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Abnormal Psychology (Outline Reviewer) PDF
Abnormal Psychology (Outline Reviewer) PDF
Abnormal Psychology
(Outlined)
Anxiety Disorder
- Apprehension over an anticipated problem
- Comorbid to Bipolar disorder, Substance
Abuse, Personality Disorder and also Medical Agoraphobia
Conditions - Anxiety about situations in which it would
be embarrassing or difficult to escape if
anxiety symptoms occurred
Separation Anxiety Disorder - At least 6 months
- Developmentally inappropriate and Panic Disorder
excessive fear/anxiety in anticipating or - Characterized by frequent panic attacks
experiencing separation from the that are unrelated to specific situation and
individual to whom they are attached. by worrying about having more panic
- Applied only under 18 (DSM IV-TR) attacks
- Symptoms present for at least 4 weeks in - At least 1 month
children/adolescents and 6 months or more Social Anxiety Disorder
in adults - Persistent, unrealistically intense fear of
Selective Mutism social situations that might involve being
- Rare childhood anxiety disorder in which a sanitized by exposed to unfamiliar people.
child unable to speak in certain - At least 6 months
situation/people
- Symptoms for at least 1 month not SOCIOCULTURAL FACTORS
st
month in school - Women twice likely as men
Specific Phobia - Problems vary from culture to culture
- Disproportionate fear caused by specific TAIJIN KYO-FUSHO Japan (fear of
object/situation displeasing/ embarrassing others)
- At least 6 months GENETIC FACTORS
- Object/situation is avoided/endured with - Twin studies heritability suggest 20-40%
intense anxiety NEUROBIOLOGICAL FACTORS
- Only under age 18 (DSM IV-TR) - Fear circuit involved amygdala (more activity)
Generalized Anxiety Disorder - Medial prefrontal cortex (less activity)
- Uncontrollably/persistent worrying about PERSONALITY FACTORS
minor things - Behavioral inhibition during infancy
- At least 3 months (6 Months in DSM IV- - Neuroticism
TR) COGNITIVE FACTORS
- With muscle tension - Sustained negative beliefs about the future
- Worry cognitive tendency to chew on a - Perceived control
problems unable to let her go of it - Attention to threat
| Abnormal Psychology 6
NO TRAUMATIC EXPERIENCE
Reactive Attachment Disorder
- Disturbed, developmentally inappropriate
attachment behavior to the caregivers
- Persistent social and emotional disturbance
- At least 9 months of age
Adjustment Disorder
- Emotional and behavioral symptoms with
significant impairment in functioning after
an identifiable stressor (mostly normal
stressors)
Compulsions repetitive, clearly excessive behavior or results in skin lesions and causes significant
mental acts that the person feels driven to perform to
reduce the anxiety caused by obsessive thoughts to Trichotillomania (hair-pulling disorder)
prevent some calamity from occurring Characterized by compulsive, mild to severe from
anywhere on the body; can results in hair loss to
Obsessive-compulsive Disorder ALOPECIA (bald spots on the scalp)
- Characterized by obsessions or
compulsions that are time-consuming
(requires 1 hour per day)
- Recognize as the product of their mind
- Common in women than in men
- *chronic
- Begins in childhood
Body Dysmorphic Disorder
- Preoccupied with an imagined, exaggerated
defect in their appearance
- Has performed repetitive behaviors or
mental acts in response to the appearance
concerned
- Slightly common in women than in men
but is very rare
Hoarding Disorder
- Persistent difficulty discarding or parting
with possessions
| Abnormal Psychology 8
Dissociative Disorder
Dissociation- involves the failure of consciousness to - Unable to recall important personal
perform its usual role of integrating our cognitions, information usually about some traumatic
emotions, motivations and other aspects of experiences experience
in our awareness - Fugue is a severe subtype
- Localize/selective amnesia for specific events
Dissociative Identity Disorder - Explicit memory conscious recall of
- Have at least 2 separate identities/ personalities experiences
or alters-different modes of being, thinking,
feeling and acting that exist independently of Depersonalization/Derealization Disorder
one another, emerged at different time Depersonalization
- 2 of the alters recurrently take control - Persistent or recurrent experiences of
- Inability of at least 1 to recall important ocesses or
information body
- Loss of sense of self
Dissociative Amnesia Derealization
| Abnormal Psychology 10
Mood Disorders
- Atleast 1 year
- Before age 10
DEPRESSIVE DISORDERS cardinal symptoms of
2. Major Depressive Disorder
depression include profound sadness and/or an
- Sad mood or loss of pleasure in usual activities
inability to experience pleasure
- At least 5 symptoms
1. Disruptive Mood Dysregulation Disorder - Nearly every day for at least 2 weeks (episodic)
- Severe recurrent temper outburst and persistent recurring
negative mood - With suicidal thoughts
| Abnormal Psychology 11
NEUROBIOLOGICAL FACTORS
- Genetic heritability among twins
- Neurotransmitters
↓norepinephrine
↓dopamine
=DEPRESSION
↑norepinephrine
↑dopamine
Suicide
THREE OTHER IMPORTANT INDICES OF 1. suicidal ideation (thinking seriously about
SUICIDAL BEHAVIOR ARE: suicide)
| Abnormal Psychology 12
BULIMIA NERVOSA
-eating a larger amount of food typically more junk food
than fruits and vegetables than most people would eat
BULIMIA NERVOSA - Out of control eating or under similar circumstances.
binges followed by self-induced vomiting, excessive -ashamed of both their eating issues and their lack of
use of laxatives, or other attempts to purge (get rid control
of) the food. Purging techniques-
compensate for the binge eating and potential weight
gain, almost always.
ANOREXIA NERVOSA - The person eats only
Include self-induced vomiting immediately after eating.
minimal amounts of food or exercises vigorously to
Subtypes:
offset food intake so body weight sometimes drops
1. Purging type
dangerously.
2. Non purging type
Medical Consequences
BINGE EATING DISORDER - Individuals may CHRONIC BULIMIA with PURGING
binge repeatedly and find it distressing, but they do 1. Salivary gland enlargement caused by repeated
not attempt to purge the food. vomiting, which gives the face chubby appearance.
2. Repeated vomiting also may erode the dental enamel
on the inner surface of the front teeth as well as tear
OBESITY - is not considered an official disorder in the esophagus.
DSM, but we consider it here because it thought to 3. Continued vomiting may upset the chemical balance
be one of the most dangerous epidemics confronting of bodily fluids, including sodium and potassium
public health authorities around the world today. levels.
PICA eating of one or more nonnutritive food, Electrolyte imbalance- results in serious
nonfood substances on a persistent basis medical complications if unattended. (e.g.
cardiac arrthymia or disrupted heartbeat,
RUMINATION DISORDER repeated seizures and renal/kidney failure
regurgitation of food occurring after feeding or
eating (re-chewed, re-swallowed and re-spit out) ANOREXIA NERVOSA
-
- Proud of both their diets and their extraordinary
AVOIDANT/ RESTRICTIVE FOOD INTAKE control.
DISORDER avoidance of restriction of food - Intense fear of obesity and relentlessly pursue thinness.
intake manifested by persistent failure to meet *individuals with bulimia have a history of anorexia; that
appropriate nutritional and/or energy needs is, they once used fasting to reduce their body weight
associated w/ one or more: 9weight loss, nutritional below desirable levels.
deficiency, dependence on enteral feeding/ oral Medical Consequences
nutritional supplements and marked interfere w/ - Cessation of menstruation
psychosocial functioning - Medical signs and symptoms:
1. Dry skin
2. Brittle hair and nail
Ego dystonic with stress and anxiety 3. Sensitivity to or intolerance of cold temperature.
Ego syntonic without stress and anxiety - Lanugo
1. Downy hair on the limbs and cheeks
- Cardiovascular problems
- Electrolyte imbalance
brain wave activity (by EEG) Sleep Stress- includes a number of events that can
eye movements (by electrooculagram) negatively affect sleep
muscle movements (by electromyogram) Rebound Insomnia- sleep problems reappear
heart activity (by electrocardiogram) sometimes worst- may occur when the medication
Actigraph records the number of arm movements and is withdrawn.
the data can be downloaded into a computer to
determine the length and quality of sleep. HYPERSOMNOLENCE DISORDER
Sleep efficiency the percentage of time actually spent
asleep. people who sleep all night find themselves
-
100%: you fall asleep as soon as your head hits the falling asleep several times the next day.
pillow and do not wake up during the night. - excessive sleepiness
50%: half of your time in bed is spent trying to NARCOLEPSY
sleep- you are half the time awake. - experience cataplexy, a sudden loss of muscle
tone.
INSOMIA DISORDER: Cataplexy
- most common sleep wake disorder - person is awake and can range from slight
- micro sleeps weakness in the facial muscles to complete
- Fatal Insomnia: total lack of sleep eventually leads physical collage
to death - preceded by strong emotion such as anger or
- night happiness.
(difficulty iniating sleep), if they wake up
Two characteristics:
1. Sleep Paralysis brief period after awakening
sleep reasonable number of hours but still not
rested the next day (NONRESTORATIVE SLEEP) frightening to those who go through.
2. Hyponagogic hallucinations vivid and often
Primary Insomnia- sleep problems were not related to terrifying experiences that begin at the start of
other medical or psychiatric problems. sleep and are said to be unbelievably realistic
because they include not only visual aspects
CAUSE but also sensation of body movements.
Problems with the biological clock and its control
of temperature. Isolated sleep paralysis sleep paralysis commonly
Delayed temperature rhythm: occurs with anxiety disorders.
1.
2. Drowsy until later at night BREATH-RELATED SLEEP DISORDERS
People with Insomnia seems to have higher body - People whose breathing is interrupted during their
temperature than good sleepers sleep often experience numerous brief arousals
Drug use throughout the nights and do not feel rested even
Environmental influences: light, noise and after 8 or 9 hours.
temperature Hypoventilation breathing is constricted a great
deal and may be labored
Sleep apnea - a disorder that involves obstructed - Signs:
nighttime breathing o loud snoring
o heavy sweating during the night
Periodic limb movement disorder- excessive leg o morning headaches
movements o sleep attacks
Family history of insomnia, narcolepsy or
obstructed breathing. (Predispotioning - Three types of Apnea
Conditions) 1. OBSTRUCTURE SLEEP APNEA HYPOPNEA
SYNDROME
Light sleeper- easily aroused at night airflows stop continued activity by the
respiratory system
| Abnormal Psychology 17
Nightmare
- occur during REM or dream sleep
- disturbing dreams that awaken the sleeper
Disorder of Arousal
- Includes a number of motor movements and
behavior during NREM sleep such as
sleepwalking, sleep terrors and incomplete
awakening.
Sleep terrors
- The child is extremely upset often sweating and
frequently has a rapid heartbeat.
Sleep walking (Somnambulism)
- Occurs during NREM sleep
- People walk in their sleep, they probably not
acting out a dream.
- Occurs during the first few hours while a person
is in deep stages of sleep.
RELATED DISORDER:
1. Nocturnal Eating Syndrome - Individuals rise from their
beds and eats while they are still sleeping.
2. Night Eating Syndrome
3. Sexsomnia - Acting out a sexual behavior such as
masturbation and sexual intercourse with no memory of
the event.
Sexual Dysfunction
difficulty to function adequately while having sex 2. Women emphasize committed
Two disorder (sex specific) relationships as a context for sex more
than me
Heterosexual Behavior: Sex with opposite sex 3. -concept, unlike
Homosexual Behavior: Sex with same sex
independence and aggression
Gender Difference 4.
- Men and women tend toward a monogamous in that they are more easily shaped by
(one Partner) pattern of relationship, gender cultural, social and situational factors.
differences in sexual behavior do exist and 1. Premature (early) ejaculation- males
some of them are quite dramatic. 2. Genito-pelvic pain/penetration disorder-
- Reflected in the incidence of casual sex, females
attitudes toward casual premarital sex and SD can be:
pornography use, with men expressing more Lifelong present during entire sexual history
permissive attitudes and behaviors than
women. Acquired interrupts normal sexual pattern
- Four themes of gender differences in human Generalized present in every encounter
sexuality: Situational present only with a certain
1. Men show more sexual desire and arousal partners or at certain times
than women.
| Abnormal Psychology 19
Erectile Disorder
Four Phases of sexual response cycle A. At least one of the three following symptoms must
1. Desire Phase refers to sexual interest/desire be experienced on almost all or all (approximately
associated with arousing fantasies or thoughts 75%-100%) occasions of sexual activity (in identified
2. Excitement Phase experience of pleasure and situational contexts or, if generalized, in all contexts):
increase blood flow to the genitalia 1. Marked difficulty in obtaining an erection
3. Orgasm phase sexual pleasure peaks in ways during sexual activity.
occurring a general muscle tension 2. Marked difficulty in maintaining an
4. Resolution phase relaxation and sense of well- erection until the completion of sexual
being followed an orgasm activity.
3. Marked decrease in erectile rigidity.
Female sexual interest/arousal disorder
recurring inability to maintain adequate
lubrication
Female Orgasmic Disorder
A. Presence of either of the following symptoms and
experienced on almost all or all (approximately
Types of Sexual Dysfunction 75%-100%) occasions of sexual activity (in identified
Male Hypoactive Sexual Desire Disorder situational contexts or, if generalized, in all contexts):
A. Persistently or recurrently deficient (or absent) 1. Marked delay in, marked infrequency of, or
sexual/erotic thoughts or fantasies and desire for absence of orgasm.
sexual activity. The judgment of deficiency is made 2. Markedly reduced intensity of orgasmic
by the clinician, taking into account factors that affect sensations.
sexual functioning, such as age and general and Premature (Early) Ejaculation
. A. A persistent or recurrent pattern of ejaculation
Female Sexual Interest/Arousal Disorder occurring during partnered sexual activity within
A. Lack of, or significantly reduced, sexual approximately 1 minute following vaginal
interest/arousal, as manifested by at least three of the penetration and before the individual wishes it.
following: (approximately 75%-100%) occasions of sexual
1. Absent/reduced interest in sexual activity. activity (in identified situational contexts or, if
2. Absent/reduced sexual/erotic thoughts or generalized, in all contexts).
fantasies. Delayed Ejaculation
3. No/reduced initiation of sexual activity, and A. Either of the following symptoms must be
experienced on almost all or all occasions
initiate. (Approximately 75%-100%) of partnered sexual
4. Absent/reduced sexual excitement/pleasure activity (in identified situational contexts or, if
during sexual activity in almost all or all generalized, in all contexts), and without the
(approximately 75%-100%) sexual encounters individual desiring delay:
(in identified situational contexts or, if 1. Marked delay in ejaculation.
generalized, in all contexts). 2. Marked infrequency or absence of
5. Absent/reduced sexual interest/arousal in ejaculation.
response to any internal or external sexual/
erotic cues (e.g., written, verbal, visual). Sexual Pain Disorder
6. Absent/reduced genital or nongenital sensations Genito-Pelvic pain/Penetration Disorder -
during sexual activity in almost all or all marked pain, anxiety, and tension associated
(approximately 75%-100%) sexual encounters with intercourse for which there is no medical
(in identified situational contexts or, if cause
generalized, in all contexts). Vaginismus muscle spasm in the front of the
vagina that prevent the intercourse
- pelvic muscles in the outer third of the
vagina undergo involuntary spasms when
intercourse is attempted
| Abnormal Psychology 20
Paraphilic Disorder
| Abnormal Psychology 22
sexual arousal occurs almost exclusively in the context 6) Sexual Sadism Disorder
of inappropriate objects or individuals - sexual arousal associated with inflicting pain or
humiliation
Types of Paraphilic Disorder - at least 6 months, recurrent and intense sexual
1) Fetishistic Disorder arousal from the physical or psychological
- sexual attraction to nonliving objects (1) an suffering of another person, as manifested by
inanimate object or (2) a source of specific tactile fantasies, urges, or behaviors.
stimulation such as rubber, particularly clothing
made out of rubber. 7) Sexual Masochism Disorder
- Over a period of at least 6 months, recurrent - sexual arousal associated with experiencing pain
and intense sexual arousal from either the use of or humiliation
nonliving objects or a highly specific focus on - at least 6 months, recurrent and intense sexual
nongenital body part(s), as manifested by arousal from the act of being humiliated, beaten,
fantasies, urges, or behaviors. bound, or otherwise made to suffer, as
2) Voyeuristic Disorder manifested by fantasies, urges, or behaviors.
- sexual arousal achieved by viewing unsuspecting
8) Pedophilic Disorder
person undressing or naked
- strong sexual attraction to children
- at least 6 months, recurrent and intense sexual
- at least 6 months, recurrent, intense sexually
arousal from observing an unsuspecting person
arousing fantasies, sexual urges, or behaviors
who is naked, in the process of disrobing, or
involving sexual activity with a prepubescent
engaging in sexual activity, as manifested by
child or children (generally age 13 years or
fantasies, urges, or behaviors.
younger).
- The individual has acted on these sexual urges
- The individual has acted on these sexual urges,
with a nonconsenting person, or the sexual urges
or the sexual urges or fantasies cause marked
or fantasies cause clinically significant distress or
distress or interpersonal difficulty.
impairment in social, occupational, or other
- The individual is at least age 16 years and at
important areas of functioning.
least 5 years older than the child or children
3) Exhibitionistic Disorder
in Criterion A.
-
9) Incest sexual attraction to family
to unsuspecting strangers
members
- Over a period of at least 6 months, recurrent
and intense sexual arousal from the exposure of
Causes:
a. Preexisting deficiencies
manifested by fantasies, urges, or behaviors.
b. Treatment received from adults during
4) Transvestic Disorder
childhood
- sexual arousal from Cross dressing
c. Early sexual fantasies reinforced by
- A. Over a period of at least 6 months, recurrent
masturbation
and intense sexual arousal from crossdressing, as
d. Extremely strong sex drive combined with
manifested by fantasies, urges, or behaviors.
uncontrollable thought processes
Gender Dysphoria
– incongruences and psychological distress and
dissatisfaction with the gender one has assigned at
birth (boy or girl) Gender Dysphoria in Adolescents and Adults
Causes:
Hormonal variation
| Abnormal Psychology 24
Elimination Disorder
Enuresis antidepressant medication that has been taken
– when children repeatedly urinate in continuous for at least 1 month.
inappropriate places - Symptoms usually begin within 2-4 days
- Involuntary in nature/ perceived by the - No symptom present prior to reduction of
child as unavoidable antidepressant (SSRI or SNRI)
- At least 2 times per week for 3 consecutive - Flashes of light, electric shock sense, nausea,
months hyper responses to noise/tight, anxiety,
Subtypes: feelings of dread, ringing in the ears, inability
- Nocturnal only (night) to sleep
- Diurnal only (day)
- Nocturnal and Diurnal (both)
Encopresis
– repeatedly defecate in inappropriate places
- At least once a month for 3 months
-
Subtypes:
- With constipation and overflow
incontinence
- Without constipation and overflow
incontinence
Disorder
- Occurring in the past for 12 months
- Problems in the self-control and behaviors - At least 1 criterion for 6 months
Oppositional Defiant Disorder frequent and - Categories:
persistent pattern of: Aggressive to people/ animals
- Angry/Irritable mood (often loses temper, Destruction of property
often touchy or easily annoyed, often angry Deceitfulness/ theft
& resentful) Serious violation of rules
- Argumentative/ defiant behavior (often
argues w/ authority)
- Vindictiveness (has been spiteful/ Antisocial Personality Disorder
vindictive at least twice within the past 6 Pyromania
months) – multiple episodes of deliberate and
At least 4 symptoms in any of the categories purposive fire setting
At least 6 months (age 5 below most days, age 5 – often in male
above at least 1 per week) Kleptomania
Intermittent Explosive Disorder – recurrent failure to resist impulses to steal
- Recurrent behavioral outbursts/ impulsive items even though the items are not needed
aggressive outburst typically last for less for personal use or for their monetary
than 30 mins. Occurred in response to value.
minor provocation by a close intimate or – Often in female
associate
- At least 6 years of age
- Verbal aggression/ physical aggression
twice weekly for 3 months or behavioral
outbursts (destruction of property/ physical
assault in 12 months
Conduct Disorder
- Repetitive and persistent pattern of
violating the basic rights of others, societal
norms or rules
- For age 18 years below
- At least 3 symptoms form 15 criteria
| Abnormal Psychology 26
- Involves risking of something value in the Substance Abuse harmful or hazardous use of
hopes of obtaining something of great psychoactive substances that are no legal usage
value
- Often in male Substance Dependence persist to use despite problems
related to compulsive and repetitive use that may result in
tolerance and withdrawal symptoms
Substance Intoxication developing irreversible substance-specific syndrome due to recent ingestion of substance
Addiction having more symptoms, tolerance, withdrawal by using more than intended by trying unsuccessfully to
stop by having physical and psychological problems made worse
Tolerance indicated by larger doses of the substance being needed to produce the desired effect and becoming less
effect if using amount
Withdrawal the negative physical and psychological effects that develops when a person stop taking/ reduces the
amount
BIOLOGICAL FACTORS
- DOPAMINE pro (euphoria
Personality Disorders
| Abnormal Psychology 28
- An enduring pattern of inner experience and behavior that deviates markedly from the expectations of the
individual's culture 9pervasive and flexible) has onset in adolescence/ early adulthood, stable over time and
leads to distress or impairment
- Perceptual dysregulation
- Unusual beliefs and experience
Psychotic Disorders
- Abnormalities in 1 or more of the following domain
Residual Phase
- active phase symptoms
subsides then returning of
symptoms similar to prodomal
phase
Biological factors
↑dopamine (psychosis) hallucination/delusions
↓dopamine antipsychotic (Neuroleptics)
*dopamine theory positive symptoms result decrease
volume of prefrontal cortex
- age 15-25 YEARS: schizophrenia for men are high
- age 40 YEARS: schizophrenia for women are high
Sociocultural Factors
- Downward drift hypothesis fail to rise out of
a low socioeconomic because of illness
PHASES OF SCHIZOPHRENIA
| Abnormal Psychology 32
Neurodevelopmental Disorder
- Characterize by developmental deficits that COMMUNICATION DISORDERS
produce impairment of personal, social, academic
or occupational functioning Language Disorder- difficulties in the acquisition
and use of language due to deficit in the
INTELLECTUAL DISABILITIES comprehension or production of vocabulary,
sentence structure and discourse (spoken, written or
Intellectual Disability (Intellectual Developmental sign language)
Disorder) characterized by deficits in general - Expressive Ability production of vocal, gestural
mental abilities (reasoning, problem-solving, and/or verbal signs
planning, abstract, thinking, judgment, academic - Receptive Ability process of receiving and
learning and learning from experience) *Males comprehending language messages
Global Developmental Delay reserved for under Speech Sound Disorder difficult in speech sound
age 5 that cannot be reliably assesses/unable to production that interferes w/ speech intelligibility or
undergo. an individual fail to meet expected prevents verbal communication of messages
developmental milestones in several areas of Childhood-Onset Fluency Disorder (Stuttering)
intellectual functioning disturbance in the normal fluency and time pattern of
speech that is inappropriate in individuals age. 1 or
Types and Levels of Intellectual Disabilities more criteria
1. Mild IQ (50-70) capable of functioning but slight Social (pragmatic) Communication Disorder
delay on learning to communicate primarily difficulty w/ pragmatic or social use of
2. Moderate IQ (35-49) capable for simple and language and communication manifested by
basic activities but noticeable delays in learning deficits in understanding and following social rules
3. Severe IQ (20-34) capable of being taught in daily (verbal or nonverbal)
routine activities but requires supervision/ directions Autism Spectrum Disorder characterized by
with noticeable motor movement persistent deficits in social communication and
interaction across multiple context that requires
4. Profound IQ (20 below) slower and delayed in all
presence of restricted, repetitive patterns of behavior,
aspects, incapable of performing activities
interest or activities.
| Abnormal Psychology 33
Neurocognitive Disorder
- Cognitive function deficits that are acquired
rather than developmental Mild Neurocognitive Disorder modest cognitive
decline from a previous level of performance in one
Delirium or more cognitive domains
out of track - May view as normal for the elderly
- Clouded state of consciousness/ state of mental - Require a low score on only 1 cognitive test
confusion - Not all people develop to dementia, only 1% per
- Disturbance of attention and awareness year
accompanied by changed in baseline cognition that
cannot be better explained by preexisting or * common in children and older adults
evolving NCD
Questions must be repeated due to
attention wanders COGNITIVE DOMAIN
Easily distracted by irrelevant stimuli I. Complex Attention
Manifested by reduced orientation to - Sustained attention
environment and self - Divided attention
- Cause by medical conditions - Selective attention
- Common in children and older adults - Processing speed
II. Executive Function
Major Neurocognitive Disorder significant - Planning
cognitive decline from a previous level of - Decision making
performance in 1 or more cognitive domain - Working memory
- Tasks may only be completed with assistance or - Responding to feedback/ error correction
may be abandoned altogether - Overriding habits/ inhibition
- Low score for at least 2 different cognitive test - Mental flexibility
- III. Learning and Memory
| Abnormal Psychology 35
- Immediate memory
- Recent memory (free call, recall, recognition)
- Very long term (semantic, autobiographical,
implicit)
IV. Language
- Expressive language (naming, word finding,
fluency, grammar
- Receptive language (comprehension)
V. Perceptual Motor
- Abilities subsumed under visual perception,
visuo-construct
VI. Social Cognition
- Recognition of emotions
- Theory of mind
Psychosocial factors directly affect physical health HOW DO PSYCHOLOGICAL AND SOCIAL
FACTORS INFLUENCE MEDICAL ILLNESS?
| Abnormal Psychology 36
Two Primary Paths Primate Research: High and Low Social Status
1. Psychological factors can influence basic biological
processes that lead to illness and disease. – High cortisol is associated with low social
2. Long-standing behavior patterns may put people status
at risk to develop certain physical disorders. – Low social status Fewer lymphocytes and
– AIDS is an Example of Both Forms of immune suppression
Influence – Dominant males benefit from predictability
– Leading Causes of Death in the U.S. and controllability
o 50% are linked to lifestyle and
behavior patterns Vulnerabilities in Mental Illness Contribute to
Physical Illness
OVERVIEW OF STRESS AND THE STRESS – Stress
RESPONSE – Perceived uncontrollability, low social
Nature of Stress support, negative affect
o Stress Physiological response of an
individual Interpretation of Physiological Response and Situation
o Stressor Event that evokes stress response
– Seems critical in the stress response
o Stress responses vary from person to person
– The role of self-efficacy
o Stress Physiology
STRESS AND THE IMMUNE SYSTEM
The Stress Response and the General Adaptation
Immune system- protects the body from foreign
Syndrome (Sustained Stress)
materials that may enter it, including cold viruses.
1. Phase 1 Alarm response to immediate danger
Depression lowers immune system
or threat (sympathetic arousal)
functioning (older adults)
2. Phase 2 Resistance (mobilized coping and
Optimism & positive affect Stronger
action mechanisms to stress)
immune system
3. Phase 3 Exhaustion (chronic stress, permanent
damage) How Immune System work?
1. Eliminates foreign materials called
PHYSIOLOGY OF STRESS
ANTIGENS (bacteria, viruses or parasites)
The Biology of Stress
2. Divisions of the Immune System
– Activates the sympathetic branch of the ANS
a. Humoral branch
– Neuromodulators and neuropeptides act like
i. Blood and other bodily fluids
neurotransmitters
b. Cellular branch
– Activates the HPA axis, producing cortisol
i. Protects against viral and parasitic
– The relation between the hippocampus and
infections
HPA activation
Function of the Immune System
The Function of the Hippocampus in HPA-Stress
Identify and eliminate antigens from the
Response Cycle
body
– Part of the limbic system Leukocytes (White Blood Cells) are the
– Highly responsive to cortisol primary agents
– Hippocampus helps to turn off the HPA cycle
– Chronic stress may damage cells in the LEUKOCYTES: Subtypes and Functions
hippocampus
– Damage to hippocampal cells interferes with a. Macrophages
stopping the HPA loop i. First line of defense, destroy antigens, signal
lymphocytes
PSYCHOLOGICAL AND SOCIAL FACTORS: THEIR
RELATION TO STRESS PHYSIOLOGY
| Abnormal Psychology 37
Classic Type B Behavior Pattern - the neurochemical means by which the brain
Relaxed, less concerned about deadlines and inhibits pain is an important discovery
seldom feels the pressure or excitement of - drugs such as heroin and morphine are
challenges or overriding ambition. manufactured from opioid substances.
- Exist within the body
CHD Is Influenced by Psychological, Behavioral, - Endorphins (shut down pain even in the presence
and Social Factors of marked tissue damage or injury.) and
encephalin.