PCHP - Personality Clinical and Health psychology
Summary for Personality Clinical and Health psychology.
Summary
Summary for Personality Clinical and Health psychology.
A biological theory
A supernatural theory
A psychosocial theory
Classical conditioning
Operant conditioning
Learning through observation
Learning through punishment and rewarding
That there are no universal standards or rules to classify behavior as abnormal, behavior can only be abnormal according to prevailing standards.
That in different cultures very different disorders can occur, which you have to take into account in the assessment.
Dysfunction, Distress, Deviance and Dangerousness
Behavior and feelings are dysfunctional when they interfere with someone's functioning in daily life. The more dysfunctional the behavior, the greater the chance that this is labeled as abnormal.
Behavior and feelings that distress causeto the individual and the persons around him are also often regarded as abnormal.
Strongly deviant (deviant) behaviors, such as chronic lying and stealing, lead to assessments of abnormality.
Behaviors that are dangerous (dangerous) to the individual, such as self-harm, or to others, such as serious aggression, are also seen as abnormal.
A. A biological theory. This theory assumes that human emotions were controlled by internal organs. When the life air flowed through one of these organs, a certain emotion belonging to that organ was experienced.
B. Operant conditioning
A
The biological approach
The psychological approach
The sociocultural approach
Thalamus
Hypothalamus
Hippocampus
Amygdala
Behaviors are taught the fastest with the help of a continuous reinforcement schedule
Behaviors learned with a partial reinforcement schedule are the fastest to learn again
Only claim I is correct
Only claim II is correct
Both statements are correct
Both statements are incorrect
Primary prevention
Secondary prevention
Tertiary prevention
Dominant and rigid behavior
Fearful and aggressive behavior
Serotonin
Dopamine
Cognitive therapy
Psychodynamic therapy
B. The psychological approach. For example, the biological approach assumes a genetic predisposition. The socio-cultural approach is based on cultural values or social environment.
C. Hippocampus. The thalamus sends incoming information from the senses to the cerebrum. The hypothalamus regulates eating, drinking and sexual behavior. The Amygdala is critical for emotions such as fear.
A. Only claim I is correct. Behaviors learned with a partial reinforcement schedule are very difficult to learn because the person is used to not being rewarded continuously. So less reward is needed to maintain the behavior.
B. Secondary prevention. Primary prevention attempts to change the circumstances so that the disorder does not arise at all. In the case of tertiary prevention, an attempt is made to limit the impact of an already existing disorder as much as possible.
B
A
A
Face validity
Content validity
Competitor validity
Construct validity
Test-retest reliability
Internal reliability
Interrater reliabilityvisualize
Alternate form reliability
Positron-emission tomography (PET)
Computerized tomography (CT)
Magnetic resonance imaging (MRI)
Electroencephalogram (EEG)
Depression and anxiety
Personality disorders and mental retardation
Autism spectrum disorders
Living environment
Reliability
Validity
An assessment is giving a label to a number of symptoms that often occur together.
An assessment is the process of collecting symptoms and looking at what the causes may be.
Assessment techniques must be efficient, reliable and valid.
Assessment techniques must be reliable, valid and standardized.
Personality Inventory
Behavior Assessment
Activity of the brain
Structure of the brain
With measurable changes in the nervous system that show emotional and psychological changes.
With the determination of certain neurological abnormalities, such as the presence of brain tumors.
Making a certain diagnosis for an individual
Organizing problems of individuals in certain groups
Comorbidity
Multiple syndrome
That behavior can be tracked and registered at more times.
The influence of the presence of another person will lapse. This is called reactivity.
It takes a lot of time to take these tests.
The reliability and validity of these tests are not high
The thematic apperception test
Observing someone in a conflict
B. Content validity
D. Alternate form reliability
A. Positron-emission tomography (PET). It is also still done at Single photon emission computed tomography (SPECT), this is a less expensive technique, but also less accurate.
D. Living environment
A
B
B
B
A
A
B
A
B
B
A
Reliving the traumatic experience
Depression
Emotional anesthesia
Hyper vigilance
Treatment with medicines works better in the short term than cognitive behavioral therapy, but worse in the long termworse in the
Drug treatment worksshort term than cognitive behavioral therapy, but better in the long term
Drug treatment works in the short term as well as cognitive behavioral therapy, but worse in the long term
Drug treatment works just as well in the short term as cognitive behavioral therapy, but better in the long term
Behavioral disorder
Mood
disorder Anxiety disorder
Avoiding personality disorder
are effective in treating generalized anxiety disorder, but are not effective in treating panic attacks.
Are effective in treating panic attacks as long as the use is continued. ...
In more than half of patients with panic disorder.
In patients who have a panic disorder, and also suffer from depression.
Repetitions; Avoidance; Negative changes in thoughts and state of mind; Increased arousal.
Impulsivity; Suicidal thoughts; Addiction behavior; Fear
average is larger, which could have to do with the fact that the hippocampus has to 'work overtime' to keep the amygdala response in check.
On average, it is smaller, which could be related to the toxic effects of chronically elevated cortisol levels.
True, about 1% of the population ever live in their lives.
This is not true, about 28% of the population ever makes a panic attack.
Illusion
Compulsion
Aggravate Obsessive Compulsive Disorder
Have a modest positive effect on obsessive-compulsive disorder.
OCD
Panic Disorder
Amygdala
Hippocampus
Agoraphobia is a specific phobia, namely the fear of spiders.
Agoraphobia is the fear and avoidance of situations or public places that are seen as unsafe.
Reacts the amygdala more violently to emotional stimuli and the medial prefrontal cortex is less active.
Reacts the amygdala more violently to emotional stimuli and is the medial prefrontal cortex more active
In the parasympathetic nervous system
In the sympathetic nervous system
Depression
Bipolar disorder
Systematic desensitization
Gradual habituation
people have an obsession with buying, also called 'passion for buying'.
People have trouble throwing away their belongings, regardless of value.
Adrenal cortical system
Both the adrenal cortical system and the autonomic nervous system
The basal ganglia
The limbic system
Obsessions are thoughts, images or ideas that are persistent and uncontrollable, and that often cause anxiety or stress.
Obsessions are repeated actions that a person must carry out.
The fear often concerns a specific, large life change.
The fear is often focused on many different, small daily events.
B. Depression
Possible symptoms are:
Palpitations
Sweating
Vibrating
Shortness of breath or a feeling of suffocation
Pain or pressure on the chest
Nausea or abdominal pain
Dizziness,
lightheaded Derealisation or depersonalization
Fear of losing control or going crazy
Fear of dying
Cold chills or hot flushes
A stinging or burning sensation on the skin
C. Drug treatment works in the short term as well as cognitive behavioral therapy, but worse in the long term. When you stop taking the medication, the symptoms often return. Cognitive behavioral therapy is much better in preventing a relapse.
A. Behavioral disorder
B
A
A
B
B
B
B
B
B
B
A
B
A
A
B
B
B
A
B
What is the difference between somatic symptom disorders and psychosomatic disorders?
Both terms describe the same phenomenon
People with somatic symptom disorders have a physical illness, which is exacerbated by their psychological state. People with psychosomatic disorders do not have diseases with a physical cause
People with psychosomatic disorders have a physical illness, which is exacerbated by their psychological condition. People with somatic symptomdo not have diseases with a physical cause
disturbancesWhich of the following disorders is not a somatic symptom disorder?
Conversion
disorder Illness anxiety disorder
Factitious disorderdisorder
A dissociative identity
If someone loses the feeling for the reality of the external world, there is talk of ..
Dissociation
Derealisation
Marieke has recently experienced a traumatic car accident. As a result, she can suddenly no longer move her right arm. What kind of disorder does Marieke suffer from?
Pain Disorder
Functional Neurological Disorder
Someone deliberately acts as if he or she has a disease to receive medical attention. This person spoke of ...
A factitious disorder
malingering
Which form (s) of amnesia is often caused by a psychological event?
Retrograde amnesia
Both anterograde and retrograde amnesia
What disorder is there when someone feels that he or she is disconnected from his or her thoughts and body?
A dissociative fugue
A depersonalization disorder
In which disorder do there exist 100 personalities or fragments of personalities side by side in one body and mind?
Depersonalization DisorderDisorder
Dissociative Identity
In which kind of amnesia is an individual unable to remember important personal information?
Organic, retrograde amnesia
Dissociative amnesia
Consider the following statement: Antidepressants can have a positive effect on the treatment of a dissociative identity disorder. Is this statement true or not true?
This statement is true
This statement is not true
What shows that people with a dissociative identity disorder use dissociation to relax reality?
From the fact that they are easy to hypnotize
From the fact that they can stay hypnotized for a long time once they are hypnotized.
What is derealisation?
A relapse in the process of behavioral change. is.
The
Workgroup notes
Unconscious behaviour = automatisms.
95% of our behaviour. This is simply routine behaviour, which is context/stimulus-driven. This means that something in your surrounding simply activates this behaviour, such as coughing after inhaling smoke from a fire.
It is a result of conditioning or associations.
Conscious behaviour = planned behaviour 5% of our behaviour. It is the result of what we plan to do. It takes into account our assessment of our own abilities and what we think other people will think of our behaviour.
Antecedents are stimuli that precede behaviour. They are a signal to our brain to instigate (start) a certain behaviour. Antecedents can take the form of events, people, feelings, thoughts, etc.
There are three types of antecedents, beliefs, interpretations and self-convictions.
1.What is making you tackle it right now, at this time?
2.What do you want to achieve, and why?
3.What is your motivation to change?
Example:
Behaviour 1: I intentionally isolate myself from friends and family, and then proceed to beat myself up over it. I make the conscious decision to exclude myself from certain social situations and then
Antecedent: I give into the urge to be alone. Consequence: I feel worse because I am alone.
Antecedent: I supress my creativity. Consequence: My head starts running a mile a minute.
Antecedent: I am having a stressful week/period. Consequence: I get snappy to other people.
Explanation:
This assignment urges you to make a list, on the basis of your experience, of all the steps that you must take in order to make yourself UNHAPPY, and then you might find that it is a little harder to keep falling into the same traps so easily. Writing a recipe of this kind makes you aware of your own traps (e.g. antecedents) so you can avoid them in the future.
Here is an example of such a recipe, in this case for antisocial behaviour:
The best place to start is during a stressful, or busy week. A combination of both would be even better. Little sleep and a lot of responsibilities also do wonders. Then, the first step is to intently listen to one of your friends telling you something about what they did with some other friends of yours. Completely ignore that they’re talking about that game you hate or that movie series you dislike, on day that you wouldn’t have been able to join anyway, and immediately assume that they didn’t ask you because they didn’t want you there.
Keep that thought in mind and react disinterested and rude to your friend. Watch their face become confused and hurt and get angry at yourself. They did not deserve what you just said to them.
The next step comes when there is a small encounter with a friend coming up. It can be going for coffee or riding the bus together. Come up with a ridiculous excuse why you can’t make it and carry through with it, or find something else to do and then wind up being too late for the event.
Then, isolate yourself from your family. Be short and rude to them and lock yourself in your bed room at any possible moment. Come down for dinner but don’t say a word. If you do say something, make sure it is something so harsh it starts a discussion. Get your parents into a fight. Then be mad about your own behaviour and beat yourself up over it.
Your thoughts are speeding up and going wild, that’s good! Be sure to tell yourself you are stupid and ugly, procrastinate everything that needs to be done and do not, I repeat, do not give in to any creative urges. Eat junk food all day and skip workouts – that will surely get you to feel worse.
Push yourself to the brink and then over, right until your head gets completely quiet and thinking and focussing comes difficult. You’ll know you have succeeded when you find yourself crying in the shower or screaming into a pillow, just to drive the quiet away for a moment.
Important is that during the entirety of this recipe, you are not, under any circumstance, to reach out to your friends or family and talk about what is going on. Unless it is to falsely complain about something annoying or frustration said friends or family did.
Assignment:
Write your own ‘recipe for disaster’ (max. 750 words). Describe step‐by‐step what you MUST do to make sure that you go back to that behaviour that you particularly don’t want.
In short: What must you do to ensure that your good intentions are a total failure?
Working on recording your behaviour can give you insight into frequency, time, place, patterns or changes. Below you can find a recording table, that shows you certain questions you can ask yourself about your behaviour.
Situation | Behaviour/ thoughts/ feelings | Consequences |
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Take a look back at your description of the behaviour that you’ve chosen to change. How would you like to make any adjustments in it?
In the last assignment you thought about a specific behaviour. The intention is that over the next few weeks you will keep a record of this behaviour. For now, you will only keep a record (=careful observation); you do not need to change anything whatsoever about it yet.
State how you are going to record this behaviour. The table below gives an example of how this type of recording works.
Date and time | Occurrence | Behaviour and triggers | Consequence |
27/11/18, 9AM |
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Answer the following questions:
a. What are you going to record? Think of what could be useful to record: Minutes? Number of times? Units? But you should certainly also consider thoughts, feelings, circumstances and stuff like that.
b. When will you record? How often? Will it be on fixed moments por randomly?
c. How will you remind yourself to keep a record and will you be least likely to forget it?
When trying to change you antecedents, there are several things you can try.
Assignment: implementing change (max. 750 words)
Assignment:
The aim is that you choose a behaviour of someone else that you could hypothetically change. The behaviour that you choose should be something quite small (such as switching the light off, bringing you a cup of tea, no longer leaving his/her coat lying around on the sofa, taking the dog for a walk, etc.). You don’t have to follow through with changing the behaviour (I, the author, for instance didn’t feel like it was ethically right, so I didn’t), but you will need to make a plan of how you would hypothetically do it.
Describe in max. 750 words how you will change someone’s behaviour.
Example:
Subject: My little brother, Jay
Behaviour: Leaving his breakfast stuff on the table and me having to clean it up.
Weakness/changing point: FOOD and household chores
Plan
Techniques:
(Negative reinforcement) taking over his vacuuming or dishwasher chores eventually.
(Cues) ask him to do it before I leave the house.
(Shaping absence) Praise the hell out of him and bring home food when he actually did clean.
Step 1: Ask him to clear away his cup if he is standing up anyway. If he looks hesitant about it, promise him food for doing it.
Step 2: Once he starts clearing away his cup, tell him that if he clears away his breakfast stuff before you leave (breadknife, cheese, plate, peanut butter, etc.) that you will take over his chore of the day (vacuuming or the dishwasher). Thank him if he actually does it and bring home food at the end of the day.
Step 3: Frequently reinforce how thankful you are for him clearing away his mess. Give him a hug if he did it without you having to ask. Give him more food.
Now you’ve have objectively looked at someone else, try to look at yourself in the same way and make a similar plan
a. Describe how you would change your old antecedents
b. Describe if and how you would create new antecedents.
c. Describe how you will deal with ‘moments of crisis’, do you have people that can help you or do you have some other way to help yourself out?
d. Describe what will help you to keep up this behaviour change (rewards, agreements with other people).
e. Produce a plan to achieve your behaviour change.
Example:
a. Antecedent: ignoring my creative impulses.
Change: carry a notebook around. Note down in short hand creative ideas or lines. Free up an evening of the week to work out creative things.
Antecedent: I believe people do not want to hang out with me because I am not worth spending time with.
Change: Take a breathing moment. Go over the times when people really wanted me to be with them and went out of their way to make sure I could. Possible reach out to the friends in question to let them know what is going on in your head.
Antecedent: I get annoyed by people talking to me when I am busy.
Change: supress initial response because you know it is going to be rude and snappy. Analyse whether you have a right to be annoyed (probably not), then reply politely and explain that your head is a mess.
b. New antecedents
1. Listening to your ‘cheer up playlist’ when you feel tempted to turn antisocial
2. Text your best friend when you start feeling like shit.
3. Hug your mum. You already know she won’t ask questions and you will feel better.
c. Reach out to your best friend or mother. They both know what can occasionally happen inside your head and you know that they can talk you out of it. Explain what the antecedent was that got you here and ask them for help. Push aside your pride.
d. The day after you reached out, you are allowed to buy a chocolate bar and eat it over the course of the day. This will help you recover from being lost in your head AND feel like a reward.
e.
Step 1. Negative punishment, for every time you think about performing antisocial behaviour, put 1 euro in the glass pot on your desk. For every time you actually go through with is, 5 euros.
Step 2. Train Incompatible behaviour. For every time an anti-social thought arises, reach out to a friend.
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