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Psychological dysfunction within an individual, associated with DISTRESS or IMPAIRMENT in functioning, and a response not typically or culturally expected. |
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DISTRESS or IMPAIRMENT in functioning, and a response not typically or culturally expected. |
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Psychological dysfunction |
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Breakdown in cognitive, emotional, or behavioral functioning |
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"typical" profile of behavior |
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scientist-practitioners (3) |
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consume science, evaluate science, improve science ( DESCRIBE disorders, determine CAUSE, TREAT) |
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set of problems, reason for visit |
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COMBO of behaviors, thoughts, and feelings that make up a psychological disorder |
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individual pattern of disease, 3 types |
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lasts for a long time, possibly lifetime |
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lasts a few months, then probably reoccurs. |
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improves without treatment in a short period |
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how/when a disorder starts, two types |
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anticipated course of a disorder |
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studies WHY a disorder begins; bio, psych and social dimensions |
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blood, black bile, yellow bile, phlegm |
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humoral approach to psych |
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says disorders are caused by an imbalance of the four humors |
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mental illness that has physical elements, but medical tests are normal |
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said psychosis was ALWAYS physical, and should be treated like an illness. Improved hospital conditions. |
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Said psychosis could be diagnosed and classified |
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treat patients as normally as possible, encourage social interaction |
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Causes of decline of Moral Theory |
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Caused by overpopulation of mental hospitals, not enough individual attention, some mental disorders considered incurable |
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structure of mind and role of unconscious |
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how learning and adaptation affect people |
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Psychoanalytical model (3 parts) |
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pleasure principle, emotional and illogical (primary) |
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reality principle, logical, rational, MEDIATOR, wants to CONTROL (secondary) |
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moral principle, conscience |
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struggle between the psychs, causes anxiety |
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unconscious protective processes by Ego, |
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redirect anger from cause of source to another (kick dog because of bad grade) |
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using energy in a constructive way |
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when a patient relates to the therapist as a parental figure |
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person-centered therapy (Rogers) |
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therapist has passive role |
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Thorndike's Law of Effect |
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If a response is rewarded, it becomes more likely to occur again, and if it is punished, it is less likely to occur again. |
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how many NEW cases every year |
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Psychopathology (def +3 kinds) |
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way to explain psychological disorder -supernatural, biological, psychological |
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-biology+ environment -how wartime affects childhood development |
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what OTHERS hold important is transferred to child, role modeling |
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-collective unconscious -5 archetypes -enduring personality traits |
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-birth order -inferiority complex -SELF-ACTUALIZATION |
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Self-actualization (3 traits) |
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-life-span development -influence of society and culture on personality -PEOPLE CAN CHANGE |
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determine what is blocking one from achieving self-actualization |
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Behaviorism (def + 3 types |
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-models that explain normal and abnormal behavior -classical conditioning, operant conditioning, and modeling |
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Classical conditioning (2 scientists + 4 traits) |
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-Pavlov and Watson - cond. stim/ uncond stim - cond response/ uncond response |
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Thorndike's Law of Effect (def) |
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rewarded behavior will become more frequent, punished behavior will become less frequent |
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Operant conditioning (2 guys) |
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-behavior OPERATES on environment -punish/reinforce model |
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Four Contexts of operant conditioning |
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1. positive reinforcement-reward (food) 2. Neg. reinforce - escape (remove alarm) 3. positive punishment- Punish (give shock) 4. Neg. punish- penalize (take away food) |
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-Bandura -human behavior is learned from others - behavior and environment work off each other |
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Behavior therapy (guy + method) |
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-Wolpe -systematic desensitization |
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PURPOSE of assessing psych disorders (4) |
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-understand individual -predict behaviors -Plan treatment -evaluate outcome |
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Clinical assessment (def +3 factors) |
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-evaluate and measure -psych, bio, social factors |
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degree of fit between symptoms and diagnostic criteria |
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Key concepts in assessment (3) |
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reliability, validity, standardization |
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Reliability (def + 2 types) |
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-measurement consistency, agreement -test/re-test and inter-rater |
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-does it measure what it's supposed to measure? -concurrent and predictive |
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-consistent techniques and conditions |
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Clinical Interview (3 types and defs) |
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-unstructured - what brings you in? -semi-structured - questions DEPEND on answers given -structured- SAME questions no matter what |
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Mental Status Exam (5 parts) |
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Definition
1. Appearance and behavior (attire, behavior, expressions) 2. Thought processes (rate of speech, continuity, content) 3.Mood and Affect 4.Intellectual Functioning (vocab) 5. Sensorum (person, time, place) |
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Function of a physical exam |
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rule out physical causes such as medication side effects, toxicity, allergies |
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Behavioral assessment (5 traits) |
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1. identify and observe target behavior 2. "here and now" focus 3. direct observation (self or others) 4.minimally invasive 5. focus on interaction BETWEEN events |
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Formal vs informal observation |
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-formal- questions, scored, QUANTITATIVE -informal- observation, QUALITATIVE |
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positive or negative change in behavior caused by act of observation |
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Antecedent, Behavior, Consequences |
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Psychological Testing (measures 4 things) |
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cognition, emotion, personality, behavior |
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Projective test (def, 2 types, pro/cons) |
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-present AMBIGUOUS data -Rorshach test and Thematic apperception -Qualitative, but not reliable OR valid |
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Personality inventories (2 traits and example) |
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-minimally ambiguous -minimal inference -MMPI |
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-t/f questions -reliable AND valid -individual scales and profiles |
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Psychophysiological Assessment (def, test, disorders) |
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-emotional or psychological events can be reflected by a change in the nervous system -EEG- shows brain wave activity - PTSD, sexual dysfunction, sleep disorders |
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approaches to diagnosis (2 + defs) |
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-ideographic (how your world is DIFFERENT) -nomothetic (how your world is the SAME as others with the same disorder) |
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Classification systems (3 types and defs) |
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-classical (each disorder has UNIQUE set of symptoms, distinct boundaries_ -dimensional (not yes/no, but HOW MUCH) -prototypical (both) |
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-broad categorizational headings -empirical -prototypic -EXCLUDES cultural differences |
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I- Major disorders (panic disorder) II- Stable, enduring problems (OCD) III- Relevant Medical conditions IV- Psychosocial problems V- rating of adaptive functioning |
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neuropsychological testing |
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measures abilities (such as attention) in such a way that the clinician can infer about performance and possible brain impairment |
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False positive vs false negative |
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-false positive- shows a problem, when there isn't one -false negative- shows NO problem, when there is one |
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-tests hypothesis -has an Independent variable and a dependent variable |
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types of validity (2 and defs) |
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-internal validity - whether differences between groups are due to IV or another factor -external validity- extent to which results can be GENERALIZED beyond conditions of experiment |
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Confound (def and how to reduce it) |
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-affects both DV and IV, APPEARS that they are linked when they aren't -negated by control groups, randomization, and analog models |
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Definition
GOD DAMMIT, CORRELATION DOES NOT IMPLY CAUSATION! |
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Epidemiological research (4 traits) |
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-population based -incidence -prevalence -risk factors |
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-"Average" client -variability -ex: depression symptoms |
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for RARE behaviors, studied extensively over time |
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Experimental research (5 traits) |
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1. testable hypothesis 2. random assignment 3. manipulate IV 4.see effect on DV 5. SHOW CAUSALITY |
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Types of experimental research (2) |
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-group experimental -comparative treatment |
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Single case subject design (def + 2 types) |
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-studies one or several cases, rigorous study, repeated measurement -withdrawal (A->B->A) monitor, treat, remove treatment (ethics-taking away a working treatment) -multiple baseline- multiple IV, improved internal validity, NO withdrawal |
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Time-based studies (2 types and defs) |
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-cross-sectional - at ONE time, look at different age groups (cohort confound) -longitudinal- SAME people over time |
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