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Biological Approaches
Behavioral Approaches
Behavioral Therapies
Focuses on identifying the reinforcements and punishments
contributing to a persons maladaptive behaviors and on
changing specific behaviors
Initial behavioral assessment of problem
Systematic desensitization gradual method for extinguishing
anxiety responses to stimuli and the maladaptive behavior that
often accompanies this anxiety
o The client first learns relaxation exercises and then
develops a hierarchy of feared stimuli, ranging from stimuli
that would cause him or her only mild anxiety to stimuli
that would cause severe anxiety or panic
o Therapist would help client proceed through hierarchy,
starting with the least feared stimulus and proceeding until
the client reaches the most-feared stimulus on the list and
is able to experience this stimulus without anxiety
o Paired with modeling witnessing the therapist do feared
things and imitating their behavior
Cognitive Approaches
Cognitive Therapies
Short-term, meant to help clients identify and challenge negative
thoughts and dysfunctional belief systems.
Cognitive therapists also help clients learn more effective
problem-solving techniques for dealing with the concrete
problems in their lives
3 main goals:
o Assist clients in identifying their irrational and maladaptive
thoughts
o Teach clients to challenge their irrational or maladaptive
thoughts and to consider alternative ways of thinking
o Encourage clients to face their worst fears about a
situation and recognize ways they could cope
Psychodynamic Approaches
Psychodynamic Therapies
Focuses on uncovering and resolving unconscious processes that
are thought to drive psychological symptoms
Goal is to help clients recognize their maladaptive coping
strategies and the sources of their unconscious conflicts
Free association is a method Freud and others use where client
talks about what comes to mind and tries not to censor thoughts
Resistance to certain material is an important clue to the clients
central unconscious conflicts
Therapist provides interpretation of conflict that the client might
be facing, resistance to interpretation might be an indication that
the interpretation has identified an important issue in the clients
unconscious
Biopsychosocial approach
Combination of biological, psychological, and sociocultural
factors to result in the development of a specific disorder
Diathesis vulnerability for a particular disorder
Diathesis stress model disorder will only emerge when a
diathesis or vulnerability interacts with a stress or trigger
Chapter 3 Assessing and Diagnosing Abnormality
Assessment Tools
Validity - the accuracy of a test in assessing what it is supposed
to measure
o Face validity the items seem to measure what the test is
intended to measure (at face value)
o Content validity the extent to which a test assesses all
the important aspects of a phenomenon that it purports to
measure
o Concurrent validity the extent to which a test yields the
same results as other, established measures of the same
behavior, thoughts, or feelings
o Predictive validity predicting how a person will think, act,
or feel in the future
Assessment Types
Symptom questionnaire a questionnaire that assesses what
symptoms a person is experiencing
Personality inventories questionnaires meant to assess peoples
typical ways of thinking, feeling, and behaving; are used as part
of an assessment procedure to obtain information on peoples
well-being, self-concept, attitudes and beliefs, ways of coping,
perceptions of their environment and social resources, and
vulnerabilities
o MMPI most common personality test
Intelligence tests used to get a sense of an individuals
intellectual strengths and weaknesses, particularly when mental
retardation or brain damage is suspected
Neuropsychological tests may be useful in detecting specific
cognitive deficits such as a memory problem
Projective tests based on the assumption that when people are
presented with an ambiguous stimulus, they will interpret the
stimulus in line with their current concerns and feelings, their
relationships with others, and conflicts or desires
o Rorschach Inkblot test, TAT test
Clinical Interviewing
For mental status exam, note:
o Appearance and behavior
o Thought processes
o Mood and affect
o Intellectual functioning
o Orientation to time and space
DSM
Prevalence proportion of the population who have a specific
disorder at a given point or period in time
Incidence number of new cases of a specific disorder that
develop during a specific period of time
Comorbidity overlap among disorders
Experimental Studies
External validity the extent to which a studys results can be
generalized to real-life phenomena
Internal validity changes in the dependent variable can
confidently be attributed to our manipulation of the independent
variable and not to other factors
o Control other variables by using control group,
experimental group, random assignment higher internal
validity
o Threats to internal validity: selection differences, attrition
(drop-out), experimenter bias, history (events that arent a
part of the study affect outcome), maturation, regression
to mean (on follow up assessments)
Chapter 7 Mood Disorders and Suicide
Unipolar depression depression without mania
o Major depression diagnosis of major depression requires
that a person experience either depressed mood or loss of
interest in usual activities, plus at least four other
symptoms of depression, chronically for at least 2 weeks,
symptoms must be severe enough to interfere with the
persons ability to function in everyday life
o Dysthymic - less severe than major depression but more
chronic, person must experience depressed mood plus two
symptoms for at least 2 years
Bipolar disorder
o Bipolar I manic episodes
o Bipolar II severe episodes of depression with milder
episodes of mania known as hypomania (no hallucinations
or delusions, does not interfere with functioning)
o Cyclothymic disorder alternates between episodes of
hypomania and moderate depression chronically over at
least a 2-year period
Causal attribution is an explanation of why an event happened
Learned helplessness theory suggests that the type of stressful
event most likely to lead to depression is an uncontrollable
negative event