rules and order (note: OCPD is different than OCD because it does not involve obsessions or compulsions, and the person with OCPD does not typically realize that their behaviors are irrational.)

Treatment of Psychological Disorders

When someone has a mental disorder, there are many different ways to treat it, and they might work better or worse for different people - similar to physical disorders and conditions.

Before the mid-20th century, many mentally ill and mentally disabled people were institutionalized. However, with the improvement of mental health treatments and the medical model, which treated mental illnesses as something that could be treated just like physical illness, rapid deinstitutionalization began. Most people with mental illness do not live in institutions anymore unless they are a danger to themselves or others.

Dorothea Dix - brought the medical model to America

Psychotherapy

Psychotherapy is a commonly-used treatment for mental illnesses. It tends to be somewhat effective, although people tend to consider it more effective than it actually is.

Different therapists use different psychological theories and perspectives to help people, such as using a psychodynamic approach or a humanistic approach

Cognitive-behavioral therapy - a common type of therapy in which a therapist targets a person’s irrational, self-degrading, or false thoughts (cognitive) and their maladaptive physical actions and behaviors (behavioral).

It’s important for therapists to follow standards of ethics, such as integrity and maleficence (“doing no harm”). Therapists are bound by confidentiality rules and can’t tell anyone what you said in a session unless they think you’re at risk to yourself or others.

Types of Therapy:

Type

What it Treats

Techniques Used

Cognitive

Negative thoughts about oneself, the world, and the future

Cognitive restructuring, fear hierarchies

Applied Behavior Analysis

Developmental disabilities, mental disorders

Applied conditioning, exposure therapies, aversion therapies, token economy, biofeedback

Cognitive-Behavioral

Both the mental and behavioral aspects of mental disorders

Rational-emotive behavior therapy, dialetical behavior therapy

Humanistic

Mental disorders

Active listening, unconditional positive regard

Psychodynamic

Mental disorders

Free association, dream analysis

Therapeutic Techniques:

Technique

Type of Therapy

Definition

Cognitive restructuring

Cognitive

Learning to analyze one’s thoughts to identify irrational thoughts and cognitive distortions

Fear hierarchies

Cognitive

Using a ranked list to gradually confront your fears

Exposure therapies

Applied Behavior Analysis

Exposing someone to their fears in order to decrease their anxiety

Aversion therapies

Applied Behavior Analysis

Creating associations between something one wants to avoid (such as smoking) and a negative or unpleasant stimulus

Token economy

Applied Behavior Analysis

Trading in “tokens” earned for good behavior to win prizes

Biofeedback

Applied Behavior Analysis

A technique to gain greater control of physiological responses such as breathing and heart rate

Rational-emotive behavior therapy

Cognitive-Behavioral

A technique to identify and challenge self-defeating thoughts

Dialetical behavior therapy

Cognitive-Behavioral

A type of therapy similar to cognitive-behavior, but for people who experience emotions very strongly

Active listening

Humanistic

Fully attuning to a speaker’s message and nonverbal cues and responding thoughtfully

Unconditional positive regard

Humanistic

Accepting and supporting a person regardless of what the person says or does

Free association

Psychodynamic

Saying or writing whatever comes to mind

Dream analysis

Psychodynamic

Analyzing the deeper meanings of one’s dreams

Hypnosis has also proven as a useful treatment for pain and anxiety, but not helpful for memory retrieval or age regression.

Psychoactive Drugs

Psychoactive drugs are medications that treat symptoms of mental illnesses. They are frequently most effective when paired with psychotherapy. Psychoactive drugs were a major factor leading to the deinstitutionalization of people with mental illnesses.

Common types of psychoactive drugs:

Type

Treats

Biological Function

Side Effects / Risks

Brand Names

Antidepressants

Depression, anxiety (sometimes)

Stops reuptake of dopamine or norepinephrine in the brain

tiredness, headaches, nausea, sexual dysfunction, serotonin syndrome, therapeutic lag

Prozac, Zoloft, Wellbutrin

Anti-anxiety drugs

Anxiety

Enhances the effect of GABA, a neurotransmitter that decreases anxiety

tiredness, confusion, dizziness, loss of balance, risk of addiction

Xanax, Valium

Lithium

Bipolar disorder

Changes levels of certain neurotransmitters in the brain

nausea, tiredness, tremor, brain fog, weight gain

Eskolith, Priadel, Liskonum

Antipsychotics

Schizophrenia, bipolar (sometimes)

Block dopamine receptors in the brain

tardive dyskinesia, weight gain, dizziness, tiredness

Abilify, Rexulti

Stimulants

ADHD

Increase levels of dopamine in the brain

decreased appetite, anxiety, jitteriness, risk of addiction

Adderall, Vyvanse, Ritalin, Concerta

Psychosurgery

Psychosurgery used to be more common after the invention of the leukotomy by Antonio Egas Moniz, who asserted the procedure’s safety and effectiveness. The leukotomy was brought to America and was renamed the lobotomy by Walter Freeman and James Watts, but declined in use in the 1950s and 1960s due to improvements in psychoactive drugs and a view of the lobotomy as a barbaric and ineffective practice. Today, lobotomies are not performed and psychosurgery is only used in rare cases when all other options have been exhausted.

Transcranial Magnetic Stimulation (TMS) is a noninvasive procedure that uses magnetic fields to stimulate nerve cells in the brain and reduce symptoms of major depression. It’s typically used when other depression treatments, such as antidepressants, haven’t been effective.

Electroconvulsive therapy is a treatment in which small, electric currents are passed through the brain while the patient is under general anesthesia. It typically rewires a person’s brain chemistry and is used in cases of severe or treatment-resistent depression.

Psychosurgery is when surgeons carefully lesion specific areas of brain tissue. It is generally a last resort because it is irreversible. It is used in cases of severe depression, anxiety, and OCD.