Psychology Chapter 4: Psychotropic Drugs
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Questions and Answers

Which of the following is NOT a major group of psychotropic drugs used in therapy?

  • Antianxiety drugs
  • Antipsychotic drugs
  • Antidepressant drugs
  • Anti-inflammatory drugs (correct)
  • What is the main goal of biological practitioners in treating mental disorders?

  • To focus on changing the patient's negative thought patterns
  • To identify and address the emotional triggers of the dysfunction
  • To help patients develop coping mechanisms for their symptoms
  • To identify and address the physical source of the dysfunction (correct)
  • Which of the following is a characteristic of a bipolar disorder?

  • Mood swings from mania to depression (correct)
  • Persistent feelings of sadness and hopelessness
  • Consistent anxiety and tension
  • Hallucinations and delusions
  • According to evolutionary theorists, what can contribute to abnormal psychological patterns?

    <p>Inherited mutations that are not adaptive in the current environment (C)</p> Signup and view all the answers

    What is the primary function of antipsychotic drugs?

    <p>To reduce confusion, hallucinations, and delusions (C)</p> Signup and view all the answers

    Which defense mechanism involves a person creating a socially acceptable reason for an action that actually reflects unacceptable motives?

    <p>Rationalization (C)</p> Signup and view all the answers

    Which of the following is NOT a key difference between Freud's theory and other psychodynamic explanations?

    <p>Other theories may emphasize the role of biology in shaping personality. (B)</p> Signup and view all the answers

    In the example of a student explaining away poor grades by citing the importance of "the total experience", which defense mechanism is being illustrated?

    <p>Rationalization (C)</p> Signup and view all the answers

    According to Freud, what happens when a person successfully navigates a developmental stage?

    <p>They experience personal growth and development. (C)</p> Signup and view all the answers

    Which defense mechanism is illustrated by a woman who provides a detached, methodical description of the effects of being attacked?

    <p>Intellectualization (C)</p> Signup and view all the answers

    Which of these is a direct or indirect brain stimulation technique?

    <p>Electroconvulsive therapy (ECT) (D)</p> Signup and view all the answers

    What is a potential drawback of direct-to-consumer (DTC) drug advertisement?

    <p>Increased pressure on doctors to prescribe advertised drugs (D)</p> Signup and view all the answers

    Which of the following is NOT a strength of the biological model?

    <p>It emphasizes the role of environmental factors in mental illness (A)</p> Signup and view all the answers

    What is the primary goal of therapy within the biological model?

    <p>To correct biological or neurochemical imbalances contributing to mental health conditions (B)</p> Signup and view all the answers

    Which of the following is a key therapy technique used within the biological model?

    <p>Drug therapy (C)</p> Signup and view all the answers

    What percentage of direct-to-consumer drug advertisements focus on psychotropic drugs?

    <p>50% (B)</p> Signup and view all the answers

    Which of the following is NOT a potential benefit of direct-to-consumer drug advertising?

    <p>Reduced healthcare costs due to increased competition among drug manufacturers (A)</p> Signup and view all the answers

    According to the biological model, what is a primary cause of mental health conditions?

    <p>Neurotransmitter imbalances and brain structure abnormalities (D)</p> Signup and view all the answers

    What is the central focus of the object-relations theory?

    <p>The desire for relationships as the primary motivator in human behavior. (D)</p> Signup and view all the answers

    What is one characteristic of short-term psychodynamic therapies?

    <p>They are designed to be more efficient and affordable than traditional psychodynamic therapy. (D)</p> Signup and view all the answers

    Which of the following is NOT a component of psychodynamic therapy?

    <p>Behavioral modification techniques (B)</p> Signup and view all the answers

    Which of the following is a strength of the psychodynamic model?

    <p>Its recognition of the crucial role of psychological factors in understanding abnormal functioning. (D)</p> Signup and view all the answers

    What is the underlying assumption of psychodynamic therapy regarding the cause of psychological distress?

    <p>Unresolved childhood conflicts and repressed emotions. (A)</p> Signup and view all the answers

    How does psychodynamic therapy aim to treat depression?

    <p>By uncovering and resolving underlying unconscious conflicts and emotional patterns. (C)</p> Signup and view all the answers

    Which of the following is a weakness of the psychodynamic model?

    <p>Difficulty in empirically validating its key concepts due to their inaccessibility. (C)</p> Signup and view all the answers

    According to the psychodynamic perspective, what is the major goal of therapy?

    <p>To gain insight into unconscious conflicts and emotional patterns. (C)</p> Signup and view all the answers

    Which of the following is NOT a key principle of the Cognitive-Behavioral Model?

    <p>Emphasize the role of unconscious conflicts (A)</p> Signup and view all the answers

    How does the Cognitive-Behavioral Model view therapists?

    <p>As teachers of more appropriate behaviors (C)</p> Signup and view all the answers

    What is the focus of the cognitive dimension within the Cognitive-Behavioral Model?

    <p>Analyzing and modifying maladaptive thinking patterns (B)</p> Signup and view all the answers

    Which of these is NOT considered a New Wave Cognitive-Behavior Therapy approach?

    <p>Psychodynamic Therapy (A)</p> Signup and view all the answers

    According to the Cognitive-Behavioral Model, what role does modeling play in abnormal behavior?

    <p>It explains how individuals may acquire maladaptive behaviors through observation (B)</p> Signup and view all the answers

    What is the key principle of Acceptance and Commitment Therapy (ACT)?

    <p>Accepting problematic thoughts without judgment or trying to change them (C)</p> Signup and view all the answers

    What is a potential drawback of the Cognitive-Behavioral Model?

    <p>It may overlook the influence of early life experiences (A)</p> Signup and view all the answers

    What is a strength of the Cognitive-Behavioral Model?

    <p>It is widely accepted and used in the field of psychology (D)</p> Signup and view all the answers

    Which of the following is NOT a strength of the Humanistic-Existential Model?

    <p>Focuses on abstract issues (C)</p> Signup and view all the answers

    The Sociocultural model of abnormality emphasizes the role of which of the following in understanding psychological disorders?

    <p>Social and cultural forces (C)</p> Signup and view all the answers

    Which of the following is a key concept within Existential therapy?

    <p>Accepting responsibility for one's life and choices (A)</p> Signup and view all the answers

    Which of the following is a commonly cited weakness of the Humanistic-Existential Model?

    <p>Limited empirical support (B)</p> Signup and view all the answers

    The Sociocultural Model of Abnormality includes which two major perspectives?

    <p>Family-social perspective and multicultural perspective (C)</p> Signup and view all the answers

    Which model emphasizes the individual's capacity for growth and self-actualization?

    <p>Humanistic-Existential Model (A)</p> Signup and view all the answers

    What does the term 'RCBT' stand for?

    <p>Religion-Adapted Cognitive Behavioral Therapy (C)</p> Signup and view all the answers

    Which of the following is NOT a key characteristic of the Humanistic-Existential Model?

    <p>Focus on unconscious conflicts and drives (C)</p> Signup and view all the answers

    Flashcards

    Mutations

    Changes in genes that can be inherited or arise in a lineage.

    Drug Therapy

    A treatment method involving the use of medications to address mental health disorders.

    Four Major Drug Groups

    Antianxiety, antidepressant, antipsychotic, and antibipolar drugs used in therapy.

    Antianxiety Drugs

    Medications that reduce tension and anxiety, also called anxiolytics.

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    Antipsychotic Drugs

    Medications that help reduce hallucinations and confusion in psychotic disorders.

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    Self Theory

    Psychodynamic theory emphasizing the self as unified personality.

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    Object-Relations Theory

    Psychodynamic theory that views relationships as key motivators in behavior.

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    Free Association

    A technique where patients say whatever comes to mind to uncover unconscious thoughts.

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    Transference

    The process of projecting feelings about one person onto the therapist.

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    Catharsis

    The emotional release experienced during therapy, revealing repressed feelings.

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    Dream Interpretation

    Analyzing dreams to uncover hidden feelings and unconscious conflicts.

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    Short-Term Psychodynamic Therapy

    A focused, time-limited approach to psychodynamic therapy for efficiency.

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    Defensive Mechanisms

    Unconscious strategies used to protect oneself from anxiety and unwanted thoughts.

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    DTC Drug Advertisement

    Advertisements that appeal directly to consumers about prescription drugs.

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    Benefits of DTC Ads

    Increases patient education and involvement in healthcare decisions.

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    Drawbacks of DTC Ads

    Includes higher drug costs, misinformation, and pressure on doctors.

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    Electroconvulsive Therapy (ECT)

    A treatment involving electrical stimulation to induce seizures for mental disorders.

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    Transcranial Magnetic Stimulation (TMS)

    A non-invasive procedure using magnetic fields to stimulate nerve cells.

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    Strengths of Biological Model

    Respected in the field and produces valuable new treatments.

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    Weaknesses of Biological Model

    Excludes non-biological factors and may cause undesirable effects.

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    Neurotransmitter Imbalance

    A disruption in the balance of neurotransmitters affecting mood and behavior.

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    Cognitive-Behavioral Model

    A model focusing on maladaptive behaviors and thoughts to treat psychological issues.

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    Maladaptive Behavior

    Behaviors that are counterproductive or harmful to oneself and disrupt functioning.

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    Classical Conditioning

    Learning through association, where a neutral stimulus triggers a response after being paired with a stimulus.

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    Modeling

    Learning behavior by observing others, as seen in Bandura's studies.

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    Cognitive Distortions

    Inaccurate assumptions or illogical thoughts that lead to negative emotions and behaviors.

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    Accepting Thoughts

    Acceptance and commitment therapy helps clients accept problematic thoughts without judgment.

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    Effects of Early Experiences

    Early life experiences can influence current thought patterns and behaviors according to some critics of CBT.

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    Effectiveness of CBT

    Cognitive-behavioral therapies are effective for many disorders but not all patients.

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    Spirituality and Psychological Health

    Spirituality may correlate positively with psychological well-being.

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    Religion-Adapted Cognitive Behavioral Therapy (RCBT)

    A form of therapy that integrates spiritual beliefs into cognitive behavioral techniques.

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    Existential Theory

    Theory that abnormal behavior arises when individuals deceive themselves about responsibilities.

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    Existential Therapy

    Therapy encouraging clients to take responsibility for their lives and problems.

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    Humanistic-Existential Model Strengths

    This model emphasizes individuality, optimism, and health, filling gaps left by other models.

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    Humanistic-Existential Model Weaknesses

    Includes abstract issues, difficult research, and criticism of scientific basis.

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    Sociocultural Model

    Abnormal behavior is influenced by social and cultural forces including norms and roles.

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    Family-Social Perspective

    One of two major perspectives in the sociocultural model, focusing on family influences.

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    Rationalization

    Creating a socially acceptable reason for an action, masking real motives.

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    Displacement

    Redirecting hostile feelings from a dangerous object to a safer substitute.

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    Intellectualization

    Repressing emotional responses in favor of logical analysis of a situation.

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    Regression

    Retreating to earlier developmental stages when faced with stress or conflict.

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    Freud's Developmental Stages

    Stages requiring adjustments in the id, ego, and superego, impacting growth or fixation.

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    Study Notes

    Models of Abnormality Overview

    • Models/paradigms used by clinicians/scientists to treat abnormality
    • Explain events and basic assumptions
    • Guide treatment techniques/principles
    • Involve several models to explain abnormality

    A Model Definition

    • Set of assumptions/concepts used to explain and interpret observations
    • Also known as a paradigm
    • Models influence:
      • What investigators observe
      • Questions investigators ask
      • Information investigators seek
      • How investigators interpret information

    The Biological Model

    • Has a biological basis/medical perspective
    • Considers illness as a result of malfunctioning parts of the organism
    • Points to problems in brain anatomy or brain chemistry

    Biological Model: Explaining Abnormal Behavior

    • Brain anatomy and abnormal behavior:
      • Neurons and glial cells
      • Brain structures (e.g., cerebrum, corpus callosum, basal ganglia, hippocampus, amygdala)
    • There are connections among some psychological disorders and specific brain structures.
    • Brain chemistry:
      • Neuron-to-neuron transmission
      • Dendrites
      • Axons
      • Nerve endings
      • Synapses
      • Neurotransmitters
      • Receptors
    • More about neurotransmitters (NTs)
      • Dozens of identified neurotransmitters in the brain (e.g., serotonin, norepinephrine, glutamate)
      • Abnormal activity in certain NTs can lead to specific mental disorders
      • Example: Dopamine dysregulation is linked to addiction and schizophrenia.
    • Chemical activity
      • Chemicals released into the bloodstream by endocrine glands
      • Abnormal activity in the endocrine system (hormones) is related to mental disorders
      • Example: Abnormal cortisol secretion is linked to anxiety and mood disorders.

    Brain Anatomy, Circuitry, and Abnormal Behavior

    • Increasingly, researchers focus on brain circuits rather than single brain or brain chemical dysfunction
    • Brain circuit neurotransmitters, structures, and functions form a network of brain structures; work together to produce behavioral, cognitive, or emotional reactions -Proper interconnectivity is important

    The Biology of Fear

    • The "fear circuit" involves the prefrontal cortex, anterior cingulate cortex, insula, and amygdala
    • These structures interact through fiber-like pathways
    • These interactions trigger fear responses

    Sources of Biological Abnormalities: Genetics

    • Abnormalities in brain anatomy/chemistry may result from genetic inheritance
    • Inheritance plays a role in several mental disorders, as seen in the Human Genome Project
    • Multiple genes combine to create actions and reactions, both functional and dysfunctional

    Sources of Biological Abnormalities: Genetics (part 2)

    • Genes are considered "mistakes" of inheritance in relation to mental disorders -Mutations -Inherited changes in the family history
    • Evolutionary theories suggest that genes contribute to adaptation and survival
    • Contemporary pressures may result in less adaptive genetic inheritances, leading to abnormal psychological patterns.

    Biological Treatments (part 1/2)

    • Biological practitioners attempt to identify the physical source of dysfunction for treatment
    • Leading biological treatments today include drug therapy, brain stimulation, and psychosurgery

    Biological Treatments (part 2)

    • Drug therapy (1950s: advent of psychotropic medications)
      • Four major drug groups: antianxiety, antidepressant, antibipolar, and antipsychotic drugs

    Quick Review

    • Four major psychotropic drug groups used in therapy
    • Include antianxiety drugs (anxiolytics, minor tranquilizers), antidepressants, antibipolar drugs (mood stabilizers), antipsychotic drugs

    Biological Treatments (part 3)

    • Brain stimulation: direct or indirect brain stimulation
      • Approaches: electroconvulsive therapy (ECT), transcranial magnetic stimulation (TMS), vagus nerve stimulation (VNS), deep brain stimulation
    • Psychosurgery (neurosurgery) brain surgery for mental disorders

    Assessing the Biological Model

    • Strengths:
      • Enjoys considerable respect in the field
      • Consistently produces valuable new information
      • Treatments bring about great relief
    • Weaknesses
      • Limits understanding of abnormal function by excluding non-biological factors
      • May produce significant undesirable effects

    Summary | Biological Model Matrix

    • Cause of dysfunction: neurotransmitter imbalance, genetics, brain structures abnormalities
    • Key therapy technique: drug therapy, ECT
    • Goal of therapy: correct biological or neurochemical imbalances contributing to mental health conditions.
    • Explains depression as a physical or genetic issue impacting the brain and body
    • Treats depression through medication management/brain stimulation

    The Psychodynamic Model

    • Freud (1856-1939) developed the theory of psychoanalysis
    • Proposed that behavior is largely determined by underlying unconscious, dynamic, psychological forces
    • Abnormal symptoms are the result of conflict among these forces

    Freud's Theory of Personality

    • Three unconscious forces shape personality
      • Instinctual needs (Id)
      • Rational thinking (Ego)
      • Moral standards (Superego)

    Ego Defense Mechanisms

    • Developed by the ego to control unacceptable Id impulses
    • Used to avoid or reduce the anxiety they arouse

    How Did Freud Explain Normal and Abnormal Functioning? (part 1)

    • Some degree of conflict is a normal part of personality, with balance being a component of a healthy personality.
    • Dysfunction arises from excessive conflict.

    Psychodynamic Therapies

    • Seek to uncover past trauma and inner conflicts in therapy with a guide.
    • Techniques include free association, therapist interpretation, resistance, transference, dream interpretation, catharsis, and working through
    • Also include current trends in focused, time-limited, affordable psychodynamic therapies (e.g., relational psychoanalytic therapy, relationally-focused psychoanalytic therapy)

    Assessing the Psychodynamic Model

    • Strengths: first to recognize importance of psychological theories/systematic treatment; saw abnormal as a part of normal processes; helpful for persons with long-term, complex disorders
    • Weaknesses: unsupported ideas/difficult to research; non-observable concepts and inaccessible human subjects

    Summary | Psychodynamic Model Matrix

    • Cause of dysfunction: unresolved childhood conflict, defense mechanisms, unconscious drives.
    • Key therapy technique: free association, catharsis, dream analysis.
    • Goal of therapy: help individuals gain insight into unconscious conflicts/unresolved emotional issues. -Explains depression as the result of unresolved unconscious conflicts, early childhood experience, and repressed emotions.
    • Treats depression by uncovering and resolving unconscious conflicts, emotions, and relational patterns

    The Cognitive-Behavioral Model

    • Focuses on maladaptive behaviors/cognitions in treating psychological abnormality
    • Shares key principles between behavioral/cognitive perspectives

    The Cognitive-Behavioral Model (part 2)

    • Behavioral dimension: using conditioning, classical conditioning (learning by association), modeling, and operant conditioning to replace problematic behaviors.
    • Therapists act as teachers.

    The Cognitive-Behavioral Model (part 3)

    • Modeling accounts for some abnormal behaviors
    • Children learn from observing and imitating adult models, as seen in a study by Bandura et al. (1963)

    The Cognitive-Behavioral Model (part 4)

    • Cognitive dimension focuses on maladaptive thinking processes.
    • Processes include inaccurate/disturbing assumptions/attitudes and illogical thinking.
    • Therapists help clients recognize/challenge and change problematic thinking.

    New Wave Cognitive-Behavioral Therapies

    • New approaches, including Acceptance and Commitment Therapy (ACT)
      • Helps clients accept problematic thoughts rather than judging, acting on them, or trying to change them
    • Mindfulness meditation is also included

    Assessing the Cognitive-Behavioral Model (part 1/2)

    • Strengths: powerful force, clinically useful, uniquely human process focus, well-suited theories for research, effective in treating several disorders.
    • Weaknesses: precise role of cognition and efficacy in all individuals, as it does not address other critical dimensions of life that also affect mental health

    Humanistic-Existential Model

    • Humanistic view emphasizes people as friendly, cooperative, and constructive, focusing on self-actualization through honest recognition of strengths/weaknesses
    • Existential view emphasizes accurate self-awareness and meaningful life or authenticity, with the total freedom enabling positive but also negative outcomes. Psychological dysfunction is caused by self-deception

    The Humanistic-Existential Model (part 2-5)

    • Rogers' humanistic theory and therapy: basic human need for unconditional positive regard
    • Rogers' client-centered therapy: creates a supportive climate, unconditional positive regard, accurate empathy, genuineness.
    • Little research support in the past, now a large body of research. Emphasizes the individual, optimistic, and emphasizes well-being
    • Gestalt theory and therapy (Perls): aims to guide clients towards self-recognition and self-acceptance through challenge/frustration. Includes techniques such as skillful frustration, role playing, rules (e.g., "I" language, "here and now"), and little research support due to subjective experiences.
    • Spiritual views and interventions: Historical alienation between clinical field and religion seems to be diminishing. Researchers suggest spirituality correlates with psychological health. Many clinicians encourage the use of spiritual resources to cope with stressors. -Existential therapies seek to help clients accept responsibility for their lives, problems, including the therapist-client relationship including learning/growth

    Assessing the Humanistic-Existential Model

    • Strengths: taps into domains missing from other models, emphasizes the individual, optimistic, and emphasizes well-being
    • Weaknesses: focus on abstract issues, difficult to research, limited scientific approval, and may be changing.

    Family Social and Multicultural Perspectives

    • Abnormal behaviors include social/cultural forces influencing individuals, addressing societal norms/roles
    • Includes two major perspectives: family-social and multicultural perspectives

    The Interesting Manual & The Models of Abnormality Matrix

    • Interesting points of discussion.
    • Importance to explore the different perspectives.

    Don't Forget Part 2 of the Matrix

    • After completing all six models, complete Part 2 of the matrix by differentiating between different models/schools of thought and explaining key differences.

    On Thursday...

    • Topics include continuation of Models of Abnormality, DQ regarding the DSM, and subject selection assignments and deadlines

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    Description

    Test your knowledge on psychotropic drugs and their roles in therapy based on Psychology Chapter 4. This quiz covers major groups of psychotropic medications, characteristics of bipolar disorder, and defense mechanisms according to Freudian theory. Challenge yourself with these thought-provoking questions.

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