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Abnormal Psychology
midterm 1: chapters 1-3
74
Psychology
Undergraduate 3
02/12/2013

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Term
How is phobia different than fear?
Definition
phobia is debilitating and interferes with life in a negative way
Term
Definition "psychological dysfunction". Include the 4 components of the definition.
Definition
-A psychological dysfunction within an individual associated with distress or impairment in functioning and a response that is not typical or culturally expected

• Dysfunction: breakdown in cognitive, emotional, or behavioral functioning
o Cognitive: hallucinations, mind goes blank
o Emotional: unable to regulate emotions
o Behavioral: inability to complete everyday tasks

• Distress: when an individual is extremely upset

• Impairment: difficulty performing appropriate and expected roles
o Examples: going to school, day to day activities

• Atypical or Unexpected Cultural response: reaction is outside social and cultural norms
o Example: in some cultures going into a trance can be considered normal
o Example: different behavior may be expected in jail, different urban setting may require different behaviour in order to survive
o Example: “Rhoda” from the Masai culture: Rhoda commented that although the Masai hear voices in certain ceremonies, her friend was hearing voices “at the wrong time
Term
• DSM contains diagnostic criteria for behaviors that
o Fit a _____
o Cause dysfunction or subjective ____
o Are present for a specified _____
o And for behaviors that are not _____
Definition
pattern
distress
duration
otherwise explainable
Term
Describe the Supernatural tradition of explaining abnormal behaviour
Definition
o Deviant behaviour “good” vs. “evil” is caused by demonic possession, witchcraft, sorcery, and treatments were exorcism, torture, beatings, “surgeries”
o Movement of the moon and stars as a cause of deviant behaviour: Paracelsus and lunacy
o Vs. stress and melancholy: role of emotions, depression, anxiety
Term
Describe the biological tradition of explaining abnormal behaviour
Definition
o Hippocrates: abnormal behaviour as a physical disease
o Galen extends Hippocrates work: humoral theory of mental illness, treatments remained crude: blood-letting, leeches, changing temperature of the room
o Galenic-Hippocratic tradition: foreshadowed modern views linking abnormality with brain chemical imbalances
Term
What was the role of syphilis is explaining abnormal behaviour?
Definition
Led to idea that mental illness as stemming from infection or physical illness
View: mental illness = physical illness
The 1930s: biological treatments were standard practice (e.g. insulin shock therapy, lobotomy, medications)
Term
Plato and Aristotle (philosophers) emphasized ____
Definition
the role of the social context
Term
describe the Rise of moral therapy
Definition
• Institutionalized patients as normal, emphasis placed on social interaction
• Improved conditions in European hospitals “asylums”

o Moral therapy as a system: Philippe Pinel guided in part by former patient Jean-Baptiste Pussin
• Dorthea Dix and the mental hygiene movement
o Clarence Hincks: documented many issues in asylums in Canada, then replaced by “custodial care”
• Too many patients with not enough staff
• Belief that brain pathology responsible for psychopathology
Term
What aspects of psychoanalytic theory are still relevant
Definition
The aspects of unconscious mental processes and coping styles are still currently relevant
Term
What is Humanistic Theory?
Definition
o Theme: people are basically good, and humans strive towards self-actualization
o Treatment: therapist conveys empathy and unconditional positive regard, and intervenes minimally
o Carl Rogers: person-centered therapy
Term
The Behavioral Model was derived from a _____ approach to the study of psychopathology. Two forms of learning were discovered:
Definition
scientific
classical conditioning and operant conditioning
Term
Behaviour therapy began with ______. Describe the work of early pioneers:
Definition
Reactionary movement against psychoanalysis and non-scientific approaches

• Joseph Wolpe: systematic desensitization
• Aaron Beck: cognitive therapy
• Albert Bandura: social learning or cognitive behaviour therapy
• Stanly Rachman (UBC) a founder of behaviour therapy approach
o A time-limited and direct (not secretive, very open about what is going on) approach
Term
The integrative approach considers reciprocal relations between: _________ (3).
Definition
biological, social, and experiential factors
Term
What is the multidimensional model?
Definition
-Abnormal behaviour results from multiple influences – factors cannot be considered in isolation
-Any one part of the system affects all other parts of the system
Term
Quantitative genetics:
Definition
looking for patterns of influence across many genes
Term
DNA microarrays:
Definition
analyzing thousands of genes at once
Term
-Epigenetics: Environmental factors can influence which genes are _______, or by how much (influences by social context, nutrition, stress, etc.)
-Controlled by _____ and _____
-_____ throughout lifetime
Definition
-expressed
-methyl groups and histones
-Changes
Term
For psychological disorders: genetic make some contribution to all disorders, but account for _____ the explanation
Definition
less than 50%
Term
_____ study people with the same unknown trait (e.g. bipolar disorder) and the same known trait (e.g. eye color)
Definition
Linkage studies
Term
describe The Interaction of Genetic and Environmental Effects
Definition
The brain and its functions are plastic, and change at the level of genetic structure in response to the environment
Term
What is The diathesis-stress model?
Definition
-Individuals inherit (from multiple genes) the tendency to express certain traits or behaviors which are activated under conditions of stress
-Diathesis: inherited tendency, or vulnerability
-The diathesis is genetic and the stress is environmental, but they must react in order to produce a disorder
Term
According to the diathesis-stress model, the ____ the vulnerability, the ___ the life stress required to produce the disorder
Definition
smaller
greater
Term
What is the diathesis?

Example: someone may inherit the tendency to faint at the sight of blood, the stress of seeing the blood under an inescapable condition caused him to faint
Definition
inherit the tendency to faint at the sight of blood
Term
Describe the Caspi study example of the diathesis-stress model
Definition
-people with two copies of the short allele (SS) implicated in transporting serotonin were twice as likely to have a major depressive episode than those with two copies of the long allele (LL)
-SS who had mistreatment during childhood doubled their risk of major depressive episode, this was not found for LL
-Example: SS were more likely to develop PTSD after a hurricane than LL, this was not found when SS has a strong support network of family and friends
Term
What is the reciprocal gene-environment model
Definition
People may have a genetic tendency to create an environmental risk factor that triggers a genetic vulnerability
Term
What is the point of this Example?

Mice with gene types A, B, C raised in almost identical environments at separate universities still performed differently on tests?
Definition
Even subtle changes in the environment can overrule the influence of genes
Term
What is the structure of a neuron?
Definition
Neurons: cell body (soma), dendrites (receive messages), axon (trunk), axon terminal (sends messages), synapses (gap)
Term
MEDULLAS
Definition
HEART RATE, BLOOD PRESSURE, RESPIRATION
Term
pons
Definition
regulates sleep stages
Term
cerebellum
Definition
physical coordination
Term
relay center
Definition
Thalamus & Hypothalamus
Term
What part of the brain are these?


• Coordinating movement and sensory input
• Reticular activating system (RAS)
• Thalamus & Hypothalamus: relay center
Definition
Midbrain
Term
the largest part (contains 80% of neurons in CNS): Most sensory, emotional, and cognitive processing
Definition
cerebral cortex
Term
connects left and right hemispheres
Definition
Corpus callosum
Term
Limbic system is part of the _____?
Definition
Forebrain
Term
_____ nervous system: voluntary muscles and movement
Definition
Somatic
Term
_____ nervous system: regulates cardiovascular system, body temperature, endocrine system, digestion
Definition
Autonomic
Term
These are part of the ________.

Sympathetic (gas pedal): ______
Parasympathetic (brakes): ______
Definition
-Autonomic nervous system
-increases arousal
-relaxes
Term
What is the Hypothalamic-Pituitary-Adrenocortical Axis (HPA axis)?
Definition
-Integration of endocrine & nervous system function
-Releases cortisol in a stress response (bad for your body over time)
Term
Changes in _______ may activity may increase or decrease the likelihood of exhibiting a behaviour in a certain situation
Definition
neurotransmitters
Term
What is the difference between agonists and antagonists?
Definition
-Agonists: increase the activity of a neurotransmitter (they may act like the NT or block reuptake into the neuron)
-Antagonists: decrease the activity of a neurotransmitter
Term
_____ are drugs that produce opposite effects than an agonist
Definition
Inverse agonists
Term
____ is an inhibitory neurotransmitter, reduces anxiety and likely overall arousal.
benzodiazepines calm us and relax muscles by blocking it
Definition
GABA
Term
serotonin Influences and regulates ______ (3).
Definition
information processing, behaviour, and moods
Term
Low levels of _____ associated with instability, impulsivity, and overreacting (but this depends on what receptor it is binding to)
Definition
serotonin
Term
Why would we expect those with OCD have increased activity in the orbital surface, cingulate gyrus, and caudate nucleus?
Definition
-these contain serotonin pathways
-Serotonin is related to regulation of reactions, so increased activity here is related to inability to stop irrelevant thoughts
Term
-CBT causes _____ changes in the case of depression by changing changes in thinking patterns which in turn caused changes in the emotional brain
-drugs work in a _____ way, reaching areas of the brain where thinking occurs last
Definition
top-down, bottom-up
Term
monkey who grew up without a sense of control reacted ______ to an anxiety inducing drugs, whereas those with control acted ______. What does this demonstrate?
Definition
with panic, aggressively

Interactions of psychosocial factors with brain structure and function
Term
Learned helplessness
Definition
in a situation where your response does not effect an outcome, you will learn to stop responding
Term
Describe the Social learning Example: Bobo dolls video example.
-including the 3 steps for social learning
Definition
-children aged 3 to 5 who watched an adult beat up a Bobo doll ALL beat up the Bobo doll as well
-children who saw an adult rewarded for beating up the doll were significantly more likely to beat up the doll
-steps for social learning: attention, retention, reproduction
Term
______ refers too unobservable unconscious processes
Definition
Implicit cognition
Term
Define CBT. What are 2 components of it?
Definition
-CBT: Bringing awareness to thinking and automatic thoughts in order to modify it
-Cognitive: clarifying and modifying attributions and attitudes
-Behavioural: avoiding provoking situations

-Rational-emotive therapy: focusing on irrational beliefs
-Self-instructional training: modifying what patients say about the consequences of their behaviour
Term
What are the physiological responses to fear?
Definition
o Blood vessels constrict to move blood where it is needed most
o Breathing becomes slower and deeper to better provide oxygen
o Glucose is released from the liver into the bloodstream to energize
Term
____ persistent period of emotionality
____ momentary emotional tone accompanying our actions
Definition
mood
affect
Term
Suppressing an emotional response leased to increased ______, which may contribute to psychopathology
Definition
sympathetic activity
Term
Give 3 examples of Exaggerated fear responses are seen in certain cultures
Definition
Example: sustro in Latin America: insomnia, irritability, phobias, sweating, increased heart rate due to witchcraft
Example: the evil eye can cause a fatal fright disorder
Example: Haitian phenomenon of voodoo death: when sentenced to death by a medicine man, the person experiences intolerable autonomic arousal
Term
Interpersonal psychotherapy (IPT)
Definition
o Emphasis on resolution of interpersonal problems and stressors
o Interpersonal role dispute, death of a loved one, acquiring a new relationship, identifying deficits in social skills
Term
what is the the principle of Equifinality?
Definition
we must consider many paths to a given outcome
Term
_____: does the item look like the questions are relevant
Definition
Face validity
Term
_____: does the measure not relate to constructs it should not be related to
Definition
Discriminant validity
Term
what are the 5 categories of a Mental status exam?
Definition
-Appearance and behaviour: overt appearance and behaviours
-Example: twitching, odor from lack of self-care, dressed in shorts during the winter
-Thought processes: speed, connection of ideas, content, delusions, hallucinations
-Mood and affect: extreme moods, appropriateness of mood
-Intellectual functioning: reasonable vocabulary, ability to use metaphors and abstracts, reasonable memory
-Sensorium: general awareness of surroundings (e.g. name, date and time = oriented times three)
Term
_____: using direct observation to formally or informally assess behaviour and observe any patterns
Definition
Behaviour assessment
Term
_____ May be useful for individuals who cannot self-report (children, non-verbal, too embarrassed, under or over estimates of behaviour)
Definition
Behaviour assessment
Term
May need to set up an “_____” or contrived situation to provoke behaviour and observe the antecedent and/or consequence
Definition
analogue
Term
When you use direct observation, there may be _____
Definition
reactivity
Term
These are examples of _____.

o Bender visual-motor gestalt test: children must copy lines
o Luri-Nebraska
o Halstead-Reitan Batteries
Definition
Neuropsychological testing
Term
Neuropsychological testing is Very time-consuming and expensive, so not likely to used unless _____.
Definition
brain damage is suspected
Term
_____ and _____ locate abnormalities in the structure of the brain
_____ and _____ show activity in areas of the brain
Definition
CT and MRI scans, PET and fMRI scans
Term
What are 3 approaches to classification?
Definition
o Classical approach: Very strict categories
o Dimensional approach: classification along dimensions
o Prototypical approach: combines other views, defines essential features of a disorder, but includes other related criteria
Term
What is the purpose of the DSM?
Definition
to aid communication, evaluate prognosis, need for treatment, treatment planning
Term
Diagnosis before 1980 Relied upon _____ and were _____
Definition
unproven theories, unreliable
Term
DSM-III and DSM-III-R
-Atheorhetical, emphasized _____
- _____ system with detailed criteria
-Problems included ______
Definition
-clinical description
-Multiaxial
-low reliability, reliance on committee consensus (vs. scientific evidence)
Term
Describe the DSM IV and DSM-IV-TR
Definition
o 5 axes describing full clinical presentation (person and environment)
o clear inclusion and exclusion criteria for disorders, including duration
o disorders are categorized under broad headings
o empirical approach grounded in research
Term
Unresolved issues of the DSM IV and DSM-IV-TR
Definition
• Optimal thresholds: Level of distress, impairment, number of symptoms
• Somewhat arbitrary time periods used
• Other axes to be included
• Optimal for designing treatment: High comorbidity, Comorbidity threatens validity of separate diagnoses
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