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Abnormal Psychology Exam 1: Introduction to Abnormality and Research Methods, Exams of Psychology

An overview of abnormal psychology, exploring the definition of abnormality, its indicators, and cross-cultural perspectives. It delves into research methods used in the field, including case studies, correlational methods, and experimental methods. The document also touches upon the historical evolution of understanding abnormal behavior, from supernatural explanations to the development of asylums and the rise of psychological perspectives. It concludes with a discussion on the importance of evaluating treatments and the various approaches to assessment in abnormal psychology.

Typology: Exams

2024/2025

Available from 01/02/2025

DrShirley
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Abnormal Psychology Exam 1
What does abnormal mean? -
away from normal
Importance of defining abnormality -
- Definitions are the first step to solutions
- definitions give us a common understanding of the issue
- Defining isn't easy, but we try; people disagree to definitions to words sometimes.
Indicators of Abnormality -
subjective distress, maladaptiveness, statistical deviancy, violation of the standards of
society, social discomfort, irrationality and unpredictability, dangerousness
subjective distress -
emotion or internal experience that is distressing to the individual, but cannot be
directly observed by others
Maladaptiveness -
Abnormal indicator involving acting in ways that make others fearful or interfere
with their well-being.
-Finding a way to cope
statistical deviance -
There is no disorder that everyone has
violating standards of society -
Our society has rules, and if we break them obviously people see it as abnormal.
social discomfort -
when someone violates an implicit or unwritten social rule, those around him or her
may experience a sense of discomfort or unease
irrationality and unpredictability -
behavior or states of mind that are so out of the expected and ordinary that it impairs
one's participation in the culture
Dangerousness -
a person's potential for doing harm to the self or to others
Cross cultural comparisons -
- Some mental disorders are constant across cultures (schizophrenia)
-Some are not consistent (Koro: a penis gets sucked back in and you die from it)
-Understanding culture is crucial to understand abnormality
abnormality -
Any pattern of behavior that causes people significant distress, causes them to harm
themselves or others, or interferes with their ability to function in daily life.
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Abnormal Psychology Exam 1

What does abnormal mean? - away from normal Importance of defining abnormality -

  • Definitions are the first step to solutions
  • definitions give us a common understanding of the issue
  • Defining isn't easy, but we try; people disagree to definitions to words sometimes. Indicators of Abnormality - subjective distress, maladaptiveness, statistical deviancy, violation of the standards of society, social discomfort, irrationality and unpredictability, dangerousness subjective distress - emotion or internal experience that is distressing to the individual, but cannot be directly observed by others Maladaptiveness - Abnormal indicator involving acting in ways that make others fearful or interfere with their well-being. -Finding a way to cope statistical deviance - There is no disorder that everyone has violating standards of society - Our society has rules, and if we break them obviously people see it as abnormal. social discomfort - when someone violates an implicit or unwritten social rule, those around him or her may experience a sense of discomfort or unease irrationality and unpredictability - behavior or states of mind that are so out of the expected and ordinary that it impairs one's participation in the culture Dangerousness - a person's potential for doing harm to the self or to others Cross cultural comparisons -
  • Some mental disorders are constant across cultures (schizophrenia) -Some are not consistent (Koro: a penis gets sucked back in and you die from it) -Understanding culture is crucial to understand abnormality abnormality - Any pattern of behavior that causes people significant distress, causes them to harm themselves or others, or interferes with their ability to function in daily life.

Thomas Szasz - argues that abnormal behavior usually involves a deviation from social norms rather than an illness diagnostic system - a classification based on rules used to organize and understand diseases and disorders Classification approaches - categorical (taxonomic), dimensional (taxometric) Epidemiology - Branch of medical science concerned with the incidence, distribution, and control of disorders that affect large numbers of people. Prevalence - fraction of a population having a specific disorder at a given time Incidence - The number or rate of new cases of a particular condition during a specific time. Comorbidity - the co-occurrence of two or more disorders in a single individual National Comorbidity Survey Replication - Large-scale national survey, Used structured interviews to collect information on the prevalence of several diagnoses burden of mental illness over the lifespan (DALYS) - Disability Adjusted life years, people losing great years of their life Who can provide treatment? -

  • Clinical psychologist (PH.D. OR Psy. D.) -School psychologist
  • Psychiatrist (M.D) -General Practitioner (M.D.)
  • Clinical social worker
  • Counselors (large group) - licensed professional counselor, alcohol and drug abuse, Marital and family therapist, Pastoral Counselor
  • Mental health workers with no advanced degrees (Bachelors) Research is important... -
  • What seems helpful may actually be harmful -It can help us improve treatments Research takes time because... - -We can only look at variable indirectly
  • We must consider culture
  • We must follow ethic codes (IRB needs approval)
  • Treat people, asylums were created starting in the 1500s (people were chained) Humanitarian Reform - establishment of early asylums (Dorothea Dox and Phillipe Pinel) Biological Factors in abnormal psychology -
    • Syphilis of the brain and general paresis (Degenerate disease) -Terrible practice: Lobotomies (shoving a rode into someones nose into the frontal love and would turn them into zoombies) Psychological Basis of Abnormal behavior -
    • Hypnosis? not great
  • Hypnosis + talking freely? now we're talking (Sigmund Freud use this as a foundation to create psychoanalysis)
  • Talking freely, no hypnosis? even better (Freud used technique like free association and dream analysis) Classifying Mental Disorders - DSM-5: standard reference book for all disorders -descriptive and provides a set criteria for diagnosis -Emil Kraepelin devised a classification system for mental disorders treatment today -
    • Many people with diagnoses do not get treatment (41% go and 59% don't) -Among those who do get treatment, many do not get adequate treatment What kinds of treatments are available? -
    • 41% - people in the NCS-R
  • 23% - General medical provider
  • 16% - mental health specialist
  • 12% - Psychiatrist
  • 8% - Human services provider
  • 6.8% - Alternative medicine Why should we evaluate treatments? -
    • Therapist might be bogus (disorder might have ran its course)
  • Manu diseases are cyclical -Spontaneous remission (getting better without much effort
  • Placebo effect (people thinking they got a good help from the therapist when its been a few days) -Symptomatic relief vs. cure -Misdiagnoses An early effort to evaluate psychotherapy -
    • Eysenck (1952) found that therapy was worse than nothing
  • Percentage of people who improved this study (Psychoanalysis (44%). Eclectic (64%), nothing (72%)
  • Some issues (discounting treatment counted as not improved, no measurement of symptom severity across conditions)

Does psychotherapy work? - People report feeling better after therapy Maybe they would have gotten better anyway with the passage of time Studies show that people in therapy do better than no-treatment control groups -science practiced dived empirically supported treatments -

  • Chambless & Hollon (1998) efficacious - two or more studies conducted by independent research teams
  • Its supervisor to no treatment or a placebo condition or equivalent to an establish treatment Efficacy vs. effectiveness - Efficacy = "if a drug CAN work" (ideal situation) Effectiveness = "if a drug DOES work" (real world-what PEC is all about) Signs vs. Symptoms - Signs = Objective information; can be seen, measured, heard, or felt
  • Color, pulse, edema Symptoms = Subjective information
  • Dyspnea, pain, nausea criteria for evaluating assessment tools -
  • should be standardized
  • should have established norms
  • should be reliable
  • Should be valid diagnostic interview - A type of clinical interview in which the primary purpose is to diagnose the client's problems
  • structured: written out questions -semistructured: follow up questions
  • Unstructured: what their leading with and not knowing what they might have projective test - a personality test, such as the Rorschach, that provides ambiguous stimuli designed to trigger projection of one's inner dynamics
  • incremental validity (how much a measure adds to the field, can take hours to get response back) personality tests - Psychological tests that measure various aspects of personality, including motives, interests, values, and attitudes.
  • Neuroticism: how anxious you are to negative events
  • Extraversion: how you interact with others
  • Openness: how open you are to trying new things
  • Agreeableness: how well you agree with others
  • Conscientiousness: how hard you work
  • x is associated with y (correlate)
  • x occur before y (a risk)
  • can x change? (yes: variable marker no: fixed marker)
  • does changing x change y ( yes: causal risk factor no: variable marker) necessary cause - a condition that must be present for the effect to occur
  • trauma must occur for PTSD sufficient cause - a condition that automatically produces the effect in question
  • get 100% on exam you get an A contributory cause - If X occurs, then the probability of Disorder Y increases.
  • having depression and ti gets worse the more likely you have suicidal thoughts diathesis-stress model - a diagnostic model that proposes that a disorder may develop when an underlying vulnerability is coupled with a precipitating event
  • diathesis: vulnerability to developing likelihood that someone has suicidal thoughts
  • Stress: an experience that is perceived as taxing Biological Perspective - the psychological perspective that emphasizes the influence of biology on behavior
  • Structural theories: abnormalities in brain structure cause mental disorders
  • Genetic theories: disordered genes lead to mental disorders
  • Biochemical theories: Imbalances in certain neurotransmitters or hormones, or poor functioning of receptors cause mental disorders Phineas Gage - railroad worker who survived a severe brain injury that dramatically changed his personality and behavior; case played a role in the development of the understanding of the localization of brain function Hunington's disease - hereditary disorder marked by degenerative changes in the cerebrum leading to abrupt involuntary movements and mental deterioration Polygenic - trait controlled by two or more genes condordance - The presence of the same trait in both twins
  • twin having 50% to have that same trait Heritability - Percentage of a trait is attributable to genetic variation Dopamine (DA) -
  • movement, learning, attention, pleasure, and reward sensations
  • excess linked to positive symptoms of schizophrenia Serotonin (5-HT) - Excitatory or inhibitory; involved in sleep, mood, anxiety, and appetite
  • low levels linked to depression Norepinephrine (NE) - Mainly excitatory; involved in arousal and alertness
  • low levels linked to depression Gamma-aminobutyric acid (GABA) -
  • Inhibits neuron activity (stops neurons from firing)
  • Low levels linked to some anxiety disorders Acetylcholine -
  • Vital role in learning, memory, muscle contraction
  • Implicated in Alzheimers endocrine system - the body's "slow" chemical communication system; a set of glands that secrete hormones (messenger of the body) into the bloodstream
  • HPA axis: system that releases cortisol (stress hormone) psychotropic medications - drugs that affect mental processes
  • antidepressant -mood stabilizers
  • anti-anxiety drugs -anti-psychotics drugs -stimulus psychodynamic model - model that views disorders as the result of childhood trauma or anxieties and that holds that many of these childhood-based anxieties operate unconsciously psychodynamic paradigm -
  • conflict between ID, Ego, and superego results in anxiety
  • ego defense mechanisms defense mechanisms -
  • regression: returning to an earlier state of the development
  • denial: negative situation did not help happen or it's not accurate
  • Rationalization: putting up what may seem like an acceptable
  • Intellectualization: A distant approach to emotional situations
  • Reaction formation: acting or behaving the opposite that you're feeling
  • Sublimation: putting unacceptable desires to acceptable forms of actions
  • Projection: putting you unacceptable behaviors instead of the other
  • Displacement: Pushing your negative emotions and putting them on another source

Humanistic Paradigm - argues that human behavior is the product of free will, the view that we control, choose, and are responsible for our actions -Rogers social-cultural psychology - the study of how situations and cultures affect our behavior and thinking

  • societal labels and roles
  • Social networks and supports
  • Early deprivation and trauma
  • Prejudice and discrimination
  • Family structure and communication
  • Cultures effects on disorders · What Psychological disorder has the highest lifetime prevalence rate? - Major depressive disorder · One advantage of having a classification system for mental disorders is that it can help clinicians select an appropriate treatment for a client. - True · A pharmaceutical company has developed a new drug to treat depression. They've decided to run an experiment to see how effective it is. In this experiment, some participants are given the drug, and some are not. To test how effective the medication is, all participants fill out a measure of depressive symptoms each week for 3 months. What is the independent variable in this example? - Whether the drug is given or not · Jose is running an experiment at his local university. To determine if participants will be in the experimental group or the control group, he picks a number out of a hat. If he picks out the number 1, that participant will be in the control group. If he picks out the number 2, that participant will be in the experimental group. José is using ____________ for his study. - Random assignment · Hippocrates believed that issues with ______ were the cause of mental disturbances. - The four humors · People like Dorothea Dix and Phillipe Pinel believed that ____________ would create better outcomes for people exhibiting abnormal behaviors. - Focusing on a patients needs · In Gerald's latest therapy session, he was asked to evaluate the belief that he was a failure. Gerald and his therapist talked about the evidence for and against the thought he was a failure, and what being a failure means to Gerald. This is an example of __________. - Cognitive Restructuring · Tori and her significant other went to a movie together last week. Every time her partner talks during the movie, Tori loudly shushes them. Her partner eventually learns to stop talking during the movie. What type of conditioning is this? - Positive punishment

· What are the goals of a clinical assessment? - Learn enough about the client to be able to make informed decisions about their diagnosis and treatment, identify the level of the symptoms experienced by the client in relevant domains, identify what the client's main concerns are · Which of these could be considered a symptom rather than a sign? - Client reporting feeling sad · Neville is interested in running a randomized clinical trial, comparing a therapy with a control condition. This control condition will help explain why the therapy is effective. - False