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PSY 301 Test 3

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Term
Definition
Statistical norms   are extreme happiness and intelligence abnormal?  
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Social norms   different cultures and different times have different definitions of norms  
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cognitive/perceptual disorders   is having extremely high self esteem abnormal?  
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Personal distress   subjective feelings can be normal (miserable, anxious, depressed, insomnia)  
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behavioral maladaptiveness   most important! it's a problem when welfare of the individual or their social group is harmed  
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efficient perception of reality   realistic appraisals of their reactions and capabilities and the world around them; basically Not cognitive/perceptual distortion; grounded in reality  
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voluntary control over behavior   decisions to act are voluntary and not due to uncontrollable impulses  
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self esteem and acceptance   feelings of self worth and acceptance; comfortable and spontaneous w/ others  
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able to form affectionate relationships   sensitive to the needs of others; dont make excessive demands; many times serial killers lack this  
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productivity   able to channel energy and ability into productive activity  
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DSM   statistical manual that's a checklist for disorders; put out by the American Psychiatric Association; Psychologists and psychiatrists don't always see eye to eye (psychology looks at how & why while Psychiatrists look at logical symptoms & diagnostics)  
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DSM-IV   has 5 axis; older version of DSM  
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DSM-IV Axis 1   acute psychological problem (what's wrong now?) ex. depression, insomnia  
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DSM-IV Axis 2   Long term psychological problems (ex. personality disorders)  
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DSM-IV Axis 3   Medical problems (may contribute to psychology such as heart surgery leading to depression)  
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DSM-IV Axis 4   major life changes (death in family, moving); social change  
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DSM-IV Axis 5   global assessment of functioning (how is the person coping and how do they participate in the environment?)  
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DSM-V   Went from 5 axis to 3 sections  
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Changes in DSM (Asperger's syndrome& Pervasive Developmental disorders )   Asperger's syndrome& Pervasive Developmental disorders dont exists anymore->now on autism spectrum (pro: hopes of less stigma, con: some ppl need the classification to afford behavioral therapy insurance)  
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Changes in DSM (bipolar disorder)   bipolar now separate from major depression  
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Changes in DSM (PTSD)   Posttraumatic stress disorder no longer classified as anxiety disorder  
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Changes in DSM (OCD)   OCD no longer classified as anxiety disorder  
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Changes in DSM (exclusion of bereavement)   major depression no longer includes an exclusion of bereavement (so no clause to account for things such as death of a loved one)  
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comorbidity   when you get a similar diagnosis between 2 or more disorders  
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DSM-V (Section 1)   Why the DSM was changed  
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DSM-V (Section 2)   List of all disorders despite what axis it was previously listed in  
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DSM-V (Section 3)   Does the job of axis 4 and 5, except axis 5 is only suggested, not required  
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Lifetime prevalence   most times ppl double or tripple dip in disorders (comorbid)  
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Generalized anxiety   to nothing identifiable; persistent; chronic, but some things may make it worse  
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Panic attacks   to nothing identifiable; transient and intense  
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Phobias   to something identifiable; disruptive; exaggerated; irrational; can be simple, social, or complex  
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Obsessive compulsive disorder   obsessive idea generates anxiety relieved by compulsive/ritualistic acts that may not be logically associated with the obsessive idea  
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Posttraumatic stress disorder   acute stress disorder after 30 days since the event occurred, even if symptoms not visible in the first 30 days  
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Acute stress disorder   stress within the first 30 days since the event occurred  
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Trauma and stress   flashbacks, nightmares, sleep problems, can occur by war/natural disasters/accidents/assault; during flashbacks, ppl have lots of adrenaline but low cortisol lvls  
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Major depression (primary)   depression is root problem  
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Major depression (secondary)   depression is caused by something else; ex. heart surgery leading to depression  
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Major depression (involutional)   comes from loss of ability  
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Major depression (postpartum)   occurs in some women after child birth; doesnt always respond to classical depression meds  
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Major depression (exogenous)   due to an external event; sometimes responds to meds, but not always  
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Major depression (endogenous)   has to do with interior brain physiology, usually responds well to meds  
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Major depression (Seasonal affective disorder)   dont receive enough light= depression; mostly happens in the North; there are structures in the brain that pick up a little light thru the skull which regulates sleep cycle  
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Bipolar disorder   aka Manic depression; alternating moods; unresponsive to antidepressants; irritability- possible warning of harm to self; go thru manic (lots of excitement) and depressive (usually longer than manic) states; use mood stabilizers as med; high suicide rates  
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schizophrenia   it has nothing to do w/ multiple personalities; "a break" from reality; disturbances of thought/attention; hallucinations; disturbances of emotional stat; motor withdrawal (waxy flexibility); decreased ability to function  
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schizophrenia (acute)   rarest; doesnt run in families; can occur any time during life; usually in response to a traumatic event; typically doesnt reoccur; not very responsive to antipsychotic meds; doesnt have neurochemical basis  
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schizophrenia (chronic)   appears in late adolescence; most common; go into periodic remission; comorbid w/ ADD& OCD; as patient ages, psychotic episodes get longer, more severe; typically responds well to antipsychotic meds, but have to take it continually  
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schizophrenia (vulnerability)   high risk children (one schizo parent)- more likely to have birth complications, separation from mom, fathers hospitalized, inappropriate behavior at school, atypical pattern of infant development  
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schizophrenia (type 1)   positive symptoms (hallucinations, delusions, bizarre behavior, confused thinking), functioned well before appearance of symptoms; disturbed behaviors come and go; responds well to antipsychotic meds; problem in dopamine neurotramission  
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schizophrenia (type 2)   negative symptoms (poverty of speech, emotional unresponsiveness, seclusiveness, impaired attention), poor history of social and edu functioning prior to onset; unresponsive to antipsychotic meds; due to structural brain abnormalities (Flu epidemic)  
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schizophrenia (CAT and MRI Scans)   shows structural abnormalities in the brain's areas involved in thinking, concentration, memory, and perception (cerebral ventricles, frontal and temporal lobes, hippocampus)  
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schizophrenia (PET scans)   show reduced metabolism in the frontal lobes of unmedicated patients; suggests increased # of dopamine receptors in the brains of previously unmedicated sufferers  
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Personality disorders   immature way of coping with traumatic things such as bullying and abuse as a child  
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Personality disorders (antisocial personality)   psychopathic, sociopathic; not to be confused w/ antisocial behavior; no conscious, guilt, empathy, or concern for others; low physiological measures for arousal or anxiety despite an apparent need for thrills and excitement; restless and impulsive  
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Personality disorders (borderline personality)   mass manipulation; extreme fear of abandonment; instability; anxiety attacks; ppl teeter b/w severe neurotic traits and bouts of psychosis; high users of outpatient mental health services  
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dissociative amnesia   sudden memory loss due to a psychologically stressful event; may be brief or prolonged; recovery is often also sudden; memories come back from old life and amnesia life; occurs to adults  
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dissociative fugue   sudden memory loss due to stressful event; recovery duration is variable; after recovery, fugue memories are lost  
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dissociative identity   multiple personality; early emotional trauma (very young child); personalities may or may not be aware of eachother; abnormal EEG measurements during shift in personality; core personality and protector personality  
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mental hospital   care for those who cant care for themselves; brief hospitalization for acute psychotic episodes; used to be many, but not since it became the states' jobs to fund them  
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general hospital   most psychiatric impatient stays; sometimes in a specialized psychiatric ward  
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nursing home   older chromic mental patients; quality of living condition varies; few, if any specialized treatment personnel  
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halfway houses   provides transition to general community; may help seek employment and place to live  
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community mental health centers   free or low cost services; activities aimed at preventing psychological problems where possible  
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private offices   preferred by those who can afford them  
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psychiatrist   MD; can work in any setting but most choose hospital or private practice; can prescribe drugs; mindset is physician like; some do zero talk therapy  
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clinical psychologist   doctorate in psychology with training in research and clinical practice; many employed in universities in addition to private practice  
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counseling psychologist   doctorate in psychology; less research and more clinical emphasis; more likely to see patients w/o a mental disorder  
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counselor   masters degree in counseling; likely to work in school or institution helping ppl deal w/ school or job related problems  
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psychiatric social workers   masters in social work and training in dealing w/ ppl w/ psychological problems; often visit ppl at home and make rudimentary assessments of home situations; state workers; underpaid and overworked  
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psychiatric nurse   bachelors or masters in nursing; usually work in hospitals and may conduct psychotherapy sessions  
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initial interview   purpose is to determine if problem is organic or mental  
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computerized axial tomography (CAT or CT Scan)   3D xray that can see most large scale injuries; cheap and quick though a little blurry  
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MRI Scan   sharp image up to a mm; more expensive; detects the radio frequencies emitted by water in tissue when a very strong magnetic field is flipped on and off; grayscale (white=bone, black- water/ventricles); gives brain structure  
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Positron emission tomography (PET scan)   measures metabolic activity via weak radioactively labeled markers ; lets you know what parts of the brain are working harder; poorer resolution  
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EEG   cheapest and easiest; least invasive; measures electrical activity in brain; can only see surface (Cortex) of brain; poor spatial resolution; works in real time  
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mini mental states exam   a little over 20 questions, brief quick and dirty exam to assess cognitive function  
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amytol interview   injection of sodium amytol (a barbiturate) followed by questions; makes ppl stoned so they cannot keep up a fake act  
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clinical interview (structured)   predetermined questions w/ no deviation; allows you to compare results across ppl  
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clinical interview (unstructured)   can ask whatever questions in whaterver order  
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MMPI   many many questions; ppl just take subset of test; meant for ppl with almost 100% identifiable disorder  
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WAIS   intelligence test; easily interpretable results  
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projective tests   more art than science; ambiguous pics and ask what do you see? ex. Thematic apperception test (Drawing w/o any context and ask what is going on? ex. ink blot test  
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free association   psychodynamic technique; client is encouraged to give free rein to thoughts and feelings w/o editing or censoring; long rambling conversation; can take years; to get over censorship  
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cognitive techniques   Instruction in self change skills, relaxation therapy, increasing pleasant events, cognitive strategies, assertiveness training, increasing social interaction  
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counter conditioning   the problem the person has is because of a learned component; instead of having a negative response to the stimuli, conditioned to have a positive response  
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aversion therapy   takes same stimuli of something pleasant (like alcohol) and makes the effect something unappealing  
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systematic desensitization   frightened or repelled by something that you shouldnt be; takes relaxing at thought, then picture, then video, then 50 ft away, then closer and closer; long term cure  
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flooding   based on extinction; better for milder probs; person confronts thing that makes them uncomfortable  
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implosion therapy   based on extinction; based on imagining being in that situation  
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Token economies   withhold bad behavior to get what you want; part of operant conditioning  
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modeling   you observe and follow somebody else's actions; part of observational learning  
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behavioral rehearsal/role playing   act like you are something else till u become it; often used in hurting relationship; ; part of observational learning  
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rational-emotive   replace irrational ideas; therapist attacks and contradicts; quick changes  
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transactional analysis   become aware of one's hidden intents; group setting  
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spontaneous remission   ppl suddenly get better  
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pyschotherapy common factors   interpersonal relationship of warmth and trust, reassurance and support, desensitization, reinforcement of adaptive responses, understanding or insight  
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culture and gender   men and women hospitalized at same rate but for different reasons; men= substance abuse; women= mood disorders  
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antianxiety drug   benzodiazepines; enhance the activity of GABA; work quickly; can lead to dependance  
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antipsychotic drugs   Phenothiazines- impair the activity of dopamine, leads to spaztic movements, takes 2-6 weeks to work/// novel- impairs the activity of seratonin and dopamine  
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antidepressant drugs   inhibitors & trycyclics- enhance monamines, side effects: cant eat certain things, can overdose/// seratonin uptake inhibitors- enhance the activity of seratonin, cant overdose on this  
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shock therapy/ ECT   used for extreme suicidal ppl for who other drugs dont work; last distch effort; controversial b/c it can also cause brain damage  
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