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Psychopathology - Abnormal Psych Chapter 1: Overview & Research Approaches Flashcards

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7263094289Abnormal psychologyunderstanding nature, causes & tx. of mental disorders0
7263101236family aggregationwhether a disorder runs in families1
7263105572indicators of abnormality include these 7 things:subjective distress, maladaptiveness, statistical deviancy, social discomfort, irrationality & unpredictability, dangerousness.2
7263132733subjective distressneither a sufficient (all that is needed) nor necessary condition (feature that all cases of abnormality must show) for us to classify something as abnormal. what is distressful for one condition/person varies.3
7263156344maladaptivenessinterferes w/ well-being & w/ ability to enjoy work & relationships.4
7285324639statistical deviancyaway from the normal/statistically rare (literal definition of abnormal). simply considering statistically rare behav. to be abnormal doesn't provide us w/ solution to problem of defining abnormally.5
7285324640violation of the standards of societysocial rules are arbitrary; however, we consider behavior abnormal when ppl fail to follow conventional social & moral rules of cultural group.6
7285367437subjective examples of maladaptiveness include:-depressed ppl withdraw from social circles (maladaptive); anorexic person becomes emaciated & req. hospitalization. -on other hand, con artists & contract killers w/ antisocial PD may not be in this category b/c they make their livings7
7285374341examples of subjective distress-people w/ anxiety & depression report feeling depressed, but ppl in manioc phases may feel elated and not be experiencing any distress; often bipolar/etc. people refuse to take meds b/c they enjoy the manic highs -exams tend to cause worry, but that would hardly be labeled as abnormal8
7303988891examples of statistical deviancy-genius & perfect pitch are statistically rare, but we wouldn't consider these uncommon traits abnormal -common cold = statistically common, but is still an illness -intellectual disability (statistically rate & represents deviation from norm) is considered to reflect abnormality. *we make value judgments when defining abnormality -more likely to judge statistically rare & undesirable disorders/conditions abnormal vs. statistically rare/highly desirable or undesirable/statistically common9
7304010233violation of the standards of society examples-driving cars/watching tv = abnormal for Amish ppl, but normal for most other residents of Pennsylvania -most of us have parked illegal at some point (breaks rules, but not seen as abnormal b/c it's statistically common) -mother who drowns children --> instant recognition as abnormal behavior10
7304024444irrationality and unpredictabilityunconventionality/unorthodox behaviors may be considered abnormal - depending on what it is/severity/context11
7304092050irrationality and unpredictability examplessomeone yelling obscenities @ nothing = unpredictable, nonsensical; disordered speech & disorg. behv. of schizophrenia (also hallmark of bipolar manic phases) -- often irrational *most imp. factor = our eval. of whether he/she can control his/her behv.12
7304102910dangerousnessjust b/c mental disordered patient is a danger to himself/others does not mean they're psychologically abnormal; we can't assume that someone diagnosed w/ mental disorder is dangerous13
7304102911dangerousness examples-people may have dangerous/thrill-seeking hobby (extreme sports, race car driving) or be bad drivers (possible harm to self/others on road), but not necessarily abnormal/mentally ill -therapists have to hospitalize/report ppl who are a harm to themselves/others -many ppl w/ mental illness commit serious crimes; many people w/o mental disorders commit serious crimes14
7304132062What is the DSM & Why was it revised?Diagnostic & Statistical Manual of Mental Disorders provides all info. necessary to diagnose mental disorders; creates common language so specific diagnosis --> same thing from 1 clinician to another -revisions allow new scientific devs. & research to be incorporated15
7304150929mental disorder/dsm-5syndrome present in individual & that involves clinically significant disturbance in behavior, emotion regulation, or cognitive functioning. thought to reflect dysfunction in biological,psychological, or dev. processes necessary 4 mental functioning. -also recognizes that MDs usually associated w/ sig. distress/disability in key areas of functioning (social, occupational, other activities) -also includes predictable/cultural responses to common stressors/losses (death of loved one) excluded -*dysfunctional pattern of behv. shouldn't stem from social deviance/conflicts person has w/ society as a whole16
7304170606nomenclaturea naming system17
7304175448Advantages of classification*most scientists rely on classification; provides clinicians + researchers common language & shorthand terms from complex conditions -structures info in mor helpful info; ex] anxiety disorder section include panic disorder, specific phobia, agoraphobia, etc. that share common features of fear & anxiety -classification facilitates research -- about causes & possible treatments -defining domain of what's considered to be pathological. establishes range of probs that mental health profession can address& treat ; insurance reimbursement18
7304420895Disadvantages of classification-shorthand --> we lose detailed personal information about person w/ disorder -can facilitate stigma, stereotyping & labeling -fear of being viewed negatively/being discriminated against may lead some ppl to avoid seeing tx.19
7304430858stigmadisgrace associated w/ having psychiatric diagnosis. today people generally much more comfortable disclosing physical illness vs. admitting to mental disorder -deterrent to seeking tx. 4 mental health problems (especially 4 men, younger ppl, ethnic minorities, military personnel & mental health professionals)20
7304469540stereotypingautomatic beliefs concerning ppl that we unavoidably learn as a result of growing up certain culture. learning about certain behvs. that accompany mental disorders leads to automatic/inherent assumptions that behvs. will be present in any person we meet w/ psych diag. -neg. stereotypes about these disorders also perpetuated in movies21
7304483356labelingself-concept can be directly affected by being given diagnoses with any type of disorder and being attached to the label of disorder/diagnosis22
7304491077diagnostic classification systems classify ____the disorders that people have rather than classifying people.23
7304494864stigma may be reduced in some situations becauseit provides at least a partial explanation for person's otherwise inexplicable behavior24
7304504016negative reactions towards ppl w/ mental illness may includeostracizing, unpleasant physiological reactions (heart rate, tension), avoiding contact25
7304518439explain how culture affects what's considered abnormalshared values, rituals & traditions in 1 culture may be seen as abnormal in another culture different cultures describe psychological distress differently/present themselves differently some types of psychopathology appear highly culture-specific; found in certain areas of the world only & highly linked to culturally-bound concerns some superstitions present in some cultures and not others, no ford for "depressed" in languages of certain cultures -hearing voice of dead relatives common in many Native Amer. tribes26
7304533150describe 2 different cultural-specific disorders1] tajin kyofusho - anxiety disorder prevalent in Japan; marked fear that one's body, body parts or body functions may offend, embarrass, or make others feel uncomfortable; afraid of blushing/upsetting others by gaze, facial expression, or body odor 2] ataque de nervios - another culturally rooted expression of distress. found in ppl of Latino descent, especially from Caribbean. Doesn't have clear counterpart in DSM. symptoms = crying, trembling, fainting, uncontrollable screaming & general feeling of loss of control27
7304582450why is it important to know how many/what sort of ppl have diagnosable psychological disorders today?- information essential when planning & establishing mental health services b/c MH planners req. precise understanding of nature & extent of psych. difficulties w/ in given area, state, country b/c they're resp. for determine how resources (funding of research proj/services) provided by comm. MH centers may be most effectively allocated -estimates of freq. of mental disorders in diff. groups of ppl provide valuable clues to causes of disorders28
7304662298epidemiologyThe study of the distribution of diseases, disorders, or health related behaviors in a given population; in mental health -- stay of distribution of mental disorders ---epidemiology surveys--- determine the frequency of mental disorders29
7304665712prevalencethe number of active cases in a population during any given period of time; typically excessed as percentages (% of pop. that has disorder)30
7304671961point prevalencethe estimated proportion of actual, active cases of a disorder in a given population at a given point in time -- count # of ppl w/ clinical depression on January 1 of next yr. person who experienced depression during November and December but who managed to recover by Jan.1 - not included in calculation (same w/ depression onset of jan. 2)31
73046771611-year prevalencethe number of individuals who experienced X at any point in time throughout the entire year -higher figure than point prevalence b/c it covers much longer time & would include ppl who recovered b4 point prev. assessment & those whose disorders didn't begin until after Point prev. was made32
7304684935lifetime prevalencethe estimate number of the number of people who have had a particular disorder at any point in their lives (even if they are now recovered); include currently illl & recovered; usually higher than other types of prevalence estimates33
7304689079incidenceThe number of new cases that occur over a given period of time (typically one year) -They exclude preexisting cases; lower than prevalence cases if assessing 1yr incidence of schizophrenia, we wouldn't count ppl who's schizophrenia began b4 given starting date (even if they were still ill) b/c they're not new cases of Schiz.34
7304696154the most comprehensive source of prevalence estimates for adults in the US diagnosed w/ mental disorders is the ___________________.National Comorbidity Survey Replication (NCS-R) -just under 50% of ppl will experience some form of mental disorder in lifetime35
7304700967the most prevalent category of psych. disorders isanxiety disorders36
7304700987most common individual disorders aremajor depressive disorder, alcohol abuse, & specific phobias37
7304709626problems with NCS-R reporting-doesn't include data on DSM-5 -didn't assess for eating disorders, schizophrenia, or autism, or measures of most personality disorders -some have brief duration -many ppl who meet diagnostic criteria for given disorder won't be seriously affected by it -data is now over a decade old38
7304720159National Survey on Drug Use & Health (NSDUH)another survey that can provide most recent information but doesn't include info about specific disorders39
7304725094comorbiditypresence of 2+ disorders in the same person; especially high in ppl w/ severe forms of mental disorder40
7304730306global burden of diseasemental & substance abuse disorders often disabling & account for 7+% of global burden of disease disorder w/ biggest global burden = depression, accounting for almost half of the DALYs DALY = disability adjusted years of life; 1 DALYU = 1 yr of otherwise "healthy" life41
7304742420treatment includes42
7304744244barriers to seeking treatment-people minimize/deny their suffering or try to cope on their own -stigma -delaying treatment -often treated by family physician vs. mental health specialist -majority of tx now administered on outpatient basis -budget cuts force many large state/country facilities to close -insurance companies place limitations on hospital admissions -hospitalization & inpatient care preferred options for ppl who need more intensive treatment than can be provided on outpatient basis43
7304751095outpatient treatmentrequires that patient visits mental health facility practitioner but doesn't have to be admitted to hospital; can attend comm. MH center, see private therapist, receive tx. thru outpatient dept. of hospital44
7304757864inpatient careadmitted to psychiatric units of gen. hospitals, private psychiatric hospitals specializing in particular mental disorder patients receive additional tx. on outpatient basis45
7304771494mental health professionals-psychiatrist - provide meds/monitor side effects -clinical psychologist - individual therapy -clinical social worker - resolve family problems -psychiatric nurse - check in on daily basis, provide support to help them cope better in hospital env. outpatient clients may see either counseling psych, psychoanalyst, or counselor specializing in tx. of drug & also probs.46
7304778430acuteshort in duration47
7304778431chroniclong in duration48
7305016417etiologycauses of disorders49
7305017742why can abnormal psychology research be conducted in almost any setting?-studying & drawing inferences from past case studies alone often leads to erroneous thinking as we often focus on data that confirm our ideas of how things are. -research prevents us from being misled by natural errors in thinking & can be conducted in clinics, hospitals, schools, prison & on the street. It's not the setting that determines whether a given research project may be undertaken. The importance lies in the researcher's methodology, which is constantly evolving50
7305031006case studydetailed accounts/clinical cases of patients that serve as a valuable source of new ideas & stimulus for research. May provide insight into unusual clinical conditions that are too rare to be studied in a more systematic way.51
7305044065biascase studies subjected to this b/c the writer selects info to include and to omit52
7305047623generalizabilitycan't be used to draw conclusions about other cases even when they involve ppl w/ seemingly similar abnormality -- like when there's only 1 observer & 1 subject and when observations made in relatively uncontrolled context & are anecdotal & impressionistic in nature; conclusions we can draw very narrow & may be mistaken.53
7305154233self-report datahaving research participants complete questionnaires, conducting interviews54
7305155693limitations of self-report data-sometimes misleading; people may not be accurate reporters of own subjective states/experience -ppl. occasionally lie, misinterpret ? or want to present themselves in favorable or unfavorable light55
7305159412direct observationtrained observers record the target behavior being observed, such as aggression (observers record # of times aggressive children hit, bite,56
7305166872observational strategiesin addition to direct observation, may include: -collecting info about biological variables (heart rate) in sample -collecting info about stress hormones (cortisol) by getting sample of saliva (which contains cortisol) in plastic container & send lab for analysis -functionial magnetic resonance imaging (fMRI)- can study blood flow to various parts of brain during memory tasks & look at which brain areas influence imagination -transcranial magnetic stimulation (TMS)- generates magnetic field on surface of head, stimulate underlying brain tissue; can take particular area of brain "off-line" for brief period & measure behavioral consequences. -observing behavior specifically refers to the careful scrutiny of conduct& manner of specific individuals57
7305182988hypothesiseffort to explain, predict, or explore something; frequently determine therapeutic approaches used to treat particular clinical problem. ideas we have about what might be causing client's difficulties will naturally shape form of intervention we use when we provide treatment.58
7308056550research in abnormal psychology is concerned with __ _ _ _ _ _____.gaining enhanced understanding & where possible, control of abnormal behavior.59
7308059035samplingtry to select ppl who are representative of much larger grp. of individuals; want it to mirror the larger group. sometimes use convenience samples - readily accessible groups of people60
7308067695external validityextent to which we can generalize our findings beyond the study itself61
7308069908internal validityreflects how confident we can be in results of particular given study; methodologically sound, free of confounds, or other sources of error & able to be used to draw valid conclusions. ex- researcher interested in how heart rate changes when participants told that they're about to be given an electric shock. participants who just completed the study are allowed to chat in waiting area w/ ppl about to participate. the latter learn that, in reality, no shocks were given at all. failure to control exchange of info jeapoardizes integrity of study & is threat to int. val.62
7308094789comparsion/conrtrol groupgroup of people who don't exhibit disorder being studied but are comparable in all other major respects to the criterion group; typically psychologically healthy/"normal"63
7308097101criterion groupppl w/ disorder being studied64
7308106810correlational researhc designno manip. of variables. ccompares groups on variety of diff. neasures. takes thing as they are and determines associations among observed phenomena. - inferences that suggest causal hypotheses, generate ?s for future research & occasionally provide cruical data that confirm/refute specific hypotheses.65
7308111178positive correlaationdirect, corresponding manner66
7308112158negative correlationinverse correlation67
7308114471uncorrelatedvariables are entirely independent of each other68
7308116297correlation coefficientr; stenght of correlation 0- 1; # closer to 1 --> stronger association btwn 2 vars. + or - = direction of association btwn variables69
7308119456statistical significanceprobability that correlation would occur purely by chance is less than 5 out of 100. p < .05 *doesn't mean result couldn't have occurred by chance; means that it's not very likely -influenced by magnitude or size of correlation but also by sample size. correlation of .30 will not be significant if sample size is 20 but will be if it's 50.70
7308134433effect sizereflects size of association btwn 2 variables independent odf the sample size. E.S. of 0 = no association btwn variables can be used as common metric & v. valuable when comparing strength of findings across diff. studies71
7308138415meta-aalysisstat. approach that caculates & combines effect sizes from all of the studies. uses effect sizes; better way to summarize research findings that is possible with a literature review.72
7308147484third variable problemunknown variable that might be causing both events to happen ex] factor linking insanity & masturbation (& unmeasured 3rd variable) = impaired social awareness73
7308162827retrospective research strategyif we wanted to learn what our patients were like before they developed specific disorder- we'd look back in time - identifying factors associated with later behaviors. ex] patient's recollections, diaries74
7308173837disadvantages of retrospective research strategy- diaries etc. have potential for memories to be faulty/sunjective -invites investigators to discover what they already presume they'll discover concerning background factors theoretically linked to a disorder; invites biased procedure75
7308184197prospective research strategymethod that often focuses on individuals who have a higher than average likelihood of becoming psychologically disordered before abnormal behavior is observed76
7308206785longitudinal designa research design in which people are followed over time77
7308217140direction of effect problemrefers to the fact that, in correlational research, it cannot be concluded whether variable A/B cases variable B/A78
7308219381experimental researchthe extent to which the findings from a single study are relevant to other populations, contexts or times79
7308220392independent variablefactor whose effects are being examined and which is manipulated in some way, while other variables are held constant80
7308222012dependent variablein an experiment, the factor that is observed to change with changes in the manipulated variable81
7308224298random assignmentprocedure used to create equivalent groups in which every research participant has an equal chance of being assigned to any group in the study82
7308227259double-blind studyoften used in studies examining drug treatment effects, a condition where neither the subject nor the experimenter has knowledge about what condition/drug the subject is receiving83
7308228494placebo treatmentan inert pill or otherwise neutral intervention that produces desirable therapeutic effects because of the subject's expectations that the treatment will be beneficial84
7308233034ABAB designan experimental design, often involving a single subject, wherein a baseline period (A) is followed by a treatment (B). To confirm that the treatment resulted in a change in behavior, the treatment is then withdrawn (A) and reinstated (B)85
7308236213analogue studiesstudies in which a researcher attempts to emulate the conditions hypothesized as leading to abnormality86
7308241423Elements of abnormal behavior 4 DsDeviance/Difference (rare) Dysfunction (impairment) Distress (they are bothered by it) Danger (to themselves/others)87

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