Psychology Chapter on Mental Illness and Therapy

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Questions and Answers

What is a major consequence of stigma related to mental illness?

  • Enhanced social acceptance of those with mental illness
  • Fear, rejection, and discrimination against the mentally ill (correct)
  • Decreased need for mental health care
  • Increased access to mental health treatment

Which of these best describes the focus of early talk therapy, also known as psychotherapy?

  • The complexity and inner workings of the mind. (correct)
  • The person's environment and social interactions.
  • The person's family relationships and trauma history.
  • The person's behavior and observable patterns.

According to Freud, where do most psychological disturbances originate from?

  • Current societal pressures and stress
  • Genetic predispositions and biological factors
  • Early traumas or incidents that are often not remembered (correct)
  • Lack of positive reinforcement and personal fulfillment

Which of Freud's mental layers would include your current awareness?

<p>The conscious mind (A)</p> Signup and view all the answers

What does Erikson's developmental task of integrity vs. despair emphasize?

<p>The need to feel satisfaction with one’s life and the resulting wisdom (B)</p> Signup and view all the answers

According to Freud's structural model of the mind, which component acts as a mediator between the id and the external world?

<p>The ego (D)</p> Signup and view all the answers

What is the main goal of psychoanalytic therapy according to the content?

<p>To relieve emotional disturbances through a scientific method (D)</p> Signup and view all the answers

What does the concept of transference in therapy entail?

<p>The patient projecting intense feelings onto the therapist from past relationships (A)</p> Signup and view all the answers

What core principle underlies interpersonal therapy (IPT)?

<p>Maladaptive patterns and unrealistic expectations, when identified, can be modified. (D)</p> Signup and view all the answers

What is the primary focus of interpersonal theory, as compared to psychoanalytic theory?

<p>The dynamics between people, rather than what occurs within the mind. (A)</p> Signup and view all the answers

What is a significant contribution of the work of B.F. Skinner to behavioral therapy?

<p>The principle of operant conditioning, involving reinforcement and punishment. (B)</p> Signup and view all the answers

In the context of systematic desensitization, how are learned responses reversed?

<p>By initially promoting a state of relaxation and then gradually facing an anxiety-provoking stimulus. (D)</p> Signup and view all the answers

What is the role of the therapist in interpersonal therapy (IPT)?

<p>To take on the role of an active 'participant observer', reflecting on the patient's behaviors. (B)</p> Signup and view all the answers

Which concept did John B. Watson's work contribute to behavioral therapy?

<p>The notion that personality traits and responses are learned, not innate. (A)</p> Signup and view all the answers

According to Harry Stack Sullivan, what primarily influences personality development?

<p>Social forces and interpersonal problems. (A)</p> Signup and view all the answers

What is the primary goal of behavior therapy?

<p>To eliminate maladaptive behaviors by reinforcing adaptive behavior. (C)</p> Signup and view all the answers

According to Peplau's theory, what level of anxiety involves a narrowed perceptual field and a heightened sense of awareness?

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

Which of the following is NOT a characteristic of panic anxiety?

<p>Enhanced learning ability (A)</p> Signup and view all the answers

What is the primary focus of cognitive interventions in nursing?

<p>Helping patients identify and challenge negative thought patterns (D)</p> Signup and view all the answers

Which theory helps nurses understand the critical developmental phases of human life?

<p>Erikson’s theory of psychosocial development (C)</p> Signup and view all the answers

According to the passage, what is a potential concern for an older adult who has suffered a stroke?

<p>Depression and despair due to loss of independence (A)</p> Signup and view all the answers

How does Peplau’s work contribute to the understanding of nurse-patient relationships?

<p>It underscores the impact of the nurse-patient relationship on the patient's well-being (C)</p> Signup and view all the answers

What is a potential benefit of using positive reinforcement in working with pediatric patients?

<p>It encourages them to work hard for praise and rewards (C)</p> Signup and view all the answers

Which of the following best illustrates mild anxiety according to Peplau?

<p>A person focused and alert while working on a project (C)</p> Signup and view all the answers

Which class of medications is primarily used to manage mood disorders?

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

What is the primary function of Electroconvulsive Therapy (ECT)?

<p>To induce a seizure using electrical current (A)</p> Signup and view all the answers

Which therapy is NOT mentioned as effective in producing brain changes for mental disorders?

<p>Behavioral Activation (A)</p> Signup and view all the answers

What does Karlsson's studies primarily suggest about psychotherapy?

<p>It results in brain changes that improve mental health disorders. (B)</p> Signup and view all the answers

Which theorist emphasized the influence of past relationships on current self-perception?

<p>Object relations theorists (B)</p> Signup and view all the answers

According to Erik Erikson, how many predetermined life stages are there?

<p>Eight stages (D)</p> Signup and view all the answers

What is the primary role of transcranial magnetic stimulation and vagus nerve stimulation?

<p>To enhance neurotransmitter levels (C)</p> Signup and view all the answers

What is one of the primary outcomes expected from biological or psychotherapeutic interventions?

<p>Changing symptoms or social functioning (B)</p> Signup and view all the answers

Which stage of Tuckman's model follows the storming stage?

<p>Norming (D)</p> Signup and view all the answers

What is the primary focus of task roles within a group?

<p>To keep the group focused on its goals (D)</p> Signup and view all the answers

In which leadership style does the leader exert control and minimize interaction?

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

What benefit does coleadership provide for group leaders?

<p>Provides training for less experienced staff (B)</p> Signup and view all the answers

Which of the following best describes maintenance roles in a group?

<p>Promoting interpersonal support and group cohesion (A)</p> Signup and view all the answers

What is a characteristic of a laissez-faire leadership style?

<p>Freedom for group members to act as they wish (D)</p> Signup and view all the answers

What is essential for supporting and treating individuals with mental illness in group settings?

<p>A clear theoretical framework for understanding group interaction (D)</p> Signup and view all the answers

Which group setting is likely to require a democratic leadership style?

<p>Educational group focusing on shared experiences (C)</p> Signup and view all the answers

Flashcards

Conscious Mind

The conscious mind is what we are aware of at this moment - our thoughts, beliefs, and feelings.

Id

This refers to our primitive, pleasure-seeking, and impulsive side, driven by the desire for immediate gratification. It's mostly unconscious.

Ego

The ego acts as a mediator, balancing the id's primal urges with the superego's moral constraints. It navigates the real world while trying to meet our needs.

Superego

Representing our moral compass, the superego is influenced by our parents and caregivers, shaping our sense of right and wrong.

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Psychodynamic Therapy

A form of therapy derived from psychoanalysis, psychodynamic therapy explores past experiences and unconscious conflicts to understand present difficulties.

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Repression

A defense mechanism used by the ego, repression involves pushing unwanted or painful thoughts and memories into the unconscious.

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Denial

A defense mechanism where someone refuses to acknowledge or accept painful realities. It involves denying the truth.

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Rationalization

A defense mechanism used by the ego to justify actions or thoughts by providing rational explanations, even if those explanations are not true.

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Interpersonal Therapy (IPT)

The therapist actively guides and challenges maladaptive behaviors and distorted views, helping patients become aware of dysfunctional patterns and unrealistic expectations to modify them.

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Hands-On Therapy

A hands-on approach in therapy where the therapist helps patients identify and change their unhealthy behaviors and thought patterns.

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Participant Observer

The therapist actively observes and analyzes the patient's behavior, especially their interactions with the therapist.

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Classical Conditioning

A type of learning where involuntary reactions become associated with neutral stimuli.

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Systematic Desensitization

A therapy approach that uses principles of classical conditioning to treat fear and anxiety by gradually exposing patients to anxiety-provoking stimuli while promoting relaxation.

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Behavioral Therapy

A behavioral therapy method that aims to eliminate problematic behaviors by rewarding positive behaviors and discouraging negative ones.

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Agoraphobia

A fear of open spaces or crowded places often linked to panic attacks.

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Interpersonal Theory

A theory that emphasizes the importance of interpersonal relationships and social factors in mental health. It contrasts with psychoanalytic theory which focuses on internal mental processes.

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Cognitive-Behavioral Therapy (CBT)

A type of therapy that focuses on identifying and changing negative thought patterns that lead to emotional distress and dysfunctional behaviors.

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Schemata

Unique assumptions or beliefs about ourselves, others, and the world that we hold. They shape our perspectives and reactions.

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Automatic Thoughts

Rapid, unthinking thoughts that arise automatically from our schemata, often triggered by specific situations.

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Cognitive Distortions

Irrational or distorted thinking patterns that contribute to negative emotions and behaviors.

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ABCs of Irrational Beliefs

A technique used in CBT to identify, challenge, and replace negative thoughts, involving a four-column format for recording events, thoughts, feelings, and behaviors.

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Chemical-Imbalance Theory

The idea that mental health issues can be caused by imbalances in brain chemistry, often related to neurotransmitters.

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Congruence

The ability to be genuine and authentic in therapy, showing your true self to the client.

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Empathy

The therapist's ability to understand and share the client's feelings, fostering a sense of connection and empathy.

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What is Electroconvulsive Therapy (ECT)?

A type of therapy that uses electrical current to induce a seizure, believed to work by affecting neurotransmitters and neuroreceptors.

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What are some effective therapies that change the brain?

A group of therapies, including CBT, DBT, psychodynamic psychotherapy, and interpersonal psychotherapy, that have shown to create positive brain changes for various mental disorders.

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What does 'biological therapy' encompass?

A mental health approach that focuses on the importance of biological factors, like hormones, nutrition, and sleep, in affecting mental well-being.

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What did Jean Piaget propose about cognitive development?

A theory that suggests that cognitive development progresses from basic awareness to complex thinking and responses.

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What did Erik Erikson theorize about development?

A theory that states that our development occurs in eight predetermined life stages and that success in each stage influences the next.

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What is the 'object relations' theory?

This theory emphasizes the role of past relationships in shaping our sense of self and how we interact with others in the present.

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What are 'psychostimulants'?

A classification of medications often used to treat mental health conditions.

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What's the connection between the brain and mental processes?

A scientific observation that all mental processes originate from the brain.

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Moderate Anxiety

A heightened state of awareness, characterized by narrowed perception and less information processing. You may experience this before an exam or important event.

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Panic Anxiety

The most severe level of anxiety, marked by overwhelming fear, panic, and inability to function or communicate effectively.

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Mild Anxiety

The mildest level of anxiety, characterized by normal alertness and readiness to respond to stimuli.

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Severe Anxiety

A state of anxiety that hinders clear thinking, significantly narrows perception, and focuses all behavior on reducing anxiety.

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Peplau's Theory

Interpersonal relationships and communication are key determinants of a patient's well-being and treatment outcomes.

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Behavioral Reinforcement

Providing positive reinforcement for desirable behaviors can significantly improve a patient's actions, particularly in children.

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Cognitive Intervention

Identifying and changing negative thought patterns helps improve a patient's mental state and overall functioning.

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Psychosocial Development

Erikson's theory helps understand the stages of human development throughout life, highlighting key challenges and milestones.

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Tuckman's Stages of Group Development

Tuckman's model of group development describes the stages groups go through as they form and mature. These stages are: Forming, Storming, Norming, Performing, and Adjourning (Mourning).

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Task vs. Maintenance Roles

Task roles focus on completing the group's work and achieving its goals, while maintenance roles keep the group cohesive and supportive.

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Autocratic vs. Democratic Leadership

An autocratic leader makes most decisions and controls the group, while a democratic leader encourages group participation and collaboration.

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Laissez-Faire Leadership

The laissez-faire leadership style allows the group to operate independently without much direction from the leader.

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Coleadership

Coleadership involves two individuals leading a group, providing multiple perspectives and support for group members.

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Therapeutic Milieu

A therapeutic milieu is a supportive and structured environment that promotes healing and recovery for individuals with mental illness.

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Therapeutic Milieu: Benefits

A therapeutic milieu combines a healthy environment with a supportive social structure to foster positive growth and change in individuals with mental health challenges, leading to better outcomes.

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Study Notes

Mental Illness

  • Mental illnesses affect thinking, feeling, mood, relationships, and daily functioning
  • Influenced by genetics, brain chemistry, and life experiences (e.g., trauma, abuse)
  • Positive mental health leads to reaching full potential, coping with stress, and societal contributions
  • Mental illness is treatable, and individuals can experience symptom relief and return to high functioning
  • Mental illness is a leading cause of disability in the US (over 18%)
  • Cultural norms, societal expectations, professional biases, and political climate influence the definition of mental health

DSM-5

  • Provides a standard language and criteria for classifying mental disorders used by clinicians, researchers, and others
  • Includes specific diagnostic criteria for each mental disorder based on research and clinical observation
  • DSM-5 coding mirrors the ICD-10 codes used for billing and tracking
  • Emphasizes that mental disorders are not separate from physical disorders; they are intertwined
  • The DSM-5 defines mental disorders as clinically significant behavioral or psychological syndromes or patterns in individuals associated with distress, disability, increased risk of suffering, or loss of independence
  • Deviant behavior is not considered a mental disorder unless it's a symptom of a dysfunction

Resilience

  • Ability to bounce back from stressful circumstances

Mental Health Parity Act (1996)

  • Requires insurers to offer mental health benefits at the same level as medical coverage

Biological Influences

  • Many prevalent mental disorders have biological influences, including schizophrenia, bipolar disorder, depression, PTSD, autism, and anorexia
  • Factors like support systems, family, development, culture, and negative influences are also important for mental illness

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