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Review Document #8: Chapter 16 and 17 Psychological Disorders / Therapies / Stress Management _________ : manual for diagnosing mental illness / listing of symptoms Four diagnostic criteria (UMAD): Time period for clinical diagnosis: __________ (that symptoms must be consistently present) Neurotic: Psychotic: Classifications of Disorders Anxiety ________________ constant low level anxiety (patient doesn’t know cause, 2/3 are women) ________________ Acute episodes of intense anxiety without provocation (“feels like a heart attack”) ________________ anxiety focused on specific issue, event or situation ________________ type of phobia- fear of public places (particularly with sense of no exit) ________________ persistent uncontrollable thoughts = persistent uncontrollable actions (anxiety drives compulsive behavior) ________________nightmares, flashbacks, social withdraw, insomnia… Behavioral (learning) perspective, biological perspective, cognitive perspective Mood Disorders Major / Unipolar / clinical depression: “common cold” of disorders Neutrotransmitter = ____________ _______________ : alternating states of mania and depression. Neurotransmitter = ________________ ____________________ : depression related to a lack of light, or time of year Biological perspective, socio-cognitive perspective (cognitive triad, learned helplessness, explanatory styles) Somatoform Disorders ____________________ physical problem, psychological cause ____________________ exaggerated or psychologically created illnesses Psychoanalyst perspective vs. behavioral perspective Dissociative Disorders (disruption of conscious processes- often from traumatic event) _____________________ : amnesia with no physiological explanation _____________________ : loss of identity and flee (“forget and flee”) ______________________ : multiple personalities (average 3-6) Psychoanalytic perspective Schizophrenia (most severe of disorders: onset usually late teens early twenties) Symptoms: disordered, distorted thinking / delusions / hallucinations __________________: distorted language, word salad __________________: delusions of persecution, “out to get me” __________________: odd movements, waxy flexibility, motionless, parrot like repeating of words, movements __________________ : disordered thinking, but not specific symptoms of others types of schizophrenia __________________ : neurotransmitter Biological perspective: Personality Disorders (enduring, maladaptive behavior- “nurture based”) __________________: no fear, no shame / impulsive, no regard for others’ feelings __________________: self-love, see oneself as center of universe __________________: outrageous behavior to be center of attention (overly dramatic) __________________: intense emotional instability, self-mutilation Eating disorders / substance abuse disorders (addictions) Types of Therapies Psychoanalysis (Freud) Major idea: conflict in the unconscious Resistance Transference Free association, dream analysis, hypnosis, manifest / latent content Only “true solution” vs. symptom substitution Psychodynamic theorists: Humanistic (Maslow, Rogers) Critical themes: man’s nature is good, free will, self-fulfillment ___________________ = self-actualization ___________________ = unconditional positive regard, non-directive, active listening Gestalt (Fritz Perls) Combination of Psychoanalytic and Humanistic The whole is greater than the sum of its ___________________ . Healing a fragmented patient Behavioral (Skinner) _______________________________: classical conditioning (change negative CR with positive CS) Example? _______________________________ : step one = relaxation techniques / step two = anxiety hierarchy (imagine only) ________________________________: pairing undesired behavior with unpleasant stimulus. Example? Operant conditioning: ____________ economy Cognitive (Beck) Internal vs. external locus: Learned helplessness: Rational Emotive Therapy: Eclectic therapy: Biomedical Therapies Antidepressants: Prozac, Zoloft Anti-psychotics: Thorazine, Cloazpine Anti-anxiety: Librium, Valium Electroconvulsive therapy (ECT = electric shock) Psychosurgery: prefrontal lobotomy Therapists: Clinical psychologist Psychiatrist Counseling psychologist Stress Management GAS / General Adaptation Syndrome (Hans-Seyle) : How animals and humans react to stress ________________ : Activation of sympathetic nervous system (“get ready for the challenge”) ________________: Body remains physiologically ready (sustained arousal) ________________: extended arousal = vulnerability to disease (fatigue lowers immune system) Type A vs. Type B Behavior (Type A + aggressive temperament = coronary heart disease) Glucocorticoids: Endocrine response to stress: secretion of adrenaline and cortisol Stress related illnesses: hypertension, headaches, coronary heart disease Stress over prolonged periods can wear down the immune system = vulnerability to illness, disease