Psychology 242
Chapter 2
Question 2: Describe Learned helplessness.
How it is developed in laboratory animals and how does it help us to understand
human depression?
Learned
Helplessness was established though experimental tests on rats in Lab
controlled environment. The scientist would shock the rats to see what the patterned
of behaviors was. When the rats would realize that they had no control over
their environment they would become “depressed.”
This experiment
led to the conclusion that people reacted the same way. When faced with the
experience of helplessness they tend to become depressed, Just like the rats
did. The real breakthrough in Psychology was when Seligmen realize that
different people have different views of the same situation, meaning that what
one person views as a workable situation another may see it as an impossible
situation to cope with and therefore become depressed.
Chapter 3
Question 1: The
DSM-IV is based on a multiaxial system. Explain the content of each axis and
its contribution to understanding the patient?
The DSM-IV system
was an upgrade of the DSM-III. It brought about certain changes to the old
coding system, For example the in the new DSM only personality disorders and
mental retardation is coded in Axis II. “Pervasive developmental disorders that
were previously in coded on Axis II are now in Axis I.” Certain disorders that
had not been useful were replaced, or completely deleted from the DSM, while
other disorders where added to it.
This new DSM helps
psychologists diagnose certain disorders in a more efficient manner. For
example according to the book there is a case of a patient whom they call
“Frank.” In his case
“Initial observation indicates an anxiety disorder on Axis I,
specifically obsessive-compulsive disorder. However, he might also have long
standing personality traits that lead him systematically to avoid social
contact. If so, there might a diagnosis of schizoid personality disorder on
Axis II. Unless Frank has an identifiable medical condition, there is nothing
on Axis III. Job and marital difficulties would coded on Axis IV where we note
psychosocial or environmental problems that are not part of the disorder but
might make it worse.”
This patient has a
little bit of everything in the Mix, but nothing so severe that he would be
diagnosis with anything in the new DSM the reason being that in the DSM one
must first rate the severity of the disorder before they are given a label.
Chapter 4
Question 1: Explain the unique ways that
monozygotic twins raised in separate environments help us to understand the
genetic influences of psychopathology?
By studying
Monozygotic twins one can distinguish whether or not certain disorders are
genetic or a product of our environment. After several studies Michael Lyons
came to the conclusion that in juvenile anti-social behavior would be the
result of environments not genetic factors.
Yet in adulthood, anti-social behavior is greatly due to genetic factors. This leads to the assumption that in early
stages of development, behavior is due the environment, and not genetics. Whereas in adulthood, it is the genetic
factor that influences one’s psychological disorder to develop.
Question 2
Describe the procedures of the
cross-sectional and longitudinal research methods. What are the uses and limitations of these
methods?
Cross-sectional
design is when researchers take a sample population of different age groups and
compare them on some characteristics.
What this means is that they will take a group of people who are around
or about the same age and question them on a subject to find their
opinions. They can then use this
information to develop a hypothesis.
This method of research is preferred by most academics, because it can
be done in short amount of time.
However, this method cannot answer how the individuals came about their
opinion or how they will develop because of that opinion. Longitude designs is when researchers follow
one group over time and record all of the changes and experiences the members
go through in the years. This method can
be very accurate in asserting why certain members of the group develop certain
disorders which can lead to a hypothesis.
Unfortunately, this type of research can take up to 25 years. And not many institutions can be the
financial burden that goes along with longitudinal.
Chapter 5
Question 3
Discuss panic
disorder including symptoms, cause, and treatment. What is panic attack?
Explain the differences between the three types of panic attacks.
There are three
types of panic attacks that are described in the DSM/IV: The first is situational bound. In this case you will only have the symptoms
of the panic attack in certain situations or places, but not anywhere
else. However, in unexpected panic
attacks, you will never know when or where your next attack will happen. Standing in the middle is the third type of
panic attack which is situational predisposed.
Panic attacks are
defined by a sudden sense of fear which is usually accompanied by heart
palpitations, chest pain, shortness of breath, and sometimes dizziness. The only way to treat panic attacks is by
confronting the fears and anxieties of the patient in a controlled environment
so the patient can be aware that there is nothing to be afraid of.
Chapter 7
Question 3
Compare and contrast the clinical symptoms
of major depression and mania. Explain what is meant by mixed mania.
Major depression
is characterized by cognitive symptoms that last at least two weeks or
more. This means that the subject will
experience the feeling worthlessness, indecisiveness, and helplessness. Most times they will also disturbed physical
functions such as altered sleeping patterns, changes of appetite, losses and gain
of weight, and/or loss of energy. Subjects
that experience a depressive episode will typically lose interest in the most
common household tasks, and the inability to enjoy life, whereas mania is
characterized by a feeling of euphoria.
Subjects experiencing mania can find joy in the most mundane of
tasks. Some patients go as far as
comparing “their daily experience of mania to a continuous sexual orgasm.” Some of the physical elements of mania can
be: Requiring very little sleep, rapid
incoherent speech, and the feeling that they can do anything.
The combination of
both a manic and depressive episode contributes to what is known as a mixed
mania. When an individual can
“experience manic symptoms but feel somewhat depressed or anxious at the same
time.”
Chapter 8
Question 1
In what ways do anorexia and bulimia
patients tend to be similar and in what ways do they differ? Make certain to include the similarities and
differences in the symptoms of the disorders as well as the dysfunctional
thoughts typically associated with each disorder.
Bulimia nervosa is
characterized by the subject eating large amounts of food and then
purging. Purging can include
self-induced vomiting, or the use of laxatives and diuretics, as well as
excessive exercise. Some subjects will
fast for long periods before succumbing to another out-of-control binge. The most important characteristic present in
bulimia is the feeling that self-esteem will only be determined by the
subject’s weight. The same is true for
subjects who suffer from anorexia. Both
anorexia and bulimia subjects have a powerful and controlling fear of gaining
weight and losing control over eating. In
the case of anorexia, subjects will cease to eat. With anorexia the subjects experience a
feeling of control over their bodies and their diets, which is not true for
subjects suffering from bulimia.
Subjects with bulimia usually have a history of anorexia where they use
fasting to lose weight. Anorexia usually develops when a subject chooses to
loose weight and succeeds. The subject then develops a fear of gaining weight
and does anything to keep that from happening.
Question 3: What are the differences
between nightmares and sleep terrors? Describe what we know about sleep
terrors, including the ages at which it generally occurs and how it has been treated?
There is not a lot
of research on nightmares or sleep terrors; some of the things that are known are
that in both cases the subjects are children. Nightmares are characterized as
very bad dreams that makes the subject awaken from his or her sleep, while
night terrors are usually bad dreams which the subject does not remember, the
subject would have screamed, Usually his or her heart will be palpitating and
they will be sweating but they will not remember why. Another distinction is
that Nightmares occur during REM sleep while night terrors occur during NREM
sleep.
The first
prescription for this type of cases is time, Doctors will usually ask the
parents to wait and see if the nightmares or night terrors disappear on their
own. If night terrors persist then the Doctors might ask the parents to awaken
the child half an hour prior to the time when the night terror usually occurs,
this will occur every night making it a little bit later every night until the
child finally gets to sleep all night. Although the effects have not been
researched or proven there are times when someone experiencing this symptoms
might be prescribed antidepressants.
Question 4: Describe the Diagnostic
criteria, neurological elements, and treatment for circadian sleep disorder?
To be diagnosed
with circadian sleep disorder the subject would have to contains several criteria’s,
one of which is that the developmental stages of the disorder begins by having
interrupted sleep which brakes the normal sleep pattern, this interruption to
sleep must create a disruption in the subjects life or social environment, it
must also not be in conjuncture to any other mental or sleep disorder.
Our brain has ways
of letting us know when it is time to go to sleep. Our biological clock is in
the Suprachiasmatic Nucleous in the Hypothalamus which is connected to our
eyes. Essentially what happens is that our eyes perceive darkness (Night) and
let our brain know that it is time to sleep, the Brain then produces melatonin
to help us go to sleep. Melatonin is produced in the pineal gland. It is when a
subject suffers from a disruption in this process that he or she develops
Circadian Sleep Disorder.
There are several
ways to treat Circadian Sleep Disorder; one of them is the use of several
drugs. Among these drugs are Benzodiazepine, Trizolm and Zolpidem and more.
Drugs are used for short term treatment and are not suggested for long term
treatment, the reason being that drugs can develop a dependency. Environmental
treatments might include using a bright light. In this case the subject would
sit in front of a bright light for a couple of hours so that the brain can
receive the correct message and reset the internal clock. Other treatments
might involve the forcing of the subject to go to sleep earlier, or later, this
depends on which one is the problem, until the subject is back to a normal
rhythm.
No comments:
Post a Comment