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Abnormal Psychology Exam 1
Intro-Classification and Assessment
161
Psychology
Undergraduate 3
09/24/2013

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Cards

Term
3 Main Criteria for Abnormality
Definition
1. Impaired Functioning
2. Distress
3. Is it a typical?
Term
Impaired Functioning
Definition
When someone is unable to carry out life's "responsibilities"
EX: student, parents, health/hygiene, etc.
Term
Distress
Definition
One of the main criteria for abnormality. Most people with mental illness are abnormally stressed, but not always
Term
Atypical
Definition
One of the three criteria for abnormality. Usually those with mental illness deviate from average or culturally defined criteria.
EX: the "hallejulah man"
Term
Clinical Psychologist
Definition
-Someone with their Ph.D in Clin Psychology
-They are trained for research and practice
Term
Counseling Psychologist
Definition
-This person has their Psy.D in Clinical Psychology
-They are more focuses on therapy based adjustment, milder problems
Term
Historical Roots of Psychopathology through Supernatural
Definition
-Belief that mental illness was caused by devil possession, witchcraft, or planetary movements.
-Psychic Epidemics were common
Term
Psychic Epidemic
Definition
Back in the day, Historical roots of psychology through supernatural noticed abnormal psychological behavior came in "packs"
-EX: the Mass dancing mania of the middle ages
Term
Historical Roots of Psychopathology through Biological perspective
Definition
-Hippocrates believed in a "balance of humors"
-Chinese believe in "balance of winds"
-heredity (we were like our families)
-syndromes were discovered
-antipsychotic drugs were discovered in the 1950s
Term
Balance of Humors
Definition
An idea proposed by Hippocrates that said that mental illness was caused by an imbalance of liquids called humors in our body. EX: too much bile lead to a mental illness
Term
Balance of Winds
Definition
In ancient china, mental illness was thought to be caused by people not maintain a "balance of winds" or the airflow that goes through ones body
Term
syndrome
Definition
clusters of symptoms that co-occur with one another
Term
Anti-Psychotic drugs were discovered in _____
Definition
The 1950s!
Term
Phrenology
Definition
Thought of by (Gall), was the proposal that our "head bumps" across our skull lead to different psychological behaviors, based on the location and size of the bump.
Term
Know the Brain Lobes and what they do
Definition
-frontal (executive motor)
-parietal (body senses)
-occipital (vision)
-temporal (hearing)
Term
Post Mortem Studies
Definition
Studying someones body, specifically their brain, after they are dead.
Term
Brain Surgery Studies
Definition
Studying someone's brain while they are alive by cutting the skull open.
-no pain receptors on brain so painless to touch it, but painful to open skull
Term
Brain Imaging Studies
Definition
Using a CT Scan or a PET scan to take a picture of someone's brain
-Must add the radioactive traced into the blood in order to see the brain through the skull, we do not know the long term side effects
Term
MRI studies
Definition
Using a MRI, or magnetic resonance imaging system to take pictures of someone's brain and study it.
fMRI is a more specific form of an MRU
Term
Four major parts of a neuron
Definition
-cell body
-dendrites
-axons
-terminal buttons (axon terminals)
Term
Path of Nerve impulse along neuron
Definition
Moves done the axon, neurotransmitter is released into the synapse, next neuron collects it
Term
Neurotransmitters
Definition
Chemicals relayed through the body by neurons. They are released from the pre synaptic neuron into the synapse and caught by the post synaptic one. They can be excitatory (make us do things) or inhibitory
Term
reuptake
Definition
the process of the pre synaptic neuron sucking up all the excess neurotransmitters the post synaptic neuron didn't take
Term
Acetylcholine (ACh)
Definition
Neurotransmitter that enables muscle action, learning, and memory
-Undersupply of ACh marks Alzheimers disease
Term
Dopamine
Definition
Influences movement, learning, attention, and emotion
-Excess dopamine is linked to schizophrenia
-little dopamine is linked to brain tremors/ parkinsons disease
Term
Serotonin
Definition
Affects mood, hunger, sleep, arousal
-undersupply of serotonin linked to depression
-prozac and other antidepressants raise serotonin levels
Term
Norepinephrine
Definition
Helps control alertness
-undersupply leads to depressed mood
Term
GABA
Definition
AKA Gamma-aminobutyric acid

It is a major inhibitory neurotransmitter
-undersupply linked with seizures, tremors, and insomnia
Term
Glutamate
Definition
Oversupply can overstimulate brain, producing migraines or seizures
-which is why people avoud MSG in food, MSG stands for monosodium glutamate!
Term
How proteins are made up
Definition
They are made up of and are the end product of genes!
Term
The somatic cells in your body...
Definition
all have 23 chromosome pairs
Term
Gene
Definition
A specific sequence of nucleotide units which build protiens (made of amino acids)
Term
An average gene uses ____ amino acids to code 1 protein
Definition
1000 amino acids!
Term
Gene Variability
Definition
-Genes combine/ mutate at different rates depending on our environment
EX: the temperature in the room

Genes also vary in "what they do" as some genes just have the job of turning other genes off
Term
Is a Genotype a blueprint?
Definition
NO

-blueprints, if followed, give you the same thing everytime. Humans aren't like that!
Term
Are Genotypes like conversations?
Definition
YES!

-EX: a bagger will ask you at the store paper or plastic. Either way you get your groceries, but the path is different. Genotypes act like that because the all end up creating humans, but the blocks and paths that make them up all differ
Term
Genes and the Enviroment
Definition
Genes and the Enviroment interact with one another

-genes influnce environment (smarter people pick smarter things to do/ like)
-environment influences genes (stress in early development speeds up puberty process)
Term
Behavioral Genetics
Definition
The study of the effects of genetic inheritance of behavior
EX -family/ pedigree studies
-twin studies
adoption studies
Term
Plato's "rational discussion theory"
Definition
Plato argued that when people talked about their problems, it actually helps them with their problems!
Term
Moral Treatment Movement of the 1700s
Definition
Phillipe Pinel (in France) and Benjamin Rush (in USA) changed insane asylums to gear more towards treatment of patients in them, not just warehouses for them
Term
Dorothea Dix
Definition
Known as the "founder of social work"
-stated that everyone deserves treatment for mental illnesses
Term
Current Patient Psychology rights
Definition
Mental patients are now allowed to recover and have more satisfying lives by being integrated into society with treatment for their mental illness. (How treatment is viewed today)
Term
The Cognitive Revolution (for diagnosing illness)
Definition
When people realized that mental events do exist (inner thoughts and beings) and are relevant to our behavior
Term
Behaviorism and diagnosing mental illness
Definition
Studying Psychology based on behavior alone, and people ignore mental states/ the cognitive perspective of it.
-Measuring for psychological illness SOLELY based on what people do not what they think
Term
Psychodyamic Model and diagnosing mental illness
Definition
Freudian beliefs that our unconscious inner self dictates our mental illnesses
-not really used today in US for diagnosing for mental illness
Term
Using Classification Systems
Definition
Used to turn groups of symptoms into a diagnosed disorder
(used to diagnosing mental illness)
Term
Classifying Disorders
Definition
1. Plan Treatment
2. Communication Among staff
3. Understand Disorder's course, plan ahead
4. Research
Term
Diagnosing based off criteria
Definition
When someone has met diagnostic criteria, then someone fits that diagnostic category
Term
Primary System for diagnosing in the US
Definition
The Diagnostic and Statistical Manual of Mental Disorders
-The DSM!!
Term
Categorical Model for Diagnosing
Definition
Literally having a "yes" or a "no" section for each symptom of a disorder in order to diagnose whether they have it or not
EX: does Helga have an anxiety disorder "yes" or "no"
-usually used for research, insurance, etc.
Term
Dimensional Model for Diagnosing
Definition
A scale from 1-100 of each symptom someone has to determine their disorder
-Usually more accurate than the categorical system
EX: How anxious is Helga on a scale of 1 to 100?
Term
Inter-rater Reliability
Definition
Agreement between clinicians that a patient has a certain disorder
Term
Test-Retest Reliability
Definition
Agreement between testing someone for the same disorder multiple times
-reflects accuracy of doctor as well
-reflects severity of mental illness as well
Term
Positive Effects of Disorder Classification
Definition
-Homogenous groups for research
-facilitate communication about the disorder
-treatment planning
Term
Negative Effects of Disorder Classification
Definition
-Misdiagnosing someone
-Self-fufilling prophecy
-social stigma
-health insurance
-Disorders don't explain, only label
Term
Self-Fulfilling Prophecy
Definition
Giving yourself permission to do/ not do something because you suffer from a disorder
Term
"On Being Sane in Insane Places"
Definition
-This was the experiment by David L. Rosenhan
-He had his friends all make appointments with psychiatric wards
-Everyone was completely normal, except they all said 1 thing about "hearing voices" at somepoint during appointment
-88% of them were diagnosed with schizophrenia! and everyone was admitted to a mental institution!
-People sayed there on average 19 days! (7-52!)
-When patients seemed fine, doctors claimed they "cured" it
-Once labeled, the label sticks!
Term
"People First" language
Definition
Focusing on a person, not their illness or disability.
-Describe what a person HAS not IS

EX: NOT the Schizophrenic but the Man with schizophrenia
Term
DSM Diagnosis
Definition
Axis 1: Basic Clinical Syndromes (Except Axis 2)
Axis 2: Personality disorders or traits, mental retardation
Axis 3: General medical conditions
Axis 4: Psychosocial and Environmental Stressors
Axis 5: Global assessment of Functioning
Term
Axis 1 of DSM
Definition
Basic Clinical Syndromes (Except personality disorders or mental retardation
EX: Schizophrenia, dementia
Term
Axis 2 of DSM
Definition
Personality disorders or traits, mental retardation
EX: Borderline Personality Disorder
Term
Axis 3 of DSM
Definition
General Medical Conditions
EX: Recent onset of cancer
Term
Axis 4 of DSM
Definition
Psychological and Environmental Stresors
EX: Not being able to work due to an impairment
Term
Axis 5 of DSM
Definition
The Global Assessment of Functioing
EX: 40 out of 100, the 1-100 scale of how much function a person has in daily life
Term
Global Assessment of Functioning (GAF)
Definition
The scale from 1-100 that determines a persons level of functioning. It is the AXIS 5 on the DSM
Term
Healers
Definition
People who minister those with mental illness
-they implicitly identify which symptoms are meaningful, important, or real
Term
United States Influence of Disorders
Definition
The US:
-publishes the DSM and most top scholarly journals
-funds most research
-market most drugs

Therefore, the US has strong influences on notions of what is a disorder
Term
"Illness as a Brain Disease"
Definition
An experiment done by Metha in 1997
-One person tells a subject they have a mental illness because they either
-things happened when they were a kid
OR
-I have a disease just like any other, which effects my body
-Then they would take a button pressing test when the subject would have to shock the "mental ill" person if they got it wrong, with either a painful or non painful shock
-It turned out the people who said "i had a disease" were shocked more!
-viewing mental illness as a disease makes it seem more normal
Term
Psychological Assessment
Definition
Used to determine cognitive, emotional, personality, and behavioral factors in psychopathology
Term
Techniques for Psychological Assessment
Definition
-clinical interview
-psychlogical tests
-behavioral observation
-cognitive (intelligence) assessment
-Neuropsychological tests
Term
Assessing Mental Status
Definition
-Appearance, behavior
-thought processes
-mood and affect
-intellectual functioning
-insight, judgement, safety
-Orientation: knowing who you are, where you are, and when it is
Term
First Question of Clinical Interveiw
Definition
"what brings you here today?" have them identify anything they can
Term
Screeners
Definition
Ways of quickly testing someone from something without requiring in depth evaluation.
EX: the DMV uses the "eye chart" with all the letters to test your vision, and has you read off the letters. However, the people testing you aren't "vision experts," they are just determining if your eyes are good enough to drive with the eye chart screener
Term
Cognitive/ IQ Tests
Definition
Tests that identify your cognitive strengths and weaknesses
-they help with treatment planning and school placement
-identifying loss of functioning

However, IQ test does NOT equal intelligence!
Term
Howard Gardner Multiple Intelligences Theory
Definition
Believed that we had intelligences in:
-linguistic
-logical/mathematical
-spatial
-musical
-bodily/ kinesthetic
-interpersonal
-naturalist

overall we can be smart in many different ways!
Term
Robert Sternberg Multiple Intelligences Theory
Definition
He believed we have intelligences in
-Analytic
-Problem Solving
-creativity
Term
Cultural Bias in Assessment
Definition
-Some measures can be more susceptible than others
-Sensitivity of clinician is important
ensure to watch your language, rapport, understand patients goals, and know the culture they come from as that could influence behavior.
Term
Stroop Test
Definition
Assessing Excecutive functions by having people first read the color a word is saying. Then by saying the color of a block. Then having them say the color of written words, when the words say other colors. This tests how quick your executive processing is
Term
Tower of Hanoi
Definition
This is an assessment of Executive Functioning where someone has to move the blocks from the leftmost pole to the right most pole. (remember freshman year psych lab)
Term
Personality Tests
Definition
Usually standardized tests to test someone's personality.
-Susceptible to client biased, as anyone can write what they want to write about themselves, how they want others to view themselves
Term
Projective Tests
Definition
When ambiguous stimuli are interpreted by the subject and we asses them for psychological states.
-Testing using random stimuli and seeing what people do
-They are unstructured and how low reliability
Term
Rorshach Inkblot Test
Definition
The projective test when someone is shown an inkblot and they must say what they see.
Term
Projective Sentence Completion
Definition
EX: My best friend is _____

And people study the different responses
Term
Psychophysiological Assessment
Definition
Testing someone and recording biological differences about them based off different stimuli
EX:
-heart rate (EKG)
-skin conductance (GSR)
-Brain electrical Activity (EEG)
-fMRI
Term
Unipolar Mood Disorder
Definition
Consists of
-Major Depressive Disorder
-Dysthymic Disorder
Term
Bipolar Mood Disorder
Definition
Consists of:
Bipolar 1 and 2 (Manic-depression)
Cyclothymic disorder
Term
Depression Rates
Definition
-Rates of depression have increased over the last 5 decades (from 5.2% to 17.1%)
Term
Depression and Gender
Definition
Women and twice as likely to develop depression as men
Term
Emotional Symptoms of Depression
Definition
-Low Mood
-Crying/ Tearfulness
-Irritability
Term
Depression and Positivity
Definition
-People with depression display fewer positive expresions
-Report experiences less pleasant emotion
-Physiologically less responsive to positive stimuli, but NOT NEGATIVE stimuli
Term
Motivational/ Behavior Symptoms of Depression
Definition
-Loss of Pleasure in life (anhedonia)
-social withdrawal
-hard to motivate
-hard to "get going"
Term
Anhedonia
Definition
Loss of pleasure in life
Term
Cognitive Symptoms of Depression
Definition
-Low self esteem
-self blame/ guilt
hopelessness
-ineffectual/indecisive
-poor concentration
-suicidal thoughts
Term
Bodily (vegetative) symptoms of depression
Definition
-feels like walking through jello
-low energy/ fatigue
-sleep changes (increase or decrease)
-appetite changes (increase of decrease)
Term
Diagnosing a Major Depressive Episode
Definition
Having 5+ symptoms over 2 week period, symptoms occur nearly every day
-Symptoms much include depressed mood or Anhedonia, and then 4 more depression symptoms
Term
Major Depressive Disorder
Definition
-When someone has 2 or more Major Depressive Episodes (2 seperate 2 week or more long periods of major depression) AND
-They have no history of Manic Episodes
Term
Risk Factors for depresion
Definition
-Gender (role stress)
-Age stress
-Sociocultural factors
-major life events
-social support (or lack there of)
-seasonal factors
Term
Suicide and Major Depressive Disorder
Definition
People with mood disoders are 20X more likely than general population to commit suicide
-Bipolar = 15X
Term
Dysthymic Disorder
Definition
Having a depressed mood, most days, for 2 years. While depressed, you experience the presence of 2 or more depression symptoms
Term
Double Depression
Definition
When you experience chronic Dysthmia (constantly under the happy line) with a Major depressive disorder episode
Term
Major Depression Vs Dysthymic Disorder
Definition
Major Depression: -5 or more symptoms including sadness or loss of interest or pleasure
-At least 2 weeks duration

Dysthymic Disorder
-3 or more symptoms including depressed mood
-at least 2 years duration
Term
Biological Causes for Depression
Definition
-Abnormality in neurotransmitters (serotonin, norepinephrine, dopamine)
-Endocrine dysfunction
Term
Manic Episode
Definition
Abnormally and persistently elevated or irritable mood, lasting at least 1 week
Term
Symptoms of a Manic Episode
Definition
During a Manic episode, at least 3 of:
-Inflated self esteem (grandiosity)
-Decreased need for sleep
-More talkative
-flight of ideas (racing thoughts)
-distractability
-Increased goal-directed activity
-High-risk activities
Term
Hypomanic Episode
Definition
Less severe version of Manic Episode (lasting 4+ days, does not impair function)
Term
Bipolar I
Definition
Having both Manic and Major Depressive Episodes
Term
Prevalence of Bipolar I
Definition
One-year prevalence: 0.7%
Term
Bipolar I and gender
Definition
Equal gender ratio of men to women for Bipolar I
Term
Typical Onset for Bipolar I
Definition
Late adolescence, early adult
Term
Bipolar II
Definition
Having atleast one Major Depressive and one Hypomanic Episode, but not Manic Episode
Term
Prevalence of Bipolar II
Definition
One year prevalence: 0.5%
Term
Bipolar II and Gender
Definition
Equal male and femal ratio
Term
Cyclothymia
Definition
Chronic pattern of mood disorders for at least 2 years, involving Hypomanic and milder depressive episodes.
*Constantly having a mood disorder for 2 years
Term
Prevalence of Cyclothymia
Definition
One-year Prevalence: 0.4%
Term
Bipolar Disorders and Genetics
Definition
STONG genetic component
-known from adoption, family, and twin studies
Term
Genetics and Depression
Definition
Genetic Influence is weak with unipolar mood disorders, very high in bipolar
Term
Becks Cognitive Triad
Definition
Beck proposed that the way depressed people think has a negative bias towards:

1. Themselves
2. The Environment
3. The future

Distorted (irrational) thoughts are esp. triggered by upsetting situations
Term
Cognitive Schemas of Depression
Definition
-hopelessness: desired outcomes will not occur no matter what action is taken
-These are global, stable,
Term
Importance of interpersonal relationships
Definition
Help Prevent Depression!
-Elicit
-people without it are low in social skills, and seek reassurance from others
-they typically have limited social support networks
Term
Cognitive Behavioral Therapy
Definition
Monitoring, identifying, challenging, and replacing irrational thoughts
-Usually fast and cheap (fewer than 20 sessions cuz thats what insurance covers)
Term
Phases of Cognitive Behavioral Therapy
Definition
1. Increase activites and elevate mood
2. Challenge automatic
3. Identify negative thinking and biases
4. Change primary attitudes
Term
Catecholamines
Definition
Norepinephrine depletion association with stress or mania/depression
Term
Depression and Serotonin
Definition
When you become depressed, your body increases the level norepinephrine and serotonin by blocking reuptake
Term
How Antidepressants work
Definition
They change neurotransmitter levels at synaptic cleft
Term
Trycyclics
Definition
Type of depression medication
-6-8 weeks before effects are seen
-must continue to take medication
Term
MAO Inhibitors
Definition
Older type of antidepression
-It slows down the production of MAO, which breaks down norepinephrine keeping more of it in the system, and this keeping you happier
Term
Selective Serotonin Reuptake Inhibitors (SSRIs)
Definition
Anti Depressant medication that focuses specifically on your bodies serotonin levels.
-EX: prozac, zoloft
-Effects are similar to tricyclics but they are much more popular
Term
Electroconvulsive Therapy (ECT)
Definition
First major form of treatment of depression, and still used today in extreme cases!
-Targetted stimulation of different parts of the brain to cause brain seizures that apparently fix the depression symptoms
Term
Treating Bipolar Disorder
Definition
Requires both psychological work (fmaily intervention, social skills) and mood stabilizing medication (lithium, depakote, etc).
Term
Lithium Therapy
Definition
A treatment for Manic Episodes
-the correct dosage is VERY important (0.5-0.7 mEq/L)
-most people experience fewer manic episodes
-not too sure why it works
Term
Suicide
Definition
The intentional ending of one's own life
Term
Age and suicide
Definition
-Highest rate is males 74+ years
-Hihgest increase in teens/young adults (3rd leading cause of death)
Term
Gender and suicide
Definition
4:1 male to female completed suicide
3:1 Female to male attempted suicide
Term
Ethnicity and Suicide
Definition
2:1 White to African American
Term
Marital Status and Suicide
Definition
Being married decreases your rate of suicide, while being single increases it, then widowed, then divorced!
Term
Suicide Red Flags
Definition
-loss of appetite
-social withdrawal
-giving away possessions
-decline in school performance
-writing goodbye letters to friends
-sleep loss, changes in sleep patterns
-fatigue
Term
Psychological Risk Factors of Suicide
Definition
-Anhedonia
-hopelessness
-feelings of shame/anger
-worthlessness
-fantasies of death
-lack of self soothing skills
-lack of future orientation
Term
Social Risk Factors
Definition
-Previous attempt makes you 39X more likely to try again
-lack of social supports
-recent loss of relationships
-acute stressors (loss of job, natural disaster)
-long term stressors (economic hardship)
Term
Biological Risk Factors
Definition
-history of suicide in biological relatives (6x)
-fanily history of mood disorders
-history of psych illness (mood disorder, schizophrenia, etc)
-vegatitive signs of mood disorders
-predictors such as impulsivity and aggression
-alcohol abuse
Term
Protective factors against suicide
Definition
-social support
-positive life events
-feelings of self efficacy
-cognitive flexibility and problem solving skills
-hope
strong religious beliefs
-TREATMENT
Term
Does vaccination cause Autism?
Definition
NO!!!!
Term
Herd immunity
Definition
When someone doesn't get vaccinated but everyone else around them does, so they don't get exposed to the disease in the first place
Term
Case Studies
Definition
Studying one single patient
-usually with rare or new disorders
-low validity
Term
Correlation Study
Definition
-Studying 2 variables and seeing if the variables are related to one another
Term
Experiments
Definition
Testing two variables for a causal relations
-measures using a independent and dependent variable
Term
Incidence
Definition
How many NEW cases in the population this year
Term
Prevlence
Definition
How many CURRENT cases are there in a population
Term
Test-retest Reliability
Definition
Testing something across time, or multiple times, to see the simiarity of results
Term
Inter rater Reliability
Definition
Testing using multiple "testers" and seeing how similar the results are depending on the tester.
-EX: seeing if 2 doctors prescribe the same medicine
Term
Internal Validity
Definition
How well you measure what you're trying to measure, and not including confounding variables
Term
Controlling the confounding variables in an experiment
Definition
1. Use a control group
2. Keep variables constant
3. Balance variables (EX use random assignment)
Term
random assignment
Definition
assigning people to groups randomly to prevent bias
Term
placebo effects
Definition
EX giving half your participants a real pill and half sugar. See how both groups behavior changes after pill

-not actually giving everyone the experimental condition in order to see how accurate it is
Term
Experimenter bias
Definition
When a subject acts a certain way based off of who is conducting the experiment
Term
External validity
Definition
How well the results of the study will generalize to other people, settings measures

How well you can apply it to real world
Term
Random sample
Definition
Collecting an unbias group of people, or people not all from the same group.

EX: not all white female college students
Term
Are correlations casual?
Definition
NO
Term
GAF 100
Definition
No symptoms
Term
GAF 61-70
Definition
Some Mild Symptoms
Term
GAF 31-40
Definition
Some Impairment in Reality testing, but you have major impairments
Term
GAF 1-10
Definition
Severe risk of suicide, low hygiene, etc.
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