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ABNORMAL PSYCHOLOGY Psychological Disorders Psychopathology - patterns of thinking, feeling, & behaving that are maladaptive, disruptive, or uncomfortable for those who are affected or for those with whom they come in contact impaired functioning - difficulty in fulfilling appropriate & expected family, social, & work-related roles biopsychosocial model - a view of mental disorders as caused by a combination of interacting biological, psychological, & sociocultural factors neurobiological model - a modern name for the medical model, in which psychological disorders are seen as reflecting disturbances in the anatomy & chemistry of the brain & in other biological processes psychological model - a view in which mental disorder is seen as arising from psychological processes sociocultural model - a way of looking at mental disorders in relation to gender, age, ethnicity, & other social & cultural factors anxiety di sorder - a condition in which intense feelings of apprehension are long-st&ing & disruptive phobia -an anxiety disorder involving strong, irrational fear of an object or situation that does not objectively justify such a reaction specific phobia - an anxiety disorder involving fear & avoidance of heights, animals, & other specific stimuli & situations post-traumatic stress disorder - a pattern of adverse reactions following a traumatic & threatening event social phobia - an anxiety disorder involving strong, irrational fears relating to social situations agoraphobia - an anxiety disorder involving strong fear of being alone or away from the security of home generalized anxiety disorder - a condition that involves relatively mild but long-lasting anxiety that is focused on any particular object or situation; also called free-floating anxiety panic disorder - an anxiety disorder involving sudden panic attacks panic attacks - attacks marked by intense heart palpitations, pressure or pain in the chest, dizziness or unsteadiness, sweating, & a feeling of faintness obsessive-compulsive disorder (OCD) - an anxiety disorder involving repetitive thoughts & urges to perform certain rituals obsessions - persistent, upsetting, & unwanted thoughts compulsions - ritualistic, repetitive behaviors somatoform disorders - psychological problems in which there are symptoms of a physical disorder without a physical cause conversion disorder - a somatoform disorder in which a person displays blindness, deafness, or other symptoms of sensory or motor failure without a physical cause hypochondriasis - a somatoform disorder involving strong, unjustified fear of physical illness somatization disorder - somatoform disorders in which there are numerous physical complaints without verifiable physical illness pain disorder - a somatoform disorder marked by complaints of severe pain with no physical cause dissociative disorders - rare conditions that involve sudden & usually temporary disruptions in a person's memory, consciousness, or identity dissociative fugue - a dissociative disorder involving sudden loss of memory & the assumption of a new identity in a new locale dissociative amnesia - a dissociative disorder marked by a sudden loss of memory dissociative identity disorder (DID) - a dissociative disorder in which a person reports having more than one identity; also called multiple personality disorder mood disorder - conditions in which a person experiences extreme moods, such as depression or mania; also called affective disorder major depressive disorder - a mood disorder in which a person feels sad & hopeless for weeks or months delusions - false beliefs, such as those experienced by people suffering from schizophrenia or extreme depression mania - an elated, very active emotional state bipolar I disorder - a mood disorder in which a person alternates between deep depression & mania; also called manic depression bipolar II disorder - a mood disorder in which a person alternates between major depressive episodes & hypomania episodes seasonal affective disorder (SAD) - during months of shorter daylight, patients experience severe depression, accompanied by irritability & excessive sleeping schizophrenia - a severe & disabling pattern of disturbed thinking emotion, perception, & behavior hallucinations - a symptom of disorder in which people perceive voices or other stimuli when there are no stimuli present positive symptoms - schizophrenic symptoms such as disorganized thoughts, hallucinations, & delusions negative symptoms - schizophrenic symptoms such as absence of pleasure, lack of speech, & flat effect paranoid schizophrenia - a form of schizophrenia characterized by delusions (of persecution or grandeur or jealousy); symptoms may include anger & anxiety & aloofness & doubts about gender identity; unlike other types of schizophrenia the patients are usually presentable & (if delusions are not acted on) may function in an apparently normal manner disorganized schizophrenia - a form of schizophrenia characterized by severe disintegration of personality including erratic speech & childish mannerisms & bizarre behavior; usually becomes evident during puberty; the most common diagnostic category in mental institutions catatonic schizophrenia - a form of schizophrenia characterized by a tendency to remain in a fixed stuporous state for long periods; the catatonia may give way to short periods of extreme excitement undifferentiated schizophrenia - a form of schizophrenia characterized by having positive & negative symptoms of schizophrenia but do not meet the specific criteria for the paranoid, disorganized, or catatonic subtypes residual schizophrenia - a form of schizophrenia manifested by individuals with symptoms of schizophrenia who, after a psychotic schizophrenic episode, are no longer psychotic personality disorders - long-st&ing, inflexible ways of behaving that create a variety of problems paranoid personality disorder - a personality disorder characterized by suspiciousness & distrust of others, all of whom are assumed to be hostile obsessive-compulsive personality disorder - a personality disorder characterized by preoccupation with orderliness, perfection, & control histrionic personality disorder - a personality disorder characterized by excessive emotionality & preoccupation with being the center of attention; emotional shallowness; overly dramatic behavior narcissistic personality disorder - a personality disorder characterized by exaggerated ideas of self-importance & achievements; preoccupation with fantasies of success; arrogance borderline personality disorder - a personality disorder characterized by lack of stability in interpersonal relationships, self-image, & emotion; impulsivity; angry outbursts; intense fear of abandonment; recurring suicidal gestures antisocial personality disorder - a personality disorder characterized by shameless disregard for, & violation of, other people's rights attention deficit hyperactivity disorder (ADHD) - patients diagnosed with this disorder are impulsive & unable to concentrate on an activity as well as other children their age can substance-related disorders - the use of psychoactive drugs for months or years in ways that harm the user or others DSM-IV - Diagnostic & Statistical Manual; resource for diagnosing disorders, uses a 5 axis system Philippe Pinel - In 1795 Pinel assumed the responsibility for the mental patients at l'Hôpital de la Salpêtrière, where he continued his policy of nonrestraint & brought about many significant & farreaching reforms in the care & treatment of mental patients. Humane treatment under the watchful eye of trained & compassionate personnel in the institution made possible the recovery of many otherwise doomed patients. Pinel also introduced the practice of keeping case histories, which proved a valuable source of information in later efforts to understand insanity. Diathesis-stress approach - Disorders are a result of predisposed, bioloogical factors triggered by the environment. Psychotherapy Resistance - a psychoanalytic method that blocks from consciousness of anxiety-laden material Interpretations - a psychoanalytic method that uses suggestions of underlying wishes, feelings, & conflicts Transference - psychoanalytic method that lets patient transfer emotions linked with other relationships to analyst Psychodynamic therapy - therapy that explores childhood experiences; a psychoanalytic method Client-centered therapy - humanistic therapy that focuses on the person's conscious self-perceptions rather than on the therapist's own interpretation; developed by Carl Rogers Nondirective therapy - therapists listens without judging or interpreting; refrains from directing the client Active listening - echoing, restating, & seeking clarification of what person expresses & acknowledging their feelings Behavior therapy - therapy that applies learning principles to the elimination of unwanted behaviors Counterconditioning - conditions new responses to stimuli that trigger unwanted behaviors Exposure therapy - a behavioral therapy that exposes people to what they normally avoid Systematic desensitization - associates a pleasant relaxed state with gradually increasing anxiety-triggering stimuli; commonly used to treat phobias Aversive conditioning - tries to replace a positive response to a harmful stimulus with negative response; opposite of systematic desensitization Token economy - rewards desired behavior by giving the patient a token which can be exchanged for various privileges or treats Cognitive therapy - therapy that teaches people new, more adaptive ways of thinking & acting Cognitive-behavior therapy - popular integrated therapy that combines cognitive therapy with behavior therapy Family therapy - attempts to guide family members toward positive relationships & improved communication Meta-analysis - procedure for statistically combining the results of many different studies as if they had come from one huge study with thousands of participants Eye movement desensitization & reprocessing - anxious thoughts disappear as one's eyes darted about; developed by Francine Shapiro; EMDR Light exposure therapy - therapy that involves a timed daily dose of intense light; used for SAD Psychopharmacology - study of drug effects on mind & behavior Antipsychotic drugs - certain drugs, used for other medical purposes, calmed psychotic patients Antianxiety drugs - drugs that depress central nervous system activity; reduce symptoms without resolving underlying problems Antidepressant drugs - drugs that increase the availability of neurotransmitters norepinephrine or serotonin, which elevate arousal & mood & appear scarce during depression Selective-serotonin-reuptake-inhibitor drugs - drugs that slow the synaptic vacuuming up of serotonin Lithium - an antidepressant drug that is an effective mood stabilizer for those suffering manic-depressive swings of bipolar disorder Electroconvulsive therapy - shock treatment that manipulates the brain; ECT Repetitive transcranial magnetic stimulation- painless procedure that is performed on wide-awake patients for 2030 minutes for 2-4 weeks; rTMS Psychosurgery -removes or destroys brain tissue; most drastic & the least-used biomedical intervention for changing behavior Lobotomy - used to calm uncontrollably emotional or violent patients; cut nerves that connect the frontal lobes to the emotional-controlling centers of the inner brain; developed by Egas Moniz Psychotherapy- emotionally charged, confiding interaction between trained therapist & someone who suffers from psychological difficulties; aka psychological therapy Eclectic approach - depending on the client's problems, it uses techniques from various forms of therapy Psychotherapy integration - aim to combine different methods into a single, coherent system