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51 Cards in this Set

  • Front
  • Back

Fear

•thecentral nervous system’s physiological and emotional response to a serious threat to one’s well-being

Anxiety

•thecentral nervous system’s phsyiological andemotional response to a vague sense of threat or danger

Can be useful or debilitating

Deviance, Dysfunction & Distress

What are six anxiety disorders?

•Generalizedanxiety disorder (GAD)


•Phobias


•Panicdisorder


•Obsessive-compulsivedisorder (OCD)


•Acutestress disorder


- Posttraumaticstress disorder (PTSD

What types of studies are conducted to find out how strong the biological componentto a disorder is?
•TwinStudies

•AdoptionStudies


•FamilyPedigree Studies

Whatare the DSM criteria for a diagnosis of GAD?
•Excessiveor on going anxiety and worry about at least 2 different activities or events

•Atleast 3 of the described symptoms•Symptomsmust last for at least six months.•Significantdistress or impairment

Whichneurotransmitter system contributes to GAD?

•GABA

What suggestion is shared by both the metacognitive theory and avoidance theory ofGAD?

•That worrying serves some sort of “positive” function for the sufferer

What is the main type of behavioral therapy used for OCD?

•Exposureand response prevention (ERP)


–Repeatedly inducing anxiety while not allowing the person to complete the associatedcompulsion

To what does the biological perspective attribute OCD?

•SerotoninActivity


–Serotonin-basedantidepressants reduce OCD symptoms


•Abnormal brain structure and function


–Orbitofrontalcortex and caudate nuclei compose a brain circuit that converts sensory information into thoughts and actions

What types of treatment are used to treat specific phobias?
•Exposuretreatments

Desensitization


•Relaxationskills


•Fearhierarchy


•Exposure


Flooding


•Forcednon-gradual exposure


Modeling


•Therapist confronts feared object while the fearful person observes

StressDisorders
•The state of stress has two components:

–Stressor


– event that creates demands


–Stress response


– person’s reactions to the demands

Stressand Arousal: The Fight-or-Flight Response

Thefeatures of arousal and fear are set in motion by the hypothalamus

Twoimportant systems are activated:1.Autonomicnervous system (ANS)


–Anextensive network of nerve fibers that connect the central nervous system (thebrain and spinal cord) to all other organs of the body2.Endocrinesystem


–Anetwork of glands throughout the body that release hormones

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The Psychological Stress Disorders
•Responseto trauma: levels of arousal, anxiety, and depression

–Forsome, symptoms persist


•These people may be suffering from:


1.Acute stress disorder


2.Post-traumatic stress disorder (PTSD)

The Psychological Stress Disorders
1.Acutestress disorder

–Symptomsbegin within four weeks of event and last for less than one month


2.Posttraumaticstress disorder (PTSD)


–Symptomsmay begin either shortly after the event, or months or years afterward


•Asmany as 80% of all cases of acute stress disorder develop into PTSD


–Lastlonger than one month

What Triggers a Psychological Stress Disorder?
•Combatand stress disorders

•Disastersand stress disorders


•Victimizationand stress disorders


•Terrorismand torture

Why Do People Develop a Psychological Stress Disorder?
•Other researched contributing factors: 1.Survivors’biological processes

2.Personalities


3.Childhoodexperiences


4.Socialsupport systems


5.Culturalbackgrounds


6.Severityof the traumas

What types of treatment are used for people with stress disorders?
•Drug therapy

•Insight therapy


•Behavioral exposure techniques


•Psychological debriefing

What is psychoneuroimmunology?
•The study of how psychological disorders affect the immune system and vice versa
Mood Disorders
•Two key emotions :

1.Depression


•Low,sad state in which life seems dark and its challenges overwhelming


2.Mania


•State of breathless euphoria or frenzied energy

Mood Disorders
•Unipolar Depression

–Nohistory of mania


–Moodreturns to normal when depression lifts


•Bipolar Disorder


–Periodsof mania that alternate with periods of depression


•UnipolarMania?


•Dysthymic Disorder


•Cyclothymic Disorder

Diagnosing Unipolar Depression
•Criteria1: Major depressive episode

–Markedby five or more symptoms lasting two or more weeks


•Inextreme cases, symptoms are psychotic, including


–Hallucinations


–Delusions


•Criteria2: No history of mania

Diagnosing Unipolar Depression
•Twodiagnoses to consider:

1.Majordepressive disorder


•Criteria1 and 2 are met


2.Dysthymicdisorder


•Symptomsare “mild but chronic”


–Depressionis longer lasting but less disabling


–Consistent symptoms for at least two years


–•Double Depression

Causes of Unipolar Depression
1.Biological

–Genetic


–Biochemical


–Brain Anatomy & Circuits


–ImmuneSystem

Causesof Unipolar Depression II
2.Psychological

–Psychodynamic


–Behavioral


–Cognitive

Causes of Unipolar Depression III
1.Sociocultural

–Family/SocialPerspective


–Multi-culturalPerspective

Psychological:Cognitive
•Two main theories:

1.Negative thinking


2.Learnedhelplessness

Psychological:Cognitive
1.Negativethinking -> UnipolarDepression–Beck



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Bipolar Disorders

•People with a bipolar disorder experience both the lows of depression and the highs of mania


–BipolarI


–BipolarII

Diagnosing Bipolar Disorders
•Criteria1: Manic episode

–Threeor more symptoms of mania lasting one week or more


•Inextreme cases, symptoms are psychotic


–Historyof mania qualifies if currently depressed


–“Mixed”episodes


–Ifmajor depressive episodes are in history, and hypomania but not mania,diagnosis is Bipolar II•Criteria2: Significant distress or Impairment

Diagnosing Bipolar Disorders
•Cyclothymic Disorder: hypomania & mild depressive symptoms

–Mildsymptoms for two or more years, interrupted by periods of normal mood


–Affectsat least 0.4% of the population


–Mayeventually blossom into bipolar I or II disorder

Diagnosing Bipolar Disorders
•Cyclothymic Disorder: hypomania & mild depressive symptoms

–Mildsymptoms for two or more years, interrupted by periods of normal mood


–Affectsat least 0.4% of the population


–Mayeventually blossom into bipolar I or II disorder

What Causes Bipolar Disorders?
•Notmuch theorizing before 1950s•BiologicalPerspective

1.NeurotransmitterActivity


2.Ionactivity


3.Brainstructure


4.Geneticfactors

Causes of Bipolar Disorder: NT
•Neurotransmitters

–Norepinephrine


–Serotonin


–GABA

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Causes of Bipolar Disorder: Ion Activity
•Membranedefects

•Abnormalfunctioning of proteins that transport ions

Treatments for Mood Disorders: UnipolarDepression
1.Psychological

2.Sociocultural


3.Biologicalapproaches

Psychological Approaches
1.Psychodynamic – Widely used despite nostrong research evidence of its effectiveness

2.Behavioral – Primarily used for mild or moderate depression but practiced less than in past decades


3.Cognitive & CBT – Has performed sowell in research that it has a large and growing clinical following

Psychological Approaches:Behavioral Therapy
1.Reintroduceclients to pleasurable activities and events, often using a weekly schedule

2.Appropriately reinforce their depressive and non-depressive behaviors


–Use acontingency management approach


3.Help them improve their social skills

Psychological Approaches:Cognitive/Cognitive-Behavioral Therapy

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Psychological Approaches:Cognitive/Cognitive Behavioral Therapy
•Recognizeand change negative cognitive processes

•Usuallylasts fewer than 20 sessions


•Phases:


1.Increasing activities and elevating mood 2.Challenging automatic thoughts


3.Identifying negative thinking and biases


4.Changing primary attitudes

Sociocultural Approaches:Multi-Cultural
•Culture-sensitive therapies

–Ex:CBT therapy with a focus on struggles unique to minority groups


•Medication needs

Treatmentsfor Unipolar Depression:Biological Approaches
•Electroconvulsive Therapy

•Anti-depressantdrug therapy


•BrainStimulation

Sociocultural Approaches:Family-Social
•Helpclients deal with their interpersonal relationships

•Twomost common/effective:


1.InterpersonalPsychotherapy


2.CouplesTherapy

Biological Approaches:Antidepressant Drug Therapy
•1950s,original medications

–Monoamineoxidase inhibitors (MAOIs)


–Tricyclics


•Morerecently introduced 3rd group


–Second-generationantidepressants


•SSRIs

Antidepressant Drug Therapy:MAOIs
•MAOIsincrease levels of norepinephrine in the brain

•Reduce symptoms of depression


•Some dangerous dietary side effects


–A new version delivers low doses of the drug via a skin patch, reducing these sideeffects

AntidepressantDrug Therapy:Tricyclics
•Discoveredby accident attempting to treat schizophrenia

•Theyall share a 3 ring molecular structure•Longer regimens = less chance of relapse


–Continuation& maintenance therapy


•Ratesof success slightly higher than MAOIs, with less side effects


•Serotonin& norepinephrine euptakeinhibitor

Whatis the most effective treatment for bipolar disorder?
•Lithium
SHORT ANSWER Bipolar Disorder
1.Please explain the difference between Bipolar I Disorder, Bipolar II Disorder and Cyclothymic Disorder.

2.In addition to a written response, please draw a graph(s) visualizing the moodcycles involved in these disorders.


3.What are the 3 main theories for why mood stabilizers work?


4.Explainat least one of the 3 theories (extra points (2 per theory) if you explain morethan 1).

SHORT ANSWER Stress Disorders
1.What are the two important systems activated by the hypothalamus in response to astressor? 2.Whatare the two pathways by which the ANS and the endocrine systems produce arousal and fear reactions?

3.Explain the difference between the sympathetic and the parasympathetic nervous system pathways.


4.Name the two main stress disorders that could result from a disruption in one ormore of these systems and/or pathways?


5.What is the primary distinction between receiving a diagnosis of one of said stress disorders or the other?


6.*Extra(5) points if you can not only answer these questions but write a paragraph explaining how these different pieces all come together to create normal or abnormal functioning in response to stress.