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Is statistical infrequency a good or bad way of determining abnormality?
And why? -
It is a bad way of determining abnormality
Because if someone is above average at for example a memory test, they would be considered crazy -
Abnormal behaviour is defined by how many points?
What are those points? -
Abnormal behaviour is defined by 5 points
1. Statistical infrequency
2. Violation of norms
3. Personal distress
4. Disability or dysfunction
5. Unexpectedness - -Violation of norms
- Behaviour that violates unwritten rules of what is accepted by the general public (i.e. homosexuality)
- -Statistical infrequency
- If the behaviour is infrequent in the majority of a population
- Personal distress
- If the behaviour gives you a feeling of uneasiness and you don't want to be doing it
- Disablity or dysfunction
- If a behaviour interferes with your life and makes you unable to do something physically (i.e. work, sleep)
- Unexpectedness
- A behaviour we don't expect
- What type of doctor assesses objectively?
- A psychologist
- Demonology
- The doctrine that devils or spirits can be inside the brain controlling your thoughts and actions
- Exorcism
- Torturing the person who is thought to have spirits by making their body feel uncomfortable by doing terrible things to it
- Trepanning
- Putting a hole in the skull to release the demons or devils in demonology
- What was the first test of demonology?
- Testing whether someone was a witch or not
- How did they test whether someone was a witch?
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They put the person on a teetertotter and put them in water.
If they survived, they were a witch.
If they didn't survive, they're dead.
So it wasn't a good test. -
Franz Gall was the originator of ___________?
He _________ and _________ to find out that? -
-Originator of phrenology
- He observed and listened to find out that different parts of the brain had different functions - Phrenology is related to?
- fMRI
- Patients with psychological disorders were kept in _______ and were called?
- - Were kept in asylums and were called names like insane, idiots, lunatics
- Patients who were kept in asylums were treated ______ and people ______________________?
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- Patients in asylums were treated badly
-People who came to see them were charged admission like a circus - Who was tan?
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- He was a patient of Paul Broca who could only say the word tan
- He could understand what people where saying but he couldn't communicate - tan had what was called _________________?
- Tan had Broca's aphasia
- What is Broca's area?
- The left inferior frontal lobe
- The left inferior frontal lobe (Broca's area) is the area of ________________________?
- The area of the faculty of speech production
- What did Paul Broca used to do?
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- He followed patients to their death and took their brain's to examine them
- That is how he discovered Broca's area - What is Wernicke's aphasia?
- - When people can communicate well, but can't take instructions
- What is Wernicke's area?
- - The inferior left temporal lobe.
- John Harlow studied _________ _______ in ________ _____?
- John Harlow studied executive disorder in Phineas Gage.
- Who was Phineas Gage and what was his story?
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- He was a worker for a rail company
- He was fixing a track and it exploded the bar went through his head and damaged his frontal lobe
- He was a good worker before, but he then became foul and illmannered -
The inability to draw a clock and visual neglect (i.e. eating only one side of the plate) was caused by?
- It was common in what population? -
- Damage to the right parietal lobe
- Common in people who came back from the war - Thanks to psychopharmacology, patients were _____________ and drugs can be used to?
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- Thanks to psychopharmacology many patients were deinstitutionalized
- Drugs can be used to regulate people's disorders - Biological assessments for disorders do ____________ because?
- - Biological assessments for disorders do not help everyone because they are incomplete
- What was Aaron Beck important for?
- - He was important for discovering that people's constructs and schemas about themselves can give rise to disorders
- Paradigm
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- Conceptual framework or approach within which a scientist works
- The field or speciality that the scientist works in
- How can paradigms create bias?
- - The psychologist might want to perform a treatment on a patient based on what they are into (their paradigm how they think) instead of what treatment the patient should really get
- Comorbidity
- The co-occurrence of two disorders
- Difference between genotype and phenotype
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Genotype is an unobservable totality of genes we have at birth that can be turned on and off to give us disorders (i.e. huntingtons)
Phenotype is the totality of observable behavioural characteristics that we can measure. It's a mixture of genes and environment. (i.e. anxiety) - If a person with schizophrenia has a twin, what are the chances their twin will get it?
- 50%
- If someone has a parent with schizophrenia what are the chances they will develop schizophrenia as well?
- 25%
- If a person with schizophrenia has a twin, but were separated from them at birth what are the chances their twin will get it?
- 50%
- Why are neurotransmitters important?
- They give information on the ideology of disorders
- What do we use to reduce the symptoms of schizophrenia?
- Dopamine inhibitors
- What are the two hemispheres of the brain?
- The outer and the inner brain
- The outer brain is responsible for?
- Higher order cognition (i.e. the frontal lobe)
- The inner brain is responsible for?
- Motor behaviours and necessities
- Neurotransmission
- The process of when a neuron releases a neurotransmitter that binds to a receptor
- Reuptake
- Process by which released neurotransmitters are pumped back into the pre-synaptic, cell, making them available for enhancing transmission of nerve impulses
- What lobes are responsible for vision?
- The occipital lobes
- What lobes are responsible for visual neglect?
- The parietal lobes
- What lobes are responsible for languages, non verbal communication, seizures and hallucinations?
- The temporal lobes
- What lobes are responsible for executive functions?
- The frontal lobes
- The left side of the frontal lobes are responsible for?
- Apathy and the ability to learn new things
- The right side of the frontal lobes are responsible for?
- Mania and recalling of information
- Anxiolytics treat?
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Treat anxiety
Increase sleep, reduce anxiety, stress - Antidepressants treat?
- Depression, pain disorders, eating disorders
- The fact that a drug can treat many things shows?
- Comorbidity and that a lot of disorders are not singular
- Antipsychotics treat?
- Psychotic disorders
- Psycho-stimulants (such as amphetamines) treat?
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People with ADHD and alzheimers to help cognition
But they are often abused to help focus - The psychoanalytic (Psychoananlysis) paradigm involves the?
- Id, Ego and Super Ego
- The Id
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- The Id works on the pleasure principle and primary process thinking
- It wants what it wants and doesn't care how it gets it - The Ego
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- The Ego works on the reality principle and secondary process thinking
- The Ego finds a balance between the Id and the Super Ego - The Super Ego
- The Super Ego is the moral center and gives rules to the Id
- How many defense mechanisms are there and what are they?
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- There are 6 defense mechanisms
1. Repression
2. Denial
3. Projection
4. Displacement
5. Regression
6. Rationalization - Denial
- Not accepting what happened
- Projection
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Telling people what you think about them
(i.e. Everyone's a butthole) - Displacement
- Taking the anger that you have in one situation and taking it out on someone else
- Regression
- Reverting back to in earlier stage of development when you are threatened
- Rationalization
- Rationalizing something irrational to relieve anxiety
- Repression
- When a feeling is repressed from the consciousness to the unconsciousness because it is socially unacceptable
- Free association
- Freely telling the therapist whatever you feel in a therapy session
- Resistances
- When a patient in therapy stumbles on points because it causes them anxiety
- Transference
- When the patient transfers their feelings of a person they are talking about in therapy onto the therapist
- Countertransference
- When the therapist is aware of how they treat the client because it will impact how they reveal things to them
- Humanistic and Existential paradigms bring?
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They bring insight to the patient and the researcher
It involves unconditional positive regard (by showing the client love and positivity no matter what to help them with their growth) - In Gestalt therapy under existentialism we?
- Live in the here and now, we don't care about what was in the past or the future
- Law of effect is also called
- Reinforcement
- Modelling
- Learning by watching and imitating others
- Behaviourism focuses on?
- Focuses on the study of observable behaviour rather than on consciousness
- Cognitive sets are related to ______?
- Schemas
- Cognitive sets
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We have so much information in our minds that we store it in folders called cognitive sets that shape the way we see the world
If they are distorted, they can give rise to psychological disorders - Cognition
- Mental processes of perceiving, recognizing, conceiving, judging and reasoning
- Beck's cognitive behavioural therapy
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- We study schemas and give feedback
- We study the things we say to ourselves and show how they are wrong
- We misinterpret things and make them bigger than they are - We calculate reliability through __________?
- Through correlation
- Relaibility
- Consistency in measurement
- What does virtual reality do for patients?
- It desensitizes patients to situations where they feel anxious and helps people remember
- Ecological validity
- The methods, materials and setting of the study must approximate the real-world that is being examined
- Tests for recognition memory are?
- Very resilient
- Perceverence is ___________ in scientific terms?
- Stubborn
- CT is to MRI as ____ is to ____?
- SPECT is to PET
- The _____________ and the ____________ and two of the most common screening measures?
- The Beck depression inventory and the Beck anxiety inventory
- Projective measures for psychological tests such as the inkblot test and thematic apperception test are _________?
- Outdated
- Why is screening a patient important?
- Because it gives the therapist more insight on the patient before and interview and to give better evaluation
- In clinical interviews the therapist asks what kind of questions and looks for what?
- They ask open ended questions and looks at the patient's behaviour
- What is an example of a structured/semi-structured interview?
- The skid
- There is no such thing as ______ without _________? and why?
-
There is no such thing as validity without reliability
Because with no consistency how can something be valid - Personality assessment inventory
- A 344 item self-report questionnaire that tries to find out an individual's personality traits and characteristics
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The principle behind all psychological and neuropsychological tests is __________?
Who's tests are not standardized? -
- Normative comparison (They are all standardized)
- Beck's tests are not standardized -
NIM (Negative impression management)
When is it high? - When NIM is high, a patient complains of much symptoms, everything is wrong
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PIM (Positive impression management)
When is it high? - When PIM is high, a patient never complains, nothing is wrong
- Projective hypothesis
- The notion that highly unstructured stimuli are necessary to bypass defenses in order to reveal unconscious motives and conflicts
- Projective techniques
- Tests of personality that involve use of unstructured stimulus materials such as pictures, etc.
- The psychodynamic paradigm relied on what?
- Projective hypothesis
- Some examples of projective techniques are?
- The inkblot test and the thematic apperception test (TAT)
- Intelligence tests are used for what?
- Are used as a baseline for functioning
- WASI is an abbreviated test of _____?
- WAIS
- The Wechsler intelligence scale tests test patients ________ and ___________?
- Performance IQ and Verbal IQ
- Which brain imaging techniques give static images?
- CAT scan and MRI
- Which brain imaging techniques are active and moving?
- fMRI and PET
- CAT scans can find _______?
- Bleeding
- MRI can find ________?
- Lesions and atrophy
- A disorder is not a disorder until?
- Until the syndrome is characterized by disturbances or disability
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There is nothing statistical about the _____?
Then what is it? -
There is nothing statistical about the DSM
A classification guide for symptoms that we can generalize into a titled disorder so we can treat it better - The DSM's definition of a mental disorder excludes
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1. Expectable or culturally sanctioned response to an event (i.e. People dressing like kiss at their concert)
2. Deviant behaviour (i.e. politics or homosexuality)
3. Conflicts between the individual and society (i.e. Ghandi starving himself) -
Autistic spectrum disorders
A patient with it will? - A patient with it will have problems with social interactions
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Attention-deficit/hyperactivity disorder
A patient with it will? - A patient with it will have attentional difficulties
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Intellectual disability
A patient with it will? -
A patient with it will have a low IQ below a certain limit.
It used to be called mental retardation -
Major depressive disorder
A patient with it will? - A patient with it will have various symptoms such as sadness, hopelessness, worthlessness, no appetite or large appetite
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Mania
A patient with it will? - A patient with it will Talk fast, makes no sense, very up
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Bipolar disorder
A patient with it will? -
A patient with it will swing from depressed to manic behaviour
Usually diagnosed with either mania or depression before being diagnosed with bipolar disorder -
Specific phobia
A patient with it will? - A patient with it will have an unwarranted fear of something (i.e. being bitten by a snake)
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Panic disorder
A patient with it will? - A patient with it will have panic attacks (huge anxiety) that are triggered by random things
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Generalized anxiety disorder
A patient with it will? - A patient with it will experience anxiety at all times with nothing specific triggering it
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Separation anxiety disorder
A patient with it will? - A patient with it will have anxiety when they are separated from some sort of object
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Trichotillomania
A patient with it will? - A patient with it will pull out their hair
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Somatic symptom disorder
A patient with it will? - A patient with it will complain of many symptoms or pains, but have no physical basis for their symptoms or pains
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Conversion disorder
A patient with it will? -
A patient with it will complain of neurological issues, but have no basis for them
(i.e. Someone can't move their hand, but there is no lesion) -
Illness anxiety disorder
A patient with it will? - A patient with it will be hypochondriac and think they have every disorder
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Dissociative amnesia
A patient with it will? - A patient with it will have a sudden loss of memory for a period in their life
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Dissociative identity disorder
A patient with it will? - A patient with it will have multiple personalities
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Depersonaliztion/Derealization disorder
A patient with it will? -
A patient with it will not recognize themselves as them
They feel like they are looking at themselves as an observer and not living their life -
Sexual dysfunction
A patient with it will? - A patient with it will be unable to complete a sexual cycle which starts with arousal and ends with orgasm
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Exhibitionism
A patient with it will? - A patient with it will get aroused by showing themselves
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Voyeurism
A patient with it will? - A patient with it will get aroused by looking or spying at someone while they don't know
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Frotteuristic disorder
A patient with it will? - A patient with it will rub against people unknowingly
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Sadism
A patient with it will? - A patient with it will get aroused by doing punishing things to people
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Masochism
A patient with it will? - A patient with it will get aroused by having punishing things done to them
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Insomnia
A patient with it will? - A patient with it will have low amounts of sleep, have bad quality of sleep or have bad sleep timing
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Parasomnias
A patient with it will? - A patient with it will experience abnormal things in their sleep such as sleepwalking or nightmares
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Anorexia nervosa
A patient with it will? - A patient with it will restrict their calories, not eat, laxative or exercise
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Bullimia nervosa
A patient with it will? - A patient with it will eat their food a lot of it, but get rid of it through vomitting, etc, they aren't skinny though
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Binge eating disorder
A patient with it will? - A patient with it will eat a lot but not try to get rid of the calories
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Post traumatic stress disorder
A patient with it will? - A patient with it will experience stress after a traumatic event (i.e. war, rape), have flashbacks and can't talk about it
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Acute stress disorder
A patient with it will? - A patient with it will have stress right after a traumatic event, but it doesn't last long
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Adjustment disorder
A patient with it will? - A patient with it will having difficulty adjusting to things after the traumatic event
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Intermittent explosive disorder
A patient with it will? - A patient with it will have an explosive personality and can be very irritable for no reason
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Conduct disorder
A patient with it will?
What is is a precursor to? -
A patient with it will have bad behaviour, do crazy things, run away from home
It is a precursor to anti-social personality disorder -
Schizoid personality disorder
A patient with it will? - A patient with it will be someone that wants to be alone, aloof, doesn't want friends
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Narcissistic personality disorder
A patient with it will? - A patient with it will think they are they best, look for appraisal, have high self-esteem
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Antisocial personality disorder
A patient with it will? - A patient with it will be criminal like and have no respect for laws
- Test-Retest reliability
- The extent to which people being observed or taking the same test twice score in generally the same way
- Alternate-form reliability
- The extent to which scores on two forms of a test are consistent
- Internal consistency reliability
- The extent to which the items on a test are related to one another
- Content validity
- The extent to which a measure adequately samples the domain of interest
- Criterion validity
- The extent to which a measure is associated in an expected way with some other measure
- Construct validity
- The extent to which scores or ratings on an assessment instrument relate to other variables or behaviours according to some theory or hypothesis
- Cathartic method
- A therapeutic procedure where a person recalls and relives an emotional catastrophe and feels the emotions to relieve suffering