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Mental Disorder
No clear definition. Characterized by statistical rarity, subjective distress, impairment, societal disapproval, and biological dysfunction.
Prevalence
Percent of population with disorder.
Categorical Model
Mental disorder is either present or absent. No in between. Categories differ in type and not degree.
Dimensional Model
Mental categories differ in degree, not kind.
Somatoform Disorders
Physical symptoms with psychological origins.
Generalized Anxiety Disorder
Constant worrying, anxiety, physical tension, and irritability. Affects 3% of population. More common in females and Caucasians.
Panic Attack
Brief, intense episodes of extreme fear characterized by sweating, dizziness, light headedness, racing heart, and feeling of going crazy.
Post-traumatic Stress Disorder
Emotional disturbance after experiencing severely stressful event
Obsessive Compulsive Disorder
Persistent ideas, thoughts, or impulses that are unwanted/inappropriate and cause stress. Relieved by compulsions.
Seasonal Affective Disorder
Depression based on seasons.
Bipolar Disorder
Experience both depressive and manic episodes. Equally common in women and men.
Antisocial Personality Disorder
Marked by lengthy history of illegal/irresponsible actions.
Dissociative Disorders
Conditions involving disruptions in consciousness, memory, identity, or perception. Characterized by depersonalization, dissociative amnesia, and dissociate fugue.
Schizophrenia
Severe disorder of thought and emotion associated with loss of contact with reality. Disturbances in attention, thinking, language, emotion, and relationships.
Hallucinations
Sensory perceptions without external stimuli.
Delusions
Strongly held beliefs with no basis in reality.
Unconditional-Positive Regard
Fully accepting client for who they are. They will feel more confident/comfortable and be more willing to share.
Person-Centered Therapy
Therapist doesn't try to diagnose patient. Let patient use session however they choose. Assume they will find emotional patterns through patient's dialogue.
Empirically Supported Treatment
Treatments for specific disorders supported by high quality scientific evidence.
Prozac
(Fluoxetine) SSRI antidepressant. Selectively inhibits reuptake of seratonin. Can also be used for eating disorders, OCD, and social phobia.
Electroconvulsive Therapy
Patient receives quick electrical pulses to brain that cause seizure. Last resort for severe problems.
ADHD
Inattentive, impulses, and hyperactivity.
Free Association
Patient lies down and says what comes to mind. Goal is that whatever subject keeps coming up indicates main cause of issue.
Deinstitutionalization
Government policy that focused on releasing hospitalized psychiatric patients into community and closing mental hospitals.
Resistance
Client completely ignores therapist in order to avoid further confrontation.
Psychoanalysis/Psychodynamic
Focuses on patient's early life issues. "Make the unconscious conscious".
Cognitive-Behavioral Therapy
Focuses on changing irrational thoughts.
Humanistic Therapy
Emphasizes self-actualization.
Behavioral Therapy
Focuses on present and specific behaviors
Flooding Therapy
"Fears maintained by avoidance".
What percentage of clients say they're better even before the first session?
40-60%
Personality Disorder
Psychological disorder characterized by inflexible and maladaptive behavioral patterns.
Psychopathology
Mental illness. Failure to adapt to environment.
Statistical Rarity
Diagnoses of disorder is rare.
Subjective Distress
Most mental disorders cause emotional pain, but not all disorders cause distress. Ex. Manic episode of bipolar person.
Impairment
When disorder interferes with everyday functioning.
Societal Disapproval
Society uses names to label what they don't accept.
Biological Dysfunction
Disorder caused by biological issues more so than psychological issues.
Medical Model
Model that viewed the mentally ill as treatable. Main treatment was bloodletting. Housed them in overcrowded asylums. Idea was good but really no better than Demonic Model.
Moral Treatment
Advocated respectful treatment towards the mentally ill.
Chorpromazine
"Go to" medication for all illnesses during 1950s.
Culture-Bound
Culture determines what is considered mentally ill.
Koro/Amok
1) Belief that genitals are receding into the body. 2) Intense sadness followed by uncontrolled violence.
DSM/Criticisms
1) Contains criteria for mental disorders. 2) Reliance on Categorical Models rather than Dimensional.
DSM-IV Axes
I) Major mental disorders II) Personality disorders and mental retardationIII) Associated medical conditionsIV) Life stressorsV) Overall level of daily functioning
Insanity Defense Requirements
1) Claim they don't know what they were doing at the time of crime. 2) Claim that they don't know what they did wrong.
Involuntary Commitment
Procedure used to protect us from certain mentally ill people because they're so impaired that they can't care for themselves.
Agrophobia
Severe fear of being in public places because they can't escape. Avoid social things.
Social Phobia
Don't like public places.Less severe compared to agrophobia.
Catastrophic Thinking
Blowing things out of proportion.
Anxiety Sensitivity
Fear of anxiety-related symptoms. Ex. Someone feels a little light headed and they assume they are going to pass out.
Major Depressive Disorders
Most common mood disorder. Prevalent in women.
Cognitive Model
Beliefs influence depression
Learned Helplessness
Feeling helpless in events you can't control. Even when given opportunities to change the situation you behave helplessly.
Personality Disorder Clusters
1) Cluster A: Odd/Eccentric people; antisocial 2) Cluster B: Dramatic, emotional, erratic3) Cluster C: Anxious/Fearful
Depersonalization
Feeling detached from yourself.
Dissociative Amnesia
Forgetting key points of traumatic events or forgetting event all together.
Dissociative Fugue
Black out and forget who you are when experiencing traumatic event.
Post Traumatic Model
Person wants to avoid reminders of traumatic childhood event.
Sociocognitive Model
Person changes according to what they expect life to be like.
Echolia
Person repeats what you say.
Catatonia
Motor/Speech behavior issues. Blank face.
Diathesis-Stress Models
Proposes MI is result of genetics and stressors.
Illusory Correlation
Seeing connection between two things that really don't have any relationship. Ex. Parents noticed autistic symptoms after vaccinations so they assumed vaccine must be the cause.
IDEA
Law that says schools must treat autistic students with special attention.
Psychotherapy
Designed to help people resolve emotional, behavioral, and interpersonal problems and improve life quality.
Paraprofessionals
Get specific training that enhances education. Helps minimize gap of clinical psychiatrists so more people can afford therapy.
Insight Therapy
Goal is to expand awareness/insight.
Psychoanalytical Approaches
1) Free association 2) Interpretation3) Dream analysis4) Resistance5) Transference6) Working through
Interpretation
Explanations of unconscious bases of patients' dreams, emotions, and behaviors.
Dream Analysis
Meaning of dream. 2 parts: manifest (observable) and latent (unobservable)
Transference
Client sees therapist as someone from past and treats them as such.
Neo-Freudian Tradition
More concerned with conscious aspect. Believe culture and interpersonal influence behavior through life span. Emphasize need for power, love, status, etc.
Interpersonal Therapy
Short process. Goal is to strengthen social skills and coping skills.
Humanistic Psychotherapy
Emphasize development of human potential and that human nature is positive. Believe one should assume responsibility for decisions and not attribute them to the past.
Gestalt Therapy
Goal is to integrate aspects of personality that person is unconscious of with all other aspects. Empty chair example.
Strategic Family Interventions
Used to remove barriers to effective communication.
Structural Family Therapy
Therapist lives with family to identify problems.
Behavior Therapist
Focus on specific problem behaviors. Behavior change results from learning principles.
Exposure Therapy
Confronts client with what they fear.
Systematic Desensitization
Exposes clients to fear through imagined scenes. Uses reciprocal inhibition and counter conditioning.
Reciprocal Inhibition
We can't be anxious and relaxed at the same time.
Counter Conditioning
Repeatedly pairing relaxation response with anxiety.
Participant Modeling
Therapist must have calm encounter with client's feared situation. Guide client through steps of encounter until they can cope unassisted.
Operant Procedures
Behavior analysis to treat autistic children.
Token Economics
Client gets token for desirable behavior.
Cognitive-Behavioral Therapy
Cognitions are measurable, play key role in psychological functioning, and can replace irrational beliefs.
Rational Emotive Behavior Therapy
Changing how we thing and act.
ABCDE
A) Unpleasant internal/external event B) Belief system C) Emotional/Behavioral consequences D) Dispute the beliefs E) Adopt more effective beliefs
Cognitive Therapy
Identifies/Modifies thoughts and beliefs.
Dodo Bird Verdict
All types of therapies are the same.
Biomedical Treatments
Alter brain's chemistry to treat disorders.
Psychosurgery
Brain surgery to treat disorder. Last resort.

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