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Abnormal Psych
Final Prep
276
Psychology
Undergraduate 2
12/13/2015

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Term
alters
Definition
refers to each of the unique personalities in an individual who has DID
Term
conversion disorder
Definition
a [somatic symptom and related disorder] characterized by motor symptoms or disturbances in sensory functioning that appear to be a result of a neurological problem, but for which no physical cause can be found
Term
dissociation
Definition
a disruption or breakdown in the integration of thoughts, feelings, experiences, behaviour, and/or identity in conscious awareness and memory
Term
dissociative amnesia
Definition
a [dissociative disorder] characterized by sudden loss of memory for important autobiographical or personal information, which is not due to a neurological or other medical condition. Characterized by a sudden onset, typically in response to a traumatic event or extremely stressful experience, and by an equally sudden return of memory
Term
dissociative fugue
Definition
a type of [dissociative amnesia] in which an individual suddenly and unexpectedly travels away from home and may take up a new identity, accompanied by a loss of memory for his or her own identity or other important biographical information
Term
dissociative identity disorder
Definition
the most severe and chronic of the dissociative disorders, characterized by the existence of two or more unique personalities in a single individual
Term
depersonalization
Definition
a dissociative symptom in which one experiences a sense of unreality, detachment, or being an outside observer of one's own thoughts, feelings, bodily sensations, or actions
Term
derealization
Definition
a dissociative symptom in which one has a sense of unreality or detachment with respect to objects or other people in the environment, experiencing them as unreal, dreamlike, foggy, or distorted
Term
false memory syndrome
Definition
said to be exhibited by persons who claim to remember events that did not really take place, due to the influence of therapists who use leading questions, repeated suggestion, visualization, and hypnosis with the aim of recovering repressed memories
Term
factitious disorders
Definition
a disorder characterized by faking or producing symptoms of illness or injury (e.g. by putting blood in a urine sample or swallowing a noxious substance) to gain a doctor's attention and thus satisfy a need to play the role of patient. Classified in DSM-5 under [somatic symptom and related disorders]
Term
hysteria
Definition
an outdated psychiatric term once used to describe a symptom pattern characterized by emotional excitability and physical symptoms (e.g; convulsions, paralyses, numbness, loss of vision) without any organic cause
Term
glove anaesthesia
Definition
a sensory symptom of [conversion disorder] involving a loss of feeling in the whole hand and wrist. Since this pattern is incompatible with the way nerves extend from the arm into the hand, it is clearly psychogenic in origin
Term
iatrogenic
Definition
"produced by treatment" -- refers to a symptom or disorder that is induced in a patient as the result of therapeutic treatment such as medication or psychotherapy
Term
illness anxiety disorder
Definition
a disorder characterized by preoccupation with having or acquiring a serious illness, even though the individual does not have any serious bodily symptoms
Term
la belle indifference
Definition
a surprising nonchalance or lack of concern about the severity of one's symptoms, which was previously thought to be evidence of a conversion disorder
Term
repressed
Definition
referring to memories that a person cannot call into awareness, but which remain in the person's subconscious and can be retrieved under certain conditions or with the help of a psychotherapist
Term
socio-cognitive model
Definition
the theory that DID is a form of role-playing in which individuals come to construe themselves as possessing multiple selves and then begin to act in ways consistent with their or their therapist's conception of the disorder
Term
somatic symptom and related disorders
Definition
a set of disorders in the DSM-5 that are characterized by bodily symptoms that may or may not have an identifiable medical explanation and are accompanied by significant distress and/or disability. Individuals with these disorders typically seek help in medical, rather than mental health, settings
Term
somatic symptom disorder
Definition
a disorder characterized by one or more bodily symptoms that are distressing to the individual, result in significant disruption of daily life, and are accompanied by excessive worry and preoccupation, extreme anxiety, or disproportionate time and energy
Term
somatic symptom disorder with predominant pain
Definition
a subtype of [somatic symptom disorder] in which the presenting bodily symptom involve pain (once called pain disorder)
Term
trauma model
Definition
the theory that DID is caused by severe childhood trauma, including sexual, physical, and emotional abuse, accompanied by personality traits that predispose the individual to employ dissociation as a defence mechanism or coping strategy
Term
depersonalization/derealization disorder
Definition
a dissociative disorder in which the individual has persistent or recurrent experiences of unreality or detachment from his or her own thoughts, feelings, bodily sensations, and/or surroundings. One's own sense of self and/or perceptions of other individuals or objects may be experienced as unreal, dreamlike, foggy, or distorted
Term
alarm
Definition
the first phase of the [general adaptation syndrome] (GAS), a concept that was the first formal description and definition of stress as a consequence of adaptation to demand placed on the body. In the alarm phase, the body, faced with an adaptive challenge, mobilizes its defences
Term
appraisals
Definition
in the [transactional model of stress], evaluations that people constantly make about what is happening to them and its implications for themselves
Term
arrhythmias
Definition
disturbances in the normal pumping rhythm of the heart. Can result in a [myocardial infarction]
Term
atherogenesis
Definition
the development of [atherosclerosis]. Can occur as early as two years of age
Term
atherosclerosis
Definition
a build-up of deposits, known as plaques, on the walls of the blood vessels. Atherosclerosis can narrow the openings of arteries enough to compromise the blood supply to the heart or the brain, leading to [myocardial infarction] or [stroke]
Term
behavioual medicine
Definition
application of the methods of behaviour modification to the treatment or prevention of disease--for example, the use of psychological techniques to control pain in patients undergoing medical procedures, or interventions to improve the diabetics' ability to control their blood glucose
Term
cellular immunity
Definition
one of the three general categories of immune response, based on the action of a class of blood cells called T-lymphocytes. The "T" designation refers to the locus of their production, the [thymus gland]. Ceullular immunity results from a cascade of actions of various types of T-lymphocytes
Term
cardiac output
Definition
the amount of blood pumped by the heart. One of the two major variables that determine blood pressure. Cardiac output is itself determined by two other variables: the rate at which the heart beats (commonly measured in BPM) and the amount of blood ejected from the heart (strokes volume)
Term
cardiovascular reactivity
Definition
the degree of change in a cardiovascular function that occurs in response to psychologically significant events
Term
constitutional vulnerability
Definition
one model of how hostility might lead to health risk, which suggests that the link between hostility and poor health outcomes is the result of a third variable, constitutional vulnerability, with which they are both associated
Term
exhaustion
Definition
the third phase of the [general adaptation syndrome] (GAS), a concept that was the first formal description and definition of stress as a consequence of adaptation to demands on the body. If the challenge persists beyond the resistance phase, the body can no longer maintain resistance, and characteristic tissue changes occur. At this point, the organism may succumb to a disease of adaptation, such as an ulcer
Term
external locus of control
Definition
a belief that the determinants of one's life reside outside oneself. People who have an external locus of control see themselves as being buffeted by the random events of the world
Term
humoral immunity
Definition
one of the three general categories of immune response, in which invading antigens are presented by macrophages to B-lymphocytes. ("B" stands for bursa, an organ in which such cells are produced in birds. B-lymphocytes derive from the liver and bone marrow in humans.) This causes the B-cells to reproduce--a process reinforced by the lymphokine secretion from the helper T-cells. Some of the activated B-cells remain as memory B-cells. Others go on to be plasma cells, secreting antibodies called immunoglobulins that neutralize antigens in a number of different ways, such as clumping, presenting the antigen to phagocytic cells, or rupture the antigen
Term
health psychology
Definition
any application of psychological methods and theories to understand the origins of disease, individual responses to disease, and the dimensions and determinants of good health
Term
general adaptation syndrome (GAS)
Definition
a stereotyped pattern of bodily changes that occur in response to diverse challenges to the organism, first described by Hans Selye. The syndrome comprises three stages: alarm, resistance, and exhaustion. The GAS was the first formal description and definition of stress
Term
hypertension
Definition
a characteristically high level of resting blood pressure (defined as a [systolic blood pressure/ diastolic blood pressure] reading more than 140/80 under precisely defined conditions). Can result from any of variety of causes, but in about 90 percent of cases it is "essential," meaning a simple cause cannot be identified. Hypertension is a risk factor for death due to cardiovascular disease
Term
health behaviour model
Definition
one model of how hostility might lead to health risk, which suggests that hostile people may be more likely to engage in unhealthy behaviours (for example, smoking, drug use, high-fat diets) and less likely to have healthy practices like exercise
Term
internal locus of control
Definition
a belief that the determinants of one's life reside inside oneself. People who have an internal locus of control can see themselves as the masters of their own destiny and seem to be protected against the harmful effects of stress on their health
Term
ischemic heart disease
Definition
a condition in which blood supply to the heart becomes compromised, leading to a [myocardial infarction]. One of the leading causes of death from diseases of the cardiovascular system in Western societies
Term
lesions
Definition
disruptions of bodily tissue or of the normal function of a bodily system
Term
mechanism
Definition
in psychophysiological medicine, a process--an activity of a living system--that mediates the influence of an antecedent factor on disease
Term
dualistic
Definition
a view of mind and body as separate entities, subject to different laws. Nowadays avoided in DSM terminology, hence the substitution of the term psychophysiological for psychosomatic
Term
nonspecific immune responses
Definition
one of the three general categories of immune response, in which circulating white cells called granulocytes and monocytes identify invading antigens and destroy them by phagocytosis: engulfing and digesting them
Term
myocardial infarction
Definition
heart attack
Term
psychoneuroimmunology
Definition
a new field that studies the responsiveness of the immune system to psychosocial influences, and that has shown that the immune system can be affected by learning experience, emotional states, and personal characteristics
Term
primary appraisals
Definition
in the transactional model of stress, and [appraisal], which may occur quite unconsciously, that takes place when a person is faced with an event that may have adaptational significance. It is as if the individual asks: "Is this a threat to me?" The primary appraisal sets the stage for further events that may or may not lead to stres
Term
potential years of life lost (PYLL)
Definition
a measure of the impact of death on someone's lifespan calculated by subtracting age of death from his or her life expectancy
Term
protective factors
Definition
events or circumstances that help to offset, or buffer, [risk factors]. Anything that lessens the likelihood of disease. For example, exercise is considered to be a protective factor for cardiovascular disease
Term
psychophysiological reactivity model
Definition
one model of how hostility might lead to health risk, which suggests that hostile people are at a higher risk for various diseases because they experience exaggerated autonomic and neuroendocrine responses during stress
Term
psychosocial vulnerability model
Definition
one model of how hostility might lead to health risk, which suggests that hostile people experience a more demanding interpersonal life than others
Term
resistance
Definition
the second phase of the [general adaptation syndrome] (GAS), a concept that was the first formal description and definition of stress as a consequence of adaptation to demands placed on the body. I the resistance phase, if the challenge of the alarm phase persists, the body actively fights or copes with the challenge through immune and neuroendocrine changes. These adaptive responses enhance the body's ability to ward off threats in the short term
Term
secondary appraisals
Definition
in the [transactional model] of stress, a set of [appraisals] that occur after a [primary appraisal] if the individual concludes there is an element of threat, equIvalent to the question: "Is there anything I can do about this?"
Term
stroke
Definition
a loss of brain functions that results from interruption of blood supply to the brain or hemorrhage of blood vessels in the brain and consequent death of the neural tissue on which the brain functions depend
Term
systolic blood pressure/diastolic blood pressure
Definition
a measure of the pressure of the blood flowing through the vasculature. It is obtained by finding the number of millimetres of mercury displaced by a sphygmomanometer (blood pressure cuff)
Term
transactional model (1)
Definition
a model of stress that conceives of stress as a property neighter of stimulus nor of response, but rather as an ongoing series of transactions between an individual and his or her environment. Central to this formulation is the idea that people constantly evaluate what is happening to them and its implications for themselves
Term
total peripheral resistance
Definition
the diameter of the blood vessels; one of the variables affecting blood pressure
Term
stress reactivity paradigm
Definition
a viewpoint that sees the reaction to stress as important to an understanding of cardiovascular disease
Term
transactional model (2)
Definition
one model of how hostility might lead to health risk, which suggests that the behaviour of hostile individuals constructs, by its natural consequences, a social world that is antagonistic and unsupportive, so that both interpersonal stressors and the lack of social support increase vulnerability. A hybrid of the [psychophysiological reactivity model] and the [psychosocial vulnerability model]
Term
vasculature
Definition
the system of arteries, arterioles, capillaries, venules, and veins responsible for circulation of the blood to all parts of the body and its return to the heart
Term
Type A
Definition
a syndrome of behaviours that includes hyperalterness and arousability, a chronic sense of time-urgency, competitiveness, hostility, and job-involvement
Term
controllable risk factors
Definition
factors increasing the likelihood of a disease, such as poor diet or smoking, that are under control of the individual
Term
bipolar and related disorders
Definition
mood disorders in which the change in mood occurs in both directions; that is, the patient at one time or another experiences both depression and mania
Term
bipolar I disorder
Definition
a subtype of bipolar disorder in which there are one or more manic episodes and usually one or more depressive episodes
Term
bipolar II disorder
Definition
a subtype of bipolar disorder in which there is at least one hypomanic episode and one or more episodes of major depression
Term
cyclothymia
Definition
mood disorder characterized by long term (i.e. at least two years) repeated fluctuations in mood, varying from hypomanic symptoms to depressive symptoms that to not meet diagnostic criteria for major depressive disorder
Term
cognitive distortions
Definition
thoughts about the self, world, or future that are distortions of the true state of affairs
Term
cognitive triad
Definition
negative views of the self, world, and future, as part of Beck's cognitive model of depression
Term
cognitive-behavioural therapy (CBT)
Definition
a psychological theory that reflects the view that both thinking and behaviour are learned and can, therefore, be changed. It assumes that the way people view the world, including their beliefs and attitudes toward the world, themselves, and others, arises out of their experience and that these patterns of thinking and perceiving are maintained by consequences in the same way overt behaviour is maintained. While this treatment approach incorporates some procedures derived from strictly cognitive therapy, it essentially follows the views expressed by Bandura's social learning theory
Term
depressive disorders
Definition
mood disorders in which the change in mood is only in the direction of depression or lowered mood, followed by a return to normal mood with recovery
Term
excessive reassurance seeking
Definition
part of Coyne's model of depression where a depressed person seeks reassurance about him- or herself from non-depressed people
Term
family-focused therapy (FFT)
Definition
adjunctive psychotherapy for bipolar and related disorders that focuses on educating the patient's family about the disorder and improving family communication
Term
imagined loss
Definition
Freudian theory that the individual unconsciously interprets all types of loss events (e.g. job loss) in terms of grief, thereby raising the risk for depression
Term
hypomania
Definition
a less severe, less disruptive, and often shorter version of a manic episode
Term
hypothalamic-pituitary-adrenal (HPA) axis
Definition
the biological stress response system responsible for the fight-or-flight response. It is overactive in major depression
Term
interpersonal psychotherapy (IPT)
Definition
a therapy that uses a medical model to understand interpersonal conflicts and transitions as they relate to depression
Term
interpersonal and social rhythm therapy (IPSRT)
Definition
adjunctive psychotherapy for bipolar disorder that focuses on regularizing patients' daily rhythms and routines
Term
major depressive disorder (MDD)
Definition
a depressive disorder characterized by persistent feelings of sadness, loss of interest or ability to feel pleasure, unexplained weight loss, difficulty sleeping, fatigue, difficulty concentrating, feelings of worthlessness or guilty, suicidal thoughts, and either agitation or slowing down. The person must not be suffering from other disorders that may present as depression, such as schizoaffective disorder or a delusional disorder
Term
persistent depressive disorder
Definition
a [unipolar mood disorder] that manifests many of the same symptoms as major depression, except that they are less severe. It persists for at least two years, with only brief interludes of normal mood. Also known as [dysthymia]
Term
mania
Definition
a bipolar mood disorder characterized by flamboyance and expansiveness. A person experiencing a manic episode may go on shopping sprees, engage in sexually promiscuous behaviour, take on numerous, unrealistic work commitments, brag, and dominate others socially. In general, the person shows intolerance when the world does not cooperate with his or her momentary needs. Extreme or prolonged cases of mania are considered bona fide psychotic states, implying that the person is experiencing a break with reality
Term
negative feedback seeking
Definition
the tendency to actively seek out criticism and other negative interpersonal feedback from others
Term
monoamine oxidase inhibitors (MAOIs)
Definition
a class of mediations used to treat major depression by inhibiting the enzyme monoamine oxidase, which breaks down monoamines such as dopamine and norepinephrine, thus allowing more of these neurotransmitters to accumulate in the presynaptic cell
Term
lithium
Definition
lithium salt, used to treat mania and depression. Has the effect of flattening out the peaks and valleys of the illness, allowing sufferers to achieve some stability in their lives with less disruption for family members. Apparently lithium has preventive effects for both [unipolar mood disorders] and [bipolar mood disorders], and lithium is considered the treatment of choice for bipolar disorder
Term
phototherapy
Definition
treatment for seasonal affective disorder that involves exposure to high-intensity full spectrum lighting
Term
psychache
Definition
unbearable psychological and emotional pain that strongly predicts suicide
Term
specifiers
Definition
further descriptors of a patient's condition that capture the natural variation in the expression of affective disturbances, and therefore increase the specificity of the diagnoses by conveying important information about salient features that might be otherwise overlooked. For example, one specifier used in conjunction with a diagnosis of [major depressive disorder] is "with melancholic features"
Term
seasonal affective disorder (SAD)
Definition
a [unipolar mood disorder] characterized by a vulnerability to environmental sunlight changes and a pattern of cyclic and time-limited mood problems
Term
stress generation hypothesis
Definition
a theory of depression reoccurrence, which states that individuals with a history of depression have higher rates of stressful life events that are at least in part dependent on their own behaviour or chaacteristics than non-depressed individuals
Term
selective serotonin reuptake inhibitor (SSRI)
Definition
one of the three known major classes of antidepressants. SSRIs, as the name suggests, delay the process of reuptake of neurotransmitters so that they remain available longer to maintain optimal neuronal firing rates
Term
tricyclic antidepressants (TCAs)
Definition
one of the three known major classes of antidepressants. Tricyclics enable more neurotransmitters to be released into the synaptic cleft
Term
vagus nerve stimulation (VNS)
Definition
treatment for severe depression that electrically stimulates the vagus nerve by way of an implanted stimulator
Term
avolition
Definition
a loss of energy, motivation, or interest in activities, including grooming, education, or physical exertion
Term
anhedonia
Definition
a loss of pleasure or interest in almost all activities or a lack of reactivity to usually pleasurable events
Term
affective flattening
Definition
lack of emotional expression and response
Term
aversive drift
Definition
in Meehl's theory, the tendency for people with a genetic predisposition for schizophrenia to be perceived negatively and subjected to personal rejection, leading progressively to social withdrawal and alienation
Term
amygdala
Definition
a small almond-shaped structure in the tip of the temporal lobe that plays a role in emotional behaviour
Term
cognitive marker
Definition
a disease marker that is cognitive in nature, typically involving a test of attention, memory, or reasoning
Term
cognitive marker
Definition
a disease marker that is cognitive in nature, typically involving a test of attention, memory, or reasoning
Term
collective unconscious
Definition
the mental consequence of [hypokrisia], namely loss of integrated thinking and coherent mental life
Term
cognitive slippage
Definition
the mental consequence of [hypokrisia], namely loss of integrated thinking and coherent mental life
Term
cumulative liability
Definition
the combined risk for developing an illness that accumulates over multiple factors and over time
Term
delusions
Definition
false beliefs that are strongly held, even in the face of solid contradictory evidence. Such beliefs usually involve a misinterpretation of one's experiences
Term
delusional thinking
Definition
implausible and unfounded beliefs and convictions not based in reality, as often experienced by people with schizophrenia and other psychotic disorders
Term
delusions of grandeur
Definition
false and implausible beliefs that focus on the possession of special powers, divinity, or fame
Term
disease markers
Definition
objective biological or behavioural traits or features of an individual that reliably reflect the presence of a medical or psychiatric disease or a predisposition to develop such a disease
Term
diathesis
Definition
a predisposition or vulnerability for the development of an illness or disorder
Term
dopamine
Definition
a neurotransmitter associated with movement, attention, learning, and the brain's pleasure/reward system
Term
endophenotypes
Definition
a hereditary characteristic that is normally associated with some condition but is not a direct symptom of that condition
Term
eye-tracking
Definition
the measurement of movements of the eyes as they follow a point of light or waveform. Patients with schizophrenia often show jerky or irregular eye-tracking
Term
epigenetics
Definition
the study of modifications of gene expressions that are caused by mechanisms other than changes in the underlying DNA sequence
Term
effect size
Definition
a common metric used to summarize the meaning of diverse studies in a [meta-analysis]. It is calculated as the difference between the means of the experimental (that is, the treatment) group and the control group, divided by the standard deviation of either the control group or the pooled sample of both groups
Term
genetic contribution
Definition
the influence of genes on the development of a mental illness or disorder
Term
familiarity
Definition
the extent to which a disorder occurs in members of the same family, including previous generations
Term
frontal brain deficiency
Definition
the idea that the frontal brain region is damaged or dysfunctional in schizophrenia
Term
functional magnetic resonance imaging (fMRI)
Definition
a technique that allows observation of neurophysiological activity accompanying specific cognitive tasks
Term
heterogeneity
Definition
the variability and diversity of clinical and biological features seen in schizophrenia
Term
hypokrisia
Definition
in Meehl's theory, the reduced selectivity with which nerve cells respond to stimuli, especially as seen in schizophrenia
Term
hippocampus
Definition
a region of the middle part of the temporal lobe involved with memory formation
Term
insulin coma
Definition
a seizure and loss of consciousness induced by administration of insulin
Term
family therapy
Definition
a form of psychotherapy that focuses on work with families and couples in intimate relationships
Term
lunacy
Definition
a historical term for madness rooted in folk beliefs that the moon influenced mental states
Term
left temporal lobe
Definition
the brain region immediately beneath the left side of the skull and just above the ear
Term
ligands
Definition
chemical labels that identify the presence of specific types of receptors in brain tissue
Term
madness
Definition
a common term for irrational or uncontrolled behaviour as well as conditions like schizophrenia and bipolar disorder
Term
negative symptoms
Definition
features of schizophrenia that comprise behavioural deficits including loss of motivation, lack of emotional expression, and lack of interest in the environment
Term
meta-analysis
Definition
a method of quantitatively summing up previous research studies that have used different patient populations and outcome measures. The research results are combined by developing a common metric called an [effect size]
Term
neuropsychological tests
Definition
tests of cognitive and motor ability that are sensitive to damage or dysfunction in different brain regions
Term
olanzipine
Definition
an "atypical" antipsychotic medication introduced in the late 1990s
Term
prevalence
Definition
the frequency of a disorder in a population at a given point or period of time
Term
positive symptoms
Definition
abnormal additions to mental life, including the hallucinations, delusions, and disordered thought frequently experienced by schizophrenia patients
Term
psychosis
Definition
a mental state characterized by severe impairment or distortion in the experience of reality as seen in disorders like schizophrenia
Term
persecutory delusions
Definition
false and implausible beliefs that focus on being followed, chased, harassed, or threatened by other people or unseen forced
Term
referential delusions
Definition
the belief that common, meaningless occurrences have significant and personal maning
Term
penetrance
Definition
in genetics, the proportion of people with a given genetic endowment that actually express the effects of this endowment
Term
positron emission tomography (PET)
Definition
a combination of [computerized axial tomography] and [radioisotope imaging]. Radiation is generated by injected or inhaled radioisotopes. As the substance is used in brain activity, radiation is given off and detected, allowing measurement of a variety of biological activities as the processes occur in the living brain
Term
sensitivity
Definition
the accuracy or ability of a test to detect that it was designed to detect
Term
specificity
Definition
the extent to which a trait or feature occurs selectively in the target group under study as opposed to its occurrence in other groups or in the general population
Term
schizophrenogenic
Definition
the unsupported theory that cold and rejecting behaviour causes schizophrenia
Term
social drift
Definition
the tendency for people vulnerable to schizophrenia to "drift" down to lower social and economic levels
Term
schizotype
Definition
in Meehl's theory, a person with the genetic liability for [schizophrenia], but who may or may not progress to the full-blown psychotic illness
Term
thought and speech disorder
Definition
a psychotic symptom, often reported in schizophrenia, that involves disorganized and incoherent ideas and language, a kind of nonsensical "crazy talk"
Term
perseverate
Definition
to repeat mistakes or incorrect responses
Term
structural magnetic resonance imaging (MRI)
Definition
a brain scanning technique that provides detailed pictures and information on neuroanatomical structures
Term
Wisconsin Card Sorting Test
Definition
a neuropsychological test that requires sorting cards into categories based on colour, shape, or quantity depending on corrective feedback from the examiner. One of the most frequently used tests in schizophrenia research
Term
anorexia nervosa
Definition
an eating disorder characterized by the pursuit of thinness to dangerously low weight levels
Term
amenorrhea
Definition
failure to menstruate, a medical effect of [anorexia nervosa and bulimia nervosa]
Term
bulimia nervosa
Definition
an eating disorder characterized by a binge-purge syndrome in people who are generally in the normal weight range
Term
binge-eating disorder (BED)
Definition
an eating disorder characterized by the inability to stop eating
Term
binge eating/purging type
Definition
a subtype of [anorexia nervosa] in which the afflicted person's dietary restraint breaks down fairly regularly and she/he binges and/or purges. About half of anorexia nervosa patients are of the binge eating/purging type
Term
eating disorder examination (EDE)
Definition
a structured clinical interview for diagnosing eating disorders
Term
objective binge
Definition
a large amount of food (larger than most individuals would eat) is consumed in a specific time period (e.g., less than two hours)
Term
restricting type
Definition
a subtype of [anorexia nervosa] in which the afflicted person relies on a rigidly controlled, very low intake of food to maintain her low weight. About half of anorexia nervosa patients are of the restricting type
Term
Russell's sign
Definition
an indication of bulimia in which scrapes or calluses occur on the back of the hands as a result of manually induced vomiting
Term
precipitating factors
Definition
events or situations that trigger or cause a given disorder
Term
perpetuating factors
Definition
factors that serve to maintain a particular disorder
Term
purging
Definition
the engagement of compensatory behaviour intended to under calories that have been consumed (e.g. vomiting, misuse of laxatives)
Term
attachment theory
Definition
a development of the psychoanalytic approach by John Bowlby. According to this view, children form attachments with their parents that become the child's internalized model for all subsequent relationships. Difficulties in such attachments form the basis for later problems
Term
anxious ambivalent attachment
Definition
the interpersonal style of persons who strongly desire intimacy with others and persistently seek our romantic partners, but who, once they begin to get close to their partner, become anxious and back away; while they desire closeness, they appear to be afraid of it. People are considered to have developed these difficulties as a result of poor parent-child attachments that fail to instill the self-confidence and skills necessary for intimacy. Because this relationship style characterizes [borderline personality disorder (BPD)] patients, the features of borderline disorder may be seen as attempts to adjust to a desire for but distrust of intimacy
Term
clusters
Definition
groups of personality disorders. DSM-4-TR lists 10 personality disorders in three clusters: (A) odd and eccentric disorders; (B) dramatic, emotional, or erratic disorders; and (C) anxious and fearful disorders
Term
cognitive restructuring
Definition
a technique used by cognitive-behavioural therapists to encourage clients to become aware of, and to question, their assumptions, expectations, attributions, and automatic thoughts
Term
egosyntonic
Definition
lack of emotional responsiveness to events or situations that would normally elicit a strong negative emotional response such as heightened anxiety or depression
Term
egodystonic
Definition
thoughts and behaviours that do not coincide with one's self-image (ego)
Term
eccentricity
Definition
generally describes behaviour that deviates from the norm and would be considered odd or whimsical
Term
emotional responsiveness
Definition
reflecting a range of appropriate and contextual emotions to different situations and individuals
Term
dialectical behaviour therapy
Definition
one of the cognitive-behavioural approaches to treatment of [borderline personality disorder (BPD)], one of whose main features is the acceptance by the therapist of the patient's demanding and manipulative behaviours. In addition, several standard behavioural procedures are used, such as exposure treatment for the external and internal cues that evoke distress, skills training, contingency management, and cognitive restructuring
Term
fearlessness hypothesis
Definition
a theory that suggests that [psychopaths] have a higher threshold for feeling fear than other people. Events that make most people anxious (such as the expectation of being punished) seem to have little or no effect on psychopaths.
Term
instability
Definition
in the context of personality disorders, describes an individual who has maladaptive interpersonal relationships and decisions and is generally unable to effectively regulate emotions or behaviour
Term
oppositional behaviour
Definition
deliberate disregarding the expectations of others, even when it means certain punishment, and even because of it
Term
personality disorders
Definition
personality styles that are characterized by inflexible and pervasive behavioural patterns, often cause serious personal and social difficulties, and impair general functioning
Term
prevalence
Definition
the frequency of a disorder in a population at a given point or period of time
Term
psychopaths
Definition
people who are considered to be predisposed via temperament to antisocial behaviour and whose primary characteristics include callousness and grandiosity combined with a history of poor self-regulation
Term
polythetic
Definition
an individual may be diagnosed with only a certain subset of symptoms without having to meet all criteria
Term
suspiciousness
Definition
a generalized distrustful view of others and their motivations, but not sufficiently pathological to warrant a clinical diagnosis of paranoia
Term
sociopaths
Definition
people who are considered to have normal temperament but who are weakly socialized because of environmental failures, including poor parenting, antisocial peers, and disorganized home and school experiences
Term
odd and eccentric disorders
Definition
a group of personality disorders including paranoid, schizoid, and schizotypal
Term
dramatic, emotional, or erratic disorders
Definition
a group of personality disorders including antisocial, borderline, histrionic, and narcissistic
Term
anxious and fearful disorders
Definition
a group of personality disorders including avoidant, dependent, and obsessive-compulsive
Term
alcohol dehydrogenase
Definition
an enzyme that helps break down alcohol in the stomach. Women have significantly less of this enzyme than men
Term
alcohol expectancy theory
Definition
a theory that proposes drinking behaviour is largely determined by the reinforcement that an individual expects to receive from it. Most of the subjective experiences actually felt are a function of expectation and attitude and not an effect of the alcohol
Term
agonist drug
Definition
a neurotransmitter that facilitates the inhibitory action of the neurotransmitter GABA at its receptors. Used as a pharmacological agent for the treatment of alcohol dependence
Term
antagonist drug
Definition
a neurotransmitter that inhibits the production of acetylcholine, a bodily substance that mediates the transmission of nerve impulses within the brain. Used as a pharmacological agent
Term
Antabuse
Definition
Disulfiram, a drug that is used to make the experience of drinking extremely aversive. It blocks the action of the metabolizing enzyme acetaldehyde dehydrogenase, resulting in a build-up of acetaldehyde in the body. Like people who naturally lack this enzyme, people who drink alcohol after taking Antabuse experience increased heart rate, nausea, vomiting, and other unpleasant effects
Term
abstinence syndrome
Definition
a reaction that many individuals experience during treatment for barbiturate (sedative) abuse
Term
amotivational syndrome
Definition
a continuing pattern of apathy, profound self-absorption, detachment from friends and family, and abandonment of career and educational goals evident in some long-term users of [cannabis]
Term
behavioural disinhibition
Definition
a personality trait describing an inability to inhibit behavioural impulses, rebelliousness, aggressiveness, and risk-taking that are associated with the development of alcohol problems
Term
behavioural tolerance
Definition
through the principles of classical conditioning, cues in the environment can become conditioned stimuli to the effects of drug use. The cues cause the individual to anticipate the drug effects so that when the drug is actually administered the effects are diminished. Tolerance is greatest when the conditioned environmental cues are present
Term
brief intervention
Definition
one- to three-session treatments, offering time-limited and specific advice regarding the need to reduce or eliminate alcohol and other drug consumption or gambling behaviour
Term
depressants
Definition
drugs that inhibit neurotransmitter activity in the central nervous system. Examples are alcohol, barbiturates ("downers"), and benzodiazepines
Term
ethyl alcohol
Definition
the effective chemical compound in alcoholic beverages, which reduces anxiety and inhibitions, produces euphoria, and creates a sense of well-being
Term
endogenous opiates
Definition
the body's natural painkillers. [Opioids] mimic their effects
Term
exogenous opiates
Definition
Narcotics, which bind to receptor sites throughout the body, including the brain, spinal cord, and bloodstream, and reduce the body's production of [endogenous opiates]
Term
low-risk drinking guidelines
Definition
a research-based definition of the upper limits on drinking that is not likely to lead to physical impairment in people in general
Term
pharmalogical dependence
Definition
the indicators are tolerance and withdrawal
Term
Korsakoff's psychosis
Definition
a chronic disease related to alcohol dependence characterized by impaired memory and a loss of contact with reality
Term
negative emotionality
Definition
a personality trait describing the tendency to experience psychological distress, anxiety, and depression that is associated with the development of alcohol problems
Term
Minnesota model
Definition
a residential treatment for alcohol dependence advocating a 12-step Alcoholics Anonymous philosophy and viewing alcoholism as a disease
Term
motivational interviewing
Definition
a therapeutic approach that is client-centered and helps to engage intrinsic motivation for changing behaviour by creating discrepancy and exploring and resolving ambivalence within the client
Term
opioids
Definition
also known as [narcotics]. A class of central nervous system [depressants] whose main effects are the reduction of pain and sleep inducement. Opium, the alkaloid from which opioids are derived, comes from the seeds of the opium poppy, which is indigenous to Asia and the Middle East
Term
methadone
Definition
a heroin replacement used to treat heroin addicts, often to reduce the craving after initial withdrawal symptoms have abated. Methadone therapy appears to work best in conjunction with good individual and group psychological intervention programs, as well as ongoing peer support
Term
social impairment
Definition
a failure to fulfill major role obligations at work, home, or school
Term
amphetamines
Definition
drugs that have effects on the body similar to those of the naturally occurring hormone adrenaline. Originally developed as a nasal decongestant and asthma treatment in the 1930s. In addition to shrinking mucous membranes and constricting blood vessels, they increase alertness and concentration. Chronic amphetamine use is associated with feelings of fatigue and sadness, as well as periods of social withdrawal and intense anger
Term
tension-reduction
Definition
a hypothesis which suggests that drinking is reinforced by its ability to reduce tension, anxiety, anger, depression, and other unpleasant emotions
Term
toxic psychosis
Definition
hallucinations, delirium, and paranoia caused by repeated high doses of [amphetamines]
Term
acquired sexual dysfunction
Definition
any sexual dysfunction that the sufferer has not always experienced
Term
courtship disorder theory
Definition
a theory of sexual offending advanced by Kurt Freund that holds it is produced when a person's sexual behaviour becomes fixated at one of the four phases of human sexual interactions: (1) looking for and appraising a potential partner; (2) posturing and displaying oneself to the partner; (3) tactile interaction with the partner; and (4) sexual intercourse. Fixation at stage 1 results in [voyeurism]; at stage 2 [exhibitionism]; at stage 3 [frotteurism]; and at stage 4 [biastophilia]
Term
egodystonic homosexuality
Definition
a type of [gender identity disorder (GID)] in which the afflicted person is attracted to people of the same sex, but experiences conflict with his or her sexual orientation or wishes to change it
Term
delayed ejaculation
Definition
characterized by not being able to ejaculate after extended amounts of effort, or also requiring an extended amount of time to finally ejaculate
Term
dyspareunia
Definition
painful coitus
Term
generalized sexual dysfunctions
Definition
any sexual dysfunction that is apparent with all the sufferer's sexual partners and even during solitary sexual activity
Term
female sexual interest/ arousal disorder
Definition
a sexual dysfunction characterized by a woman's persistent or recurrent inability to attain or maintain arousal until completion of her sexual activity, and the presence of marked distress or difficulty
Term
female orgasmic disorder
Definition
a sexual dysfunction characterized by a woman's persistent or recurrent inability to attain or maintain arousal until completion of her sexual activity, and the presence of marked distress or difficulty
Term
genito-pelvic pain/ penetration disorder
Definition
persistent or recurrent difficulties with one or more of the following: vaginal penetration during intercourse; marked vulvovaginal or pelvic pain during vaginal intercourse or penetration attempts; marked fear or anxiety about vulvovaginal or pelvic pain in anticipation of, during, or as a result of vaginal penetration; and marked tensing or tightening of the pelvic floor muscles during attempted vaginal penetration
Term
hypersexuality
Definition
excessive interest or involvement in sexual activity at levels high enough to become clinically significant
Term
hermaphroditism
Definition
a condition in which a person's reproductive structures are partly female and partly male
Term
hypooxyphilia
Definition
the practice of heightening the sexual experience by deliberately inducing unconsciousness in oneself by oxygen deprivation, produced by chest compression, strangulation, enclosing the head in a plastic bag, or various other techniques. Also known as autoerotic asphyxia and asphyxiophilia
Term
frotteuristic disorder
Definition
a form of [paraphilic disorder] that is also a criminal offense, in which a person touches or rubs against a nonconsenting person for the purpose of sexual pleasure
Term
lifelong sexual dysfunction
Definition
any sexual dysfunction that the sufferer has always experienced
Term
intracavernous treatment
Definition
medication injected directly into tissue or taken as a suppository
Term
male hypoactive sexual desire disorder
Definition
a sexual dysfunction characterized by persistent or recurrent deficiency of sexual fantasies and desire for sex, causing marked distress or interpersonal difficulty
Term
prolactin
Definition
a hormone involved in sexual activity and desire, variations in the level of which can lower or increase sex drive
Term
paraphilia
Definition
a redirection of sexual desires toward what is generally considered to be an inappropriate object, or person, or behaviour
Term
pedophilic disorder
Definition
a form of [paraphilic disorder] that is illegal--pre-pubescent children attraction
Term
sexual response cycle
Definition
the sequence of changes that occur in the body with increased sexual arousal, orgasm, and the return to the unaroused state, noted by William Masters and Virginia Johnson
Term
sensate focus
Definition
the final component in sex therapy programs, essentially a form of desensitization applied to sexual fears
Term
gender dysphoria
Definition
discomfort with one's biologically endowed sex
Term
gender identity
Definition
one of the three aspects of the development of gender, referring to a person's basic sense of self as male or female, the first signs of which appear between 18 and 36 months of age
Term
gender role
Definition
one of the three aspects of the development of gender, referring to the collection of those characteristics that a society defines as masculine or feminine. Because roles related to social standards, ideas about gender role changes over time and from culture to culture
Term
biastophilia
Definition
getting turned on to the idea of raping someone
Term
situational sexual dysfunctions
Definition
any sexual dysfunction that is apparent only with a certain sexual partner of the sufferer
Term
transvestite
Definition
a person who wears the clothing associated with the opposite sex--in order to produce or enhance sexual excitement
Term
vaginismus
Definition
a sexual dysfunction characterized by persistent involuntary contraction of the muscles in the outer third of the vagina upon attempts at penetration by the penis, preventing it from entering
Term
voyeuristic disorder
Definition
a form of [paraphilic disorder] that is also a criminal offense, in which a person secretly looks at naked people
Term
amniocentesis
Definition
a procedure for prenatal screening or chromosomal abnormalities conducted between the eleventh and eighteenth weeks of pregnancy. With the assistance of an ultrasound, a needle is inserted into the amniotic sac via the abdomen and a small amount of amniotic fluid withdrawn. Cells contained in the fluid are then cultured in the lab
Term
Asperger disorder
Definition
a developmental disorder similar to autism but associated with fewer symptoms, higher functioning, and higher IQ. It is not known whether "core autism" (the full range and severity of symptoms) and Asperger disorder represent points on a continuum of severity, or whether they are related but different disorders
Term
autism
Definition
the best known of the [pervasive developmental disorders]. Autistic children exhibit a lack of social responsiveness or extreme autistic aloneness; very limited or unusual communication patterns; unusual patterns of behaviour such as a lack of eye contact; self-stimulation including rocking, spinning, or flapping; self-injury including head-banging or hand-biting; an obsessive interest in particular objects; and an obsessive need for sameness
Term
behavioural phenotype
Definition
characteristic patterns of motor, cognitive, linguistic, and social abnormalities commonly displayed by individuals with certain genetic disorders
Term
chorionic villus sampling (CVS)
Definition
a procedure for prenatal screening for chromosomal abnormalities that involves obtaining cells from the vagina and cervix. This test can be carried out earlier than amniocentesis--between the eight and twelfth weeks of pregnancy--but may be less accurate
Term
Down syndrome
Definition
the best-known chromosomal abnormality associated with intellectual disability
Term
diagnostic overshadowing
Definition
the problem of attributing emotional and behavioural difficulties of people with intellectual disability to the developmental disorder, causing real psychiatric disorders to be missed. The fact is that such people can develop all types of psychiatric disorders, including less common ones
Term
dual diagnosis
Definition
the co-occurrence of serious behavioural or psychiatric disorders in people with developmental disabilities
Term
dyscalculia
Definition
a learning disorder that involves problems with recognizing and understanding numerical symbols, sequencing problems, and attention deficits. Also known as mathematical disorder
Term
fetal alcohol effects (FAE)
Definition
defects shown by children who display some of the symptoms of [FAS] but fail to meet full diagnostic criteria
Term
echolalia
Definition
one of the common characteristics of speech in autistic children, in which the child repeats another person's words or phrases, using the same or similar intonation
Term
facilitated communication (FC)
Definition
an alternative approach to teaching people with severe communication impairment, such as low-functioning children with autism. In FC, subjects pointed to pictures, letters, or objects while on a facilitator provided various types of support to the hand or forearm, on the theory that physical support could overcome neuromotor problems. However, concerns were soon raised about the "Ouija board effect"
Term
intellectual disability
Definition
significant limitations in intellectual functioning (i.e. IQ < 70; below the 2nd percentile) and adaptive behaviour, including communication, social, and community skills (i.e., below the 2nd percentile). The disability occurs before the age of 18
Term
learning disorders
Definition
a group of developmental disorders that include reading disorders, mathematics disorders, and disorders of written expression. Communication disorders and problems related to poor motor skills may also be included. Frequently referred to as learning disabilities
Term
mosaicism
Definition
a cause of [Down syndrome] in which cell division occurs unevenly, so that some cells have 45 chromosomes and some have 47. People with mosaic Down syndrome may have fewer physical characteristics, better speech, and higher intellectual functioning, depending upon the numbers of cells affected
Term
nonverbal learning disability (NLD)
Definition
a term used to reflect a cognitive and behavioural profile characterized by impairments in visual-spatial skills, motor skills, and social skills, with strengths in language abilities and reading
Term
pervasive developmental disorders
Definition
developmental disorders whose manifestations are more profound than either intellectual disability or learning disorders. [Autism] is the best-known pervasive developmental disorder; others are Asperger disorder, Rett syndrome, and child disintegrative disorder
Term
quality of life
Definition
a recognized desirable goal in the field of developmental disabilities, about which there is a great deal of disagreement. What constitutes quality of life and how can it be measured? A number of different approaches have been taken. For example, the Quality of Life Interview Schedule (QUOLIS), designed specifically to address the needs of adults with severe and profound disabilities, involves interviews with two informants who know an individual well in different contexts, and quality of life is measured under 12 domains, such as health services and housing and safety. A second approach is reflected in the Quality of Life Project, a conceptual framework that includes three major components of quality of life, each divided into subcomponents
Term
pronoun reversal
Definition
one of the common characteristics of speech in autistic children, in which the child often refers to him- or herself in the third person, perhaps because of trouble shifting reference between speaker and listener or a third party
Term
phonological processing
Definition
an auditory processing skill that involves detecting and discriminating differences in speech sounds under conditions of little or no distraction or distortion
Term
stereotypy
Definition
the repetition of meaningless gestures or movements. One of the manifestations of a developmental disorder
Term
trisomy 21
Definition
the most common type of [Down syndrome], in which there is an extra chromosome on pair 21 of the 23 pairs of chromosomes in the human cell
Term
translocation
Definition
a cause of [Down syndrome] in which part of the 21st chromosome of the human cell breaks off and attaches to another. Individuals with Down syndrome due to translocation have all of the features found in trisomy 21
Term
thalidomide
Definition
a drug prescribed for nausea in the 1950s and 1960s by European ph
Term
savants
Definition
mentally deficient persons who nevertheless display islets of exceptional ability in areas such as mathematics, music, or art, or unusual feats of memory. A small proportion of those persons with [autism] who do not fall within the normal range of intelligence are savants
Term
attention deficit/hyperactivity disorder (ADHD)
Definition
a childhood disorder characterized by disruptive behaviour, an inability to control activity levels or impulses, or difficulty concentrating
Term
assortative mating
Definition
when individuals tend to mate who people who are like themselves in some respect
Term
behavioural inhibition
Definition
a temperament in early childhood that may be related to anxiety disorders later in life, characterized by profound avoidance of others in preschool, and atypical autonomic nervous system responses to novelty
Term
conduct disorder (CD)
Definition
a disorder of children who show a pattern of violating the rights of others and major age-appropriate societal norms or rules in a variety of settings
Term
externalizing problems
Definition
a type of disruptive behaviour disorder under the DSM-4 classification exhibited by children who behave disruptively, cannot control their activity levels or impulses, or have difficulty concentrating. These behaviours are usually more disturbing to others than to the children themselves
Term
gene-environment interactions
Definition
a term used to describe the phenotypic effects (i.e. observable characteristics) that are due to interactions between the environment and genes
Term
homotypic continuity
Definition
an underlying (developmental) process or impairment may change, but the way it is manifested stays the same (e.g. the prediction of a disorder by the same disorder)
Term
heterotypic continuity
Definition
an underlying (developmental) process or impairment that stays the same, but how it is manifested may be different (e.g. prediction of a disorder by another disorder); in [homotypic continuity], by contrast, the manifestations stay the same, but the underlying process changes
Term
homotypic comorbidity
Definition
a disorder that is comorbid with another disorder in the same class of disorders (e.g. ODD and CD)
Term
heterotypic comorbidity
Definition
a disorder that is comorbid with another disorder in a different class of disorders (e.g. ODD and GAD)
Term
internalizing problems
Definition
problems such as anxiety, depression, shyness, social withdrawal, and somatic complaints that are problematic for the individual who experience them but pose few problems for the social partners surrounding that person
Term
methylphenidate (Ritalin)
Definition
the most frequently prescribed stimulant medication for children with ADHD
Term
mood stabilizers
Definition
psychotropic medication used to treat mood disorders characterized by extreme and sustained mood shifts. These medications tend to stabilize one's mood state
Term
neuroleptics
Definition
antipsychotic medication
Term
coercive process
Definition
a process in relationships in which aversive reactions are used to control the behaviour of another individual
Term
oppositional defiant disorder (ODD)
Definition
a disorder of children who, more frequently than usual, refuse to follow instructions, argue apparently just for the sake of arguing, and show hostility toward parents and teachers
Term
separation anxiety disorder (SAD)
Definition
a children's disorder characterized by severe and excessive anxiety, even panic, at the prospect of separation from parents or others to whom the child is emotionally attached
Term
selective mutism
Definition
a social anxiety disorder in which a person normally capable of speech is unable to speak in given situations, or to specific individuals
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