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ABAB (reversal) design  type of experimental design in which an intervention is introduced, withdrawn, and then reinstated, and the behavior of a participant is examined on and off the treatment
abstinence violation effect  what happens when a person attempting to abstain from alcohol use ingests alcohol and then endures conflict and guilt by making an internal attribution to explain why he or she drank, thereby making him or her more likely to continue drinking in order to cope with the self-blame and guilt
acculturation  extent to which a person identifies with his or her group of origin and its culture or with the mainstream dominant culture
acute stress disorder  disorder similar to posttraumatic stress disorder but occurs within one month of exposure to the stressor and does not last more than four weeks; often involves dissociative symptoms
adjustment disorder  stress-related disorder that involves emotional and behavioral symptoms (depressive symptoms, anxiety symptoms, and/or antisocial behaviors) that arise within three months of the onset of a stressor
adoption study  study of the heritability of a disorder by finding adopted people with a disorder and then determining the prevalence of the disorder among their biological and adoptive relatives, in order to separate out contributing genetic and environmental factors
affective flattening  negative symptom of schizophrenia that consists of a severe reduction or the complete absence of affective responses to the environment
agnosia  impaired ability to recognize objects or people
agoraphobia  anxiety disorder characterized by fear of places and situations in which it would be difficult to escape, such as enclosed places, open spaces, and crowds
agranulocytosis  condition characterized by a deficiency of granulocytes, which are substances produced by the bone marrow and fight infection; 1 to 2 percent of people who take clozapine develop this condition
akathesis  agitation caused by neuroleptic drugs
akinesia  condition marked by slowed motor activity, a monotonous voice, and an expressionless face, resulting from taking neuroleptic drugs
alcohol abuse  diagnosis given to someone who uses alcohol in dangerous situations, fails to meet obligations at work or at home due to alcohol use, and has recurrent legal or social problems as a result of alcohol use
alcohol dependence  diagnosis given to someone who has a physiological tolerance to alcohol, spends a lot of time intoxicated or in withdrawal, or continues to drink despite significant legal, social, medical, or occupational problems that result from alcohol (often referred to as alcoholism)
alcohol-induced dementia  loss of intellectual abilities due to prolonged alcohol abuse, including memory, abstract thinking, judgment, and problem solving, often accompanied by changes in personality, such as increases in paranoia
alcohol-induced persisting amnesic disorder  permanent cognitive disorder caused by damage to the central nervous system due to prolonged alcohol abuse, consisting of Wernicke's encephalopathy and Korsakoff's psychosis
ALI rule  legal principle stating that a person is not responsible for criminal conduct if he or she lacks the capacity to appreciate the criminality (wrongfulness) of the act or to conform his or her conduct to the requirements of the law as a result of mental disease
alogia  deficit in both the quantity of speech and the quality of its expression
alternate form reliability  extent to which a measure yields consistent results when presented in different forms
altruistic suicide  suicide committed by people who believe that taking their own lives will benefit society
Alzheimer's disease  progressive neurological disease that is the most common cause of dementia
amenorrhea  cessation of the menses
American Psychiatric Association definition of insanity  definition of insanity stating that people cannot be held responsible for their conduct if, at the time they commit crimes, as the result of mental disease or mental retardation they are unable to appreciate the wrongfulness of their conduct
amnesia  impairment in the ability to learn new information or to recall previously learned information or past events
amphetamines  stimulant drugs that can produce symptoms of euphoria, selfconfidence, alertness, agitation, paranoia, perceptual illusions, and depression
amyloid  class of proteins that can accumulate between cells in areas of the brain critical to memory and cognitive functioning
anal stage  according to Freud, psychosexual stage that occurs between the ages of 18 months and 3 years; the focus of gratification is the anus, and children are interested in toilet activities; parents can cause children to be fixated in this stage by being too harsh and critical during toilet training
analogue study  study that creates conditions in the laboratory meant to represent conditions in the real world
animal studies  studies that attempt to test theories of psychopathology using animals
animal type phobias  extreme fears of specific animals that may induce immediate and intense panic attacks and cause the individual to go to great lengths to avoid the animals
anomic suicide  suicide committed by people who experience a severe disorientation and role confusion because of a large change in their relationship to society
anorexia nervosa  eating disorder in which people fail to maintain body weights that are normal for their ages and heights and suffer from fears of becoming fat, distorted body images, and amenorrhea
antagonist drugs  drugs that block or change the effects of an addictive drug, reducing desire for the drug
anterograde amnesia  deficit in the ability to learn new information
antianxiety drugs  drugs used to treat anxiety, insomnia, and other psychological symptoms
anticonvulsants  drugs used to treat mania and depression
antidepressants  drugs used to treat the symptoms of depression, such as sad mood, negative thinking, and disturbances of sleep and appetite; three common types are monoamine oxidase inhibitors, tricyclics, and selective serotonin reuptake inhibitors
antipsychotic drugs  drugs used to treat psychotic symptoms, such as delusions, hallucinations, and disorganized thinking
antisocial personality disorder (ASPD)  pervasive pattern of criminal, impulsive, callous, and/or ruthless behavior, predicated upon disregard for the rights of others and an absence of respect for social norms
anxiety  state of apprehension, tension, and worry
anxiety sensitivity  belief that bodily symptoms have harmful consequences
anxious-fearful personality disorders  category including avoidant, dependent, and obsessive-compulsive personality disorders, which are characterized by a chronic sense of anxiety or fearfulness and behaviors intended to ward off feared situations
aphasia  impaired ability to produce and comprehend language
applied tension technique  technique used to treat blood-injection-injury type phobias in which the therapist teaches the client to increase his or her blood pressure and heart rate, thus preventing the client from fainting
apraxia  impaired ability to initiate common voluntary behaviors
arousal  phase in the sexual response cycle, psychological experience of arousal and pleasure as well as physiological changes, such as the tensing of muscles and enlargement of blood vessels and tissues (also called the excitement phase)
Asperger's disorder  pervasive developmental disorder characterized by deficits in social skills and activities; similar to autism but does not include deficits in language or cognitive skills
assertive community treatment programs  system of treatment that provides comprehensive services to people with schizophrenia, employing the expertise of medical professionals, social workers, and psychologists to meet the variety of patients' needs 24 hours per day
assessment  process of gathering information about a person's symptoms and their possible causes
attention-deficit/hyperactivity disorder (ADHD)  syndrome marked by deficits in controlling attention, inhibiting impulses, and organizing behavior to accomplish long-term goals
atypical antipsychotics  drugs that seem to be even more effective in treating schizophrenia than phenothiazines without the same neurological side effects; they bind to a different type of dopamine receptor than other neuroleptic drugs
auditory hallucination  auditory perception of a phenomenon that is not real, such as hearing a voice when one is alone
autism  childhood disorder marked by deficits in social interaction (such as a lack of interest in one's family or other children), communication (such as failing to modulate one's voice to signify emotional expression), and activities and interests (such as engaging in bizarre, repetitive behaviors)
automatic thoughts  thoughts that come to mind quickly and without intention, causing emotions such as fear or sadness
aversion therapy  treatment that involves the pairing of unpleasant stimuli with deviant or maladaptive sources of pleasure in order to induce an aversive reaction to the formerly pleasurable stimulus
aversive classical conditioning  pairing of alcohol with a substance (such as disulfiram) that will interact with it to cause nausea or vomiting in order to make alcohol itself a conditioned stimulus to be avoided
avoidant personality disorder  pervasive anxiety, sense of inadequacy, and fear of being criticized that lead to the avoidance of most social interactions with others and to restraint and nervousness in social interactions
avolition  inability to persist at common goal-directed activities
barbiturates  drugs used to treat anxiety and insomnia that work by suppressing the central nervous system and decreasing the activity level of certain neurons
behavior genetics  study of the processes by which genes affect behavior and the extent to which personality and abnormality are genetically inherited
behavior therapies  therapies that focus on changing a person's specific behaviors by replacing unwanted behaviors with desired behaviors
behavioral assessment  in behavior therapies, the therapist's assessment of the clients' adaptive and maladaptive behaviors and the triggers for these behaviors
behavioral assignments  'homework' given to clients to practice new behaviors or gather new information between therapy sessions
behavioral inhibition  set of behavioral traits including shyness, fearfulness, irritability, cautiousness, and introversion; behaviorally inhibited children tend to avoid or withdraw from novel situations, are clingy with parents, and become excessively aroused when exposed to unfamiliar situations
behavioral observation  method for assessing the frequency of a client's behaviors and the specific situations in which they occur
behavioral theories  theories that focus on an individual's history of reinforcements and punishments as causes for abnormal behavior
behavioral theory of depression  view that depression results from negative life events that represent a reduction in positive reinforcement; sympathetic responses to depressive behavior then serve as positive reinforcement for the depression itself
behaviorism  study of the impact of reinforcements and punishments on behavior
bell and pad method  treatment for enuresis in which a pad placed under a sleeping child to detect traces of urine sets off a bell when urine is detected, awakening the child to condition him or her to wake up and use the bathroom before urinating
benzodiazepines  drugs that reduce anxiety and insomnia
binge-eating disorder  eating disorder in which people compulsively overeat either continuously or on discrete binges but do not behave in ways to compensate for the overeating
bingeing  eating a large amount of food in one sitting
binge/purge  type of anorexia nervosa type of anorexia nervosa in which periodic bingeing or purging behaviors occur along with behaviors that meet the criteria for anorexia nervosa
biofeedback  group of techniques designed to help people change bodily processes by learning to identify signs that the processes are going awry and then learning ways of controlling the processes
biological approach  view that biological factors cause and should be used to treat abnormality
biological theories  theories of abnormality that focus on biological causes of abnormal behaviors
bipolar disorder  disorder marked by cycles between manic episodes and depressive episodes; also called manicdepression
bipolar I disorder  form of bipolar disorder in which the full symptoms of mania are experienced; depressive aspects may be more infrequent or mild
bipolar II disorder  form of bipolar disorder in which only hypomanic episodes are experienced, and the depressive component is more pronounced
blackout  amnesia for events that occurred during intoxication
blood-injection-injury type phobias  extreme fears of seeing blood or an injury or of receiving an injection or another invasive medical procedure, which cause a drop in heart rate and blood pressure and fainting
body dysmorphic disorder  syndrome involving obsessive concern over a part of the body the individual believes is defective
borderline personality disorder  syndrome characterized by rapidly shifting and unstable mood, self-concept, and interpersonal relationships, as well as impulsive behavior and transient dissociative states
bulimia nervosa  eating disorder in which people engage in bingeing and behave in ways to prevent weight gain from the binges, such as self-induced vomiting, excessive exercise, and abuse of purging drugs (such as laxatives)
buspirone  drug that appears to alleviate the symptoms of general anxiety for some, has very few side effects, and is unlikely to lead to physical dependence
butyrophenone  class of drug that can reduce psychotic symptoms; includes haloperidol (Haldol)
caffeine  chemical compound with stimulant effects
calcium channel blockers  drugs used to treat mania and depression
cannabis  substance that causes feelings of well-being, perceptual distortions, and paranoid thinking
case studies  in-depth analyses of individuals
castration anxiety  according to Freud, boys' fear that their fathers will retaliate against them by castrating them; this fear serves as motivation for them to put aside their desires for their mothers and to aspire to become like their fathers
cataplexy  episodes of sudden loss of muscle tone lasting from a few seconds to minutes
catatonia  group of disorganized behaviors that reflect an extreme lack of responsiveness to the outside world
catatonic excitement  state of constant agitation and excitability
catatonic schizophrenia  type of schizophrenia in which people show a variety of motor behaviors and ways of speaking that suggest almost complete unresponsiveness to their environment
catharsis  expression of emotions connected to memories and conflicts, which, according to Freud, leads to the release of energy used to keep these memories in the unconscious
caudate nucleus  part of the basal ganglia that is involved in carrying the impulses to the thalamus that direct primitive patterns of primitive behavior, such as aggression, sexuality, and bodily excretion
causal attribution  explanation for why an event occurred
cerebral cortex  part of the brain that regulates complex activities, such as speech and analytical thinking
cerebrovascular disease  disease that occurs when the blood supply to the brain is blocked, causing tissue damage to the brain
childhood disintegrative disorder  pervasive developmental disorder in which children develop normally at first but later show permanent loss of basic skills in social interactions, language, and/or movement
chlorpromazine  antipsychotic drug
civil commitment  forcing of a person into a mental-health facility against his or her will
classical conditioning  form of learning in which a neutral stimulus becomes associated with a stimulus that naturally elicits a response, thereby making the neutral stimulus itself sufficient to elicit the same response
classification system  set of syndromes and the rules for determining whether an individual's symptoms are part of one of these syndromes
client-centered therapy (CCT)  Carl Rogers' form of psychotherapy, which consists of an equal relationship between therapist and client as the client searches for his or her inner self, receiving unconditional positive regard and an empathic understanding from the therapist
cocaine  central nervous system stimulant that causes a rush of positive feelings initially but that can lead to impulsiveness, agitation, and anxiety and can cause withdrawal symptoms of exhaustion and depression
cognitions  thoughts or beliefs
cognitive-behavioral therapy  treatment focused on changing negative patterns of thinking and solving concrete problems through brief sessions in which a therapist helps a client challenge negative thoughts, consider alternative perspectives, and take effective actions
cognitive disorders  dementia, delirium, or amnesia characterized by impairments in cognition (such as deficits in memory, language, or planning) and caused by a medical condition or by substance intoxication or withdrawal
cognitive theories  theories that focus on belief systems and ways of thinking as the causes of abnormal behavior
cognitive therapies  therapeutic approaches that focus on changing people's maladaptive thought patterns
cohort effect  effect that occurs when people born in one historical period are at different risk for a disorder than are people born in another historical period
community mental-health centers  clinics that provide mental-health care based in the community through teams of social workers, therapists, and physicians who coordinate care
community mental-health movement  movement launched in 1963 that attempted to provide coordinated mental-health services to people in community-based treatment centers.
compulsions  repetitive behaviors or mental acts that an individual feels he or she must perform
computerized tomography (CT)  method of analyzing brain structure by passing narrow X-ray beams through a person's head from several angles to produce measurements from which a computer can construct an image of the brain
concordance rate  probability that both twins will develop a disorder if one twin has the disorder
concurrent validity  extent to which a test yields the same results as other measures of the same phenomenon
conditioned response (CR)  in classical conditioning, response that first followed a natural stimulus but that now follows a conditioned stimulus
conditioned stimulus (CS)  in classical conditioning, previously neutral stimulus that, when paired with a natural stimulus, becomes sufficient to elicit a response
conditions of worth  external standards some people feel they must meet in order to be acceptable
conduct disorder  syndrome marked by chronic disregard for the rights of others, including specific behaviors, such as stealing, lying, and engaging in acts of violence
conscious  mental contents and processes of which we are actively aware
construct validity  extent to which a test measures only what it is intended to measure
content validity  extent to which a measure assesses all the important aspects of a phenomenon that it purports to measure
context  environment and circumstances in which a behavior occurs
contingencies of self-worth  "if-then" rules concerning self-worth, such as "I'm nothing if a person I care about doesn't love me"
continuous reinforcement schedule  system of behavior modification in which certain behaviors are always rewarded or punished, leading to rapid learning of desired responses
continuous variable  factor that is measured along a continuum (such as 0–100) rather than falling into a discrete category (such as "diagnosed with depression")
control group  in an experimental study, group of subjects whose experience resembles that of the experimental group in all ways, except that they do not receive the key manipulation
control theory  cognitive theory that explains people's variance in behavior in certain domains in terms of their beliefs that they can or cannot effectively control situations in that domain
conversion disorder  syndrome marked by a sudden loss of functioning in a part of the body, usually following an extreme psychological stressor
coronary heart disease (CHD)  chronic illness that is a leading cause of death in the United States, occurring when the blood vessels that supply the heart with oxygen and nutrients are narrowed or closed by plaque, resulting in a myocardial infarction (heart attack) when closed completely
correlation coefficient  statistic used to indicate the degree of relationship between two variables
correlational studies  method in which researchers assess only the relationship between two variables and do not manipulate one variable to determine its effects on another variable
cortisol  hormone that helps the body respond to stressors, inducing the fightor- flight response
covert sensitization therapy  pairing of mental images of alcohol with other images of highly unpleasant consequences resulting from its use in order to create an aversive reaction to the sight and smell of alcohol and reduce drinking
crisis intervention  program that helps people who are highly suicidal and refers them to mental-health professionals
cross-sectional  type of research examining people at one point in time but not following them over time
cue exposure and response prevention  therapy to reduce relapse among alcoholics by tempting them with stimuli that induce cravings to drink while preventing them from actually drinking, allowing them to habituate to the cravings and reduce temptation
cultural relativism  view that norms among cultures set the standard for what counts as normal behavior, which implies that abnormal behavior can only be defined relative to these norms; no universal definition of abnormality is therefore possible; only definitions of abnormality relative to a specific culture are possible
cyclothymic disorder  milder but more chronic form of bipolar disorder that consists of alternation between hypomanic episodes and mild depressive episodes over a period of at least two years
dangerousness to others  legal criterion for involuntary commitment that is met when a person would pose a threat or danger to other people if not incarcerated
dangerousness to self  legal criterion for involuntary commitment that is met when a person is imminently suicidal or a danger to him- or herself as judged by a mental-health professional
day treatment centers  centers where people with mental-health problems can obtain treatment all day, including occupational and rehabilitative therapies, but live at home at night
death darers  individuals who are ambivalent about dying and take actions that increase their chances of death but that do not guarantee they will die
death ignorers  individuals who intend to end their lives but do not believe this means the end of their existence
death initiators  individuals who intend to die but believe that they are simply speeding up an inevitable death
death seekers  individuals who clearly and explicitly seek to end their lives
defense mechanisms  strategies the ego uses to disguise or transform unconscious wishes
degradation  process in which a receiving neuron releases an enzyme into the synapse, breaking down neurotransmitters into other biochemicals
deinstitutionalization  movement in which thousands of mental patients were released from mental institutions; a result of the patients' rights movement, which was aimed at stopping the dehumanizing of mental patients and at restoring their basic legal rights
delirium  cognitive disorder that is acute and usually transient, including disorientation and memory loss
delirium tremens (DTs)  symptoms that result during severe alcohol withdrawal, including hallucinations, delusions, agitation, and disorientation
delusion of reference  false belief that external events, such as people's actions or natural disasters, relate somehow to oneself
delusions  fixed beliefs with no basis in reality
delusions of thought  insertion beliefs that one's thoughts are being controlled by outside forces
demand characteristics  factors in an experiment that suggest to participants how the experimenter would like them to behave
dementia  cognitive disorder in which a gradual and usually permanent decline of intellectual functioning occurs; can be caused by a medical condition, substance intoxication, or withdrawal
dementia praecox  historical name for schizophrenia
dependent personality disorder  pervasive selflessness, a need to be cared for, and fear of rejection, which lead to total dependence on and submission to others
dependent variable  factor that an experimenter seeks to predict
depersonalization disorder  syndrome marked by frequent episodes of feeling detached from one's own body and mental processes, as if one were an outside observer of oneself; symptoms must cause significant distress or interference with one's ability to function
depletion syndrome  set of symptoms shown by depressed older people, consisting of loss of interest, loss of energy, hopelessness, helplessness, and psychomotor retardation
depression  state marked by either a sad mood or a loss of interest in one's usual activities, as well as feelings of hopelessness, suicidal ideation, psychomotor agitation or retardation, and trouble concentrating
depressive realism  phenomenon whereby depressed people make more realistic judgments as to whether they can control actually uncontrollable events than do nondepressed people, who exhibit an illusion of control over the same events
desensitization  treatment used to reduce anxiety by rendering a previously threatening stimulus innocuous by repeated and guided exposure to the stimulus under nonthreatening circumstances
detoxification  first step in treatment for substance-related disorders, in which a person stops using the substance and allows it to exit the body fully
developmental coordination disorder  disorder involving deficits in the ability to walk, run, or hold on to objects
diagnosis  label given to a set of symptoms that tend to occur together
Diagnostic and Statistical Manual of Mental Disorders (DSM)  official manual for diagnosing mental disorders in the United States, containing a list of specific criteria for each disorder, how long a person's symptoms must be present to qualify for a diagnosis, and requirements that the symptoms interfere with daily functioning in order to be called disorders
dialectical behavior therapy  cognitive behavioral intervention aimed at teaching problem-solving skills, interpersonal skills, and skills at managing negative emotions
dichotomous thinking  inflexible way of thinking in which everything is viewed in either/or terms
differential diagnosis  determination of which of two or more possible diagnoses is most appropriate for a client
discomfort  criterion for abnormality that suggests that only behaviors that cause a person great distress should be labeled as abnormal
disease model  view that alcoholism (or another drug addiction) is an incurable physical disease, like epilepsy or diabetes, and that only total abstinence can control it
disorder of written expression  developmental disorder involving deficits in the ability to write disorganized schizophrenia syndrome marked by incoherence in cognition, speech, and behavior as well as flat or inappropriate affect (also called hebephrenic schizophrenia)
dissociation  process whereby different facets of an individual's sense of self, memories, or consciousness become split off from one another
dissociative amnesia  loss of memory for important facts about a person's own life and personal identity, usually including the awareness of this memory loss
dissociative fugue  disorder in which a person moves away and assumes a new identity, with amnesia for the previous identity
dissociative identity disorder (DID)  syndrome in which a person develops more than one distinct identity or personality, each of which can have distinct facial and verbal expressions, gestures, interpersonal styles, attitudes, and even physiological responses
dissociative symptoms  symptoms suggesting that facets of the individual's sense of self, memories, or consciousness have become split off from one another
disulfiram  drug that produces an aversive physical reaction to alcohol and is used to encourage abstinence; commonly referred to as Antabuse
dizygotic (DZ) twins  twins who average only 50 percent of their genes in common because they developed from two separate fertilized eggs
dopamine  neurotransmitter in the brain, excess amounts of which have been thought to cause schizophrenia
double depression  disorder involving a cycle between major depression and dysthymic disorder
double-blind experiment  study in which both the researchers and the participants are unaware of which experimental condition the participants are in, in order to prevent demand effects
dramatic-emotional personality disorders  category including antisocial, borderline, narcissistic, and histrionic personality disorders, which are characterized by dramatic and impulsive behaviors that are maladaptive and dangerous
drug addicts  people who are physically dependent on substances and who suffer from withdrawal when not taking the substances
Durham rule  legal principle stating that the presence of a mental disorder is sufficient to absolve a criminal of responsibility for a crime
dyspareunia  genital pain associated with sexual intercourse
dyssomnias  primary sleep disorders that involve abnormalities in the amount, quality, or timing of sleep
dysthymic disorder  type of depression that is less severe than major depression but more chronic; diagnosis requires the presence of a sad mood or anhedonia, plus two other symptoms of depression, for at least two years, during which symptoms do not remit for two months or longer
echolalia  communication abnormality in which an individual simply repeats back what he or she hears rather than generating his or her own speech
echopraxia  repetitive imitation of another person's movements
effectiveness  in therapy outcome research, how well a therapy works in real-world settings
efficacy  in therapy outcome research, how well a therapy works in highly controlled settings with a narrowly defined group of people
ego  part of the psyche that channels libido acceptable to the superego and within the constraints of reality
egoistic suicide  suicide committed by people who feel alienated from others and lack social support
electra complex  Freud's theory that girls realize during the phallic stage that they don't have a penis and are horrified at the discovery; they realize that their mothers also don't have penises and disdain females for this deficit; an attraction for the father ensues, following the belief that he can provide a penis
electroconvulsive therapy (ECT)  treatment for depression that involves the induction of a brain seizure by passing electrical current through the patient's brain while he or she is anesthetized
elimination disorders  disorders in which a child shows frequent, uncontrolled urination or defecation far beyond the age at which children usually develop control over these functions
encopresis  diagnosis given to children who are at least 4 years old and who defecate inappropriately at least once a month for 3 months
endocrine system  system of glands that produces many different hormones
enlarged ventricles  fluid-filled spaces in the brain that are larger than normal and suggest atrophy or deterioration in other brain tissue
enmeshed families  families in which there is extreme interdependence in family interactions, so that the boundaries between the identities of individual members are weak and easily crossed
enuresis  diagnosis given to children over 5 years of age who wet the bed or their clothes at least twice a week for 3 months
epidemiology  study of the frequency and distribution of a disorder, or a group of disorders, in a population
euthanasia  killing of another person as an act of mercy
excessive reassurance seeking  constantly looking for assurances from others that one is accepted and loved
executive functions  functions of the brain that involve the ability to sustain concentration; use abstract reasoning and concept formation; anticipate, plan, program; initiate purposeful behavior; self-monitor; and shift from maladaptive patterns of behavior to more adaptive ones
exhibitionism  obtainment of sexual gratification by exposing one's genitals to involuntary observers
existential anxiety  universal human fear of the limits and responsibilities of one's existence
existential theories  views that uphold personal responsibility for discovering one's personal values and meanings in life and then living in accordance with them; people face existential anxiety due to awareness of their life's finitude and must overcome both this anxiety and obstacles to a life governed by the meanings they give to it, in order to achieve mental health and avoid maladaptive behavior
experimental group  in an experimental study, group of participants that receives the key manipulation
experimental studies  studies in which the independent variables are directly manipulated and the effects on the dependent variable are examined
expressed emotion  family interaction style in which families are overinvolved with each other, are overprotective of the disturbed family member, voice selfsacrificing attitudes to the disturbed family member, and simultaneously are critical, hostile, and resentful of this member
expressive language disorder  disorder involving deficits in the ability to express oneself through language
external validity  extent to which a study's results can be generalized to phenomena in real life
extinction  abolition of a learned behavior
eye movement desensitization and reprocessing (EMDR)  highly controversial therapy for trauma survivors in which a client attends to the image of the trauma, thoughts about the trauma, and the physical sensations of anxiety aroused by the trauma while the therapist quickly moves a finger back and forth in front of the client's eyes to elicit a series of repeated, rapid, jerky, side-to-side eye movements ("saccades")
face validity  extent to which a test seems to measure a phenomenon on face value, or intuition
factitious disorder by proxy  disorder in which the individual creates an illness in another individual in order to gain attention
factitious disorders  disorders marked by deliberately faking physical or mental illness to gain medical attention
family history study  study of the heritability of a disorder involving identifying people with the disorder and people without the disorder and then determining the disorder's frequency within each person's family
family systems theories  theories that see the family as a complex system that works to maintain the status quo
family systems therapy  psychotherapy that focuses on the family, rather than the individual, as the source of problems; family therapists challenge communication styles, disrupt pathological family dynamics, and challenge defensive conceptions in order to harmonize relationships among all members and within each member
female orgasmic disorder  in women, recurrent delay in or absence of orgasm after having reached the excitement phase of the sexual response cycle (also called anorgasmia)
female sexual arousal disorder  in women, recurrent inability to attain or maintain the swelling-lubrication response of sexual excitement
fetal alcohol syndrome (FAS)  syndrome that occurs when a mother abuses alcohol during pregnancy, causing the baby to have lowered IQ, increased risk for mental retardation, distractibility, and difficulties with learning from experience
fetishism  paraphilia in which a person uses inanimate objects as the preferred or exclusive source of sexual arousal
fight-or-flight response  physiological changes in the human body that occur in response to a perceived threat, including the secretion of glucose, endorphins, and hormones as well as the elevation of heart rate, metabolism, blood pressure, breathing, and muscle tension
five-factor model  personality theory that posits that any individual's personality is organized along five broad dimensions of personality: neuroticism, extraversion, openness to experience, agreeableness, and conscientiousness
flooding (implosive therapy)  behavioral technique in which a client is intensively exposed to a feared object until the anxiety diminishes
formal thought disorder  state of highly disorganized thinking (also known as loosening of associations)
free association  method of uncovering unconscious conflicts in which the client is taught to talk about whatever comes to mind, without censoring any thoughts
frotteurism  obtainment of sexual gratification by rubbing one's genitals against or fondling the body parts of a nonconsenting person
gamma-aminobutyric acid (GABA)  neurotransmitter that carries inhibiting messages from one neuron to another
gender identity  one's perception of oneself as male or female
gender identity disorder (GID)  condition in which a person believes that he or she was born with the wrong sex's genitals and is fundamentally a person of the opposite sex
gender roles  according to Freud, what society considers to be the appropriate behaviors for males or females
general adaptation syndrome  physiological changes that occur when an organism reacts to stress; includes the stages of alarm, resistance, and exhaustion
general paresis  disease that leads to paralysis, insanity, and eventually death; discovery of this disease helped establish a connection between biological diseases and mental disorders
generalizability  extent to which the results of a study generalize to, or inform us about, people other than those who were studied
generalized anxiety disorder (GAD)  anxiety disorder characterized by chronic anxiety in daily life
genital stage  psychosexual stage that occurs around the age of 12, when children's sex drives reemerge; if a child has successfully resolved the phallic stage, interest in sex turns toward heterosexual relationships
global assumptions  fundamental beliefs that encompass all types of situations
glove anesthesia  state in which people lose all feeling in one hand as if they were wearing a glove that wiped out all physical symptoms
grandiose delusions  elevated thinking about the self, ideas of omnipotence, and the taking of credit for occurrences not personally facilitated
grave disability legal  criterion for involuntary commitment that is met when a person is so incapacitated by a mental disorder that he or she cannot care for his or her own basic needs, such as for food, clothing, or shelter, and his or her survival is threatened as a result
group comparison study  study that compares two or more distinct groups on a variable of interest
group therapy therapy  conducted with groups of people rather than one on one between a therapist and client
guided mastery techniques  interventions designed to increase health-promoting behaviors by providing explicit information about how to engage in these behaviors as well as opportunities to engage in these behaviors in increasingly challenging situations
guilty but mentally ill (GBMI)  verdict that requires a convicted criminal to serve the full sentence designated for his or her crime, with the expectation that he or she will also receive treatment for mental illness
halfway houses  organizations that offer people with long-term mental-health problems a structured, supportive environment in which to live while they reestablish a job and ties to their friends and family
hallucinations  perceptual experiences that are not real
hallucinogens  substances, including LSD and MDMA, that produce perceptual illusions and distortions even in small doses
harm-reduction model  approach to treating substance use disorders that views alcohol use as normative behavior and focuses education on the immediate risks of the excessive use of alcohol (such as alcohol-related accidents) and on the payoffs of moderation (such as avoidance of hangovers)
health psychology  study of the effects of psychological factors on health
histrionic personality disorder  syndrome marked by rapidly shifting moods, unstable relationships, and an intense need for attention and approval, which is sought by means of overly dramatic behavior, seductiveness, and dependence
hopelessness  sense that the future is bleak and there is no way of making it more positive
hormon  chemical that carries messages throughout the body, potentially affecting a person's moods, levels of energy, and reactions to stress
human laboratory  study experimental study involving human participants
humanistic theories  views that people strive to develop their innate potential for goodness and self-actualization; abnormality arises as a result of societal pressures to conform to unchosen dictates that clash with a person's selfactualization needs and from an inability to satisfy more basic needs, such as hunger
humanistic therapy (person-centered therapy)  type of therapy in which the goal is to help the client discover his or her place in the world and to accomplish self-actualization through self-exploration; based on the assumption that the natural tendency for humans is toward growth
hypersomnia  type of dyssomnia that involves being chronically sleepy and sleeping for long periods at a time
hypertension  condition in which the blood supply through the blood vessels is excessive and can lead to deterioration of the cell tissue and hardening of the arterial walls
hypoactive sexual desire disorder  condition in which a person's desire for sex is diminished to the point that it causes him or her significant distress or interpersonal difficulties and is not due to transient life circumstances or another sexual dysfunction
hypochondriasis  syndrome marked by chronic worry that one has a physical symptom or disease that one clearly does not have
hypomania  state in which an individual shows mild symptoms of mania
hypothalamic-pituitary-adrenal axis (HPA axis)  three key components of the neuroendocrine system that work together in a feedback system interconnected with the limbic system and the cerebral cortex
hypothalamus  component of the brain that regulates eating, drinking, sex, and basic emotions; abnormal behaviors involving any of these activities may be the result of dysfunction in the hypothalamus
hypothesis  testable statement about two or more variables and the relationship between them
id  according to Freud, most primitive part of the unconscious; consists of drives and impulses seeking immediate gratification
immune system  system that protects the body from disease-causing microorganisms and affects our susceptibility to diseases
impulsivity  difficulty in controlling behaviors; acting without thinking first
in vivo exposure  technique of behavior therapy in which clients are encouraged to experience directly the stimuli that they fear
incidence number  of new cases of a specific disorder that develop during a specific period of time
incompetent to stand trial  legal status of an individual who lacks a rational understanding of the charges against him or her, an understanding of the proceedings of his or her trial, or the ability to participate in his or her own defense
independent variable  factor that is manipulated by an experimenter or used to predict the dependent variable
informed consent  procedure (often legally required prior to treatment administration) in which a patient receives a full and understandable explanation of the treatment being offered and makes a decision about whether to accept or refuse the treatment
inhalants  solvents, such as gasoline, glue, or paint thinner, that one inhales to produce a high and that can cause permanent central nervous system damage as well as liver and kidney disease
insanity  legal term denoting a state of mental incapacitation during the time a crime was committed
insanity defense  defense used by people accused of a crime in which they state that they cannot be held responsible for their illegal acts because they were mentally incapacitated at the time of the act
Insanity Defense Reform Act 1984  law, affecting all federal courts and about half of the state courts, that finds a person not guilty by reason of insanity if it is shown that, as a result of mental disease or mental retardation, the accused was unable to appreciate the wrongfulness of his or her conduct at the time of the offense
insomnia  type of dyssomnia that involves difficulty in initiating or maintaining sleep; chronically nonrestorative sleep
integrationist  approach approach to psychopathology that emphasizes how biological, psychological, and social factors interact and influence each other to produce and maintain mental-health problems
intelligence  tests tests that assess a person's intellectual strengths and weaknesses
internal reliability  extent to which a measure yields similar results among its different parts as it measures a single phenomenon
internal validity  extent to which all factors that could extraneously affect a study's results are controlled within a laboratory study
interoceptive awareness  heightened awareness of bodily cues that a panic attack may soon happen
interpersonal theories  theories that attribute abnormal behavior to problems in interpersonal realtionships
interpersonal theories of depression  theories that view the causes of depression as rooted in interpersonal relationships
interpersonal therapy (IPT)  more structured, short-term version of psychodynamic therapies
interrater reliability  extent to which an observational measure yields similar results across different judges (also called interjudge reliability)
introject  to internalize moral standards because following them makes one feel good and reduces anxiety
introjected hostility theory  Freud's theory explaining how depressive people, being too frightened to express their rage for their rejection outwardly, turn their anger inward on parts of their own egos; their self-blame and punishment is actually blame and punishment intended for others who have abandoned them
irresistible impulse rule  legal principle stating that even a person who knowingly performs a wrongful act can be absolved of responsibility if he or she was driven by an irresistible impulse to perform the act or had a diminished capacity to resist performing the act
Korsakoff's psychosis  alcohol-induced permanent cognitive disorder involving deficiencies in one's ability to recall both recent and distant events
la belle indifference  feature of conversion disorders involving an odd lack of concern about one's loss of functioning in an area of one's body
latency stage  according to Freud, period of psychosexual development, following the phallic stage, in which libidinal drives are quelled and children's energy turns toward the development of skills and interests and toward becoming fully socialized to the world; the opposite sex is avoided
learned helplessness deficits  symptoms such as low motivation, passivity, indecisiveness, and an inability to control outcomes that result from exposure to uncontrollable negative events
learned helplessness theory  view that exposure to uncontrollable negative events leads to a belief in one's inability to control important outcomes and a subsequent loss of motivation, indecisiveness, and failure of action,
libido  according to Freud, psychical energy derived from physiological drives
light therapy  treatment for seasonal affective disorder that involves exposure to bright lights during the winter months
limbic system  part of the brain that relays information from the primitive brain stem about changes in bodily functions to the cortex, where the information is interpreted
lithium  drug used to treat manic and depressive symptoms
locus ceruleus  area of the brain stem that plays a part in the emergency response and may be involved in panic attacks
longitudinal  type of research evaluating the same group(s) of people for an extended period of time
lymphocytes  immune system cells that attack viruses
magnetic resonance imaging (MRI)  method of measuring both brain structure and brain function through the construction of a magnetic field that affects hydrogen atoms in the brain, emitting signals that a computer then records and uses to produce a threedimensional image of the brain
major depression  disorder involving a sad mood or anhedonia plus four or more of the following symptoms: weight loss or a decrease in appetite, insomnia or hypersomnia, psychomotor agitation or retardation, fatigue, feelings of worthlessness or severe guilt, trouble concentrating, and suicidal ideation; these symptoms must be present for at least two weeks and must produce marked impairments in normal functioning
maladaptive  in reference to behaviors, causing people who have the behaviors physical or emotional harm, preventing them from functioning in daily life, and/or indicating that they have lost touch with reality and/or cannot control their thoughts and behavior (also called dysfunctional)
male erectile disorder  in men, recurrent inability to attain or maintain an erection until the completion of sexual activity
male orgasmic disorder  in men, recurrent delay in or absence of orgasm following the excitement phase of the sexual response cycle
malingering  feigning of a symptom or a disorder for the purpose of avoiding an unwanted situation, such as military service
managed care  health care system in which all necessary services for an individual patient are supposed to be coordinated by a primary care provider; the goals are to coordinate services for an existing medical problem and to prevent future medical problems before they arise
mania  state of persistently elevated mood, feelings of grandiosity, overenthusiasm, racing thoughts, rapid speech, and impulsive actions
mathematics disorder  developmental disorder involving deficits in the ability to learn mathematics
mental hygiene movement  movement to treat mental patients more humanely and to view mental disorders as medical diseases
mental illness  phrase used to refer to a physical illness that causes severe abnormal thoughts, behaviors, and feelings
mental retardation  developmental disorder marked by significantly subaverage intellectual functioning, as well as deficits (relative to other children) in life skill areas, such as communication, self-care, work, and interpersonal relationships
mentally ill  legal description of an individual who purportedly suffers from a mental illness, which is analogous (in this view) to suffering from a medical disease
mesmerism  treatment for hysterical patients based on the idea that magnetic fluids in the patients' bodies are affected by the magnetic forces of other people and objects; the patients' magnetic forces are thought to be realigned by the practitioner through his or her own magnetic force
mesolimbic pathway  subcortical part of the brain involved in cognition and emotion
meta-analysis  statistical technique for summarizing the results across several studies
methadone  opioid that is less potent and longer-lasting than heroin; taken by heroin users to decrease their cravings and help them cope with negative withdrawal symptoms
methadone maintenance programs  treatments for heroin abusers that provide doses of methadone to replace heroin use and that seek eventually to wean addicted people from the methadone itself
mixed receptive-expressive language  disorder disorder involving deficits in the ability to express oneself through language and to understand the language of others
M'Naghten rule  legal principle stating that, in order to claim a defense of insanity, accused persons must have been burdened by such a defect of reason, from disease of the mind, as not to know the nature and quality of the act they were doing or, if they did know it, that they did not know what they were doing what was wrong
modeling  process of learning behaviors by imitating others, especially authority figures or those like oneself
monoamine oxidase inhibitors (MAOIs)  class of antidepressant drugs
monoamine theories  theories that low levels of monoamines, particularly norepinephrine and serotonin, cause depression, whereas excessive or imbalanced levels of monoamines, particularly dopamine, cause mania
monoamines  neurotransmitters, including catecholamines (epinephrine, norepinephrine, and dopamine) and serotonin, that have been implicated in the mood disorders
monozygotic (MZ)  twins twins who share 100 percent of their genes, because they developed from a single fertilized egg
moral anxiety  anxiety that occurs when one is punished for expressing id impulses and come to associate those with punishment
moral treatment  type of treatment delivered in mental hospitals in which patients were treated with respect and dignity and were encouraged to exercise self-control
myotonia  in the sexual response cycle, muscular tension in the body, which culminates in contractions during orgasm
naloxone drug  that blocks the positive effects of heroin and can lead to a decreased desire to use it
naltrexone  drug that blocks the positive effects of alcohol and heroin and can lead to a decreased desire to drink or use substances
narcissistic personality disorder  syndrome marked by grandiose thoughts and feelings of one's own worth as well as an obliviousness to others' needs and an exploitive, arrogant demeanor
narcolepsy  type of dyssomnia that involves irresistible attacks of sleep
natural environment type phobias  extreme fears of events or situations in the natural environment that cause impairment in one's ability to function normally
need for treatment  legal criterion operationalized as a signed certificate by two physicians stating that a person requires treatment but will not agree to it voluntarily; formerly a sufficient cause to hospitalize the person involuntarily and force him or her to undergo treatment
negative cognitive triad  perspective seen in depressed people in which they have negative views of themselves, of the world, and of the future
negative reinforcement  process in which people avoid being exposed to feared objects, and this avoidance is reinforced by the subsequent reduction of their anxiety
negative symptoms  in schizophrenia, deficits in functioning that indicate the absence of a capacity present in normal people, such as affective flattening (also called Type II symptoms)
neurofibrillary tangles  twists or tangles of filaments within nerve cells, especially prominent in the cerebral cortex and hippocampus, common in the brains of Alzheimer's disease patients
neuroleptic  drug used to treat psychotic symptoms
neuropsychological tests  tests of cognitive, sensory, and/or motor skills that attempt to differentiate people with deficits in these areas from normal subjects
neurosis  according to Freud, a set of maladaptive symptoms caused by unconscious anxiety
neurotic anxiety  according to Freud, anxiety that occurs when one is repeatedly prevented from expressing one's id impulses
neurotic paradox  psychoanalytic term for a condition in which an individual's way of coping with unconscious concerns creates even more problems in that individual's life
neurotransmitters  biochemicals, released from a sending neuron, that transmit messages to a receiving neuron in the brain and nervous system
nicotine  alkaloid found in tobacco; operates on both the central and peripheral nervous systems, resulting in the release of biochemicals, including dopamine, norepinephrine, serotonin, and the endogenous opioids
nonpurging type of bulimia nervosa  type of bulimia nervosa in which bingeing is followed by excessive exercise or fasting to control weight gain
norepinephrine  neurotransmitter that is involved in the regulation of mood
null hypothesis  alternative to a primary hypothesis, stating that there is no relationship between the independent variable and the dependent variable
object relations  view held by a group of modern psychodynamic theorists that one develops a self-concept and appraisals of others in a four-stage process during childhood and retains them throughout adulthood; psychopathology consists of an incomplete progression through these stages or an acquisition of poor self and other concepts
observational learning  learning that occurs when a person observes the rewards and punishments of another's behavior and then behaves in accordance with the same rewards and punishments
obsessions  uncontrollable, persistent thoughts, images, ideas, or impulses that an individual feels intrude upon his or her consciousness and that cause significant anxiety or distress
obsessive-compulsive disorder (OCD)  anxiety disorder characterized by obsessions (persistent thoughts) and compulsions (rituals)
obsessive-compulsive personality disorder  pervasive rigidity in one's activities and interpersonal relationships; includes qualities such as emotional constriction, extreme perfectionism, and anxiety resulting from even slight disruptions in one's routine ways
odd-eccentric personality disorders  disorders, including paranoid, schizotypal, and schizoid personality disorders, marked by chronic odd and/or inappropriate behavior with mild features of psychosis and/or paranoia
oedipus complex  according to Freud, major conflict of male sexual development, during which boys are sexually attracted to their mothers and hate their fathers as rivals
operant conditioning  form of learning in which behaviors lead to consequences that either reinforce or punish the organism, leading to an increased or a decreased probability of a future response
operationalization  specific manner in which one measures or manipulates variables in a study
opioids substances  including morphine and heroin, that produce euphoria followed by a tranquil state; in severe intoxication, can lead to unconsciousness, coma, and seizures; can cause withdrawal symptoms of emotional distress, severe nausea, sweating, diarrhea, and fever
oppositional defiant disorder  syndrome of chronic misbehavior in childhood marked by belligerence, irritability, and defiance, although not to the extent found in a diagnosis of conduct disorder
oral stage  according to Freud, earliest psychosexual stage, lasting for the first 18 months of life; libidinal impulses are best satisfied through the stimulation of the mouth area, including actions such as feeding or sucking; major issues of concern are dependence and the reliability of others
organic amnesia  loss of memory caused by brain injury resulting from disease, drugs, accidents (blows to head), or surgery
orgasm  discharge of neuromuscular tension built up during sexual activity; in men, entails rhythmic contractions of the prostate, seminal vesicles, vas deferens, and penis and seminal discharge; in women, entails contractions of the orgasmic platform and uterus
pain disorder  syndrome marked by the chronic experience of acute pain that appears to have no physical cause
palialia  continuous repetition of sounds and words
panic attacks  short, intense periods during which an individual experiences physiological and cognitive symptoms of anxiety, characterized by intense fear and discomfort
panic disorder disorder  characterized by recurrent, unexpected panic attacks
paranoid personality disorder  chronic and pervasive mistrust and suspicion of other people that are unwarranted and maladaptive
paranoid schizophrenia  syndrome marked by delusions and hallucinations that involve themes of persecution and grandiosity
paraphilias  atypical sexual activities that involve one of the following: (1) nonhuman objects, (2) nonconsenting adults, (3) the suffering or humiliation of oneself or one's partner, or (4) children
parasomnias  primary sleep disorders that involve abnormal behavioral and physiological events occurring during sleep
partial reinforcement schedule  form of behavior modification in which a behavior is rewarded or punished only some of the time
patients' rights movement  movement to ensure that mental patients retain their basic rights and to remove them from institutions and care for them in the community
pedophilia  adult obtainment of sexual gratification by engaging in sexual activities with young children
penis envy  according to Freud, wish to have the male sex organ
performance anxiety  anxiety over sexual performance that interferes with sexual functioning
perinatal hypoxia  oxygen deprivation during labor and delivery; an obstetrical complication that may be especially important in neurological development
persecutory delusion  false, persistent belief that one is being pursued by other people
personality  habitual and enduring ways of thinking, feeling, and acting that make each person unique
personality disorder  chronic pattern of maladaptive cognition, emotion, and behavior that begins in adolescence or early adulthood and continues into later adulthood
personality inventories  questionnaires that assess people's typical ways of thinking, feeling, and behaving; used to obtain information about people's wellbeing, self-concept, attitudes, and beliefs
pervasive developmental disorders  disorders characterized by severe and persisting impairment in several areas of development
phallic stage  according to Freud, psychosexual stage that occurs between the ages of 3 and 6: the focus of pleasure is the genitals; important conflicts of sexual development emerge this time, differing for boys and girls
phenothiazines drugs  that reduce the functional level of dopamine in the brain and tend to reduce the symptoms of schizophrenia
phenylcyclidine (PCP)  substance that produces euphoria, slowed reaction times, and involuntary movements at low doses; disorganized thinking, feelings of unreality, and hostility at intermediate doses; and amnesia, analgesia, respiratory problems, and changes in body temperature at high doses
phonological disorder  disorder involving the use of speech sounds inappropriate for one's age or dialect
pituitary  major endocrine gland that lies partly on the outgrowth of the brain and just below the hypothalamus; produces the largest number of different hormones and controls the secretions of other endocrine glands
placebo control group  in a therapy outcome study, group of people whose treatment is an inactive substance (to compare with the effects of a drug) or a nontheory-based therapy providing social support (to compare with the effects of psychotherapy)
plaques  deposits of amyloid protein that accumulate in the extracellular spaces of the cerebral cortex, hippocampus, and other forebrain structures in people with Alzheimer's disease
plateau phase  in the sexual response cycle, period between arousal and orgasm, during which excitement remains high but stable
pleasure principle  drive to maximize pleasure and minimize pain as quickly as possible
polygenic  combination of many genes, each of which makes a small contribution to an inherited trait
positive symptoms  in schizophrenia, hallucinations, delusions, and disorganization in thought and behavior (also called Type I symptoms)
positron-emission tomography (PET)  method of localizing and measuring brain activity by detecting photons that result from the metabolization of an injected isotope
posttraumatic stress disorder (PTSD)  anxiety disorder characterized by (1) repeated mental images of experiencing a traumatic event, (2) emotional numbing and detachment, and (3) hypervigilance and chronic arousal
preconscious  according to Freud, area of the psyche that contains material from the unconscious before it reaches the conscious mind
predictive validity  extent to which a measure accurately forecasts how a person will think, act, and feel in the future
predisposition  tendency to develop a disorder that must interact with other biological, psychological, or environmental factors for the disorder to develop
prefrontal cortex  region at the front of the brain important in language, emotional expression, the planning and producing of new ideas, and the mediation of social interactions
prefrontal lobotomy  type of psychosurgery in which the frontal lobes of the brain are severed from the lower centers of the brain in people suffering from psychosis
premature ejaculation  man's inability to delay ejaculation after minimal sexual stimulation or until one wishes to ejaculate, causing significant distress or interpersonal problems
premenstrual dysphoric  disorder syndrome in which a woman experiences an increase in depressive symptoms during the premenstrual period and relief from these symptoms with the onset of menstruation
prepared classical conditioning  theory that evolution has prepared people to be easily conditioned to fear objects or situations that were dangerous in ancient times
prevalence  proportion of the population that has a specific disorder at a given point or period in time
primary prevention  cessation of the development of psychological disorders before they start
primary process thinking  wish fulfillment, or fantasies, humans use to conjure up desired objects or actions; an example is a hungry infant's imagining its mother's breast when she is not present
prodromal symptoms  in schizophrenia, milder symptoms prior to an acute phase of the disorder, during which behaviors are unusual and peculiar but not yet psychotic or completely disorganized
projective test  presentation of an ambiguous stimulus, such as an inkblot, to a client, who then projects unconscious motives and issues onto the stimulus in his or her interpretation of its content
prototypes  images of the self and others in relation to the self formed from experiences with family during childhood
psychic epidemics  phenomena in which large numbers of people begin to engage in unusual behaviors that appear to have a psychological origin
psychoanalysis  form of treatment for psychopathology involving alleviating unconscious conflicts driving psychological symptoms by helping people gain insight into their conflicts and finding ways of resolving these conflicts
psychodynamic theories  theories developed by Freud's followers but usually differing somewhat from Freud's original theories
psychodynamic therapies  therapies focused on uncovering and resolving unconscious conflicts that drive psychological symptoms
psychogenic amnesia  loss of memory in the absence of any brain injury or disease and thought to have psychological causes
psychological approach  approach to abnormality that focuses on personality, behavior, and ways of thinking as possible causes of abnormality
sychological theories  theories that view mental disorders as caused by psychological processes, such as beliefs, thinking styles, and coping styles
psychopathology  symptoms that cause mental, emotional, and/or physical pain
psychopathy  set of broad personality traits including superficial charm, a grandiose sense of self-worth, a tendency toward boredom and need for stimulation, pathological lying, an ability to be conning and manipulative, and a lack of remorse
psychosexual  stages according to Freud, tages in the developmental process children pass through; in each stage, sex drives are focused on the stimulation of certain areas of the body and particular psychological issues can arouse anxiety
psychosis  state involving a loss of contact with reality as well as an inability to differentiate between reality and one's subjective state
psychosomatic  disorders syndromes marked by identifiable physical illness or defect caused at least partly by psychological factors
psychosurgery  rare treatment for mental disorders in which a neurosurgeon attempts to destroy small areas of the brain thought to be involved in a patient's symptoms
psychotherapy  treatment for abnormality that consists of a therapist and client discussing the client's symptoms and their causes; the therapist's theoretical orientation determines the foci of conversations with the client
purging type of bulimia nervosa  type of bulimia nervosa in which bingeing is followed by the use of self-induced vomiting or purging medications to control weight gain
random assignment assignment  of participants in an experiment to groups based on a random process
rapid cycling bipolar disorder  diagnosis given when a person has four or more cycles of mania and depression within a single year
reading disorder  developmental disorder involving deficits in reading ability
realistic anxiety anxiety  that occurs when one faces a real danger or threat, such as a tornado
reality principle  idea that the ego seeks to satisfy one's needs within the realities of society's rules, rather than following the abandon of the pleasure principle
receptor  molecules on the membranes of neurons to which neurotransmitters bind
reflection  method of responding in which a therapist expresses his or her attempt to understand what the client is experiencing and trying to communicate
reformulated learned helplessness theory  view that people who attribute negative events to internal, stable, and global causes are more likely than other people to experience learned helplessness deficits following such events and are thus predisposed to depression
relapse prevention programs  treatments that seek to offset continued alcohol use by identifying high-risk situations for those attempting to stop or cut down on drinking and teaching them either to avoid those situations or to use assertiveness skills when in them, while viewing setbacks as temporary
reliability  degree of consistency in a measurement—that is, the extent to which it yields accurate measurements of a phenomenon across several trials, across different populations, and in different forms
repetitive transcranial magnetic stimulation (rTMS)  biological treatment that exposes patients to repeated, high-intensity magnetic pulses that are focused on particular brain structures in order to stimulate those structures
replication  repetition of the same results from study to study
repression  defense mechanism in which the ego pushes anxiety-provoking material back into the unconscious
residual schizophrenia  diagnosis made when a person has already experienced a single acute phase of schizophrenia but currently has milder and less debilitating symptoms
residual symptoms  in schizophrenia, milder symptoms following an acute phase of the disorder, during which behaviors are unusual and peculiar but not psychotic or completely disorganized
resistance  in psychodynamic therapy, when a client finds it difficult or impossible to address certain material, the client's resistance signals an unconscious conflict, which the therapist then tries to interpret
resolution  in the sexual response cycle, state of deep relaxation following orgasm in which a man loses his erection and a woman's orgasmic platform subsides
response shaping  technique used in behavior therapy in which a person's behavior problems are changed to desirable behaviors through operant conditioning
restricting type of anorexia nervosa  type of anorexia nervosa in which weight gain is prevented by refusing to eat
retrograde amnesia  deficit in the ability to recall previously learned information or past events
Rett's disorder  pervasive developmental disorder in which children develop normally at first but later show permanent loss of basic skills in social interactions, language, and/or movement
reuptake  process in which a sending neuron reabsorbs some of the neurotransmitter in the synapse, decreasing the amount left in the synapse
right to refuse treatment  right, although not recognized by all states, of involuntarily committed people to refuse drugs or other treatment
right to treatment  fundamental right of involuntarily committed people to active treatment for their disorders rather than shelter alone
risk factors  conditions or variables associated with a higher risk of having a disorder
role-play ’technique used in behavioral therapy in which the client and the therapist take on the roles of people involved with the client's maladaptive behaviors; the therapist observes the client's behavior in the role-play to assess what aspects of that behavior need to change
rumination  focusing on one's personal concerns and feelings of distress repetitively and passively
ruminative response  styles theory theory stating that tendencies to focus on one's symptoms of distress and the possible causes and consequences of these symptoms, in a passive and repetitive manner, leads to depression
sadomasochism  pattern of sexual rituals between a sexually sadistic "giver" and a sexually masochistic "receiver"
sample  group of people taken from a population of interest to participate in a study
schizoid personality disorder  syndrome marked by a chronic lack of interest in and avoidance of interpersonal relationships as well as emotional coldness in interactions with others
schizophrenia  disorder consisting of unreal or disorganized thoughts and perceptions as well as verbal, cognitive, and behavioral deficits
schizotypal personality disorder  chronic pattern of inhibited or inappropriate emotion and social behavior as well as aberrant cognitions and disorganized speech
scientific method systematic method  of obtaining and evaluating information relevant to a problem
seasonal affective disorder (SAD)  disorder identified by a two-year period in which a person experiences major depression during winter months and then recovers fully during the summer; some people with this disorder also experience mild mania during summer months
secondary prevention  detection of psychological disorders in their earliest stages and treatment designed to reduce their development
secondary process thinking rational  deliberation, as opposed to the irrational thought of primary process thinking
selective serotonin reuptake inhibitors (SSRIs)  class of antidepressant drugs
self-actualization  fulfillment of one's potential for love, creativity, and meaning
self-efficacy beliefs  beliefs that one can engage in the behaviors necessary to overcome a situation
self-help groups  groups that form to help the members deal with a common problem
self-monitoring  method of assessment in which a client records the number of times per day that he or she engages in a specific behavior and the conditions surrounding the behavior
sensate focus therapy  treatment for sexual dysfunction in which partners alternate between giving and receiving stimulation in a relaxed, openly communicative atmosphere, in order to reduce performance anxiety and concern over achieving orgasm by learning each partner's sexual fulfillment needs
separation anxiety disorder  syndrome of childhood and adolescence marked by the presence of abnormal fear or worry over becoming separated from one's caregiver(s) as well as clinging behaviors in the presence of the caregiver(s)
serotonin  neurotransmitter that is involved in the regulation of mood and impulsive responses
set point  natural body weight determined by a person's metabolic rate, diet, and genetics
sexual aversion disorder  condition in which a person actively avoids sexual activities and experiences sex as unpleasant or anxiety-provoking
sexual desire  in the sexual response cycle, an urge or inclination to engage in sexual activity
sexual dysfunctions  problems in experiencing sexual arousal or carrying through with sexual acts to the point of sexual arousal
sexual masochism  sexual gratification obtained through experiencing pain and humiliation at the hands of one's partner
sexual orientation  one's preference for partners of the same or opposite sex with respect to attraction and sexual desire
sexual sadism  sexual gratification obtained through inflicting pain and humiliation on one's partner
single-case experimental design  experimental design in which an individual or a small number of individuals is studied intensively; the individual is put through some sort of manipulation or intervention, and his or her behavior is examined before and after this manipulation to determine the effects
situational type phobias  extreme fears of situations such as public transportation, tunnels, bridges, elevators, flying, driving, or enclosed spaces
sleep apnea  repeated episodes of upperairway obstruction during sleep; people with sleep apnea typically snore loudly, go silent and do not breathe for several seconds at a time, then gasp for air
sleep restriction therapy  treatment for insomnia that involves initially restricting the amount of time that people with insomnia can try to sleep at night
smooth pursuit eye movement  task in which individuals are asked to keep their head still and track a moving object (sometimes referred to as eye tracking); some people with schizophrenia show deficits on this task
social approach  approach to abnormality that focuses on interpersonal relationships, culture, society, and the environment as possible causes of abnormality
social learning theory  theory that people learn behaviors by imitating and observing others and by learning about the rewards and punishments that follow behaviors
social phobia  extreme fear of being judged or embarrassed in front of people, causing the individual to avoid social situations
social selection  explanation of the effects of the symptoms of schizophrenia on a person's life and the resulting tendency to drift downward in social class, as compared with the person's family of origin
social skills training  technique often used in behavior therapy to help people with problems in interacting and communicating with others
social structural theories  theories that focus on environmental and societal demands as causes of abnormal behavior
somatic hallucinations  perceptions that something is happening inside one's body—for example, that worms are eating one's intestines
somatization disorder  syndrome marked by the chronic experience of unpleasant or painful physical symptoms for which no organic cause can be found
somatoform disorders  disorders marked by unpleasant or painful physical symptoms that have no apparent organic cause and that are often not physiologically possible, suggesting that psychological factors are involved
specific phobias  extreme fears of specific objects or situations that cause an individual to routinely avoid those objects or situations
splitting  in object relations theory, phenomenon wherein a person splits conceptions of self and others into either all-good or all-bad categories, neglecting to recognize people's mixed qualities
squeeze technique  sex therapy technique used for premature ejaculation; the man's partner stimulates him to an erection, and then when he signals that ejaculation is imminent, the partner applies a firm but gentle squeeze to his penis, either at the glands or at the base, for three or four seconds, the goal of this technique is for the man to learn to identify the point of ejaculatory inevitability and to control his arousal level at the point
statistical significance  likelihood that a study's results have occurred only by chance
stimulus-control therapy  behavioral intervention for insomnia that involves a set of instructions designed to reduce behaviors that might interfere with sleep and to regulate sleep wake schedules
stop-start technique  sex therapy technique used for premature ejaculation; the man or his partner stimulates his penis until he is about to ejaculate; the man then relaxes and concentrates on the sensations in his body until his level of arousal declines; the goal of this technique is for the man to learn to identify the point of ejaculatory inevitability and to control his arousal level at that point
stress  experience of events that we perceive as endangering our physical or psychological well-being
stress-management interventions  strategies that teach clients to overcome the problems in their lives that are increasing their stress
stroke  sudden damage to the brain due to blockage of blood flow or hemorrhaging
structured interview  meeting between a clinician and a client or a client's associate(s) in which the clinician asks questions that are standardized, written in advance, and asked of every client
stuttering  significant problem in speech fluency, often including frequent repetitions of sounds or syllables
subintentional deaths  acts in which individuals indirectly contribute to their own deaths
substance  naturally occurring or synthetically produced product that alters perceptions, thoughts, emotions, and behaviors when ingested, smoked, or injected
substance abuse  diagnosis given when a person's recurrent substance use leads to significant harmful consequences, as manifested by a failure to fulfill obligations at work, school, or home, the use of substances in physically hazardous situations, legal problems, and continued use despite social and legal problems
substance dependence  diagnosis given when a person's substance use leads to physiological dependence or significant impairment or distress, as manifested by an inability to use the substance in moderation; a decline in social, occupational, or recreational activities; or the spending of large amounts of time obtaining substances or recovering from their effects
substance intoxication  experience of significantly maladaptive behavioral and psychological symptoms due to the effect of a substance on the central nervous system that develops during or shortly after use of the substance
substance withdrawal  experience of clinically significant distress in social, occupational, or other areas of functioning due to the cessation or reduction of substance use
substance-induced sexual dysfunction  problems in sexual functioning caused by substance use
substance-related disorder  inability to use a substance in moderation and/or the intentional use of a substance to change one's thoughts, feelings, and/or behaviors, leading to impairment in work, academic, personal, or social endeavors
suicide  purposeful taking of one's own life
suicide cluster  when two or more suicides or attempted suicides nonrandomly occur closely together in space or time
suicide contagion  phenomenon in which the suicide of a well-known person is linked to the acceptance of suicide by people who closely identify with that individual
suicide hot lines  organizations in which suicide crisis intervention is done over the phone
superego  part of the unconscious that consists of absolute moral standards internalized from one's parents during childhood and from one's culture
supernatural theories  theories that see mental disorders as the result of supernatural forces, such as divine intervention, curses, demonic possession, and/or personal sins; mental disorders can be cured through religious rituals, exorcisms, confessions, and/or death
symptom questionnaire  questionnaire that assesses what symptoms a person is experiencing
synapse  space between a sending neuron and a receiving neuron into which neurotransmitters are first released (also known as the synaptic gap)
syndrome  set of symptoms that tend to occur together
systematic desensitization therapy  type of behavior therapy that attempts to reduce client anxiety through relaxation techniques and progressive exposure to feared stimuli
tactile hallucinations  perceptions that something is happening to the outside of one's body—for example, that bugs are crawling up one's back
tardive dyskinesia  neurological disorder marked by involuntary movements of the tongue, face, mouth, or jaw, resulting from taking neuroleptic drugs
test-retest reliability  index of how consistent the results of a test are over time
theory  set of assumptions about the likely causes of abnormality and appropriate treatments
therapeutic alliance  during therapy, the therapist is empathetic and supportive of the client in order to create a relationship of trust with the client and to encourage the exploration of difficult issues
therapy outcome study  experimental study that assesses the effects of an intervention designed to reduce psychopathology in an experimental group, while performing no intervention or a different type of intervention on another group
third variable problem  possibility that variables not measured in a study are the real cause of the relationship between the variables measured in the study
thought-stopping techniques  strategies that involve finding ways to stop intrusive thoughts
token economy  application of operant conditioning in which patients receive tokens for exhibiting desired behaviors that are exchangeable for privileges and rewards; these tokens are withheld when a patient exhibits unwanted behaviors
tolerance  condition of experiencing less and less effect from the same dose of a substance
transference  in psychodynamic therapies, the client's reaction to the therapist as if the therapist were an important person in his or her early development; the client's feelings and beliefs about this other person are transferred onto the therapist
transsexuals  people who experience chronic discomfort with their gender and genitals as well as a desire to be rid of their genitals and to live as a member of the opposite sex
transvestism  paraphilia in which a heterosexual man dresses in women's clothing as his primary means of becoming sexually aroused
trephination  procedure in which holes were drilled in the skulls of people displaying abnormal behavior to allow evil spirits to depart their bodies; performed in the Stone Age
tricyclic antidepressants  class of antidepressant drugs
twin studies  studies of the heritability of a disorder by comparing concordance rates between monozygotic and dizygotic twins
type A behavior pattern  personality pattern characterized by time urgency, hostility, and competitiveness
unconditional positive regard  essential part of humanistic therapy; the therapist expresses that he or she accepts the client, no matter how unattractive, disturbed, or difficult the client is
unconditioned response (UR)  in classical conditioning, response that naturally follows when a certain stimulus appears, such as a dog salivating when it smells food
unconditioned stimulus (US)  in classical conditioning, stimulus that naturally elicits a reaction, as food elicits salivation in dogs
unconscious  area of the psyche where memories, wishes, and needs are stored and where conflicts among the id, ego, and superego are played out
undifferentiated schizophrenia  diagnosis made when a person experiences schizophrenic symptoms, such as delusions and hallucinations, but does not meet criteria for paranoid, disorganized, or catatonic schizophrenia
unipolar depression  type of depression consisting of depressive symptoms but without manic episodes
unstructured interview  meeting between a clinician and a client or a client's associate(s) that consists of open-ended, general questions that are particular to each person interviewed
unusualness  criterion for abnormality that suggests that abnormal behaviors are rare or unexpected
vaginismus  in women, involuntary contractions of the muscles surrounding the outer third of the vagina that interfere with penetration and sexual functioning
vagus nerve stimulation (VNS)  treatment in which the vagus nerve—the part of the autonomic nervous system that carries information from the head, neck, thorax, and abdomen to several areas of the brain, including the hypothalamus and amygdala—is stimulated by a small electronic device much like a cardiac pacemaker, which is surgically implanted under a patient's skin in the left chest wall
validity  degree of correspondence between a measurement and the phenomenon under study
variable  measurable factor or characteristic that can vary within an individual, between individuals, or both
vascular dementia  second most common type of dementia, associated with symptoms of cerebrovascular disease (tissue damage in the brain due to a blockage of blood flow)
vasocongestion  in the sexual response cycle, the filling of blood vessels and tissues with blood, leading to erection of the penis in males and enlargement of the clitoris, swelling of the labia, and vaginal moistening in women (also called engorgement)
visual hallucination  visual perception of something that is not actually present
voyeurism  obtainment of sexual arousal by compulsively and secretly watching another person undressing, bathing, engaging in sex, or being naked
vulnerability-stress models  comprehensive models of the many factors that lead some people to develop a given mental disorder
wait list control group  in a therapy outcome study, group of people that functions as a control group while an experimental group receives an intervention and then receives the intervention itself after a waiting period
Wernicke's encephalopathy  alcoholinduced permanent cognitive disorder involving mental disorientation, confusion, and, in severe states, coma
word salad  speech that is so disorganized that a listener cannot comprehend it
working memory  ability to hold information in memory and manipulate it
working through  method used in psychodynamic therapies in which the client repeatedly goes over and over painful memories and difficult issues as a way to understand and accept them







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