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Supernatural Model
Belief that Demons, Gods, spirits were responsible for human psychological issues exorcisms, beatings, to "treat" goal was to make devil to not want to stay in poor host TODAY: disorder punishment for evil deeds- ex. Hurricane was "divine punishment", AIDS epidemic --trepanning used …
Hippocrates
EXCEPTION: Hippocrates thought it was the brain (medical model)
"Ship of Fools"
sent out ' crazies' & criminals that were thought to have a 'bad spirit' until found another port
Phillipe Pinel
-- worked to change asylum conditions -- better conditions ended up HELPING the people more
Mental Disorder
group of emotional (feelings), cognitive (thinking) or behavioral symptoms that can cause distress or significant problems
Abnormal Psychology
Study of troublesome feelings, thoughts and behaviors associated with mental disorders.
Three D's: Deviate
(most controversial) Does the person deviate from social norms specifically? Problems w/ this: social standpoints of "normal" may be misused ex. Disagree w/ people of power --> into mental inst. ex. Drapetomania- slaves that ran from slavery (scientific racism) ex. behavior that's com…
Three D's: Dysfunctional
negative consequences to persons behavior-- i.e. (depression) ex. can't get up for class/work socially isolated can lose job, fall out of school
Three D's: Distress
is the person suffering? (can be normal w/ bad grade/ loved one passing) ex. Anti-Social Personality- no regards to rights of other people, doesn't care ex. Suicidal
Primary Prevention
"Pre" problem, before the problem develops
Secondary Prevention
"early" problem, the beginning of the issue
Tertiary Prevention
"post" problem, problem is/was there, goal to keep from coming worse
Public Stigma
general NEGATIVE beliefs about mental disorders
Self Stigma
NEGATIVE feelings of oneself because of the public stigma attached to mental disorders
The Biological Model
Brain & physical processes-- focuses on genetic contribution to disorders
Emil Kraepelin
early contributor to bio mod developed psychiatric classifications (bipolar, schizophrenia)
Heritability
the amount of variable in characteristics due to genetic factors
Neuron
communicate w/ each other using neurotransmitters, chemical messengers that cross the synapse
Synapse
Small gap b/w neurons
Neurotransmitter
chemical messengers that cross the synapse
Reuptake
when unused neurotransmitters are reabsorbed and recycled
How Medications Work
medications can either: block re-uptake to increase neurotransmitters block synapses to decrease neurotransmitters
Serotonin (MSLD)
DEPRESSION= LOW serotonin levels regulation of mood, sleep, learning, depression Prozac- ^ serotonin levels
Norepinephrine
STRESS & MANIA = ^ Nore levels Depression LOW Nore levels regulates sleep states, mood, behavior
Dopamine
sociability, pleasure, motivation, reward, coordination, voluntary movement stimulant drugs: ACTIVATE dopamine levels ex. schizophrenia -- HIGH dopamine levels ex. parkinson's -- LOW dopamine levels
GABA
Anxiety- LOW GABA levels
Corpus callosum
connects 2 hemis, allows communication to b/w left/right side of the brain
Right hemisphere
controls left side, involved in the determination of spatial relations & patterns, and is involved in emotion & intuition
Left Hemisphere
controls right half of body, responsible for analitical thinking and speech
Cortical Lobes: Frontal
FRONT of brain (duh) controls movement (motor skills), planning, organizing, decision making, inhibiting behavior or responses
Cortical Lobes: Occipital
associated w/ VISION (behind parietal and temporal, 'back')
Cortical Lobes: Parietal
Associated w/ sensation of touch (behind frontal lobe)
Cortical Lobes: Temporal
Cortical Lobes: Temporal
Limbic System
Regulates emotions & impulses-- Sex, Thirst & Aggression
Psychodynamic Model
Freud-- internal personality characteristics Childhood experiences Unconscious human behavior Defense mechanisms (control anx/stress) Things we do have meaning (psychic determinism)
Structural Model (IES)
ID- pleasure tasks: attain gratificaion of wants, needs and impulses (unconscious, says YES) Ego- Reality Tasks: moderates b/w 2, (voice of reason internalizes rules, conscious) Superego: Morality Tasks- develop conscious, block ID & says no (conscious)
Defense Mechanisms
block from anxiety/stress, bad when overused Treatment-- Goal to develop INSIGHT/ understanding Interpretations are used (of the defense mech being used) to help client develop insight Transference- patient issues transfer to therapist (good thing)
Denial
refusing to acknowledge or accept reality
Rationalization
developing specific reason for an action i.e.-- why one did not purchase a car
Repression
keeping highly sexual or aggressive material from conscious
Projection
attributing one's own unacceptable motives or impulses to another person
Humanistic Model
people strive for personal growth & fulfillment choice, responsibility, free will Treatment: Unconditional Positive Regard- needed in childhood & during lifespan, to achieve self-actualization Client-centered theory- non directive, focus on positive regard & strengths. Empathy & act…
Cognitive- Behavioral Model
"Behavior is learned". Cognitive- thoughts are the problem (phobias) Classical- man bit, afraid of dogs, fears dogs Operant Conditioning- rewards & punishment
Schemas
beliefs/expectations that represent a network of accumulated knowledge
Cognitive Distortions
irrational, inaccurate thoughts people have about environmental events
CB Treatments: Cognitive Behavioral Therapy
large collection of treatment techniques that changes patterns of thinking and behavior that contributes to a person's problems
CB Treatments: Rational Restructuring
sometimes people perceive their world and make assumptions in ways that lead to problematic behavior
CB Treatments: Desensitization
"prep work", relaxing patient and slowly and carefully working up to exposure
CB Treatments: Exposure
directly confronting feared stimulus (snake girl)
Sociocultural Perspective
Emphasizes environment (social and culture factors in the development of psych disorders) ex. anorexia- western culture
Family Systems Perspective
dynamics and rules w/in groups are often maintained even when problematic - Homeostasis stability- change gets pulled back so no change, even if bad
Biopsychosocial Model
acknowledge all models and factors- different factors can be more prominent biological (genetic, brain changes) psychological (thought, emotional changes) social (family, societal)
Diathesis-Stress Model
disorders caused by an interaction between vulnerability (diathesis) to mental disorder & stress vulnerability can include- underlying traits, temperament, genetic/bio predispositions, early childhood trauma, poor skills, thought patterns, cultural and family factors stress-preciptatin…
Epidemiology (IPL)
Incidence- new cases of a mental disorder within a timeframe (current) Prevalence- all cases of a mental disorder (new and existing) within a lifetime Lifetime prevalence- the proportion of people in a population who have ever had a disorder in their lives
Co-morbidity
more than one mental disorder (2 different)
46%..
of all people in the US have had a mental disorder in their llfetime
Median age of onset for a mental disorder...
is 14 years
Mental disorders are the leading cause of...
disability
Risk Factors
men at risk for substance & anti-personality disorder women at risk for anxiety & mood disorders general risk factors: low SEC, divorce/seperations
Protective Factors (Resilience)
ability to withstand disorders a PROCESS, not usually trait occurs w/ protecting factors and social support general: programs,
Diagnosis
process of determining whether a presenting problem meets the established criteria for a specific psychological disorder --to qualify several abnormal behaviors must be present and they must cause significant problems
DSM
system for classifying and diagnosing psychological disorders
Criticisms of DSM- 4
overdiagnosis - encourages use power of labels- cause change in behavior in ppl diagnosis of social control- use disorder to control (drapetomania, hypersexuality) social construction-drug companies, etc
Axes
Clinical Disorders personality disorders and mental retardation general medical conditions psychosocial and environmental problems global assessment of functioning
Assessment
systematic evaluation and measurement of psychological, biological, and social factors in a person presenting with a possible psychological disorder
Assessments: Interviews
structured/unctruc, most common, set of questions to elicit info
Assessments: Intelligence Tests
intellectual strengths and weaknesses, cognitive aspects, in military, "gifted" children
Assessments: Personality
MMP1-2, standardized questions Projected tests: (idea ppl will project needs, conflicts/ personality into ambiguous stimuli) Rorschach- inkblot test, things you see must be projected from thoughts b/c not clear immage TAT- given picture, asked to tell story about 'hero' -- needs will…
Assessments: Behavioral
examining what comes before and after behavior-- natural (watching someone) /controlled (couple problem solve), self-monitoring (keeping a thought record)
Assessments: Biological
scans
Assessments: Neuropsychological
tests that evaluate brain behavior relationships (man w/ brain damage picture)

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