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

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