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MRCPsych Paper A Made Easy
Basic Psychology - High-Yield Tables

BASIC PSYCHOLOGY — HIGH-YIELD TABLES

SECTION 1: FOUNDATIONS OF LEARNING THEORY

1. Core Learning Concepts

Concept Definition / Principle Distinction Example
Learning Persistent change in behaviour/knowledge from experience Experience-dependent Learning to write via practice
Maturation Biologically programmed neurological/physical growth No experience needed Puberty; motor milestones
Temporary Change Short-lived alteration via physiological/situational states Not true learning Fatigue, drugs, illness, hunger
Behavioural Governed by stimuli, responses, consequences Conditioning Phobia acquisition, avoidance
Social/Observational Acquired by watching a model No direct reward needed Child copying older sibling
Cognitive Involves mental maps, logic, expectations Occurs without immediate action Latent learning; verbal advice

2. Major Forms of Learning

Form Mechanism Major Figure Classic Clue
Habituation Response falls to repeated harmless stimulus Groves & Thompson Train noise ignored
Sensitisation Response rises to repeated/threatening stimulus Dripping tap becomes infuriating
Classical Conditioning S–S association (predictive stimulus) Pavlov Bell paired with food
Operant Conditioning R–C association (consequence-driven) Skinner Lever press produces food
Observational Modelling via observation Bandura Bobo doll imitation
Latent Learning Unexpressed cognitive map forms without reward Tolman Unrewarded maze exploration
Learned Helplessness Uncontrollable adversity → perceived lack of control Seligman Inescapable shock → passivity
Imprinting Rapid, rigid critical-period learning Lorenz Goslings follow first moving object

3. Habituation, Sensitisation & Differentials

Concept Defining Feature Key Distinction
Habituation Response ↓ to 1 harmless stimulus Non-associative learning
Sensory Adaptation Sensory receptor responsiveness ↓ Peripheral/sensory, not central learning
Extinction CR ↓ when CS presented without UCS Requires prior conditioning
Sensitisation General responsiveness ↑ Opposite direction to habituation
Incubation Conditioned fear ↑ after brief CS exposures Exposure stopped while anxiety is high
Generalisation CR elicited by stimuli similar to CS Expands stimulus range

4. Classical Conditioning Components & Sequences

  • Components:
    • NS: Neutral Stimulus (no baseline target response; e.g., tone/elevator before trauma).
    • UCS: Unconditioned Stimulus (naturally triggers response; e.g., food/elevator crash).
    • UCR: Unconditioned Response (innate reaction to UCS; e.g., salivation/trauma fear).
    • CS: Conditioned Stimulus (former NS triggering learned response; e.g., bell/elevator cues).
    • CR: Conditioned Response (learned reaction to CS; e.g., salivation to bell/elevator anxiety).
  • Sequence: Before: UCS → UCR, NS → ∅ | During: NS + UCS → UCR | After: CS → CR.
  • Little Albert: UCS = Loud noise; UCR = Fear; NS = Mouse; CS = Mouse; CR = Fear.

5. Acquisition Parameters

  • Acquisition: Initial CS–UCS bond formation; follows an asymptote (levels off, does not rise infinitely).
  • Determinants: Number of pairings, temporal contiguity, CS predictive reliability, stimulus salience, preparedness.

6. Classical Conditioning Timing

Sequence Description Relative Strength
Delayed (Forward) CS starts → UCS overlaps before CS ends Strongest (optimal CS predictive value)
Trace CS ends → temporal gap → UCS Moderate (depends on memory trace)
Simultaneous CS + UCS start and end together Weak (no predictive advance warning)
Backward UCS occurs before CS Weakest; often inhibitory
  • Trap: Backward conditioning (UCS → CS) ≠ Higher-Order conditioning (CS1 → CS2).

7. Classical Conditioning Phenomena

  • Extinction: New inhibitory/safety learning competing with original trace (not erasure); explains spontaneous recovery, renewal, and reinstatement.
  • Higher-Order Conditioning: An established CS1 pairs with a new NS to turn it into CS2 (without UCS).
  • Preparedness: Evolutionary predisposition to condition to survival threats (spiders, snakes, heights).

8. Operant Conditioning Fundamentals

  • Principle: Behaviour frequency changes based on its consequences (Response → Consequence).
  • Thorndike: Law of Effect (satisfying outcomes strengthen behaviour; unpleasant outcomes weaken it).
  • Skinner: Operant chambers, shaping, schedules, reinforcement/punishment.

9. Reinforcement and Punishment Matrix

Stimulus Added (Positive) Stimulus Removed/Prevented (Negative)
Behaviour Increases (Reinforcement) Positive Reinforcement (Reward/token) Negative Reinforcement (Anxiety/pain relief)
Behaviour Decreases (Punishment) Positive Punishment (Reprimand/criticism) Negative Punishment (Fines/privilege loss)
  • Rule: Added = Positive; Removed/Prevented = Negative | Rate ↑ = Reinforcement; Rate ↓ = Punishment.
  • Omission Training / Time-out: Forms of negative punishment (withholding/removing reward).
  • Negative Reinforcement ≠ Punishment: Negative reinforcement increases behaviour via relief/escape/avoidance.
  • Reward vs Reinforcer: Reinforcers are strictly defined by their objective effect (must ↑ behaviour).

10. Avoidance vs Escape Learning

Process Definition Example
Avoidance Learning Response occurs before aversive event and prevents it Rat moves on warning tone before shock
Escape Learning Response occurs during aversive event and terminates it Rat jumps after shock starts to stop it

11. Reinforcement Schedules

Schedule Delivery Basis Predictability Typical Pattern Extinction Resistance
Continuous (CR) Every response Absolute Rapid acquisition Lowest (rapid extinction)
Fixed Interval (FI) Fixed time elapsed Predictable Scalloped responding Moderate
Variable Interval (VI) Unpredictable time Unpredictable Steady, moderate rate High
Fixed Ratio (FR) Fixed response count Predictable High rate + post-reinforcement pause Moderate–High
Variable Ratio (VR) Variable response count Unpredictable Highest, steady rate; no pauses (Gambling) Greatest

12. Social Learning Theory (Bandura)

  • Core: Learning by observing models without direct reinforcement of the observer.
  • Bobo Doll: Direct reward unnecessary for acquisition; model consequences altered spontaneous reproduction (vicarious reinforcement/punishment).
  • 4 Stages: AttentionRetentionReproductionMotivation.
  • Identification: Stronger when the model is high-status, admired, similar, or emotionally significant.

13. Cognitive Learning from Verbal Information

  • Modifying schemas, beliefs, intentions, or actions purely via language, instruction, and logic without direct rewards, punishment, or model observation.

14. Learned Helplessness (Seligman)

  • Triad: Inescapable adversity → perceived uncontrollability → passivity/apathy/depression.
  • Attributional Reformulation: Depressive style = Internal, Stable, Global attributions for failure.
  • Forced Swim Test: Immobility traditionally interpreted as behavioural despair; sensitive to antidepressants; limited construct validity.

15. Imprinting vs Attachment & Latent Learning

  • Imprinting (Lorenz): Rigid, rapid, critical-period following response in precocial birds; no conventional reward required.
  • Latent Learning (Tolman): Cognitive maps acquired during unrewarded exploration; performance emerges when incentive is introduced.

16. Clinical Integration of Learning Theory

Clinical Entity Acquisition (Classical) Maintenance (Operant) Therapeutic Mechanism
Phobia / PTSD Trauma cues = CS Avoidance removes fear (-R) Graded exposure / Inhibitory learning
OCD Obsession = Anxiety trigger Ritual neutralises anxiety (-R) ERP (Exposure & Response Prevention)
Addiction Paraphernalia/cues = CS Cravings trigger drug-seeking Cue exposure without consumption
  • Addiction Therapies:
    • Cue Exposure: Repeated CS presentation without consumption → Extinction.
    • Contingency Management: Tangible rewards (+R) for verified biological abstinence.
    • Aversion Therapy: Counterconditioning CS with noxious stimulus.

17. Learning Theory Figures Key Summary

  • Pavlov: Classical conditioning | Watson: Behaviourism; Little Albert | Thorndike: Law of Effect | Skinner: Operant conditioning | Bandura: Observational/Social learning | Seligman: Learned helplessness | Tolman: Latent learning / Cognitive maps | Lorenz: Imprinting / Instinctive aggression | Wolpe: Systematic desensitisation / Reciprocal inhibition.

SECTION 2: PERCEPTION, ATTENTION AND CONSCIOUSNESS

18–21. Sensation, Perception & Perceptual Distortions

  • Sensation vs Perception: Sensation = receptor detection/transduction; Perception = cortical selection, organisation, and interpretation.
  • Distinctions:
    • Illusion: Misinterpreted real external stimulus (coat = person).
    • Hallucination: Perception-like experience with no external stimulus.
    • Delusion: Fixed false belief (cognitive, not sensory).
  • Distortions: Macropsia (↑ size), Micropsia (↓ size), Dysmegalopsia (size/shape distorted), Metamorphopsia (lines/shapes warped).
  • Processing:
    • Bottom-up (Data-driven): Sensory features → cortex (lines, edges, colour).
    • Top-down (Concept-driven): Knowledge/expectations/context guide interpretation.
    • Gregory’s Constructivism: Perception is active, indirect top-down hypothesis testing.
    • Gibson's Ecological Theory: Perception is direct extraction of environmental invariants.

22–23. Constancies & Gestalt Principles

  • Perceptual Constancies: Intrinsic object properties perceived as stable despite changing retinal inputs:
    • Shape Constancy: Rectangular door perceived as rectangular despite opening to a trapezoidal retinal image.
    • Size Constancy: Perceived size remains constant as distance shifts retinal size.
    • Brightness Constancy: Perceived reflectance remains stable under changing illumination.
  • Gestalt Laws: Figure-ground, Proximity (nearby grouped), Similarity (shared traits grouped), Good continuation (smooth paths), Closure (incomplete shapes filled in), Common fate (elements moving together grouped), Prägnanz (simplest form preferred).
    • Distractor: Approximation is NOT a Gestalt law.

24–27. Attention & Models

  • Types: Focused (single discrete stimulus), Selective (one channel attended, distractors suppressed), Sustained/Vigilance (monitoring over time/rare signals), Divided (concurrent tasks), Alternating (task switching).
  • Selective Attention Models:
    • Broadbent: Early all-or-none filter based purely on physical characteristics.
    • Treisman: Flexible attenuation model; unattended channel is turned down, not blocked; salient signals (own name, threat) exceed activation threshold (Cocktail-Party Effect).
    • Deutsch–Norman: Late filter; all inputs receive semantic analysis before selection.
  • Attentional Phenomena:
    • Inattentional Blindness: Visible unexpected item missed due to focus elsewhere (Invisible Gorilla).
    • Change Blindness: Failure to spot difference between successive scenes.
    • Attentional Blink: Deficit detecting a 2nd target 200–500 ms after a 1st target.

28. Mental Imagery

  • Analogue Theory (Kosslyn): Images retain spatial/metric properties; scanning time ∝ distance on mental map.
  • Propositional Theory (Pylyshyn): Representations stored as abstract language-like propositions.
  • Action Cycle Theory: Enactive system involving 6 reciprocal components: Objects, Schemata, Actions, Affect, Goals, Others' Behaviour.

29–31. Chronobiology & Sleep

  • Rhythms: Circadian (~24 h), Ultradian (< 24 h), Infradian (> 24 h).
  • Pacemaker: Suprachiasmatic nucleus (SCN) in anterior hypothalamus; entrained by light (primary zeitgeber) via the retinohypothalamic tract.
  • Sleep Architecture:
    • N1: Light transitional sleep; θ waves replace α.
    • N2: Sleep spindles + K-complexes.
    • N3: Slow-wave sleep (SWS); prominent δ activity; concentrated early in night.
    • REM: Wake-like desynchronised EEG, muscle atonia, rapid eye movements, vivid dreams; lengthens toward morning; deprivation causes REM rebound.

32–34. Dreaming, Cataplexy & Hypnosis

  • Activation-Synthesis (Hobson & McCarley): Brainstem/pons generates chaotic cholinergic activation; cortex synthesises narrative; DLPFC deactivated (explains lack of logic/metacognition).
  • Cataplexy: Sudden, emotion-triggered (laughter, anger) bilateral skeletal muscle tone loss; consciousness preserved; hallmark of Narcolepsy type 1.
  • Hypnosis: Narrowed, focused attention, reduced peripheral awareness, ↑ suggestibility, diminished reality testing. Attention is NOT diffusely distributed.

SECTION 3: MEMORY SYSTEMS AND PROCESSES

35–37. Memory Stores & Working Memory

Store Capacity Duration Encoding / Features
Iconic Very large 0.2–0.5 s Raw visual trace
Echoic Very large 2–4 s Raw auditory trace
Short-Term (STM) 7 ± 2 chunks (Miller) / ~4 15–30 s (no rehearsal) Phonological / Acoustic
Working (WM) Limited Seconds (active) Active storage + manipulation
Long-Term (LTM) Virtually unlimited Lifelong Distributed cortical/subcortical networks
  • Baddeley & Hitch WM Model:
    • Central Executive: Attentional control, task switching, strategy, inhibition.
    • Phonological Loop: Phonological store ("inner ear") + Articulatory loop ("inner voice").
    • Visuospatial Sketchpad: Visual/spatial manipulation (mental rotation).
    • Episodic Buffer: Multimodal integration binding WM and LTM into temporary episodes.
  • Digit Span: Forward = STM/attention; Backward/Sequencing = Working Memory manipulation.

38–41. Long-Term Memory Systems & Differentials

Long-Term Memory
Declarative (Explicit)
[Medial Temporal / Hippocampus]
Non-Declarative (Implicit)
[Basal Ganglia / Cerebellum / Cortical]
Episodic
(Personal events)
"Breakfast today"
Semantic
(Facts/meanings)
"Capital of France"
Procedural
(Motor skills)
"Riding bike"
Priming
(Implicit)
"Doc→Nurse"
Conditioning
(S-S / R-C)
  • Schizophrenia Profile: Marked deficits in Working, Episodic, Context/Source, and Prospective memory; Procedural/Implicit memory is robustly preserved.

42–43. ADHD & Ageing Memory Trajectories

  • ADHD: Core cognitive endophenotypes = Working Memory impairment and reduced attention accuracy.
  • Healthy Ageing Gradient: Free Recall declines most → Cued Recall intermediate → Simple Recognition is least affected (environmental support). Procedural memory remains intact.

44–47. Processes, Retrieval & Interference

  • Levels of Processing (Craik & Tulving): Deep semantic processing → superior durability compared to shallow acoustic/physical processing.
  • Serial-Position Effect:
    • Primacy: First items → transferred to LTM via rehearsal (unaffected by brief filled delays).
    • Recency: Last items → retained in STM (wiped out by filled delay before recall).
  • Interference:
    • Proactive: Old learning disrupts New learning (old password keeps intruding).
    • Retroactive: New learning disrupts Old learning (new phone number makes old one forgotten).

48–52. Amnesia, Distortion & Prospective Memory

  • Ribot's Law: Temporally graded retrograde amnesia; recent pre-insult memories are far more vulnerable than remote consolidated memories.
  • Memory Distortions:
    • Flashbulb Memory: Vivid, confident autobiographical recall of shocking news; accuracy declines despite high confidence.
    • Cryptomnesia: Unintentional plagiarism (source forgotten; idea felt as original).
    • Retrospective Falsification / Schema Reconstruction: Memory warped over time to align with current beliefs/schemas.
    • Confabulation: Honest lying without intent to deceive; diencephalic/frontal dysfunction.
  • Amnesic Syndromes:
    • Organic Amnesia (Korsakoff / Bilateral MTL): Dense anterograde amnesia, variable retrograde amnesia, ± confabulation, with spared immediate digit span and preserved procedural learning.
    • Dissociative Amnesia: Stress/trauma-linked autobiographical loss; no organic deficit.
    • Dissociative Fugue: Dissociative amnesia + purposeful wandering / identity loss.
  • Prospective Memory: Remembering intended future actions ("remembering to remember"); time-based is harder than event-based; dependent on prefrontal networks.

SECTION 4: INTELLIGENCE, PERSONALITY, AND SOCIAL COGNITION

53–56. Intelligence Frameworks & Flynn Effect

  • Fluid (Gf) vs Crystallised (Gc):
    • Fluid (Gf): Novel, abstract problem-solving; culture-reduced; declines with early ageing (Raven Matrices).
    • Crystallised (Gc): Acquired verbal/factual knowledge; resilient to early ageing/insult (Vocabulary, NART).
  • Theories: Spearman (g + s positive manifold); Cattell–Horn (Gf / Gc); Sternberg Triarchic (Analytical, Creative, Practical).
  • Flynn Effect: Generational rise in raw IQ scores over time; greatest for fluid/abstract reasoning; driven by environmental/educational changes (not genetics).

57–61. Intelligence & Neuropsychological Assessment

  • IQ Metrics: Mean = 100, SD = 15. IQ 70 = -2 SD (intellectual disability threshold; requires adaptive deficits).
  • WAIS Scales: Digit Symbol–Coding = Processing Speed / Performance (not verbal).
  • NART: National Adult Reading Test (pronunciation of irregular words like yacht, aisle) → estimates premorbid crystallised IQ.

62–66. Frontal Syndromes & Executive Neuropsychology

Region Core Functions Deficit / Syndrome
Dorsolateral PFC (DLPFC) Working memory, planning, problem-solving Executive dysfunction, concrete thinking
Orbitofrontal Cortex (OFC) Social judgement, impulse control, inhibition Disinhibition, tactlessness, childish facetiousness (witzelsucht)
Medial Frontal / ACC Initiation, motivation, effort, conflict monitoring Apathy, abulia, akinetic mutism
  • Neuropsychological Tests:
    • Stroop: Selective attention, inhibitory control, interference suppression.
    • WCST (Wisconsin Card Sort): Concept formation, set-shifting, rule-switching; failure → perseveration.
    • Hayling Test: Suppression of prepotent verbal responses (executive inhibition).
    • Rey-Osterrieth Complex Figure: Visuospatial construction (copy) and visual memory (recall).
    • Constructional Praxis: Assessed via drawing/assembling; impaired in right hemisphere/parietal stroke.

67–74. Personality Theories

  • Trait Approaches:
    • Allport: Cardinal (dominant, rare), Central (core traits), Secondary (situational).
    • Nomothetic vs Idiographic: Nomothetic = universal laws, group comparisons, standardised scales; Idiographic = unique individual configuration.
  • Models:
    • Big Five (OCEAN): Openness, Conscientiousness, Extraversion, Agreeableness, Neuroticism. (Honesty-Humility, Carefulness, and Psychoticism are NOT Big Five traits).
    • Eysenck PEN: Psychoticism, Extraversion, Neuroticism (strongly biological/genetic, cortical/autonomic arousal).
    • Cloninger: Temperament (Novelty Seeking [DA], Harm Avoidance [5-HT], Reward Dependence [NE], Persistence); Character (Self-Directedness, Cooperativeness, Self-Transcendence).
    • Type A vs Type B: Type A = time-urgent, hostile (cardiovascular risk factor); Type B = relaxed under time pressure.
    • Authoritarian: Rigid conventionalism, submission to authority, hostility to norm-violators.

75–79. Assessment, Biases & Clinical Personality

  • Personality Assessment:
    • Objective: MMPI, EPQ, NEO (standardised; susceptible to social desirability/literacy limitations).
    • Projective: TAT (ambiguous scene stories), Rorschach (10 inkblots; useful when illiterate).
  • Horn Effect: Negative halo; one perceived negative feature causes globally negative assumptions.
  • Psychopathy vs Dissocial PD: Psychopathy = callous, manipulative, shallow affect, lack of empathy; Dissocial PD = behavioural rule-breaking/antisocial conduct. Persistent fear of abandonment is absent in Dissocial PD (indicates BPD).
  • Childhood Conduct Disorder: Strong predictor of adult Antisocial Personality Disorder.
  • BPD vs Complex PTSD:
    • BPD: Rapidly shifting, unstable identity/self-image, splitting, impulsivity, self-harm.
    • Complex PTSD: Persistently negative, stable self-concept following chronic trauma.
  • Mahler Object Relations: BPD linked to failure during the Rapprochement subphase (15–24 months).

80–86. Language, Development & Social Cognition

  • Linguistics: Lexical Semantics = word meanings and relationships; Syntax = grammar/sentence structure; Phonology = speech sounds; Morphology = word building.
  • Developmental Language Milestone: Spontaneous two-word phrases ("more milk") emerge at ~2 years.
  • Piaget Schema Dynamics:
    • Assimilation: Fitting new data into existing schema unchanged (calling a zebra a "horse").
    • Accommodation: Modifying existing schema to fit new data (differentiating zebra from horse).
  • Bayesian Reasoning: Prior × Likelihood → Posterior. Positive test in rare disease requires base-rate consideration.
  • Theory of Mind: Representing others' mental states; tested via Sally–Anne task (mastered around 4 years).
  • Mirror-Neuron Network: Frontal node = Inferior Frontal Gyrus (IFG); Parietal node = Inferior Parietal Lobule (IPL).
  • Self-Serving Bias: Success attributed internally; failure attributed externally.

SECTION 5: MOTIVATION, EMOTION, STRESS AND REWARD

87–89. Motivation & Maslow

  • Maslow’s Classic Hierarchy:
    1. Physiological (survival/food/water)
    2. Safety (security/protection)
    3. Love/Belonging (social connection)
    4. Esteem (accomplishment/status)
    5. Self-Actualisation (potential)
  • Rule: Once belonging is satisfied → Esteem becomes the next salient tier. Severe starvation/hypoxia places Physiological first.

90–94. Theories of Emotion & Affective Neuroscience

  • Emotion Models:
    • James–Lange: Stimulus → Body arousal → Conscious emotion ("I tremble, therefore I am afraid").
    • Cannon–Bard: Stimulus → Body arousal + Emotion simultaneously via thalamus.
    • Schachter–Singer (Two-Factor): Stimulus → Undifferentiated arousal → Contextual cognitive appraisal → Emotion.
  • Universal Facial Expressions (Ekman): 6 classic emotions: Anger, Disgust, Fear, Happiness, Sadness, Surprise.
  • Primary Affective Systems (Panksepp): 7 subcortical mammalian systems: SEEKING, FEAR, RAGE, LUST, CARE, PANIC/GRIEF, PLAY. (SHAME is NOT one of Panksepp's 7 systems).

95–99. Stress, Reward & Pain

  • Yerkes–Dodson Law: Inverted U-shaped curve; performance is poorest at very low and very high arousal; optimal at moderate arousal. Complex tasks have a lower optimal arousal threshold than simple tasks.
  • Reward Prediction Error (RPE): RPE = Received Reward - Expected Reward. Phasic dopamine bursts signal positive RPE; pause signals negative RPE.
  • Incentive Salience: Motivational "wanting" value; in grief, manifests as yearning/proximity-seeking toward reminders of the deceased.
  • Altruistic Analgesia: Altruism ↓ subjective pain via decreased activation in bilateral insula and dACC (vmPFC reflects meaningfulness).

SECTION 6: PSYCHOLOGICAL THERAPIES AND CLINICAL APPLICATIONS

100–102. Transtheoretical Model, MI & Placebo

  • Cycle of Change (Prochaska & DiClemente):
    • Precontemplation: Problem denied; no intent to change.
    • Contemplation: Ambivalence; aware of problem, no concrete plan.
    • Preparation: Decision made + concrete action plan arranged (contacting clinic, setting date).
    • Action: Active modification of behaviour.
    • Maintenance: Sustained change; relapse prevention.
  • Motivational Interviewing (Miller & Rollnick): Person-centred, directive; develops discrepancy between behaviour and core values; non-confrontational; supports autonomy.
  • Placebo Mechanics: Driven by conditioning and expectation; triggers endogenous opioids/dopamine; partially reversed by naloxone; does not require deception or a fixed personality type.

103–106. Behavioural Therapies & Mowrer's Model

  • Systematic Desensitisation (Wolpe): Relaxation training + Anxiety hierarchy + Graded exposure. Theoretical basis = Reciprocal Inhibition (relaxation inhibits anxiety).
  • Exposure Modalities:
    • Graded Exposure: Stepwise real-life exposure without relaxation training.
    • Flooding: Immediate, prolonged, high-intensity in vivo exposure without hierarchy.
    • Implosion: Immediate, prolonged, high-intensity imaginal exposure (often exaggerated).
    • ERP: Exposure to trigger + prevention of compulsion (breaks negative reinforcement cycle).
  • Mowrer's Two-Factor Model:
    1. Acquisition: Classical conditioning (UCS + CS).
    2. Maintenance: Operant conditioning via Negative Reinforcement (avoidance brings immediate anxiety relief).

107–110. DBT, PTSD Interventions & IPT

  • DBT (Linehan): Core dialectic = Acceptance + Change; target hierarchy = 1. Life-threatening → 2. Therapy-interfering → 3. Quality-of-life. 4 Skills: Mindfulness, Distress Tolerance, Emotion Regulation, Interpersonal Effectiveness.
  • PTSD Treatments: TF-CBT, EMDR, Prolonged Exposure. Psychological First Aid is early supportive care. Routine single-session Psychological Debriefing is NOT recommended (can worsen trauma).
  • IPT (Sullivan, Klerman, Weissman): Structured, time-limited (12–16 sessions). 4 Problem Areas: Grief (death only), Role Dispute (interpersonal conflict), Role Transition (retirement, migration, divorce, parenthood), Interpersonal Deficits (chronic isolation).

111–115. Group Therapy, Systems & CBT

  • Group Therapy: Best suited for social skills deficits; contraindicated in florid mania/psychosis. Mirroring = seeing one's own traits reflected in another group member.
  • Therapeutic Alliance: Goals, tasks, emotional bond; Patient rating is the strongest predictor of outcome.
  • Therapeutic Community Principles: Democratisation (flattened hierarchy/shared decisions), Communalism (shared work), Permissiveness, Reality Confrontation.
  • Family Systems: Circular causality (reciprocal feedback loop: A ↔ B); Camberwell Family Interview assesses Expressed Emotion (Criticism, Hostility, Emotional Over-Involvement).
  • CBT: Collaborative empiricism, guided discovery, behavioural experiments. Unconscious symbolic interpretation is NOT part of CBT.

116–119. Grief, Delay Discounting & OCD Biology

  • Kübler-Ross Grief: DABDA (Denial, Anger, Bargaining, Depression, Acceptance). (Rejection is NOT a stage). Non-linear.
  • Delay Discounting: Steep discounting = steep loss of subjective value with delay → high impulsivity.
  • OCD Superstition Theory: Compulsions arise via accidental reinforcement and are maintained by negative reinforcement.
  • PANDAS: Abrupt onset of OCD/tics in children linked to Group A β-haemolytic Streptococcus pyogenes.

SECTION 7: RESEARCH & DEVELOPMENTAL PSYCHOLOGY

120–124. Research Methodology & Core Clinical Links

  • Designs:
    • Cross-Sectional: Different age groups compared simultaneously; fast/cheap; confounded by Cohort Effects.
    • Longitudinal: Same individuals tracked over time; reveals true trajectories; confounded by Attrition and practice effects.
    • Period Effect: Historical event impacting all age cohorts at that time.
  • Guanfacine: Selective α2A-adrenergic agonist; non-stimulant treatment for ADHD; enhances prefrontal networks.
  • DAMP (Deficits in Attention, Motor control, Perception): Strongly associated with prenatal Alcohol exposure.

FINAL RAPID DISCRIMINATION TABLE

Exam Trigger / Clinical Clue Correct Concept / Answer
Repeated harmless stimulus; response dropsHabituation
Repeated intense/threatening stimulus; response risesSensitisation
CS presented repeatedly without UCSExtinction
Conditioned fear gets stronger after brief exposuresIncubation
Conditioned fear spreads to similar stimuliStimulus generalisation
Response restricted strictly to original CSStimulus discrimination
UCS presented before CSBackward conditioning
Established CS conditions a new neutral stimulusHigher-order conditioning
Behaviour ↑ because pleasant stimulus addedPositive reinforcement
Behaviour ↑ because aversive state removed/preventedNegative reinforcement
Behaviour ↓ because aversive consequence addedPositive punishment
Behaviour ↓ because desirable stimulus removedNegative punishment
Action prevents anticipated aversive event before onsetAvoidance learning
Action terminates an ongoing aversive stimulusEscape learning
Reinforcement after predictable fixed timeFixed interval (Scallop)
Reinforcement after unpredictable timeVariable interval
Reinforcement after predictable number of responsesFixed ratio (Post-reinforcement pause)
Reinforcement after unpredictable response countVariable ratio (Slot machine, highest persistence)
Child imitates model without personal rewardObservational learning / Modelling
Imitation falls immediately after seeing model punishedVicarious punishment
Unrewarded maze exploration revealed on later rewardLatent learning (Cognitive map)
Inescapable adversity → subsequent passivityLearned helplessness
Rapid critical-period following response in birdsImprinting
Perceptual inference based on prior knowledgeTop-down processing / Gregory's theory
Sensory feature analysis without prior knowledgeBottom-up processing
Opening door looks rectangular despite trapezoid retina imageShape constancy
Incomplete shape perceived as full/completeClosure
Spatially close elements perceived as a unitProximity
Hearing own name in unattended conversationCocktail-party effect / Treisman attenuation
Looking at satnav and missing visible red lightInattentional blindness
Mental scan time proportional to imagined distanceAnalogue representation theory
Circadian primary pacemakerSuprachiasmatic nucleus (SCN)
Primary zeitgeber for circadian clockLight
Sleep spindles and K-complexesN2 sleep
Deep delta slow-wave sleepN3 sleep
Muscle atonia + wake-like EEG + vivid dreamingREM sleep
Brainstem activation synthesised by cortex into dreamActivation-synthesis theory
Sudden emotion-triggered loss of tone, fully consciousCataplexy
Narrowed focus + high suggestibility (never diffuse)Hypnosis
Holds and manipulates info over secondsWorking memory
Memory for personal time-stamped events (breakfast)Episodic memory
Memory for general facts, capitals, word meaningsSemantic memory
Memory for motor skills/habits (cycling, typing)Procedural memory
Preserved memory in dense amnesia / Schizophrenia / AgeingProcedural / Implicit memory
Ageing episodic task with the smallest declineSimple recognition
Old learning interferes with recall of new infoProactive interference
New learning interferes with recall of old infoRetroactive interference
Recent memories lost more than remote after brain injuryRibot's law (Temporal gradient)
Vivid emotional memory; confidence ≠ accuracyFlashbulb memory
Plagiarising an idea because source was forgottenCryptomnesia
Memory reshaped over time to match present beliefsRetrospective falsification / Schema reconstruction
Cannot make new declarative memories after injuryAnterograde amnesia
Lost memories from before the brain injuryRetrograde amnesia
Stress-induced autobiographical loss with wanderingDissociative fugue
Remembering to perform a future intentionProspective memory
Abstract novel problem solving (Raven Matrices)Fluid intelligence (Gf)
Acquired verbal/factual knowledge (NART, Vocab)Crystallised intelligence (Gc)
Reading irregular words to estimate premorbid IQNART
WAIS processing speed/performance subtestDigit Symbol–Coding
Stroke patient cannot copy figures or assemble designsConstructional praxis deficit
Frontal syndrome: impulsive, tactless, witzelsuchtOrbitofrontal cortex (OFC)
Naming ink colour while suppressing incongruent wordStroop test (Inhibitory control)
Continuing old sorting rule despite negative feedbackPerseveration (WCST)
Suppressing automatic sentence completionHayling Sentence Completion Test
Personality laws applied across populationsNomothetic approach
Detailed unique personality configuration of one personIdiographic approach
Biological personality model: P-E-NEysenck
Relaxed approach to time pressureType B personality
Projective test using 10 inkblot cards for illiteratesRorschach test
Projective test constructing stories from picturesThematic Apperception Test (TAT)
One negative trait creates global negative impressionHorn effect
Callous, shallow affect, manipulative, unempathicPsychopathy
Attributes success internally and failure externallySelf-Serving Bias
Linguistic study of word meaningLexical semantics
Spontaneous two-word phrases milestone~2 years old
Modifying an existing schema to fit new informationAccommodation
Probability of a hypothesis before receiving new dataPrior
Belief attribution false-belief task (Sally–Anne)Theory of Mind
Frontal hub of human mirror-neuron systemInferior frontal gyrus (IFG)
Needs hierarchy: belonging met → next levelEsteem needs
Physiological reaction happens before conscious emotionJames–Lange theory
Physiological reaction and conscious emotion simultaneousCannon–Bard theory
Arousal + contextual cognitive appraisalSchachter–Singer two-factor theory
Panksepp options: which is NOT one of the seven?SHAME
Inverted-U arousal vs performance curveYerkes–Dodson law
Outcome minus expected outcomeReward prediction error (RPE)
Yearning/proximity-seeking for cues of deceased in griefIncentive salience
Altruism reduces pain via reduced activity inBilateral insula and dACC
Decided to change + booking appointment/treatmentPreparation stage
Therapy developing discrepancy between values & behaviourMotivational Interviewing
Graded exposure + relaxation via reciprocal inhibitionSystematic desensitisation (Wolpe)
Prolonged immediate high-intensity real-life exposureFlooding
Exposing OCD obsession while preventing compulsionERP
Substance cues presented without consumptionCue exposure therapy
Borderline PD + self-harm; acceptance & changeDialectical Behaviour Therapy (Linehan)
Single-session trauma intervention NOT recommendedPsychological debriefing
Depression with negative automatic thoughts (no disputes)Cognitive Behavioural Therapy (CBT)
Psychotherapy targeting Grief, Disputes, TransitionsInterpersonal Therapy (IPT)
Ideal therapy modality for social skills deficitsGroup psychotherapy
Seeing one's own behavioral pattern in another memberMirroring
Flattened hierarchy and shared decisions in TCDemocratisation
Predictor of psychotherapy outcomePatient's rating of alliance
Family assessment of Criticism, Hostility, EOICamberwell Family Interview (Expressed Emotion)
Reciprocal causality loop in family dynamicsCircular causality
Generational difference confounding cross-sectional studyCohort effect
Core cognitive endophenotype in ADHD / polygenic riskWorking memory impairment
Non-stimulant α2A agonist for ADHDGuanfacine
Prenatal exposure linked to DAMPAlcohol
Sudden childhood OCD/tics + group A streptococcusPANDAS (Streptococcus pyogenes)
Childhood-onset conduct disorder adult trajectoryAntisocial personality disorder
Persistent, stable negative self-concept after traumaComplex PTSD
Fluctuating, rapidly shifting identity & self-imageBorderline personality disorder
Developmental subphase linked to borderline pathologyMahler's Rapprochement subphase
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