PSY 163 Midterm SG 2

PSY 163 Midterm SG 2 - PSY 163 Midterm 2 Study Guide 1....

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PSY 163 Midterm 2 Study Guide 1. Anxiety Disorders a. Nature of Anxiety and Fear i. Fear: fight or flight; sympathetic activation; avoidance and escape; present-oriented ii. Anxiety: tension, unpredictable, uncontrollable, future-oriented iii. Yerkes-Dodson Inverted “U” - b. Characteristics i. Pervasive and persistent anxiety and fear ii. Excessive avoidance and escapist tendencies iii. Clinically significant distress and impairment c. Panic Attacks i. Abrupt, intense fear or discomfort; physical symptoms; analogous to fear as an alarm response ii. DSM 4- Subtypes of Panic Attacks 1. Situationally bound (cued) – expected and bound to specific situations 2. Unexpected (uncued) – “out of the blue” * most difficult to deal w/ 3. Situationally predisposed – may or may not occur in specific situations a. Tends to be triggered by stimulus but not always, e.g. panic @ mall d. Biologically Contributions i. Diathesis-Stress Model 1. Inherited vulnerabilities for anxiety and panic 2. Stress and life circumstances determine type ii. GABA circuits iii. Corticotrophin releasing factor (CRF) and HPA axis iv. Limbic (amygdala) and the septal-hippocampus* systems *” fight or flight v. Fight or Flight (FF) System 1. Brainstem amygdala hypothalamus 2. Low serotonin? – Over activity of FF system vi. Behavioral Inhibition System (BIS) 1
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PSY 163 Midterm 2 Study Guide 1. Brainstem amygdala septal-hippocamus system 2. Low serotonin, high NE * a. *associated w/anxiety; feelings of anxiety and movement, e.g. pacing e. Psychological Contributions i. Began with Freud 1. Reactivation of an infantile fear situation (wants of ID suppressed) ii. Behavioral Views 1. Classical Conditioning – e.g. Little Albert, a passive process 2. Operant Conditioning – e.g. washing hands, must operate on environment 3. Modeling – e.g. see someone bit by snake and learn iii. Psychological Views 1. Early experiences with uncontrollability and unpredictability 2. Assumptions/interpretations of biology a. * similar to learned helplessness, no control – leads to more stress f. Social Contributions i. Stressful life events trigger biological/psychological vulnerabilities ii. Familial and interpersonal influence g. An Integrative Model – “Triple Vulnerability Theory i. Barlow, 2002; 2002 1. Biological; Generalized (Negative Schemas); Specific Psychological (Experiences) h. Comorbidity i. 55% concurrent disorder – Major Depression (most common) ii. Common factors across anxiety and mood disorders * expressions of the same thing? 2. Mood Disorders a. Overview i. Extremes in normal mood 1. Nature of depression; nature of mania and hypomania 2
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PSY 163 Midterm 2 Study Guide ii. DSM 4 Depressive Disorders - Major Depressive Disorder (MDD); Dysthymic Disorder (DD); Double Disorder iii. DSM 4 Bipolar Disorders - Bipolar I Disorder; Bipolar II Disorder; Cyclothymia Disorder b. Major depressive episode i. Overview: 1. Depressed mood, Anhedonia,
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This note was uploaded on 03/04/2010 for the course PSYC 163 taught by Professor Rose during the Winter '08 term at UCSD.

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PSY 163 Midterm SG 2 - PSY 163 Midterm 2 Study Guide 1....

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