Chapter 14 - Psychological Disorders

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What is the 3 criteria of abnormal behaviour?

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1

What is the 3 criteria of abnormal behaviour?

  • Deviant (violate social norms)

  • Maladaptive (impair everyday behaviour)

  • Causing personal distress

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2

Epidemiology

Distribution of mental or physical disorders in the population

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3

Prevalence

% of population that exhibits a disorder during a specified time period

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4

Lifetime prevalence

% of people who have been diagnosed with a specific disorder at anytime in their lives

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5

What is the medical model?

Conceptualizes abnormal behaviour as a disease

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6

Diagnosis (dx)

Distinguishing one illness from another

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7

Etiology

The apparent causation and developmental history of an illness

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8

Prognosis

Forecast about the probable course of an illness

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9

Reify

Make something more concrete or real

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10

What is the diagnostic system for psychological disorders called?

DSM-5 (diagnostic and statistical manual of mental disorders, 5th edition)

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11

What categorizes and labels clusters of symptoms into ‘disorders’?

DSM-5

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12

What are some problems with the DSM-5? (2)

  • Many distressed people don’t meet full criteria for a disorder.

  • Most people qualify for 2+ diagnoses

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13

What is the Diathesis-Stress Model?

Suggests that a mental disorder develops when an individual has genetic vulnerability and environmental stressors early in life combined with exposure to stressful life events

Simply put: stress experienced over the course of our lives is a contributor to developing a psychological disorder

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14

Triadic reciprocity

The mutual influence between three sets of factors

(they work together and influence eachother)

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15

What are the three factors of anxiety disorders?

  • Emotional & physical distress

  • Distorted thoughts

  • Avoidance behaviours

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16

What type of anxiety disorder has “free-floating anxiety” about big things and small things?

Generalized anxiety disorder

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17

What type of anxiety disorder has a specific focus of fear?

Phobic disorder

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18

What type of anxiety disorder is characterized by a sudden wave of fear or discomfort or a sense of losing control even when there is no clear danger or trigger?

Panic disorder

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19

What type of anxiety disorder is characterized by intense fear / anxiety of social situations?

Social anxiety

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20

What is the two-factor theory of fear development?

We develop fear through classical conditioning (pairing reponse with stimulus unconsciously)

Fear persists via opperant conditioning (negative reinforcement from relieving anxiety by avoiding fear)

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21

What is the etiology of anxiety disorders?

Both genetic and environmental causes (vulnerability model)

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What is the vulnerability model?

Genetic predisposition and environmental trigger theory of behaviour

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23

What is the biggest component of anxiety disorders?

Avoidance

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24

What are the genetic / biological factors that influence anxiety disorders? (4)

  • Neurotransmitters

  • Temperament (neuroticism)

  • Hyperactive amygdala

  • Anxiety sensitivity (how sensitive we are to the physical symptoms of anxiety)

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25

What are obsessions?

Repetitive and persistent thoughts, images, or urges

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What are compulsions?

Repetitive behaviours / mental acts the individual feels driven to perform in response to an obsession

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27

What are the three types of beliefs with OCD?

  • Perfectionism and intolerance of uncertainty.

  • Over importance of thoughts and need to control them.

  • Inflated responsibility and overestimation of threat.

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What is the etiology of OCD?

Both genetic and environmental causes, but more towards genetic

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29

Mood disorders are ________ in nature

episodic

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30

What are mood disorders generally characterized by?

Emotional disturbances (ex. feeling up or down)

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31

What are the four reciprocal components of major depression?

  • Emotions

  • Thoughts

  • Physical

  • Behaviour

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32

What are the three components of the cognitive triad of depression? (also known as Beck’s negative triad)

  • Negative views of self

  • Negative views of world

  • Negative views of future

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33

What is the cognitive triad of depression? (also known as Beck’s negative triad)

Three forms of negative thinking typical from people with depression.

  • Depressed people consistantly distort how they interpret experiences in their lives to fit the triad.

  • Thus the triad becomes ingrained, and every experience is seen through this negative filter.

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34

At what age does major depressive disorder peak?

20s

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35

What are some risk factors that contribute to the onset of major depressive disorder? (5)

  • Neuroticism

  • Sociotropy

  • Need for excessive autonomy

  • Perfectionism

  • Adverse childhood experiences

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36

What is the heratibility of major depressive disorder?

40% (2-4x risk if immediate family has MDD)

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37

What is the etiology of major depressive disorder?

Both genetic and environmental causes, but leans more towards environmental.

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38

What is a manic episode?

A sustained period of abnormally elevated mood, intense energy, racing thoughts, and other extreme and exaggerated behaviors

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39

What is a depressive episode?

A sustained period of abnormally low and gloomy mood, low energy, loss of interest in normal activities, and other behaviours.

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What is Bipolar disorder?

A psychological disorder characterized by periods of depression and periods of abnormally elevated mood (mania) that each last from days to weeks

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What is the etiology of bipolar disorder?

Mostly genetic

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42

Suicide is the _____ leading cause of death in people 15-34 years old.

third

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43

What are positive symptoms of schizophrenia?

Positive symptoms are the presence of problematic behaviours.

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44

What are negative symptoms of schizophrenia?

Negative symptoms are the absence of healthy behaviours.

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45

Are hallucinations, delusions, and disorganized thoughts/speech positive or negative symptoms of schizophrenia?

Positive

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Are flat affect, reduced social interaction, and less motivation positive or negative symptoms of schizophrenia?

Negative

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47

Anhedonia

No feeling of enjoyment

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Avolition

Less motivation, initiative, and focus

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Alogia

Speaking less

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Catatonia

Moving less

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51

What is schizophrenia?

A psychological disorder characterized by episodes of psychosis. Includes symptoms like hallucinations, delusions, disorganized thinking, social withdrawal, and decreased emotional expression.

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52

When is the typical onset of schizophrenia?

18-30

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53

What percent of people with schizophrenia will have their disorder manifest before age 30?

75%

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54

Medication is better at treating the ______ symptoms of schizophrenia.

positive

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55

What is the etiology of schizophrenia?

Mostly genetic

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56

What is the heritability of schizophrenia?

10x risk if immediate family member has schizophrenia.

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What is the heratibility of bipolar disorder?

10x risk if immediate family member has bipolar disorder.

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58

What is the dopamine hypothesis?

Overactivity at dopamine synapses in the brain play an important role in the development of schizophrenia

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59

What are the structural abnormalities present in individuals with schizophrenia? (2)

  • Enlarged brain ventricles

  • Decreased brain volume

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60

What two things give the best prognosis for Schizophrenia?

Later and sudden onset

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61

What did Thomas Szasz say about abnormal behaviour?

Szasz said that abnormal behaviour usually involves a deviation from social norms rather than an illness, and that deviations are “problems in living” rather than medical problems.

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