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Chapter 4

PSYC 168 Chapter 4: Ch. 4: Anxiety, Obsessive-Compulsive, an- BOOK

Course Code
PSYC 168
Dani L Binegar

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Ch. 4: Anxiety, Obsessive-Compulsive, and Related Disorders
- Fear: The CNS’ physiological/emotional response to a serious threat to one’s well-being
- Anxiety: The CNS’ physiological/emotional response to a vague sense of threat or danger
- Most common mental disorders in the U.S.
- 18%
Generalized Anxiety Disorder
- A disorder marked by persistent and excessive feelings of anxiety and worry about
numerous events and activities
- Restlessness, muscle tension, sleep problems, difficulty concentrating
- Common in Western societies
- 6% of population may experience it in their lifetime
- Onset any age, but usually first appears in adolescence or childhood
- Higher rates in women
- The Sociocultural Perspective: Societal and Multicultural Factors
- People living in constantly dangerous situations are more likely to develop the
- Poverty is a big stressor contributing
- Lower incomes almost twice as more likely to have disorder
- African Americans 30% more likely than whites to experience the disorder in any
given year
- Latinos experience “nervios” which is very similar to generalized anxiety
- The Psychodynamic Perspective
- Freud believed every child experienced anxiety to a certain degree
- Realistic anxiety --> face danger
- Neurotic anxiety --> repeatedly prevented from expressing id impulses
- Moral anxiety --> punished/threatened for expressing their id impulses
- Psychodynamic Explanations: When Childhood Anxiety Goes Unresolved
- When neurotic/moral anxiety are excessive, this is the onset for GAD
- Overprotected children cannot handle their own anxieties efficiently
- Psychodynamic Therapies
- Free association
- Help patients become less afraid of their id impulses/help them control them
- Short-term psychodynamic therapy --> focus on one key goal and work
through it
- The Humanistic Perspective
- Repeated denials of true thoughts bring on anxiety
- Client-centered therapy: (AKA person-centered therapy) unconditional positive
regard and empathy
- Lack of evidential support
- The Cog. Perspective
- Dysfunctional thinking
- Maladaptive Assumptions
- Basic irrational assumptions: Inaccurate and inappropriate beliefs eld by
people with various psychological problems
- New Wave Cog. Explanations
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