Medical Psychology Course
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Questions and Answers

What is the capacity to encode, store, and retrieve information known as?

Memory

What type of memory is concerned with personal experiences and specific events in one's life?

  • Implicit memory
  • Semantic memory
  • Episodic memory (correct)
  • Procedural memory
  • Declarative memory includes motor skills and behavioral habits.

    False

    ______ memory is a temporary storage of information in the sensory areas of the brain.

    <p>Sensory</p> Signup and view all the answers

    Match the emotion theory with its description:

    <p>James-Lange theory = Emotion occurs as a result of physiological reactions Cannon-Bard theory = Physiological arousal and emotional experience occur simultaneously Schachter-Singer theory = Experience of emotion is the joint effect of physiological arousal and cognitive appraisal Opponent-process theory = One emotion suppresses the experience of another</p> Signup and view all the answers

    What is the process of organizing and interpreting sensory information, enabling us to recognize meaningful objects and events?

    <p>Perception</p> Signup and view all the answers

    What are the principles of perception? (Select the correct options)

    <p>Perceptual comprehension</p> Signup and view all the answers

    Working memory is responsible for maintaining long-term memories.

    <p>False</p> Signup and view all the answers

    ADHD stands for Attention deficit hyperactivity ____.

    <p>disorder</p> Signup and view all the answers

    Match the following memory storage stages with their descriptions:

    <p>Sensory memory = No processing of info input Short-term memory = Holding a small info for a short period Long-term memory = Storing information for a longer time</p> Signup and view all the answers

    What brain regions are involved in mental images and concepts?

    <p>Medial temporal lobe (hippocampus), Lateral parietal cortex (bilateral angular gyrus), Medial parietal cortex, Medial prefrontal cortex</p> Signup and view all the answers

    Which problem type is characterized by clear goals, solution paths, and expected solutions?

    <p>Well-defined problems</p> Signup and view all the answers

    Deductive reasoning follows logically from some statements or premises.

    <p>True</p> Signup and view all the answers

    Gestalt psychology hypothesizes that people tend to organize visual elements into groups or 'unified wholes' when certain principles are applied, such as ____________.

    <p>continuity, closure, similarity, proximity, common region, focal point, figure &amp; ground</p> Signup and view all the answers

    Match the following psychoanalytic theory components with their descriptions:

    <p>ID = Completely unconscious, impulsive, childlike portion of the psyche Super-ego = Moral component of the psyche Ego = Part that balances between basic impulses and moral considerations</p> Signup and view all the answers

    Who is the developer of Cognitive Therapy?

    <p>Aaron T Beck</p> Signup and view all the answers

    What is the source of problems according to Cognitive Therapy?

    <p>Maladaptive thinking</p> Signup and view all the answers

    Cognitive Behavioral Therapy focuses mainly on the past.

    <p>False</p> Signup and view all the answers

    What are examples of negative personal stressors? (Select all that apply)

    <p>Sleep problems</p> Signup and view all the answers

    What are the 4 A's of handling stress?

    <p>Aviod, Alter, Accept, Adapt</p> Signup and view all the answers

    Match the therapist type with their description:

    <p>Clinical psychologists = Psychologists with PhDs or PsyDs specializing in research, assessment, and therapy Psychiatrists = Physicians specialized in treating psychological disorders Psychiatric social workers = Professionals with a master’s degree in treating people in home and community Counseling psychologists = Specialized in problems arising from family relations Psychoanalyst = Specializes in psychoanalysis, techniques developed by Freud Psychiatric nurses = Trained nurses specialized in psychiatric problems</p> Signup and view all the answers

    Desensitization and relaxation techniques are part of behavior-learning therapy.

    <p>True</p> Signup and view all the answers

    Explain the Freudian concept of personality development in 5 parts.

    <p>Freud argued that humans were driven by two conflicting desires - the life drive (Eros) and the death drive (Thanatos). Personality development includes the Oral stage, Anal stage, Phallic stage, Latency stage, and Genital stage.</p> Signup and view all the answers

    What type of cure did Freud popularize in psychotherapy?

    <p>Freud popularized the 'Talking-cure', which is the idea that a person could solve problems simply by talking over them.</p> Signup and view all the answers

    What are the two methods that Freud incorporated into psychoanalytic therapy?

    <ol> <li>Free Association - where the patient says everything that comes to mind without editing. 2. Dream interpretation - analyzing the symbols and meanings of dreams.</li> </ol> Signup and view all the answers

    What is behaviour therapy based on?

    <p>Behaviour therapy is based upon principles of classical conditioning by Ivan Pavlov and operant conditioning by B.F. Skinner.</p> Signup and view all the answers

    What is the goal of behavioural therapy?

    <p>The goal of behavioural therapy is to reinforce desirable behaviors and eliminate unwanted ones, rooted in the principles of behaviorism.</p> Signup and view all the answers

    What are the types of behavioural therapy?

    <p>The types of behavioral therapy include applied behaviour analysis, cognitive behavior therapy (CBT), dialectical behavior therapy (DBT), and exposure therapy.</p> Signup and view all the answers

    How can we use classical conditioning in behavioural therapy?

    <p>Classical conditioning can be used in behavioral therapy through techniques like aversion therapy, flooding, and systematic desensitization.</p> Signup and view all the answers

    What does behaviour therapy help with?

    <p>Behavior therapy helps with various disorders like bipolar disorder, substance abuse disorders, anxiety, ADHD, autism spectrum disorders, BPD, depression, eating disorders, panic disorders, phobias, and OCD.</p> Signup and view all the answers

    Who proposed Humanistic therapy?

    <p>Humanistic therapy was proposed by Abraham Maslow and Carl Rogers.</p> Signup and view all the answers

    What is personality?

    <p>Personality is a pattern of thoughts, feelings, and behavior that is unique to each person and typically stable but can develop over time.</p> Signup and view all the answers

    What are the common types of personality disorder according to DSM-5?

    <p>The common types of personality disorders according to DSM-5 are categorized into Cluster A (Paranoid, Schizoid, Schizotypal), Cluster B (Antisocial, Borderline, Histrionic, Narcissistic), Cluster C (Avoidant, Dependent, Obsessive-Compulsive).</p> Signup and view all the answers

    What does BPD stand for?

    <p>BPD stands for Borderline Personality Disorder.</p> Signup and view all the answers

    What is music therapy?

    <p>Using music-making through the medium of clinical improvisation to establish a musical relationship with patients in order to help them.</p> Signup and view all the answers

    Which stage of Emotion Focused Therapy (EFT) involves relationship and awareness?

    <p>Stage 1</p> Signup and view all the answers

    Schizophrenia is a disorder characterized by psychotic symptoms and social dysfunction that persists for at least ____ months.

    <p>6</p> Signup and view all the answers

    Psychotherapy is the main method of treatment for depression.

    <p>False</p> Signup and view all the answers

    Match the following treatments with their respective disorders:

    <p>Antipsychotics, Psychological treatment = Schizophrenia Drug therapy, Psychotherapy = Depression Cognitive-behavioural therapy, Psychodynamic psychotherapy = Anxiety disorder</p> Signup and view all the answers

    What are the clinical features of individuals with borderline personality disorder?

    <p>Mood instability, explosive short-lived relationships, heavy drinking/abuse of drugs, at risk of developing depressive disorders, anxiety, and eating disorders</p> Signup and view all the answers

    What are some theories related to borderline personality disorder?

    <p>Greater activation of amygdala, decreased metabolism in prefrontal cortex, low serotonin levels, poorly developed views of self and others from poor early relationships</p> Signup and view all the answers

    How is antisocial personality disorder characterized clinically?

    <p>Impaired ability to form positive relationships, disregard for others' thoughts, poor control of impulses, self-centeredness, exploitation of others, and often have a criminal record</p> Signup and view all the answers

    Which family of theories focuses on individuals' perceptions and appraisal of stressors to determine stress?

    <p>Lazarus’s model</p> Signup and view all the answers

    Study Notes

    Psychological Processes

    • Learning: a relatively permanent change in behavior potentials due to experience and interaction with the environment
    • Types of Learning:
      • Association Learning: concerned with events occurring together during the learning process
        • Classical Conditioning (Pavlovian Conditioning): focuses on pairing two stimuli to lead to new behavior
          • Principles:
            • Acquisition
            • Extinction
            • Spontaneous Recovery
            • Generalization
            • Discrimination
        • Operant Conditioning: a response or behavior is influenced by consequences
          • Through operant conditioning, individuals learn to increase certain behaviors followed by reinforcing stimuli and suppress others followed by punishing stimuli
      • Observational Learning: learning through observation and imitation

    Clinical Interview

    • A conversation between a psychologist and client intended to help the psychologist diagnose and treat the patient
    • Structure of Interview:
      • "A conversation with a purpose"
      • Degree of structure: some interviews allow for free drift, while others are highly directive and goal-oriented
      • Types of Clinical Interviews:
        • Structured Interview: uses simple questions to get detailed and specific information from the patient
          • Examples: Schedule for Affective Disorders and Schizophrenia (SADS), Structured Clinical Interview for the DSM-IV (SCID)
        • Unstructured Interview: asks open-ended questions to encourage the patient to expand on their answers
        • Semi-structured Interview: offers a balance between structured and unstructured interviews, allowing for discussion and exploration of specific areas
    • Types of Clinical Interviews:
      • Intake Interview: the first interview with a patient, focusing on their mental and physical health history, and goals for therapy
      • Mental Status Exam: a clinical interview that assesses a patient's behavior, appearance, attitude, and movements, as well as their answers to questions

    Neural Mechanisms of Attention

    • Sensation: the process of receiving and representing stimulus energies from the environment
    • Perception: the process of organizing and interpreting sensory information to recognize meaningful objects and events
    • Principles of Perception:
      • Perceptual Selection: selection to see, feel, and process certain stimuli
      • Perceptual Integration: organizing and structuring sensory information into a meaningful whole
      • Perceptual Comprehension: the ability to understand and interpret sensory information
      • Perceptual Constancy: the tendency to perceive objects as having constant shape, size, and brightness despite changes in stimulation
    • Attention: the cognitive process of selectively concentrating on one aspect of the environment while ignoring others
    • ADHD: distractibility, inattention, hyperactivity, and impulsivity

    Neural Mechanisms of Working Memory

    • Working Memory (Short-term Memory): maintains current, but temporary, representations of goal-relevant knowledge
    • Encoding: forming new memories, translating information into a form that can be stored in memory
    • Storage: maintaining information in memory over a period of time
    • Retrieval: the process of searching for and bringing to mind previously stored information
    • Theory of Memory Storage:
      • Sensory Memory: temporary storage of information in sensory areas of the brain
      • Short-term Memory: working memory, holding a small amount of information in awareness for a brief period
      • Long-term Memory: storing information for a longer period of time, allowing for retrieval at any later time

    Neural Mechanisms of Visual Information Processing

    • Selective Attention: focusing of conscious awareness on a particular stimulus
    • Inattentional Blindness: failing to see visible objects when attention is directed elsewhere
    • Bottom-up Processing: analysis that begins with sensory receptors and works up to the brain's integration of sensory information
    • Top-down Processing: information processing guided by higher-level mental processes, such as constructing perceptions drawing on experience and expectations
    • Visual Areas and Functions:
      • V1: feature maps
      • V2: higher-order color/brightness, contours, and surfaces
      • V4: contours, surfaces, figure/ground, curvature, and shape
      • IT: perception/identification
      • MT: motion direction/perception
      • MST: higher-order motion, flow field
      • Parietal: multisensory integration, spatial transformation

    Clinical Relevance

    • Ventral Pathway Lesion: deficit in shape perception (what an object is) coupled with intact visuo-motor functions (how to act on an object)
    • Dorsal Pathway Lesion: deficit in moving using visual guidance (how to act on an object) coupled with deficit of visual spatial relations, but intact visual perception (what an object is)
    • Hemispatial Neglect: a damage to hemisphere of the brain, resulting in a deficit in attention to and awareness of one side of the field of vision### Motivation and Emotion
    • Motivation: process of starting, directing, and maintaining physical and psychological activities
    • Instinct theory: complex, innate, biological behavior pattern characteristic of a species
    • Drive reduction theory: internal state created by a physiological need
    • Optimum theory: maintaining a certain level of stimulation or activity, best under moderate arousal
    • Incentive theory: motivation stems from the desire to obtain valued external stimuli
    • Cognitive theory: thinking about, planning, and exercising control over individual behavior
    • Motives conflict:
      • Approach-approach conflict: attracted to two equally desirable goals
      • Avoidance-avoidance conflict: choosing between two equally unpleasant alternatives
      • Approach-avoidance conflict: one goal has both good and bad aspects
      • Multiple approach-avoidance conflict: choosing among several goals with good and bad features

    Emotion Theory

    • James-Lange theory: emotion occurs as a result of physiological reactions to events
    • Cannon-Bard theory: physiological arousal and emotional experience produced simultaneously by the same nerve impulse
    • Schachter-Singer theory (Cognitive perspectives on emotion): joint effect of physiological arousal and cognitive appraisal
    • Opponent-process theory: experience of one emotion suppresses the other (e.g., fear-relief, pleasure-pain)

    Thinking and Consciousness

    • Thinking: manipulation of mental representations of information
    • Brain regions involved: medial temporal lobe, lateral parietal cortex, medial parietal cortex, and medial prefrontal cortex
    • Mental images: representations of objects, events, or scenes in the mind
    • Concepts: categorization of objects, events, or people that share common properties (prototypes)
    • Problem-solving: higher-order mental process that requires moving a given state toward a desired goal state
      • Ill-defined and well-defined problems
    • Reasoning and decision-making:
      • Deductive reasoning: follows logically from some statements or premises
      • Inductive reasoning: attempts to infer new conclusions from available evidence and past experience
    • Consciousness: awareness of an individual's perceptions, thoughts, and feelings being experienced at a given moment
    • Characteristics of consciousness:
      • Subjectivity: individual's perception, thoughts, and feelings
      • Uniformity: unified whole experience
      • Change: constantly changing
      • Initiative: active process
    • Levels of consciousness:
      • Conscious level: currently attended cognitions and emotions
      • Preconscious level: easily retrievable cognitions and emotions
      • Unconscious level: difficult or impossible to access cognitions, impulses, desires, and emotions

    Gestalt Psychology

    • Founded by Max Wertheimer, Wolfgang Kohler, and Kurt Koffka
    • Principles:
      • Simplicity: objects perceived in simplest forms
      • Continuity: following lines or curves
      • Filling in gaps: brain fills in missing details
    • Main principles:
      • Continuity: smooth, flowing lines
      • Closure: single, recognizable pattern
      • Similarity: similar elements grouped together
      • Proximity: elements close together perceived as related
      • Common Region: elements sharing a defined boundary grouped together
      • Focal Point: attention-grabbing element
      • Figure & Ground: object (figure) vs. background (ground)

    Freud's Psychoanalytic Theory and Therapy

    • Developed by Sigmund Freud
    • Emphasizes unconscious motivations and inner forces
    • Topographic Model:
      • Unconscious: underlying emotions, beliefs, feelings, and impulses
      • Preconscious: accessible cognitions and emotions
    • Structural Model (Iceberg Theory):
      • ID: impulsive, childlike, and operates on the pleasure principle
      • Super-ego: moral component
      • Ego: rational, balances ID and Super-ego
    • Psychosexual stages of development:
      • Oral stage (0-18 months): mouth as focal point of pleasure
      • Anal stage (18 months-3 years): anus as focal point of pleasure
      • Phallic stage (3-6 years): genitals as focal point of pleasure
      • Latency stage (6 years-puberty): repression of sexual desires
      • Genital stage (puberty onwards): mature sexuality
    • Ego-defense mechanisms: coping with reality and maintaining self-image
    • Life and death instincts: life drive (Eros) and death drive (Thanatos)

    Behaviorism and Behavior Therapy

    • Classical conditioning: Ivan Pavlov and John B. Watson
    • Operant conditioning: B.F. Skinner
    • Social Learning Theory: Albert Bandura
    • Behavior therapy: based on classical and operant conditioning
    • Goal: reinforce desirable behaviors and eliminate unwanted ones
    • Types of behavioral therapy:
      • Applied behavior analysis
      • Cognitive-behavior therapy (CBT)
      • Dialectical behavior therapy (DBT)
      • Exposure therapy### Classical Conditioning in Behavioural Therapy
    • Ways to alter behaviour using classical conditioning:
      • Aversion therapy: pairing undesirable behaviour with an aversive stimulus to reduce the behaviour
      • Flooding: exposing people to fear-invoking objects/situations intensely and rapidly to treat phobias
      • Systematic Desensitization: gradual exposure to feared objects/situations while learning relaxation techniques to treat phobias and anxiety disorders

    Behaviour Therapy Applications

    • Helps with:
      • Bipolar disorder
      • Alcohol/substance abuse disorders
      • Anxiety
      • ADHD
      • Autism spectrum disorders
      • BPD
      • Depression
      • Eating disorders
      • Panic disorders
      • Phobias
      • OCD

    Humanism and Humanistic Therapy

    • Proposed by:
      • Abraham Maslow
      • Carl Rogers
    • Maslow's focus:
      • Unconscious aspects of personality
      • Acknowledging unconscious motives
      • People are free-willed, seeking to satisfy innate motives in a way that fits their style and environment
    • Maslow's Hierarchy of Needs:
      • Physiological needs
      • Personal safety
      • Love and belonging
      • Self-esteem
      • Self-actualization (rarely achieved) – full development of one’s potential
    • Peak experiences:
      • Transcending time and place
      • Unity with the universe
      • Sense of power and wonder

    Personality Analysis of Freud

    • Definition of personality:
      • Pattern of thoughts, feelings, and behaviour unique to each person
      • Stable for one person, develops over time
      • Maturing, different life experiences, and changing circumstances affect personality
      • Flexibility to learn from past experiences and cope with life more effectively
    • Approaches to personality:
      • Psychoanalytic approach (Freudian concepts)
      • Trait approach
      • Behavioural and social learning approach
      • Humanistic approach
      • Biological approach

    Psychoanalytic Approach to Personality

    • Concepts developed by Sigmund Freud
    • Freudian concepts:
      • Id, Ego, and Superego
      • Personality development concepts/phases

    Personality Disorders

    • Common types according to DSM-5:
      • Cluster A:
        • Paranoid personality disorder
        • Schizoid personality disorder
        • Schizotypal personality disorder
      • Cluster B:
        • Antisocial personality disorder
        • Borderline personality disorder
        • Histrionic personality disorder
        • Narcissistic personality disorder
      • Cluster C:
        • Avoidant personality disorder
        • Dependent personality disorder
        • Obsessive-compulsive personality disorder

    Borderline Personality Disorder (BPD)

    • Clinical features:
      • Mood instability
      • Interpersonal relationship instability
      • Explosive short-lived relationships
      • May drink/abuse drugs heavily
      • At risk of developing depressive disorders, anxiety, and eating disorders
      • Borders between neurological disease and personality disorder
    • Theories:
      • Greater activation of amygdala in response to pictures or emotional faces
      • Decreased metabolism in the prefrontal cortex
      • Impulsive and aggressive behaviours linked to low levels of serotonin
      • Poorly developed views of themselves and others, stemming from poor early relationships with caregivers
    • Treatments:
      • Drug treatment – reducing symptoms of anxiety and depression (lithium, anticonvulsants, antidepressants)
      • Psychodynamic therapy – helping persons gain a more realistic and positive sense of self, learn adaptive skills, and correct dichotomous thinking
      • Group therapy – working with interpersonal problems of BPD patients

    Antisocial Personality Disorder

    • Clinical features:
      • Impairment in ability to form positive relationships with others
      • Tendency to engage in behaviours that violate basic social norms and values
      • Tendency to engage in impulsive and aggressive behaviours
      • Self-centred, selfish, sometimes cruel, cold, and lacking in affection
      • Unable to appreciate the needs or feelings of others
      • Often exploit others with whom they are involved
    • Theories:
      • Family and twin studies support a genetic component to the etiology
      • Aggressiveness in people with antisocial personality disorders may be linked to the hormone testosterone
      • ADHD in children
      • Deficits in verbal skills and executive functions of the brain
    • Treatments:
      • SSRIs have been used to control aggressive behaviours
      • Lithium for reducing impulsive aggression
      • Psychotherapy helps people gain control over their anger and impulsive behaviours, increasing empathy

    Schizoid Personality Disorder

    • Clinical features:
      • Little concern or interest in other people or society
      • Prefer to be isolated
      • Internal activity – sometimes great in art, research, other creative activities
      • Little expression of emotion
    • Sometimes transfers to schizophrenia; considered as signs of pathogenesis of schizophrenia
    • Treatments:
      • Talk therapy and some medications
      • Schizoid PD people not necessarily suffering from disorder
      • If associated with schizophrenia – requires psychiatric treatment

    Theoretical Perspective on Stress

    • Fight or flight response (Walter Cannon):
      • Sequence of internal activities triggered when an organism is faced with a threat
      • Prepares the body for combat and struggle or for running away to safety
    • Tend-and-befriend response (Shelley Taylor):
      • Response to stressors that is hypothesized to be typical for females
      • Stressors prompt females to protect their offspring and join social groups to reduce vulnerability
    • General adaptation syndrome (Hans Selye)
    • Lazarus’s model (Richard Lazarus):
      • Neither the stressor nor response could define stress
      • The individual’s perception and appraisal of the stressor determines if it would create stress

    Stress in Psychology

    • Definition of stress:
      • Pattern of specific and nonspecific responses an organism makes to stimulus events that disturb its equilibrium and tax or exceed its ability to cope
    • Elements of stress:
      • Stressors
      • Stress responses
      • Genetic and environmental factors
    • Concept of stress in psychology:
      • How vulnerable you are personally to becoming stressed out depends on various factors
      • Includes 3 related elements: stressors, stress response, and genetic and environmental factors
    • Stressor characteristics:
      • External characteristics (intensity, duration, number)
      • Internal characteristics (coping skills, self-efficacy, appraisal)

    4 A's of Stress Management

    • Avoid unnecessary stress:
      • Learn to say “no” – know your limits and stick to them
      • Avoid people who stress you out
      • Take control of your environment
    • Alter the situation:
      • If you cannot avoid a stressful situation, try to alter it
      • Be more assertive and communicate your concerns in an open and respectful way
      • Be willing to compromise – willing to bend a little
      • Manage your time better
    • Adapt to the stressor:
      • Try to view stressful situations from a more positive perspective
      • Adjust your standards – stop setting yourself up for failure by demanding perfection
      • Set a reasonable standard
    • Accept the things you cannot change:
      • Some sources of stress are unavoidable
      • The best way to cope with stress is to accept things as they are

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    Description

    This quiz covers the fundamentals of medical psychology, including psychological processes, basic theories, clinical interview, and evaluation. It is a summary of the course written by Fah, Meilin, Hind, Yong, and Alfraid.

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