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Chapter 15 & 16 Exam Review A) Disorders Abnormal behavior is characterized by being atypical, maladaptive, inappropriate and disturbing to the individual exhibiting behavior 1. GAD - General Anxiety Disorder - Aka free floating anxiety - High level of anxiety that is not tied to anything - Continuously tense and worried 2. Phobia - Irrational fear - Usually conditioned to have these phobias 3. Panic - Recurrent attacks of overwhelming anxiety that occur suddenly and unexpectedly - Physical symptoms - Agoraphobia (fear of public places) may occur 4. PTSD - Post-traumatic stress disorder - Re-experiencing the traumatic event in the form of nightmares and flashbacks, emotional numbing, alienation, problems in social relations, and elevated arousal, anxiety and guilt 5. OCD - Obsessive-compulsive disorder - Persistent unwanted thoughts (obsession) cause someone to feel the need to engage in a particular action (compulsion) - uncontrolled 6. Hypochondriasis - Somatic disorder - No physical explanation Excessive preoccupation w/ health concerns & worry about developing physical illness 7. Conversion - Somatic disorder - Significant loss of physical function with no apparent organic bases 8. Dissociative Amnesia - Aka psychogenic amnesia - Sudden loss of memory for important personal info that is too extensive to be due to normal forgetting - Can last for one single traumatic event or for an extended time period around event…Examples: car accident, rape 9. Dissociative Fugue - One loses memory for their entire lives along with their sense of personal identity 10. DID - Coexistence in one person of two or more largely complete and usually very different personality - Related to severe emotional trauma that occurred in childhood - Some say this is an excuse for their personal feelings 11. Major Depression - Aka unipolar depression - Unhappy for at least two weeks with no apparent cause - Twice as high for women - 7-18% of population suffers from this - 12. Seasonal Affective - Experience depression during the winter months - Based on temperature, but on amount of sunlight 13. Bipolar - Manic episode followed by periods of depression - Manic episodes involve feelings of high energy (can differ from confidence to irritability) - 1-2% of population suffers from this - Equal among men and women - Lithium carbonate has been useful in some cases B) Schizophrenia 1. Disorganized Schizophrenia - Emotional indifference (flat affect) - Social withdrawal - Aimless babbling and giggling 2. Paranoid Schizophrenia - Bizarre and distorted with false beliefs - Delusions of persecution: people are out to get me - Delusions of grandeur: when people think they are famous or important - Hallucinations: sensory experiences without sensory stimulation 3. Catatonia Schizophrenia - Motor disturbances wither motionless or hyperactive - Waxy flexibility: you move their arm and they keep it there - Least common form of schizophrenia 4. Undifferentiated Schizophrenia - Suffering from symptoms from various types of schizophrenia 5. Rosenhan study - Had a group of psychologists fake schizophrenic like symptoms at various mental institutions on their initial arrival and later drop these symptoms - All institutions discharged them with “schizophrenia in remission” - Demonstrates that schizophrenia comes with a negative stigma that one cannot let go of C) Personality Disorders 1. Antisocial - Failure to accept social norms regarding moral beliefs and principles - Many begin criminal career at an early age - Lack of empathy - Little regard for others feelings - 3-6% of men only 1% of women 2. Dependent - Rely too much on the attention and help of others 3. Histrionic Personality - need to be the center of attention 4. Narcissistic - Thinking you are the center of the universe - egocentric 5. Obsessive Compulsive Personality Disorder - Overly concerned with certain thoughts and performing certain behaviors - Not as extreme as OCD anxiety D) Therapies 1. Cognitive - Change the way we view the world - Negative thoughts into positive thoughts - Aaron beck o view of depression - Depression is caused by errors in thinking - Goal of cognitive therapy is to focus negative thoughts into positive - Beck included behavioral therapy techniques - People blame depression on three things… 1. Setbacks on personal inadequacy 2. Negative events instead of positive 3. Pessimistic projections about future 4. Draw negative conclusions about your personal worth 2. Behavioral - Change maladaptive behavior through operant and classical conditioning - Criticized for not treating the underlying cause of the behavior - Watson & Skinner - Reinforcements - Behavior is because of past learning or experience - Taste Aversions (Aversive Conditioning) o Therapy where you pair a stimuli that the patient enjoys w/ one that causes discomfort. Patient is 3. 4. 5. 6. conditioned to have the aversion towards the stimuli that they find enjoyable o Bad: you don’t have the UCS outside of therapy. Also patient is aware that aversion was caused by UCS o Good: successful with drugs, alcohol, sexual deviance, gambling, shoplifting, stuttering, cigarette smoking, overeating Humanistic - Client-centered therapy - Use active listening skills - Gestalt therapy: encourage clients to get in touch with whole self - Therapists serve as “human mirror” Psychoanalytic - Unconscious thoughts cause behavior - Free association: allow patient to speak freely leads to bottled up emotions coming through - Dream interpretation: interpret dreams to reveal unconscious thoughts - Transference: transferring ones strong emotions from someone who is responsible for your behavior onto your therapist - Sigmund freud Biological - Medical therapy: use of drugs to change behavior Cognitive-Behavioral - Changing someone’s thoughts by using operant and classical conditioning - Used for disorders - Albert Ellis – Rational Emotive Therapy (RET) o Cognitive-behavioral therapy to help people eliminate self-defeating thought patterns o REBT: therapist would teach you to recognize neurotic thoughts, question how rationale they are, and replace them w/ faulty ideas with more valid ones E) Miscellaneous 1. Prevalence - % of population with disorder at a specific time 2. Lifetime prevalence - % of population who have been diagnosed with a disorder at any point in their lives 3. Diagnosis - Distinguishing one disease from another 4. Etiology - Apparent causation & developmental history of illness 5. Electroconvulsive shock therapy - Last resort to treat severely depressed patients - Repeated about 6 times in 2 weeks - Usually experience some memory loss (often temporary) - Drive towards self- actualization is innate 6. Deinstitutionalized - Number of inpatients are declining - With the use of drugs, patients who were not threatening to society could receive treatment w/o being in a mental institution 7. Systematic desensitization (a kind of counterconditioning) - a behavior therapy used to reduce phobic clients’ anxiety responses through counterconditioning. Involves three steps: in the first step, the therapist helps the client build an anxiety hierarchy. - This is a list of anxiety- arousing stimuli related to the specific source of anxiety. The client ranks the stimuli form the least anxiety arousing to the most anxiety arousing. The second step involves training the client in deep muscle relaxation. In the third step, the client tries to work through the hierarchy, learning to remain relaxed while imagining each stimulus. - Gradually, over a number of therapy sessions, the client progresses through the hierarchy, unlearning troublesome anxiety responses. 8. DSM - Published by the APA - Axis 1: clinical disorders - Axis 2: personality disorders or mental retardation - Axis 3: general medical conditions - Axis 4: Psychosocial and Environmental problems - Axis 5: Global assessment of functioning scale 9. Group therapy - Advantage over individual therapy is it enables clients to realize that their problems are not unique and it is more economical 10. Metacognition - Thinking about thinking