PSC 1 Lecture Notes - Lecture 16: Iatrogenesis, Demonic Possession, Relapse Prevention

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PSC Lecture 16 Mood and Anxiety Disorders
Mood and Anxiety Disorders
Mania: hyperactivity, hypersensitivity (extremely emotionally reactive)
Depression: the opposite of mania
o Causes high suicide rates and suicide attempts
o Women make more suicide attempts than men but men have higher rates of
success for suicide
o Suicide risk greatest during recovery
Bipolar Disorder I and II: combination of mania and depression, alternate between the
different states
Theories of Depression
o Cognitive theory proposed by Beck
Irrational negative beliefs (extremely high negative response)
Negative thoughts increase and increase and build upon each
other
Cognitive schema
Learned: nothing physically wrong but people learn to be
depressed
Self-fulfilling prophecy: negative mindset prevents people from
trying and then failure contributes to negative image of self
o Learned helplessness proposed by Seligman
Dog experiments
Operant conditioning, learned helplessness, and depression
Punished no matter what
Two different sides of cage: one electrified and one safe side,
normally dog jumps towards the safe side
Another cage but barrier between electrified and safe side
o Dog develops learned helplessness
o Transfer dog to normal cage and the dogs stays on the
electrified side even when barrier removed
o Injecting dog with Prozac (antidepressant) influences the
dog to try to escape again
Antidepressants alleviate helpless behavior
Expectations play key role
o Existentialism proposed by Frankl
Frankl survived through concentration camp during WWII
Observed that some people committed suicide and others did not
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Discovered that survivors had sense of purpose and purpose for
existence
Treatment for depression
o Drugs such as anti-depressants and MAO inhibitors (MAO inhibitors have diet
restrictions)
o Shock therapy
General anesthesia, muscle relaxation to prevent injury
Attach electrodes and send electric currents to the brain
o Cognitive-behavioral psychotherapy
Learned negative cognitive schemas and development of better mindset
Cognition and cognitive distortions
Behavior: action and emotion are connected, harder to be depressed
when physically active
Anxiety disorders (anxiety is good, but too much anxiety is bad)
o Phobias
Mysophobia: germs
Ailurophobia: cats
Acrophobia: high places
Fear must be irrational
Conditioning explains phobias and counterconditioning cures phobias
Progressive desensitization
Flooding
o Obsessive-compulsive disorder
Minor obsessions are common
Clinical diagnosis requires major subjective distress or chronic
impairment of function
o Anxiety disorder treatment
Drugs such as SSRIs
Cognitive-behavioral therapy
o Post-traumatic stress disorder
Traumatic event such as threat of death or serious energy occurs
Usually involves fear and helplessness
Event re-experienced through nightmares, flashbacks (not just
remembering)
Avoidance, emotional numbing
Persistent arousal or vigilance (hard time relaxing or sleeping)
o Treatment for PTSD
Drugs
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