Phobias, Depression & OCD

The DSM Classification of Phobias

The Diagnostic and Statistical Manual of Mental Disorders is now in its fifth edition. It is like a medical dictionary; it lists symptoms for mental disorders to aid diagnosis. The ICD 10 (International Classification of Diseases) is similar, but there are differences.

DSM-5 categories of phobias

They are all categorised by excessive fear and anxiety, triggered by an object, place or situation.
The extent of the fear is out of proportion to any real danger presented by the phobic stimulus.
Phobias fall under the classification of ‘anxiety disorders’ – a group of mental disorders that share the primary symptom of extreme anxiety.
They are instances of irrational fears that produce a conscious avoidance of the feared object or situation.

Examples of phobias

Social Phobias
- Agoraphobia – fear of public places, being out of the house
Specific Phobias
- Arachnophobia – spiders
Claustrophobia – enclosed spaces
Acrophobia – heights.

Physical symptoms of phobias

Behavioural characteristics are categorised by avoidance behaviours.
- E.g. if you have a phobia of spiders, you will avoid it.
Sometimes, people freeze or faint. There will be physical symptoms; the fight or flight response.
- E.g. increased heart rate, perspiration etc. will be evident when confronted by the phobic object or situation or even the thought of it.

DSM diagnostic criteria for phobias

Unreasonable, excessive fear
Immediate anxiety response
Recognition that the fear is irrational or that it is not required
Avoidance or extreme distress
Lifestyle limiting
Six months duration
Not caused by another disorder

Depression

Major depressive disorder (MDD) is a mood disorder that causes feelings of extreme sadness and low mood, and can reduce the sufferer's ability to function normally.

Depression symptoms

The defining symptoms of a major depressive disorder include “depressed mood most of the day, nearly every day”, feeling sad, empty or hopeless, and loss of interest in activities that previously brought joy.
Depression is considered episodic: its symptoms are typically present at their full magnitude for a period of time and then gradually reduce.

Depression risks

Around 50% of people who experience an episode will go on to have another in the future, and the more a person has, the likelihood of them having another episode increases.
Depression is also considered a risk factor for various other health conditions, including heart attacks, anxiety disorders, obesity, substance abuse, and more.

Behavioural characteristics of depression

Difficulty falling asleep or sleeping too much.
Psychomotor agitation (noticeably fidgety and jittery) or psychomotor retardation (talking and moving slowly).
Significant weight gain/loss or significant increase/decrease in appetite.
Fatigue or loss of energy.

Emotional characteristics of depression

Sustained and extreme sadness.
Feelings of worthlessness.
Experience of extreme guilt.

Cognitive characteristics of depression

Difficulty concentrating and indecisiveness.
Suicidal ideation: thoughts of death (not just fear of dying), thinking about or planning suicide, or making an actual suicide attempt.
Poor self-esteem.

DSM diagnosis

According to the American Psychiatric Association’s Diagnostic and Statistical Manual (DSM) of Mental Disorders, a person must show five or more of the symptoms just described for most days in a two week period or more to be diagnosed with depression.

Neurological and physiological evidence

Depression is linked to abnormal activity in several regions of the brain, including those important in assessing the emotional significance of stimuli and experiencing emotions (amygdala), and in regulating and controlling emotions (prefrontal cortex).
Researchers have also found that depressed individuals have abnormally high levels of the stress hormone cortisol. High levels of cortisol is a risk factor for future depression.
It is likely that high cortisol levels have a causal effect on depression.

Obsessive-Compulsive Disorder

Obsessive-Compulsive Disorder (OCD) is a disorder that consists of obsessions and compulsions.

Illustrative background for OCD ?? "content

OCD

People with obsessive-compulsive disorder (OCD) experience thoughts and urges that are intrusive and unwanted (obsessions) and/or the need to engage in repetitive behaviours or mental acts (compulsions).
Sufferers of OCD often have obsessions and compulsions that are linked.
- For example, a person with this disorder might have an extreme fear of catching an illness (obsession) and so spend hours each day washing their hands (compulsion).

Cognitive characteristics of OCD

Obsessions are the cognitive aspect of OCD.
Obsessions are more than just unwanted thoughts that jump into our head. They are characterised as persistent, unintentional, and unwanted thoughts and urges that are highly intrusive, unpleasant, and distressing.
Common obsessions include concerns about germs and contamination, doubts, order and symmetry, and urges.
Usually, the person knows that such thoughts and urges are irrational and tries to suppress or ignore them, but has an extremely difficult time doing so.

Behavioural characteristics of OCD

Compulsions are the behavioural aspect of OCD.
Compulsions are repetitive and ritualistic acts that are typically carried out to minimise the distress that obsessions trigger or to reduce the likelihood of a feared event.
Compulsions often include behaviours such as repeated and extensive hand washing, cleaning, checking, and ordering. They also include mental acts such as counting, praying, or reciting something.
Compulsions characteristic of OCD are not done out of pleasure. They are not connected in a realistic way to the source of the distress or feared event.

Emotional characteristics of OCD

OCD can cause sufferers to experience severe anxiety and distress related to the obsessions.
In addition, people may feel guilt after an episode of a particularly distressing obsession.

1Social Influence

1.1Social Influence

1.1.1Conformity

1.1.2Asch (1951)

1.1.3Sherif (1935)

1.1.4Conformity to Social Roles

1.1.5BBC Prison Study

1.1.6End of Topic Test - Conformity

1.1.7Obedience

1.1.8Analysing Milgram's Experiment

1.1.9Agentic State & Legitimate Authority

1.1.10Variables of Obedience

1.1.11Resistance to Social Influence

1.1.12Minority Influence & Social Change

1.1.13Minority Influence & Social Impact Theory

1.1.14End of Topic Test - Social Influences

1.1.15Exam-Style Question - Conformity

1.1.16Top Grade AO2/AO3 - Social Influence

2Memory

3Attachment

3.1Attachment

3.1.1Caregiver-Infant Interaction

3.1.2Condon & Sander (1974)

3.1.3Schaffer & Emerson (1964)

3.1.4Multiple Attachments

3.1.5Studies on the Role of the Father

3.1.6Animal Studies of Attachment

3.1.7Explanations of Attachment

3.1.8Attachment Types - Strange Situation

3.1.9Cultural Differences in Attachment

3.1.10Disruption of Attachment

3.1.11Disruption of Attachment - Privation

3.1.12Overcoming the Effects of Disruption

3.1.13The Effects of Institutionalisation

3.1.14Early Attachment

3.1.15Critical Period of Attachment

3.1.16End of Topic Test - Attachment

3.1.17Exam-Style Question - Attachment

3.1.18Top Grade AO2/AO3 - Attachment

4Psychopathology

4.1Psychopathology

4.1.1Definitions of Abnormality

4.1.2Definitions of Abnormality 2

4.1.3Phobias, Depression & OCD

4.1.4Phobias: Behavioural Approach

4.1.5Evaluation of Behavioural Explanations of Phobias

4.1.6Depression: Cognitive Approach

4.1.7OCD: Biological Approach

4.1.8Evidence for the Biological Approach

4.1.9End of Topic Test - Psychopathy

4.1.10Exam-Style Question - Phobias

4.1.11Top Grade AO2/AO3 - Psychopathology

5Approaches in Psychology

5.1Approaches in Psychology

5.2Comparison of Approaches (A2 only)

5.2.1Psychodynamic Approach

5.2.2Cognitive Approach

5.2.3Biological Approach

5.2.4Behavioural Approach

5.2.5End of Topic Test - Comparison of Approaches

6Biopsychology

6.1Biopsychology

6.1.1Nervous System Divisions

6.1.2Neuron Structure & Function

6.1.3Neurotransmitters

6.1.4Endocrine System Function

6.1.5Fight or Flight Response

6.1.6The Brain (A2 only)

6.1.7Localisation of Brain Function (A2 only)

6.1.8Studying the Brain (A2 only)

6.1.9CIMT (A2 Only) & Postmortem Examinations

6.1.10Biological Rhythms (A2 only)

6.1.11Studies on Biological Rhythms (A2 Only)

6.1.12End of Topic Test - Biopsychology

6.1.13Top Grade AO2/AO3 - Biopsychology

7Research Methods

7.1Research Methods

7.1.1Experimental Method

7.1.2Observational Techniques

7.1.3Covert, Overt & Controlled Observation

7.1.4Self-Report Techniques

7.1.5Correlations

7.1.6Exam-Style Question - Research Methods

7.1.7End of Topic Test - Research Methods

7.2Scientific Processes

7.2.1Aims, Hypotheses & Sampling

7.2.2Pilot Studies & Design

7.2.3Questionnaires

7.2.4Variables & Control

7.2.5Demand Characteristics & Investigator Effects

7.2.6Ethics

7.2.7Limitations of Ethical Guidelines

7.2.8Consent & Protection from Harm Studies

7.2.9Peer Review & The Economy

7.2.10Validity (A2 only)

7.2.11Reliability (A2 only)

7.2.12Features of Science (A2 only)

7.2.13Paradigms & Falsifiability (A2 only)

7.2.14Scientific Report (A2 only)

7.2.15Scientific Report 2 (A2 only)

7.2.16End of Topic Test - Scientific Processes

7.3Data Handling & Analysis

7.3.1Types of Data

7.3.2Descriptive Statistics

7.3.3Correlation

7.3.4Evaluation of Descriptive Statistics

7.3.5Presentation & Display of Data

7.3.6Levels of Measurement (A2 only)

7.3.7Content Analysis (A2 only)

7.3.8Case Studies (A2 only)

7.3.9Thematic Analysis (A2 only)

7.3.10End of Topic Test - Data Handling & Analysis

7.4Inferential Testing

7.4.1Introduction to Inferential Testing

7.4.2Sign Test

7.4.3Piaget Conservation Experiment

7.4.4Non-Parametric Tests

8Issues & Debates in Psychology (A2 only)

8.1Issues & Debates in Psychology (A2 only)

8.1.1Culture Bias

8.1.2Sub-Culture Bias

8.1.3Gender Bias

8.1.4Ethnocentrism

8.1.5Cross Cultural Research

8.1.6Free Will & Determinism

8.1.7Comparison of Free Will & Determinism

8.1.8Reductionism & Holism

8.1.9Reductionist & Holistic Approaches

8.1.10Nature-Nurture Debate

8.1.11Interactionist Approach

8.1.12Nature-Nurture Methods

8.1.13Nature-Nurture Approaches

8.1.14Idiographic & Nomothetic Approaches

8.1.15Socially Sensitive Research

8.1.16End of Topic Test - Issues and Debates

9Option 1: Relationships (A2 only)

9.1Relationships: Sexual Relationships (A2 only)

9.1.1Sexual Selection & Human Reproductive Behaviour

9.1.2Intersexual & Intrasexual Selection

9.1.3Evaluation of Sexual Selection Behaviour

9.1.4Factors Affecting Attraction: Self-Disclosure

9.1.5Evaluation of Self-Disclosure Theory

9.1.6Self Disclosure in Computer Communication

9.1.7Factors Affecting Attraction: Physical Attributes

9.1.8Matching Hypothesis Studies

9.1.9Factors Affecting Physical Attraction

9.1.10Factors Affecting Attraction: Filter Theory 1

9.1.11Factors Affecting Attraction: Filter Theory 2

9.1.12Evaluation of Filter Theory

9.1.13End of Topic Test - Sexual Relationships

9.2Relationships: Romantic Relationships (A2 only)

9.2.1Social Exchange Theory

9.2.2Evaluation of Social Exchange Theory

9.2.3Equity Theory

9.2.4Evaluation of Equity Theory

9.2.5Rusbult’s Investment Model

9.2.6Evaluation of Rusbult's Investment Model

9.2.7Relationship Breakdown

9.2.8Studies on Relationship Breakdown

9.2.9Evaluation of Relationship Breakdown

9.2.10End of Topic Test - Romantic relationships

9.3Relationships: Virtual & Parasocial (A2 only)

9.3.1Virtual Relationships in Social Media

9.3.2Evaluation of Reduced Cues & Hyperpersonal

9.3.3Parasocial Relationships

9.3.4Attachment Theory & Parasocial Relationships

9.3.5Evaluation of Parasocial Relationship Theories

9.3.6End of Topic Test - Virtual & Parasocial Realtions

10Option 1: Gender (A2 only)

10.1Gender (A2 only)

10.1.1Sex, Gender & Androgyny

10.1.2Gender Identity Disorder

10.1.3Biological & Social Explanations of GID

10.1.4Biological Influences on Gender

10.1.5Effects of Hormones on Gender

10.1.6End of Topic Test - Gender 1

10.1.7Kohlberg’s Theory of Gender Constancy

10.1.8Evaluation of Kohlberg's Theory

10.1.9Gender Schema Theory

10.1.10Psychodynamic Approach to Gender Development 1

10.1.11Psychodynamic Approach to Gender Development 2

10.1.12Social Approach to Gender Development

10.1.13Criticisms of Social Theory

10.1.14End of Topic Test - Gender 2

10.1.15Media Influence on Gender Development

10.1.16Cross Cultural Research

10.1.17Childcare & Gender Roles

10.1.18End of Topic Test - Gender 3

11Option 1: Cognition & Development (A2 only)

11.1Cognition & Development (A2 only)

11.1.1Piaget’s Theory of Cognitive Development 1

11.1.2Piaget's Theory of Cognitive Development 2

11.1.3Schema Accommodation Assimilation & Equilibration

11.1.4Piaget & Inhelder’s Three Mountains Task (1956)

11.1.5Conservation & Class Inclusion

11.1.6Evaluation of Piaget

11.1.7End of Topic Test - Cognition & Development 1

11.1.8Vygotsky

11.1.9Evaluation of Vygotsky

11.1.10Baillargeon

11.1.11Baillargeon's studies

11.1.12Evaluation of Baillargeon

11.1.13End of Topic Test - Cognition & Development 2

11.1.14Sense of Self & Theory of Mind

11.1.15Baron-Cohen Studies

11.1.16Selman’s Five Levels of Perspective Taking

11.1.17Biological Basis of Social Cognition

11.1.18Evaluation of Biological Basis of Social Cognition

11.1.19Important Issues in Social Neuroscience

11.1.20End of Topic Test - Cognition & Development 3

11.1.21Top Grade AO2/AO3 - Cognition & Development

12Option 2: Schizophrenia (A2 only)

12.1Schizophrenia: Diagnosis (A2 only)

12.1.1Classification & Diagnosis

12.1.2Reliability & Validity of Diagnosis

12.1.3Gender & Cultural Bias

12.1.4Pinto (2017) & Copeland (1971)

12.1.5End of Topic Test - Scizophrenia Diagnosis

12.2Schizophrenia: Treatment (A2 only)

12.2.1Family-Based Psychological Explanations

12.2.2Evaluation of Family-Based Explanations

12.2.3Cognitive Explanations

12.2.4Drug Therapies

12.2.5Evaluation of Drug Therapies

12.2.6Biological Explanations for Schizophrenia

12.2.7Dopamine Hypothesis

12.2.8End of Topic Test - Schizoprenia Treatment 1

12.2.9Psychological Therapies 1

12.2.10Psychological Therapies 2

12.2.11Evaluation of Psychological Therapies

12.2.12Interactionist Approach - Diathesis-Stress Model

12.2.13Interactionist Approach - Triggers & Treatment

12.2.14Evaluation of the Interactionist Approach

12.2.15End of Topic Test - Scizophrenia Treatments 2

13Option 2: Eating Behaviour (A2 only)

13.1Eating Behaviour (A2 only)

13.1.1Explanations for Food Preferences

13.1.2Birch et al (1987) & Lowe et al (2004)

13.1.3Control of Eating Behaviours

13.1.4Control of Eating Behaviour: Leptin

13.1.5Biological Explanations for Anorexia Nervosa

13.1.6Psychological Explanations: Family Systems Theory

13.1.7Psychological Explanations: Social Learning Theory

13.1.8Psychological Explanations: Cognitive Theory

13.1.9Biological Explanations for Obesity

13.1.10Biological Explanations: Studies

13.1.11Psychological Explanations for Obesity

13.1.12Psychological Explanations: Studies

13.1.13End of Topic Test - Eating Behaviour

14Option 2: Stress (A2 only)

14.1Stress (A2 only)

14.1.1Physiology of Stress

14.1.2Role of Stress in Illness

14.1.3Role of Stress in Illness: Studies

14.1.4Social Readjustment Rating Scales

14.1.5Hassles & Uplifts Scales

14.1.6Stress, Workload & Control

14.1.7Stress Level Studies

14.1.8End of Topic Test - Stress 1

14.1.9Physiological Measures of Stress

14.1.10Individual Differences

14.1.11Stress & Gender

14.1.12Drug Therapy & Biofeedback for Stress

14.1.13Stress Inoculation Therapy

14.1.14Social Support & Stress

14.1.15End of Topic Test - Stress 2

15Option 3: Aggression (A2 only)

15.1Aggression: Physiological (A2 only)

15.1.1Neural Mechanisms

15.1.2Serotonin

15.1.3Hormonal Mechanisms

15.1.4Genetic Factors

15.1.5Genetic Factors 2

15.1.6End of Topic Test - Aggression: Physiological 1

15.1.7Ethological Explanation

15.1.8Innate Releasing Mechanisms & Fixed Action Pattern

15.1.9Evolutionary Explanations

15.1.10Buss et al (1992) - Sex Differences in Jealousy

15.1.11Evaluation of Evolutionary Explanations

15.1.12End of Topic Test - Aggression: Physiological 2

15.2Aggression: Social Psychological (A2 only)

15.2.1Social Psychological Explanation

15.2.2Buss (1963) - Frustration/Aggression

15.2.3Social Psychological Explanation 2

15.2.4Social Learning Theory (SLT) 1

15.2.5Social Learning Theory (SLT) 2

15.2.6Limitations of Social Learning Theory (SLT)

15.2.7Deindividuation

15.2.8Deindividuation 2

15.2.9Deindividuation - Diener et al (1976)

15.2.10End of Topic Test - Aggression: Social Psychology

15.2.11Institutional Aggression: Prisons

15.2.12Evaluation of Dispositional & Situational

15.2.13Influence of Computer Games

15.2.14Influence of Television

15.2.15Evaluation of Studies on Media

15.2.16Desensitisation & Disinhibition

15.2.17Cognitive Priming

15.2.18End of Topic Test - Aggression: Social Psychology

16Option 3: Forensic Psychology (A2 only)

17Option 3: Addiction (A2 only)

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