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62 Cards in this Set

  • Front
  • Back
Paranoid Personality Disorder
suspicious of others, expect to be mistreated
secretive
argumentative
jealous
overly sensitive
Schizoid
isolated, prefer to be alone
aloof
difficulty connecting
lack warmth/tenderness
indifferent to praise or critism
Schizotypal
"schizoid plus" - have all of the schizoid symptoms
almost a mild schizophrenia
also have magical thinking (special powers, very superstitious)
have de-personalization
Narcissistic
grandiose view of themselves, their own success and worth
world revolves around me
crave attention
low empathy. self-esteem
Psychodynamic View of Narcissistic PD
it is a way of comping with perceived short comings or doubts.
cold parents failed to help them overcome their natural shortcomings
Obsessive - Compulsive PD
perfectionist
obsessed with order, structure, schedules
work oriented
Their way is the best way
Borderline PD
impulsivity and instability in relationship and mood
unstable sense of self
suicidal behavior
Histrionic PD
overly dramatic and attention-seeking behavior
has to be the center of attention
often sexually inappropriate
Antisocial PD
predatory attitude towards others
no remorse or guilt
onset prior to 15, must have had a developmental disorder
reckless and compulsive behavior
lie easily
3 Road blocks to APD treatment
1. Hard to instill morals and values in a person who has grown past that stage in life
2. care very little for other and will lie easily
3. Only care about immediate gratification
Substance Abuse
legal trouble
job problems
will do anything to get drug
educationally challenged
Substance Dependence - Physiological and Psychological
craving
tolerance
withdrawl
Alcoholism
use is on rise
more boys than girls
suicide rates are higher among them
1/2 of all trafic deaths include alcohol
Behavioral Perspective
it is a tension reducer
reduction of anxiety is a negative reinforcer
but no everyone is stressed when they drink
Opponent-Process Model
you start drinking to reduce anxiety
but then stress creeps back in and you have to drink again.
Psychodynamic View of Alcoholism
oral fixation of libidinal energy cause by dependence on others
Need for feelings of Power and control (McClelland)
Self-Handicapping Strategy
use alcohol as a crutch so they have something to blame for their lack of success
Socio-Cultural Influences
social pressure to drink
varies widely with culture
Genetic/Physiological
diathesis for alcoholism
individual differences in processing the alcohol
Alcoholics Anonymous
world's largest self help group
their opinion is that you are ALWAYS a recovering alcoholic
AL-NON
group for family members of alcoholics
family members often act as enablers
Antabuse
causes violent vomitting with alcohol,
Naltrexone
reduces desire for alcohol
worsens taste of alcohol
covert sensitization
asked to imagine consequences of your drinking in a clinical setting
Sedatives
opium derivatives (morphine, heroin, codeine)
synthetic barbituates (seconal, nembutal)
stimulants
meth, amphetamine, methedrine, cocaine
long term treatment of drug dependence (heroine as an example)
methadone clinics
heroine antagoinsts - block the effects of heroine
Narcotics Anonymous (NA)
Therapeutic communities
paraphilias
it is not necessary what you are doing, but what you have to think about to get aroused
Fetishism
higher rates in men (could be a sexist fact)
need some object to get aroused
almost an obsessive compulsive component
masturbation creates strong physiological connection
Psychodynamic View
is a defense mechanism
person is cannot face their own desire for mom (unresolved oedipel conflict)
focuses libidinal energy on a single object
Transvestic Fetishism
cross-dressing becomes a fetish
usually male
NOT transexual
often heterosexual
often had praise or reinforcement for wearing womens clothing as a child
Transsexual or tansgender (GID)
person feels they are truly the wrong gender
often starts as a child
no clear evidence for a hormonal difference
no chromosomal differences either
not related to socialization
exhibitionism
indecent exposure
more common in men
act of expressing themselves is arousing
very strong compulsion to do it regardless of consequences
many feel depersonalized during the event
Psychodynamic View
suffering from fear of castration and want to show people
Voyeurism
looking at unsuspecting person undressing or engaging in sexual acts
exclusive way to get aroused
typically NOT a rapist
fantasize about how upset they would be if the person knew
want to feel controlling/dominating
Aversion Therapy
show the arousing stimuli and shock the person
the shock stops when you press a button and a nude female appears
covert sensitization
have them imagine the consequences of your behavior, what if your kids found out?
Treatment of psychosexual disorder
reduce anxiety, teach social skills, reorientate sexual arousal
Thought Disorders
form and content problems
word salad
make no sense, bizzare, goofy
neologisms
make up words
loose associations
between ideas and phrases
clang associations
sentences will rhyme, possibly unintentionally
Hallmark of Thought Problems
Delusions - irrational beliefs
Ex: believe in thought insertion, thought withdrawl, thought projection, thought feelings
Perceptional Delusions
when they see something it can set off delusion
Perception and Attention Disorders
tingling numbness, burning sensations
hypersensitivity to light or sound
flat, colorless surroundings
difficulty attending
HALLUCINATIONS
Hallmark of perception problems:
Hallucinations - sensory experiences without any real outside stimulation
MOSTLY AUDITORY
actual parts of brain associated with received sensory stimuli activated during hallucinations
Motor Disturbances
bizzare gesturing, flailing
catatonic immobility with waxy flexibility
Affect or Emotion Disturbances
flat affect
inapropriate affect
Life functioning problems
no intimate relations
poor social skills
difficulty in school
may stop taking care of themselves
may urinate in public
Schizophrenoform
symptoms for 1 to 6 months
6 plus months is schizophrenia
ideas of reference
will take trivial things and fit them into delusional system
undifferentiated
mixture of symptoms, no clear pattern
disorganized
hallucinations, delusions, affect problems
residual
have already gone through the worst of symptoms
catatonic
major symptoms are physical/motor behavioral problems
Positive Symptoms
the presence of something, hallucinations, delusions, bizzare disorganized behavior
Negative
flat affect, lack of speech, attentional impairment
Sociogenic Hypothesis
low SES - rough childhood - build up of stress - increased risk
Social Selection (drift) hypothesis
SES doesn't cause schizophrenia, but people who have it tend to drift to the lowest SES
schizophrenogenic mother
cold, dominant, conflict-inducing, protective, rigid, gives a double-bind message
may contribute
Bateson and Double bind
"come loser I love you and get away"
child does not know how to respond to double message
Biological View
abnormalities in brain structure
dopamine imbalances
certain viruses cause it?