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Psychological Disorders & Treatment Exam 2 |100% Correct Answers|

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Psychological Disorders & Treatment Exam 2 |100% Correct Answers| Antisocial Personality Disorder *Ans*Characterized by lack of conscience for wrongdoing, even toward family and friends—extreme disregard for feelings and rights of others ¤ Lifetime prevalence: 2-3.5% ¤ More common in men ¤ May present as aggressive and ruthless, or a clever con artist ¤ No remorse ¨ Symptoms: self-centeredness, lack of empathy or remorse, shallow, superficial emotions, deceitfulness, manipulative behavior, disregard for rules, impulsivity ¤ Strong genetic component ¤ Blunted heart rate and perspiration response, and less amygdala activity when shown negative emotional, threatening stimuli (e.g., photos of murder scene) ¤ Experience less anxiety in general Anxiety Disorder Development: Biological Perspective: *Ans*¤ Natural selection - fear preserves the species ¤ Genetics - identical twins more likely to share phobias ¤ Malfunctioning brain circuitry (e.g., OCD - elevated activity in anterior cingulate cortex, involved in action monitoring and error checking Anxiety Disorder Development: Learning Perspective: *Ans*¤ Fear conditioning - through stimulus generalization and reinforcement ¤ Observational learning - learn what to fear by observing others Anxiety Disorders *Ans*People with Anxiety Disorders suffer such disabling levels of fear and anxiety that they cannot lead a normal life Collectively the most common mental disorders in the US ¤ Each year, ~18% of adult population suffer from an anxiety disorder Behavior Therapies, Psychotherapy *Ans*Rooted in behaviorism - views conditioned, learned responses as the primary explanation for behavior ¤ Problem behaviors (e.g., phobias) are learned behaviors that can be extinguished and replaced by adaptive ones by applying learning principles ¤ Goal: change problem behaviors, not focused on exploring feelings *Counterconditioning* - using classical conditioning to evoke new associations, to replace unwanted responses --*Exposure Therapies*-expose people to what they normally avoid or escape ...*Systematic desensitization* - type of exposure therapy that associates a pleasant relaxed state with gradually increasing anxiety-triggering stimuli --*Aversion Therapies* Associates an unpleasant state (e.g., nausea) with an unwanted behavior (e.g., drinking alcohol) Transforming the person's reaction from positive to negative (positive punishment) Bipolar Disorder *Ans*Mood Disorder Person alternates between depression and mania ¤ Mania - euphoric, hyperactive, wildly optimistic state ¤ Symptoms - over-talkative, over-active, elated (although also easily irritate if crossed); little need for sleep; loud, flighty speech; poor judgment (reckless spending, risky investments, unsafe sex - fewer inhibitions). ¨ Bipolor disorder is less common than depression, but often more dysfunctional (lifetime risk ~ 2.6%) Body Dysmorphic Disorder Somatoform Disorders *Ans*Persistent and intrusive preoccupation with an imagined or slight defect in one's appearance ¤ May avoid contact with others or go to great lengths to hide defect Borderline Personality Disorder *Ans*severe instability in emotion and self concepts and high levels of volatility. Symptoms: major mood shifts (depressive, anxious, irritable, angry), unstable self-image, impulsivity, unstable relationships, sometimes physically aggressive towards self or others and/or suicidal thoughts Cause not well understood, perhaps improper emotional regulation coupled with an environment that teaches one to ignore intense emotions Brain Stimulation, Biomedical Therapy *Ans*Electroconvulsive Therapy (ECT) ¤ Brief electric current is sent through the brain of an anesthetized patient to induce a seizure. ¤ Effective for treating depression n 70% of depressed patients improve ¤ Limitations: n Procedure can result in short-term memory loss n Exact mechanism is unknown ¨ Two alternatives with fewer side effects: ¨ Vagus Nerve Stimulation ¤ Pulse generator implanted under skin ¤ Electrical signals travel to vagus nerve, which delivers electrical signals to the brain ¤ Effective for treating depression: 65% of people improve ¤ Mechanism still unclear ¨ Transcranial Magnetic stimulation (TMS) ¤ Temporarily increases activity deep in the prefrontal cortex ¤ Effective for treating depression: 65% of people improve Causes of Schizophrenia *Ans*¨ Typical onset in the 20s ¨ Prevalence - 1% of population ¤ Strong heritability - genetic predisposition ¤ Excessive dopamine activity? n Signals sent to easily Cognitive Therapies, Psychotherapy *Ans*¨ Based on the assumption that thoughts intervene between events and our emotional reactions (i.e., emotional problems are due to distorted or faulty

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Psychological Disorders & Treatment
Exam 2 |100% Correct Answers|
Antisocial Personality Disorder *Ans*✨Characterized by lack of conscience for wrongdoing, even
toward family and friends—extreme disregard for feelings and rights of others

¤ Lifetime prevalence: 2-3.5%

¤ More common in men

¤ May present as aggressive and ruthless, or a clever con artist

¤ No remorse

¨ Symptoms: self-centeredness, lack of empathy or remorse, shallow, superficial emotions,
deceitfulness, manipulative behavior, disregard for rules, impulsivity

¤ Strong genetic component

¤ Blunted heart rate and perspiration response, and less amygdala activity when shown negative
emotional, threatening stimuli (e.g., photos of murder scene)

¤ Experience less anxiety in general



Anxiety Disorder Development: Biological Perspective: *Ans*✨¤ Natural selection - fear preserves the
species

¤ Genetics - identical twins more likely to share phobias

¤ Malfunctioning brain circuitry (e.g., OCD - elevated activity in anterior cingulate cortex, involved in
action monitoring and error checking



Anxiety Disorder Development: Learning Perspective: *Ans*✨¤ Fear conditioning - through stimulus
generalization and reinforcement

¤ Observational learning - learn what to fear by observing others



Anxiety Disorders *Ans*✨People with Anxiety Disorders suffer such disabling levels of fear and
anxiety that they cannot lead a normal life

Collectively the most common mental disorders in the US

¤ Each year, ~18% of adult population suffer from an anxiety disorder

, Behavior Therapies, Psychotherapy *Ans*✨Rooted in behaviorism - views conditioned, learned
responses as the primary explanation for behavior

¤ Problem behaviors (e.g., phobias) are learned behaviors that can be extinguished and replaced by
adaptive ones by applying learning principles

¤ Goal: change problem behaviors, not focused on exploring feelings

*Counterconditioning* - using classical conditioning to evoke new associations, to replace unwanted
responses

--*Exposure Therapies*-expose people to what they normally avoid or escape

...*Systematic desensitization* - type of exposure therapy that associates a pleasant relaxed state with
gradually increasing anxiety-triggering stimuli

--*Aversion Therapies* Associates an unpleasant state (e.g., nausea) with an unwanted behavior (e.g.,
drinking alcohol) Transforming the person's reaction from positive to negative (positive punishment)



Bipolar Disorder *Ans*✨Mood Disorder

Person alternates between depression and mania

¤ Mania - euphoric, hyperactive, wildly optimistic state

¤ Symptoms - over-talkative, over-active, elated (although also easily irritate if crossed); little need for
sleep; loud, flighty speech; poor judgment (reckless spending, risky investments, unsafe sex - fewer
inhibitions).

¨ Bipolor disorder is less common than depression, but often more dysfunctional (lifetime risk ~ 2.6%)



Body Dysmorphic Disorder Somatoform Disorders *Ans*✨Persistent and intrusive preoccupation with
an imagined or slight defect in one's appearance

¤ May avoid contact with others or go to great lengths to hide defect



Borderline Personality Disorder *Ans*✨severe instability in emotion and self concepts and high levels
of volatility.

Symptoms: major mood shifts (depressive, anxious, irritable, angry), unstable self-image, impulsivity,
unstable relationships, sometimes physically aggressive towards self or others and/or suicidal thoughts

Cause not well understood, perhaps improper emotional regulation coupled with an environment that
teaches one to ignore intense emotions

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