Wakefield's Definition of Disorder
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Questions and Answers

What is one value of self-deception or repression?

  • Increased moral integrity
  • Enhanced self-awareness of personal wishes
  • Guaranteed success in interpersonal relationships
  • Concealing motives of others (correct)

Which defense mechanism involves reverting to a previous behavior pattern?

  • Sublimation
  • Regression (correct)
  • Intellectualization
  • Denial

How does self-deception help in managing mental conflict?

  • By concealing rejected alternatives (correct)
  • By eliminating emotional responses
  • By enhancing clarity of thought
  • By promoting honest self-reflection

What does rationalization entail as a defense mechanism?

<p>Making up an alternative explanation for true motives (C)</p> Signup and view all the answers

Which statement about children is they likely to do?

<p>Manipulate parents and engage in nonsensical behaviors (D)</p> Signup and view all the answers

What is the relationship between age of child and RCA levels?

<p>RCA increases with the age of the child until mid-30s then decreases. (C)</p> Signup and view all the answers

What is the impact of analgesic behaviors on the grieving process?

<p>They can lead to an increase in intrusive thoughts and prolonged symptoms. (D)</p> Signup and view all the answers

What is a common experience for 50% of bereaved individuals?

<p>Hallucinations ranging from dreams to auditory-visual experiences. (C)</p> Signup and view all the answers

What does successful therapy often involve in the context of grief?

<p>Exposing individuals to painful thoughts and feelings. (B)</p> Signup and view all the answers

How is the distress experienced by individuals during the grieving process typically characterized?

<p>It arises from personal history with the deceased. (C)</p> Signup and view all the answers

What is the primary argument against the concept of a mental disorder being purely determined by biological disadvantages?

<p>Many disorders do not affect survival or reproduction. (A)</p> Signup and view all the answers

Which statement best describes the concept of harmful dysfunction as outlined in Wakefield's disorder definition?

<p>Mechanisms failing to meet natural functions can be considered disorders. (A)</p> Signup and view all the answers

Which of the following best illustrates the principle that not all undesirable conditions are considered disorders?

<p>Poverty affecting mental health. (C)</p> Signup and view all the answers

What is a key factor in understanding why some stigmatized disorders are still recognized as real conditions?

<p>They can have identifiable physical correlates. (C)</p> Signup and view all the answers

Which of the following reflects a misunderstanding about the nature of disorders according to Wakefield?

<p>All mental disorders are associated with physical lesions. (A)</p> Signup and view all the answers

How does the concept of evolution relate to mental disorders as described by Wakefield?

<p>Mental disorders may exist without evolutionary justification. (A)</p> Signup and view all the answers

In what context are normal intense responses considered not to be disorders?

<p>When they are expected responses to traumatic events. (D)</p> Signup and view all the answers

Which of the following statements is aligned with the sociological fallacy described by Wakefield?

<p>Cultural influences cannot completely explain human behaviors. (A)</p> Signup and view all the answers

What is the primary function of dreams according to ancient beliefs?

<p>They offer insights about the past, present, and future that require interpretation. (A)</p> Signup and view all the answers

What concept did Jung emphasize regarding the search for meaning?

<p>Meaning involves a subjective encounter with symbols. (A)</p> Signup and view all the answers

How did advancements in science during WWI influence views on human decision-making?

<p>They suggested bad decisions often stem from neglecting emotions. (C)</p> Signup and view all the answers

Why are painful feelings considered adaptive?

<p>They promote avoidance learning to keep us out of danger. (B)</p> Signup and view all the answers

What does the acronym REBUS stand for in relation to beliefs and psychedelics?

<p>Relaxed Beliefs Under Psychedelics. (D)</p> Signup and view all the answers

What is the greatest burden of a child according to the content?

<p>The unlived life of their parents. (C)</p> Signup and view all the answers

What motivates the desire for self-harm in some individuals?

<p>A primitive urge connected to expectations of failure. (C)</p> Signup and view all the answers

What should individuals focus on to live a more meaningful life?

<p>Dedicating their life to something greater than self. (A)</p> Signup and view all the answers

What role does the vACC play during USEs?

<p>It signals emotional and social pain. (D)</p> Signup and view all the answers

Which group is reported to be more likely to experience USEs during bereavement?

<p>Women experiencing child loss. (C)</p> Signup and view all the answers

How does sleep disruption affect emotional evaluation during bereavement?

<p>It allows positive events to be perceived more negatively. (D)</p> Signup and view all the answers

What is a consequence of suppressing REM sleep?

<p>Disruption of memory integration into long-term storage. (C)</p> Signup and view all the answers

What impact does rumination have on dopamine production?

<p>It leads to dysregulated dopamine production. (B)</p> Signup and view all the answers

What role does the temporoparietal junction (TPJ) play in grief?

<p>It helps distinguish self from others. (C)</p> Signup and view all the answers

What does elevated cholinergic activity during REM sleep facilitate?

<p>Transmission of sensory experiences into the cortex. (C)</p> Signup and view all the answers

How does distress from USE satisfy emotional processing during bereavement?

<p>It promotes ruminating thoughts linked to past losses. (A)</p> Signup and view all the answers

What primarily drives exaggerated perceptions of control in response to chance events?

<p>A feeling of personal involvement. (D)</p> Signup and view all the answers

What is a common outcome of fragmented memories after trauma?

<p>Protection from the full emotional intensity. (C)</p> Signup and view all the answers

In individuals experiencing PTSD, what effect does sleep deprivation have on the processing of emotional stimuli?

<p>It leads to increased vigilance towards threats. (B)</p> Signup and view all the answers

How does memory recollection affect memory storage during wakefulness?

<p>It reinforces and strengthens memory storage. (A)</p> Signup and view all the answers

What is the potential effect of increased thalamic activity during ruminative thought processes?

<p>Disruption of sensory input processing. (D)</p> Signup and view all the answers

What was observed about depressive women when estimating their risk of developing breast cancer compared to non-depressive women?

<p>Depressive and non-depressive women had similar estimates initially. (A)</p> Signup and view all the answers

What does 'depressive realism' suggest about depressive individuals' reaction to objective information?

<p>They are better at integrating and understanding information. (A)</p> Signup and view all the answers

In the context of melancholia, what physiological change was observed in unmedicated MDD patients?

<p>Their glucose tolerance tests indicated hyperglycemia. (D)</p> Signup and view all the answers

How does serotonin relate to the understanding of depression as indicated by early 1950s research?

<p>Elevating monoamines in the brain reduced symptoms of depression. (A)</p> Signup and view all the answers

What did the research reveal about reserpine in the context of depression?

<p>Studies showed reserpine consistently increases depression symptoms. (C)</p> Signup and view all the answers

What challenge exists in measuring serotonin levels within the human brain?

<p>The relationship between serotonin concentration and its transmission is complex. (D)</p> Signup and view all the answers

What does a high 5-HIAA:5-HT ratio indicate in the context of serotonin transmission?

<p>Increased serotonin activity and utilization. (D)</p> Signup and view all the answers

Elevated serotonin transmission is associated with what, according to stressor models of depression?

<p>Increased depressive symptoms. (C)</p> Signup and view all the answers

What does tonic firing in neurons signify in relation to serotonin's role?

<p>Continuous engagement in distraction-resistant thought processes. (D)</p> Signup and view all the answers

What role does serotonin play in the context of oxidative stress?

<p>Serotonin acts as an antioxidant to manage oxidative stress. (D)</p> Signup and view all the answers

Which hypothesized mechanism explains the decreased sensitivity to pleasure in anhedonia?

<p>Increased ability to retain information during distractions. (C)</p> Signup and view all the answers

Which brain regions are known to be involved in elevated serotonin transmission during melancholic states?

<p>Nucleus accumbens and hippocampus. (D)</p> Signup and view all the answers

What is a noted effect of serotonin on mitochondrial activity?

<p>Regulation of calcium levels essential for energy production. (C)</p> Signup and view all the answers

What differentiates DRN activity in relation to depressive triggers?

<p>DRN transmission of serotonin varies based on the presence of a depressogenic trigger. (B)</p> Signup and view all the answers

Flashcards

Intrusive Death Imagery

Experiencing thoughts, feelings, and memories related to the deceased, even when they are not physically present.

Analgesic Behaviors

Behaviors used to avoid or suppress painful emotions, thoughts, and memories related to grief.

Unusual Sensory Experiences (USEs)

A discrepancy between what a grieving person perceives and what is real, often leading to hallucinations or misperceptions.

Emotional Processing

The process of integrating emotional experiences and information about grief into one's understanding of self and the world.

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Expression of Grief with USEs

The expression of grief can be influenced by the relationship with the deceased, and expressions of distress during the grieving process are not necessarily due to the hallucination itself, but rather the relationship with the deceased.

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Myth of a myth of mental disorder

The idea that mental disorders are used as a tool to control society and enforce conformity, even though some stigmatized conditions like HIV are actually real.

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Mental disorders correspond to physical lesions

This view argues that mental disorders correspond to physical lesions in the brain, but acknowledges that not all mental disorders have a clear physical basis.

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Value concept of mental disorders

This concept defines a disorder as a condition that is socially undesirable or problematic, but notes that many undesirable conditions are not disorders like poverty and that the definition of 'undesirable' can change over time.

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Professionals treat mental disorders

This view defines a disorder as anything that mental health professionals treat, regardless of whether it is actually a disorder. However, it acknowledges that professionals may treat non-disorders like childbirth and that they can sometimes be wrong.

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Statistical deviance of mental disorders

This view defines a disorder based on statistical deviance from the norm, but acknowledges that both positive and negative traits can be statistically deviant. Thus, statistical deviance alone is not sufficient to define a disorder.

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Unexpectable distress or disability

This view defines a disorder as causing unexpected distress or disability, but acknowledges that there are normal intense responses like grief or stress, and that not all forms of distress are inherently disordered. Further, abusive relationships are not considered disorders, and some distress is expected like post-traumatic stress disorder (PTSD).

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Biological disadvantage of mental disorders

This view defines a disorder as a biological disadvantage that reduces survival and reproductive success. However, it acknowledges that not all disorders affect survival and reproductive success. Additionally, some conditions that are not disorders, like societal rejection, can negatively impact survival and reproduction.

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Harmful dysfunction

This theory defines a disorder as a mental mechanism failing to perform its naturally selected function, causing harm as defined by cultural standards. It emphasizes that a properly functioning adaptation, even if it's not ideal, cannot be defined as a disorder.

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Self Deception

The act of hiding or disguising your true motivations. It's a mental strategy we use to maintain a positive self-image and achieve complex goals.

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Denial

A defense mechanism that helps you cope with unwanted or unacceptable thoughts or feelings by denying they exist. It's like putting your head in the sand.

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Regression

A defense mechanism where you revert to a more childish or primitive behavior in response to stress or conflict. It's like going back to simpler times to avoid dealing with difficult emotions.

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Sublimation

A defense mechanism that allows you to fulfill forbidden wishes in a socially acceptable way. It's like finding a positive outlet for your negative urges.

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Rationalization

A defense mechanism that involves justifying your actions with logical explanations even if the real reason is less respectable. It's like creating a story to make yourself feel better.

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Beliefs Underlie Everything

The idea that our thoughts, feelings, and actions are deeply influenced by our underlying beliefs, often formed unconsciously.

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Committing Upsetting Thoughts to LTM

The process of committing upsetting or negative thoughts to long-term memory, which can affect future behavior but can also be detrimental to well-being.

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Brain's Narrative Function

The ability of the brain to make sense of information and create narratives that explain our experiences. It's often focused on reliability, not necessarily accuracy.

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Unlived Life

A state of being where an individual is not fully embracing their own potential or living a life with meaning, often due to unresolved issues from their parents or ancestors.

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Symbol vs. Sign

A sign or symbol that carries subjective meaning, often unique to the individual. It differs from a sign, which has a fixed, objective meaning.

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Avoidance Learning

A type of learning that involves experiencing negative emotional consequences and avoiding certain behavior or situations in the future. This can be adaptive for survival but can also lead to negative biases.

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Bias Towards Negative Stimuli

The tendency to pay more attention to negative stimuli, as they often trigger a stronger emotional response due to past experiences and survival instincts. This can lead to a negative bias in our perception of the world.

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Painful Feelings as Information

The idea that even painful feelings serve a purpose, providing us with valuable information about our environment, well-being, and potential dangers. This can include both external threats and internal anxieties.

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Depressive Realism

The ability of depressed individuals to accurately assess their risk, even if it means lowering their initial estimations.

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Melancholy

A state of depression characterized by specific physical symptoms like loss of appetite, weight loss, agitation, and psychomotor retardation.

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Energy Reallocation in Melancholy

A physiological process where the body prioritizes cognitive activity over physical and social functions.

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Distraction-Resistant Working Memory

The ability to maintain focus and resist distractions, crucial for analytical thinking.

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Shortened Latency in REM Sleep

Faster onset of REM sleep, supporting the retention of complex information.

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Hyperglycemia

An elevated level of glucose in the blood due to impaired glucose uptake by cells.

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Hyperinsulinemia

Excessive insulin production by the pancreas in response to high blood glucose levels.

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Insulin Resistance

The inability of cells to effectively utilize glucose, despite adequate insulin levels.

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Increased Glycolysis in the Brain

The increased breakdown of glucose within the brain, providing energy for heightened cognitive activity.

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Glutamate-GABA Imbalance

The imbalance between excitatory and inhibitory neurotransmitters in the brain, suggesting an overactive state.

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Chronic Activation of the Hypothalamic-Pituitary-Adrenal (HPA) Axis

A state of prolonged physiological stress, linked to ruminative thinking and elevated cortisol levels.

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Default Mode Network (DMN)

The brain network involved in self-referential thinking and social cognition, showing increased activity in depression.

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Executive Control Network (ECN)

The brain network responsible for executive control, attention, and introspection, also showing increased activity in depression.

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Serotonin Deficiency Hypothesis of Depression

The idea that low serotonin levels cause depression, stemming from early research on antidepressants and reserpine.

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5-Hydroxyindoleacetic Acid (5-HIAA)

The product of serotonin breakdown, measurable in the jugular vein, reflecting serotonin usage in the brain.

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Unexpectedly Vivid Experiences (USEs)

Involuntary, unwanted experiences that can be distressing , often triggered by loss. They can occur during sleep, during other times of stress, or spontaneously.

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Rumination

The process of mentally replaying events, thoughts, and feelings related to a loss.

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REM Sleep

A type of sleep characterized by rapid eye movements (REM) and vivid dreaming. It plays a crucial role in emotional processing and memory consolidation.

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Memory Consolidation

The process of converting short-term memories into long-term memories, enhancing their persistence in the brain.

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Anterior Cingulate Cortex (ACC)

The area of the brain that processes emotions and plays a role in attention, mood regulation, and emotional expression.

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Anterior Insula Cortex

The part of the brain involved in the awareness of bodily sensations, including pain, and plays a role in interoception (the sense of our internal state).

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Decoupling of Reality

The inability to distinguish between real and unreal experiences, which may lead to hallucinations. It can be influenced by factors such as sleep deprivation and mental health conditions.

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Self-Serving Bias

The tendency to attribute successes to internal factors (like ability) and failures to external factors (like bad luck).

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Exaggerated Perceptions of Control

An inflated perception of control over events that are actually random or outside of one's influence.

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Theory of Mind (ToM)

The ability to recognize and understand the mental states of others.

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Emotional Hyperarousal

A state of heightened emotional reactivity, characterized by intense emotional responses, particularly fear and anxiety.

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Post-Traumatic Stress Disorder (PTSD)

A complex psychological response to trauma that can manifest as intrusive memories, flashbacks, nightmares, avoidance behaviours, and emotional distress.

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Rumination

The tendency to focus on and re-experience painful thoughts and feelings.

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Schizophrenia

A mental health condition characterized by experiencing hallucinations and delusions - false beliefs that are not based in reality.

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Dopamine

The chemical messenger in the brain associated with pleasure, reward, and motivation. It can be dysregulated in certain mental health conditions.

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Study Notes

Wakefield's Definition of Disorder

  • A disorder is a mental mechanism that does not fulfill its function and causes harm according to cultural standards
  • For social control, some stigmatized conditions (e.g., HIV) are still valid disorders, while others (e.g., poverty) are not.
  • The concept of a disorder is socially undesirable and contingent on time. For example, some problems deemed undesirable now may not be viewed as disorders in the future.
  • Professionals may treat problems, which aren't necessarily disorders (e.g., childbirth).
  • Positive and negative traits can be statistically atypical.
  • Unforeseen distress/disability like grief, or a stressful relationship may not be considered a disorder.

Biological Dysfunction

  • Implies a disorder can potentially be cured by increasing survival/reproduction. However, some disorders may not affect reproductive success, while others may
  • Disorders and non-disorders both affect survival and reproductive success (e.g., societal rejection falls under non-disorders).
  • Evolutionary perspectives on traits are relevant to their role in fitness, but not always adequate for defining a disorder.
  • Biological function and its relation to evolutionary pressures are critical to diagnosing a disorder.

Harmful Dysfunction

  • A harmful dysfunction is a mental mechanism malfunctioning, causing harm by cultural standards.
  • Mechanisms can be dysfunctional when they do not perform their naturally selected function, resulting in harm.

Other Important Concepts

  • Preference for sweets: A reinforced pleasurable feeling, a likely adaptation.
  • Adaptions: Adaptations are always in the context of past environments when traits may not always be adaptive in modern contexts.
  • Identifying an adaptation could involve examining cognitive, behavioral, emotional, neural, and physiological characteristics.

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Explore Wakefield's perspective on what constitutes a disorder. This quiz delves into the social and biological implications of mental conditions and their definitions. Understand how cultural standards influence the classification of disorders and non-disorders.

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