Escolar Documentos
Profissional Documentos
Cultura Documentos
3. illness phobia- someone getting worred they get sick (eg germ
phobia) hyperfocused on situations of objects that might get you
sick. Specific
fear and anxiety= out of proportions, go through extreme lengths
to avoid
= specific phobia, cause by stress/ fear not necessarily a
traumatic experience
Treatment: require structured and consisten exposure-based
exercise (under therapeutic supervision. Want to rewire the
brain so that a more rational appraisals replace the inhibited
emotional appraisal of danger
-3 components
1. Generalized Biological vulnerability (diathesis)
-vulnerability not enough to produce disorder, anxiety, panic
(pg 133)
-eg. (imagined potential danger, not actually happened,
havent experienced it)
panic disorder-tendency to be uptight might be inhereited
depression- genetic vulnerability, might be inherited (twin
study maybe?)
2. Generalized psychological: perspective how you see worlduncontrollable, unpredicatable (eg helicopter parents, child
inability to cope situations, how people interpret situations)
-if strong enough have generalized psychological vulnerability
to anxiety
-has to do with confidence/ self esteem inability to copelead to belief that the world is dangerous
eg: depression: grow belief youre not good enough
3. Specific psychological vulnerability: indv experience, and
how they are interpreted, belief that physical sensations are
dangerous
-early learning creates association that cerain situations/
objects are dangerous
-phobias
-eg. parent experience fear of dog child assoc dog with
danger child fears dog
GAD: has generalized biological vulnerability to be tense, and
develop sense world is uncontrollable (generalized
psychological vulnerability)stressintense worry +
physiological (muscle tension) changes lead to development
of GAD
Panic Disorder: generalized vulnerability to stress, situation become
assoc with cues of panic attack (eg increase heart rate= panic attack?
Psychological vulnerability if anxiety develops over future panic attacks
(interpreting normal physical sensation in the worst ways). People with
panic disorder are often associated with agoraphobia which is the fear
of a situation and wanting to escape. This applies to panic disorders
because people with panic disorders fear of having another panic
attack so they want to be in a safe place. Particular situations quickly
become associated in an individuals mind with external and internal
cues that were present during the panic attack (Bouton et al., 2001).
The next time the persons heart rate increases during exercise, she
might assume she is having a panic attack (conditioning). So
exercising would be the conditioned stimulus for future panic attacks
specific phobia: generalized biological vulnerability (tendency
to assoc fear with situation and low threshold for specific
defensive reactions, specific psychological vulnerability (view
object as dangerous), generalized psychological vulnerability
(become anxious focused on future contact with phobic object)
specific phobia
Social Phobia (fear/anxiety about social situations expose
person to possible scrutiny)- 1)general biological vulnerability to
develop anxiety/ socially inhibited, general psych vulnerability
believing the world is uncontrollable . 2) stress panic attack
conditioned to panic in those situations 3) experience real social
trauma --- anxiety conditioned to those social situations
PTSD: surrounds a traumatic event- generalize bio/psycho
vulnerabilities, higher the vulnerability high chance get PTSD.
Eg twin study if one has PTSD mono more likely have than
dizygotic
9) Describe the similarities and differences between the somatic
symptom and related disorders. Is it possible to distinguish conversion
disorder from malingering? Provide an example of how this might be
accomplished. On what basis would you classify fictitious disorder
imposed on another (Munchausen Syndrome by proxy) as child abuse
rather than as a factitious symptom disorder? Defend your response.
Somatoform disorders: person is preoccupied by bodily symptoms/
health worries, to extreme degree that causes clinical distress/
impairment
- Somatic symptoms: disorder involving extreme and long lasting focus
on multiple physical symptoms for which no medical cause is evident,
obsessive response to physical symptoms.
-Severe pain which psychological factors play a major role in
maintain making the pain worst not that there isnt pain, but
psychological/ beh factors (esp anxiety and distress)
-symptoms: do experience symptoms but dr. cant find biological
cause (extreme)
10) It is said that almost all individuals with mood disorders are also
anxious, but not all those with anxiety disorders show depressed
symptoms. What features do the Mood Disorders share with Anxiety
Disorders? Describe the characteristics that distinguish these two
classes of disorders. How do these two groups differ in their etiology?
Their treatment?
-Mood disorder: characterized by gross deviations in mood
-Anxiety: future oriented mood focused on potential threat
Similarities: similar heritability traits, there is a close relationship
among depression, anxiety, and panic eg family study show that more
signs of anxiety and depression, greater rate in relatives. Eg general
biological vulnerability tendency to develop not actually have. Both can
be described as an overactive neurobiological response to stress.
Difference: state of mind is different. Anxiety is excessive fears,
worries, and nervousness. mood gross deviations of moods. mood
disorder has a general negative perception vs threat perception of
anxiety disorders HOWEVER they both have this general sense of being
unable to cope with events. Mood disorder
Anxiety has GAD, Phobias, and Panic Attacks. Mood disorders are
depression and bipolar disorders. GAD suffer from chronic non-specific
fear and worry over daily activities. Phobias in comparison are rooted
in a trigger and panic attacks is in someway similar to phobia in that
there is a specific trigger that is conditioned to a specific physiological
and psychological fear, people Particular situations quickly become
associated in an individuals mind with external and internal cues that
were present during the panic attack. This physical cues becomes a
12) Identify the major components of the central nervous system (CNS)
and the autonomic nervous system (ANS). Describe the major
structures and functions that these components serve. Name 3 of the
major neurotransmitters found in the CNS and/or the ANS. What
neurotransmitters and hormones have been thought to be involved in
the development of anxiety disorders, the mood disorders? How do the
pharmacological therapies work to treat these disorders?
CNS: brain, spinal chord- processes information received from sense
organs and creates a proper reaction
Spinal chord: facilitate sending messages to and from the brain
15) Depressive Cognitive triad : negative cognitions avout the self, the
world, and the futurepersons vulnerability
-eg talk about individau with high risk depression, how they think
about themselves, the world, and their future (arbitrary inferency,
overgeneralization, all or nothing thinking, disqualifying the positive
16) Bipolar:
Major depressive disorder:
Persistent depressive disorder:
17) 3 examples of a disorder that appear to be more exaggerated
forms of usual behavior
-anxiety: adaptive fear (help people do better for test)
-bipolar1: normative mood cycles
- wide variety of options
18) culture factors- 3 examples present culturally specific symptoms
China- suffer from premature ejaculation etc
19) anxiety and mood disorder
-think about differences btw disorder, what evidence can you find
differentiating between anxiety and mood disorder
-how people with different disorders function socially
similar to #10
20) brief intergrative explanation brief integrative explanation that
involves genetic, biological, psychological and social processes (at
least two) that best explains the greater prevalence of anxiety and
mood disorders among women relative to men.
Greater anxiety among women compared to men
-first define gender differes ( woemen greater risk experiencing
depression
-cite evidence
women and rumination(overthinkng thoughts a lot)
-go in indec of textbook look at gender
21. The Somatic Symptom & Related Disorders are believed to share
some common characteristics with the Dissociative Disorders. What
biological and/or psychological mechanisms might be operating in both
these classes of disorders that lead clinicians & researchers to believe
these disorders may be related. (Hint: What characteristics do SSDs &
DDs share? Recall hypnosis video shown in class.)
22)
- write a list of the symptoms