44. 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.
45. 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.)
46. 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 (1) depressed mood or (2) loss of
interest or pleasure.
47. persistent depressive disorder: a disorder in which people experience a de-
pressed mood on more days than not for at least two years. (Formerly called
dysthymia.)
48. 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.
49. mania: a hyperactive, wildly optimistic state in which dangerously poor judgment
is common.
50. bipolar II disorder: a less severe form of bipolar in which people move between
depression and a milder hypomania.
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51. rumination: compulsive fretting; overthinking our problems and their causes.
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52. schizophrenia spectrum disorders: a group of disorders characterized by
delusions, hallucinations, disorganized thinking or speech, disorganized or unusual
motor behavior, and negative symptoms (such as diminished emotional expression);
includes schizophrenia and schizotypal personality disorder.
53. psychotic disorders: a group of disorders marked by irrational ideas, distorted
perceptions, and a loss of contact with reality.
54. delusion: a false belief, often of persecution or grandeur, that may accompany
psychotic disorders.
55. chronic schizophrenia: (also called process schizophrenia) a form of
schizophrenia in which symptoms usually appear by late adolescence or early
adulthood. As people age, psychotic episodes last longer and recovery periods
shorten.
56. acute schizophrenia: (also called reactive schizophrenia) a form of
schizophrenia that can begin at any age, frequently occurs in response to a
traumatic event, and from which recovery is much more likely.
57. 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.
58. dissociative identity disorder (DID): a rare dissociative disorder in which a
person exhibits two or more distinct and alternating identities. (Formerly called
multiple personality disorder.)
59. dissociative amnesia: a disorder in which people with intact brains reportedly
experience memory gaps; people with dissociative amnesia may report not
remembering trauma-related specific events, people, places, or aspects of their
identity and life history.
60. 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.
61. antisocial personality disorder: a personality disorder in which a person (usu-
ally 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.
62. 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.)
63. 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.
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64. 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.
65. 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).
66. 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.
67. attention-deficit/hyperactivity disorder (ADHD): a psychological
disorder marked by extreme inattention and/or hyperactivity and impulsivity.
68. deinstitutionalization: the process, begun in the late twentieth century, of
moving people with psychological disorders out of institutional facilities.
69. psychotherapy: treatment involving psychological techniques; consists of
inter- actions between a trained therapist and someone seeking to overcome
psychological difficulties or achieve personal growth.
70. biomedical therapy: prescribed medications or procedures that act directly
on the person’s physiology.
71. eclectic approach: an approach to psychotherapy that uses techniques
from various forms of therapy.
72. psychoanalysis (technique): Sigmund Freud’s therapeutic technique. Freud
believed the patient’s free associations, resistances, dreams, and transferences
— and the analyst’s interpretations of them — released previously repressed
feelings, allowing the patient to gain self-insight.
73. resistance: in psychoanalysis, the blocking from consciousness of
anxiety-laden material.
74. interpretation: in psychoanalysis, the analyst’s noting of supposed dream
meanings, resistances, and other significant behaviors and events in an effort
to promote insight.
75. transference: in psychoanalysis, the patient’s transfer to the analyst of
emotions linked with other relationships (such as love or hatred for a parent).
76. psychodynamic therapy: therapy deriving from the psychoanalytic tradition;
views individuals as responding to unconscious forces and childhood
experiences, and seeks to enhance self-insight.
77. insight therapies: therapies that aim to improve psychological functioning
by increasing a person’s awareness of underlying motives and defenses.
78. person-centered therapy: a humanistic therapy, developed by Carl Rogers,
in which the therapist uses techniques such as active listening within an
accepting,
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genuine, empathic environment to facilitate clients’ growth. (Also called client-
centered therapy.)
79. active listening: empathic listening in which the listener echoes, restates,
and seeks clarification. A feature of Rogers’ person-centered therapy.
80. unconditional positive regard: a caring, accepting, nonjudgmental attitude,
which Carl Rogers believed would help clients develop self-awareness and self-
acceptance. (Also known as unconditional regard.)
81. behavior therapy: therapy that uses learning principles to reduce
unwanted behaviors.
82. counterconditioning: behavior therapy procedures that use classical
conditioning to evoke new responses to stimuli that are triggering unwanted
behaviors; include exposure therapies and aversive conditioning.
83. exposure therapies: behavioral techniques, such as systematic
desensitization and virtual reality exposure therapy, that treat anxieties by
exposing people (in imaginary or actual situations) to the things they fear and
avoid.
84. 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.
85. virtual reality exposure therapy: a counterconditioning technique that
treats anxiety through creative electronic simulations in which people can safely
face specific fears, such as flying, spiders, or public speaking.
86. aversive conditioning: associates an unpleasant state (such as nausea)
with an unwanted behavior (such as drinking alcohol).
87. 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.
88. 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.
89. rational-emotive behavior therapy (REBT): a confrontational cognitive
therapy, developed by Albert Ellis, that vigorously challenges people’s illogical,
self-defeating attitudes and assumptions.
90. cognitive-behavioral therapy (CBT): a popular integrative therapy that
com- bines cognitive therapy (changing self-defeating thinking) with behavior
therapy (changing behavior).
91. group therapy: therapy conducted with groups rather than individuals,
providing benefits from group interaction.
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92. family therapy: therapy that treats people in the context of their family
system. Views an individual’s unwanted behaviors as influenced by, or directed at,
other family members.
93. confirmation bias: a tendency to search for information that supports
our preconceptions and to ignore or distort contradictory evidence.
94. meta-analysis: a statistical procedure for analyzing the results of multiple
studies to reach an overall conclusion.
95. evidence-based practice: clinical decision making that integrates the best
available research with clinical expertise and client characteristics and
preferences.
96. therapeutic alliance: a bond of trust and mutual understanding between
a therapist and client, who work together constructively to overcome the
client’s problem.
97. psychopharmacology: the study of the effects of drugs on mind and behavior.
98. antipsychotic drugs: drugs used to treat schizophrenia and other forms
of severe thought disorders.
99. antianxiety drugs: drugs used to control anxiety and agitation.
100. antidepressant drugs: drugs used to treat depressive disorders, anxiety
dis- orders, obsessive-compulsive and related disorders, and posttraumatic stress
dis- order. (Several widely used antidepressant drugs are selective serotonin
reuptake inhibitors — SSRIs.)
101. electroconvulsive therapy (ECT): a biomedical therapy for severe
depression in which a brief electric current is sent through the brain of an
anesthetized person.
102. transcranial magnetic stimulation (TMS): the application of repeated
pulses of magnetic energy to the brain; used to stimulate or suppress brain
activity.
103. psychosurgery: surgery that removes or destroys brain tissue to
change behavior.
104. lobotomy: a psychosurgical procedure once used to calm uncontrollably
emotional or violent patients. The procedure cut the nerves connecting the frontal
lobes to the emotion-controlling centers of the inner brain.
105. hypnosis: a social interaction in which one person (the hypnotist)
suggests to another (the subject) that certain perceptions, feelings, thoughts, or
behaviors will spontaneously occur; in a therapeutic context, the hypnotist
attempts to use suggestion to reduce unpleasant physical sensations or
emotions.
106. dissociation: a split in consciousness, which allows some thoughts and
behaviors to occur simultaneously with others.
107. posthypnotic suggestion: a suggestion, made during a hypnosis session,
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to be carried out after the subject is no longer hypnotized; used by some clinicians
to help control undesired symptoms and behaviors.
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108. posttraumatic growth: positive psychological changes following a
struggle with extremely challenging circumstances and life crises.