149 Cards in this Set
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Define Abnormal
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Behavior that is inconsistent with the individual's development. culture and societal norms, creates emotional distress, or interferes with daily functioning
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Why are culture and context important in determining what is "normal"?
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Because everyone is raised differently and what may seem "normal" to one persona is abnormal to another
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Categorical and Dimensional approaches to diagnosing abnormal behavior
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categorical and Dimensional approaches to diagnosing abnormal behavior
-symptoms are just as unique as people
Dimensional:
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How did ancient people think abnormal behavior was caused?
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Demonic possession, defiance of gods
-spirits control everything
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What is trephination and what is it's purpose?
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Thought to be for releasing evil spirits from the skill
-instrument cuts a hole in the brain to release spirit
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Who was Hippocrates and what was his explanation for abnormal behavior?
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Trauma + imbalance of blood yellow bile black and phlegm caused mental illness
-wandering uterus: women needed to be married to pregnancy
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Define mass hysteria
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Mass panic
-Tarantism: the bite of a wolf spider was fatal unless you engaged in frenetic dancing
-Lycanthropy: Turning into a wolf
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Emotional Contagion
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One person reports feeling a certain type of way so someone else does too
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Moral Treatment and Institutionalization
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Pinel: "Mental illness is curable" advocated calm and order
Tuke: Created York retreat as a sort of rehab (looked like home not prison)
Rush: mental illness was caused by blood vessels in brain
Dix: most well known proponent of ethical treatment of mentally ill
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Anton Mesmer
-What effect did he demonstrate?
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Anima Magnetism & Placebo Effect:
-magnetic force throughout body that, when backed up, caused mental illness
--cure was to run "magnetic passes" of the physicians hands over the body to get the force free flowing again
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How does the psychoanalytic perspective explain the development of abnormal behavior? (Sigmund Freud)
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Abnormal behavior stems from unconscious biological an sexual urges
-first 5 years of life roots from abnormal behavior
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Free Association
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A person minimizes conscious control and without selection tells the analyst everything that comes to mind
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Catharsis
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Individuals must develop insight in their conflicts and release psychic energy
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Id, Ego, Superego
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Id =instinctual
Ego = mediator
superego = societal views (devil on your shoulder)
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Defense mechanisms
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Protecting oneself subconsciously
-Denial
-Displacement
-Rationalization
-Suppression
-Projection
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Three stages of psychosexual development
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Oral, Anal, Phallic, Latent, Genital
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How do psychoanalysts treat abnormal behavior?
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Free association, Dream Analysis
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How does the behavioral perspective explain development of abnormal behavior?
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Abnormal behavior is learned from interactions with the environment
-little albert
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How do behaviorists treat abnormal behavior?
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Exposure
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What is classical conditioning? How does it occur?
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-Unconditioned Stimulus, Unconditioned Response, Conditioned Stimulus, Conditioned Response
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What did Pavlov's study involving dog salivation demonstrate?
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When the bell was paired with the dog eating (salivating) the dog would start salivating without the presence of food and just at the bell
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What did John Watson's study with Albert demonstrate?
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When paired with a loud noise, little albert become terrified of fluffy white things (because the noise scared him)
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What is operant conditioning?
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Learning the behavior is acquired or changed by the events that happen afterwards
-positive/negative reinforcement or punishment
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B.F. Skinner's contribution to the development of behaviorism
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Reinforcement & Punishment
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What is systematic desensitization and what is it used to treat?
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Wolpe: pair objects on a fear hierarchy with relaxation
-treat phobias (exposure)
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Who is Albert Bandura?
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-Bobo doll
-social learning theory
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What does the social learning theory demonstrate?
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Theory that behavior, environment and cognitive factors all influence development
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What is vicarious learning?
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Person has to do the behavior in order to learn it
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Describe scientist-practioner model
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Research (conceptual) clinical work (practical)
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What does the biological model assume regarding abnormal behavior and how it should be treated?
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Genetic and biological causes of abnormal behavior: structural damage, biochemical imbalance, genetic abnormalities
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What is biological scarring? How is it used to effect abnormal behavior?
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If you live with a mental illness you brain will physicaly change
-wear and tear
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What does the viral infection model say about the causes of abnormal behavior?
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During the prenatal period or shortly after birth, viral infection could cause psychological disorders
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How does the cognitive model explain abnormal behavior?
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Abnormal behavior is a result of distorted cognitions
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How would abnormal behavior be treated from a cognitive perspective?
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Identify and challenge negative thoughts in order to change behavior
-public speaking
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What is the negative cognitive triad and how does it relate to depression?
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Graph that explains negative cognitions. Negative views about the world -> negative views about the future -> negative views of oneself
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How is abnormal behavior treated using the humanistic model?
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Client-centered therapy
-self-actualizatoin
-reach full potential
-unconditional positive regard
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Who is Carl Rogers?
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Created the humanistic models
Goal: self-actualization
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Client-centered therapy
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Therapy centered around the potential of the client
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Genuineness
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Actually possessing the alleged or apparent attribute or character
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Unconditional positive regard
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Humanistic model: reach full potential
-Client centered therapy
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How does the sociocultural model differ from other models of abnormal behavior and treatment?
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You can't get to the next level until you complete the one you're on
-gender roles, class, interpersonal resources, used to describe abnormal behavior
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What factors are considered when using the sociocultural model?
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-SES
-Culture bound syndromes
(physiological, safety, love, esteem, set-actualization)
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What does "systemic approach" mean in relation to the biopsychosocial model?
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...
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What is the diathesis-stress model and what is it important in the explanation of abnormal behavior?
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Explains how environmental factors can play a role in obtaining an abnormal disorder that you're genetically predisposed for
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What is translational research?
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scientific discoveries should be translated into practical applications
-even research done at a cellular level will inform treatment for patients
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What was the Belmont Report?
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a report created by the National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research.
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What is the purpose of the Instiutional Review Board? (IRB)
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...
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What are the 4 different levels research can be conducted on?
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-cellular
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Central nervous sytem
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Brain and spinal cord
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Peripheral Nervous system
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Somatic - sensation and voluntary movement
Autonomic - involuntary movement
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Two divisions of PNS
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Autonomic: controls internal activities
Somatic: Controls external actions of skin and muscles
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Two divisions of autonomic nervous system
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Sympathetic (arousing)
Parasympathetic(calming)
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What is the function of the parasympathetic nervous system?
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Resting
-What steps in to calm us down
-Relaxation techniques
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What is the function of the sympathetic nervous system?
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"Fight or flight"
-what reacts when we feel fear, anxiety
-bodily reactions to stress and anxiety
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Brain stem
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control of fundamental biological processes
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hindbrain
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breathing, heartbeat, motor control
-medulla
-pons
-cerebellum
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Midbrain
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Sensory information and movement; regulates body
-thalamus =relay station
-hypothalamus = regulation/balance
-reticular formation = arousal
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Forebrain
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limbic system: emotions, impulses, basic drives: hunger thirst sex drive
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Limbic System
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basic drives
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Hippocampus
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memory and navigation
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Cerebral Cortex
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higher cognitive functioning
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Why is the limbic system important in psychology?
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Emotions and impulses
basic drives: hunger, thirst, sex drive
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How do neurons work?
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they send and receive messages
-Dendrite: tree like branches that receive
-Soma: cell body
-Axon: tube like structures that carry messages
-Synapse: space between neurons
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What do neurotransmitters do?
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Relay electrical signals from one neuron to another
-Most drugs for psychological disorders target neurotransmitters
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Left Hemisphere
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analytic thought, logic, language, science and math
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Right Hemisphere
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Hollistic thought, intuition, creativity, art & music
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What are the four lobes of the brain? What do they do?
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Temporal: auditory
Parietal: sensory info
Occipital: visual
Frontal: higher cognitive functioning
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What is neuroimaging? What instruments are used in these studies?
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Technology that looks at the structure and function of the brain
-Cat scan
-PET scan
-MRI
-fMRI
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What is the endocrine system?
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Regulates body through hormones
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What are hormones and how do they cause changes in the body?
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-Chemical messengers that are released into the blood stream and acts on target organs
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Pituitary gland`
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master gland
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Adrenal glands
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Epinephrine (stress)
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Thyroid hormones
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Metabolism
-Gland in pancreas regulates blood sugar
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Cortisol and prolactin
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Two hormones elevated in people with depression and anxiety
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Serotonin
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Pleasure/pain, mood
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Dopamine
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Learning, emotion
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Norepinephine
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arousal, heartbeat
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What is the purpose of studies that compare genetics and behavior?
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Determining whether or not your genetics make you predisposed to a certain behavior
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Define behavioral genetics
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Genetic effects on personality, attitudes, abnormal behavior
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Two types of studies commonly used in behavioral genetics
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Family and Twin studies
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Familly aggregation
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Using family studies to determine if symptoms/disorders "run in families"
-collect family history/interviews
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Twin studies
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How does the environment have a role in behavior
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What does the field of molecular genetics examine?
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the field of biology and genetics that studies the structure and function of genes at a molecular level. Molecular genetics employs the methods of genetics and molecular biology to elucidate molecular function and interactions among genes.
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Case study (strengths and weaknesses)
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Detailed information on one individual or small group
-Is not controlled and thus may not lead to firm conclusions
-No IV no DV no control
-Little basis for generalization
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Single-case design
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Experimental, controlled studies conducted with a single person
-Common design = ABAB design
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Correlational Research design
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Looks for association between variables
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What does a correlational coefficient tell us
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(-1 and 1.00)
The strength of the relationship
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Negative vs. positive correlations
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Positive = hours study and test results
Negative: Hours of partying and test results
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Does correlation mean causation?
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No
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What is a controlled group design?
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Participants exposed to variables that the experimenter controls
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Random Assignment
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Individuals in a study are randomly assigned to control groups and the experimental group
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Independent variable
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The variable that you are changing
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Dependent Variable
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The result of the changed independent variable (what you measure)
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Internal validity
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Did the IV cause changes to the DV
-Were we consistent?
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External validity
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Are the results generalizable?
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How might use of placebo control group be unethical?
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They might be unaware of the control and be drawn toward something else
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What is a cohort
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Group of people with similar characteristics who move forward in time as a unit
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Cross-sectional study
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Groups of people studied at one time (snapshot in time)
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Longitudinal study
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same group of people assessed across time
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Epidemiology
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Focuses on the patterns of mental disorders (and other phenomena) and the factors that influence them
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Observational Epidemiology
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Diagnostic interviews
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Experimental Epidemiology
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Manipulate causal/preventive factors
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Prevalence vs. Incidence
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Prevalence: proportion of population with the disorder at a given time
Incidence: Number of new cases that emerge in a given time
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What is the purpose of clinical assessment?
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Systematic gathering of data about a person
-helps inform nature, status, treatment of psychological disorders
-begins with referral question
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What info is gathered during a clinical assessment? What's it's diagnosis?
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-screening
1. Diagnosis: identification of disorder
2. Treatment planning (functional analysis
3. outcome evaluation
4. selecting instruments
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Functional analysis
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looking at a relation between events and behaviors
-factoring all pieces of the puzzle
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What does differential diagnosis mean?
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The process of differentiating between two or more conditions that have similar symptoms
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What is the sensitivity of an assessment instrument
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identifies a disorder when it does exist (true positive)
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What is the specificity of an assessment instrument
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Doesn't identify a disorder when it doesn't exist (true negative)
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Clinical significance vs. Statistical significance
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Clinical: use data from client interviews
--Use when: formulating new hypothesis
Statistical: uses data from large studies to draw conclusions (more accurate)
--Use when: outcome data is available
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What are psychometric properties?
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-Standardization:context
-Normative comparisons
-Self-referent comparisons
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Normative comparisons vs. self referent comparisons
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Normative = comparing score with others in a sample
self-referent = comparison to your previous scores
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What does the reliability of an assessment instrument mean?
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weigh self (scale is 5 lbs off) but consistently 5 lbs off
-consistency
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What does the validity of an assessment instrument mean?
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Is the test measuring what it should?
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Difference types of validity
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-Construct: how well a measure assesses a particular concept
-Criterion: how well measure correlates with other measures assessing same or similar construct
-Concurrent: comparing two assessments NOW
-Predictive: ability of a measure to predict future performance
-Statistical:…
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Self report measure
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...
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Clinical interview (structured vs. unstructured)
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Structured = Lists criteria for disorders, more reliable
Unstructured = seen in intake, greater flexibility, presenting problem, can be unreliable
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What is a personality test? Most well known personality test?
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Measures personality characteristics (possible psychopathology)
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Empirical keying
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Minnesota Multi-phasic Personality Inventory (MMPI-2)
-567 items
-Items and patterns of scores to differentiate among groups
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Define intelligence test and IQ
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Yields intelligence quotient
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What is the mean IQ score for all ages?
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Mean = 100
standard deviation = 15
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What is neuropsychological testing used to determine?
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Detect impairment in cognitive functioning
-Insight into functioning of brain
-Halstead-Reitan Neuropsychological Battery: Evaluate presence of brain damage
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What are projective tests?
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Projecting the first thoughts you have
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Rorschach Inkblot Test vs. Thematic Apperception Test
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Ambiguous inkblots
-Client "projects" an interpretation that reflects unconscious processes/conflicts
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What is self-monitoring
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Client observes and records own behavior
-Real-time information
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Behavioral Observation. What are ways to observe these behaviors?
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Natural or analogue settings
-frequency, duration, topography
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What is functional Analysis? What are three components?
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Behavioral assessment: Functional analysis is looking at the past history and consequences of behavior
-Behavioral interview
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What is biofeedback?
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Combining the monitoring of physical behaviors with relaxation training
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What is the Diagnostic and Statistical Manual of Mental Disorders? What is the most current edition used?
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5th Edition
-Categorical vs. dimensional approach to diagnosis
-Manual that is a guideline to diagnosing disorders
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What is comorbidity ?
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-More than one disorder
-Remember to rule out medical causes before diagnosing
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Understand how cultural and developmental factors can impact a diagnosis
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-Race and ethnicity can influence symptoms/disorders
-Culture-bound symptoms
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Dimensional vs. Categorical approaches to diagnosis
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Dimensional approach: Varying degrees of severity (EX: severe OR mild anxiety)
Categorical approach: Has to match the checklist of symptoms (in DSM) for a disease in order to come to a diagnosis
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Understand potential problems with diagnosis (self-fulfilling prophecy and stigma)
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Diagnosis's does not mean the same symptoms for everyone.
-Stigmas: shaming
-Self-fulfilling prophecy: they diagnose themselves
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What is anxiety? What are the 3 elements? What time period is it oriented towards?
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Future oriented response, when it is out of proportion to situation or causing significant distress or impairment = anxiety disorder
(1) physical symptoms
(2) negative cognitions
(3) escape or avoidance behaviors
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What are the physical elements of anxiety?
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-Fight or flight response - causes distress or impairment
Hypothalamus recognizes threatening situations, adrenal glands (adrenaline), you escape
Heart beats faster, breathing rate increases, pupils dilate
-irritability
-fatigue
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What are the cognitive elements of anxiety?
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-Distorted thought patterns: situations are more threatening than they really are
-Worry
-Feared object
-Spontaneous thoughts
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What are the behavioral elements of anxiety?
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-Escape: fear of dogs, run away
-Avoidance
-Escaping behavior: negative reinforcement
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When does anxiety become abnormal?
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Functional impairment: lower quality of life
-Developmental age: developmental hierarchy of fear
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What is a panic attack?
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Discrete period of intense fear & physical arousal --Heart palpitations, shortness of breath, dizziness, feeling of choking
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What are the two types of panic attacks?
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Expected attacks: situational trigger
Unexpected attacks: "false alarm"
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What symptoms are required for a diagnosis of panic disorder?
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A person has at least 1 panic attack
-Person worries about having another panic attack
-avoids situations where panic attacks have occurred
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What is agoraphobia? Symptoms?
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Fear of or anticipation of:
public transportation, open spaces, enclosed spaces, standing in line, being outside the home alone.
-Often occurs after development of panic disorder
-Sometimes can get through with a crutch
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Generalized Anxiety Disorder (GAD) Symptoms?
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At least 6 months
-Excessive/uncontrolled worry
-"keyed up", fatigued, problems concentrating, irritability, sleep disturbance
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Social Anxiety (phobia)
Symptoms?
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Severe fear of social/performance situations
-Exposure or thought of exposure leads to anxiety or panic
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What are some of the negative effects of social phobia?
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-Avoid situations that will cause intense stress
-Uncomfortable speaking, eating, at parties, meetings
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What is the "negative developmental trajectory"?
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3-5% of children and adolescents experience social anxiety
-Average age of onset: 11-13 years
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Selective Mutism
Symptoms? Age group?
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-Children
-Consistent failure to speak in specific social settings despite ability to speak
-Significant overlap with social anxiety disorder
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What are the symptoms required for a diagnosis of specific phobia?
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Fear and persistent fear of specific objects, events, situations.
-significant emotional distress or functional impairment
-Provoke anxiety or panic
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What are the specifiers of specific phobias?
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-Animal
-Natural environment
-Blood injection injury (BII)
-Situational
-Other
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