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56 Cards in this Set

  • Front
  • Back

relatively enduring pattern of perceiving, relating to, and thinking about enviro and one's self that is displayed in wide range of important personal and social contexts

personality

enduring, rigid pattern of inner-experience and outward behavior that impairs one's sense of self, emotional experiences, goals, and capacity for empathy and intimacy

personality disorder

Bidel's 3 P's

Persistent


Pervasive (cross-situational)


Pathological (clearly abnormal)

percentage of people dx w/ PD

9-13%

3 clusters of PD

A: odd or eccentric PDs (3)


B: dramatic PDs (4)


C: anxious or fearful PDs (3)

cluster has features seen in schizophrenia/schizophrenia spectrum disorder

cluster A

pervasive pattern of suspiciousness of others such that their motives are interpreted as malevolent or threatening

paranoid PD

percentage of pop with paranoid PD

0.5-2.5% (more men than women)

pattern of detachment from social relationships and restricted range of expression of emotions

schizoid PD

pattern of social and interpersonal deficits marked by acute discomfort w/, and reduced capacity for, close relationships as well as by cognitive and perceptual distortions and eccentricities of behavior; symptoms resemble positive symptoms

schizotypal PD

% pop with schizotypal PD

3% (more common in males)

Cluster A PDs

Paranoid PD


Schizoid PD


Schizotypal PD

Cluster B PDs

antisocial PD


Borderline PD


narcissistic PD


histrionic PD


pervasive pattern or disregard for and violation of basic rights of others occurring since age 15; more common in men

antisocial PD

2 studies of antisocial PD

Lyyken: serial learning task (people w/ APD do not learn from punishment)


Schacter and Latane: APD needs more stimulation; thrill-seeking behaviors come from under arousal

pervasive pattern of instability of interpersonal relationships, self-image, and affect (emotion), and marked impulsivity beginning by early adulthood and present in variety of contexts

borderline PD

suicide rates of borderline PD

75% attempt


10% commit

tx of choice for borderline PD

dialectical behavior therapy (DBT)

tx hierarchy of DBT

1. reduce self-injurious and suicidal behaviors


2. reduce behaviors that interfere w/ therapy


3. increase quality of life behaviors


4 main skills taught in DBT

1. mindfulness


2. distress tolerance


3. emotion regulation


4. interpersonal effectiveness

pattern of grandiosity, need for admiration, and lack of empathy; more men than women

narcissistic PD

pattern of excessive emotionality and attention-seeking; more women than men

histrionic PD

cluster C PDs

avoidant PD


dependent PD


obsessive-compulsive PD

pervasive pattern of social inhibition, feelings of inadequacy, and hyper-sensitivity to negative evaluation; inferiority complex

avoidant PD

pervasive pattern of excessive need to be taken care of that leads to submissive and clinging behavior and fear of separation; difficulty making everyday decisions w/o advice and reassurance; need others to assume responsibility for major areas of their life

dependent PD

preoccupation w/ orderliness, perfectionism, and mental and personal control, at expensive of flexibility, openness, and efficiency

obsessive-compulsive PD

developmentally inappropriate patterns of inattention and/or hyperactivity-impulsivity

attention-deficit hyperactivity disorder (ADHD)

associated problems w/ ADHD

direct effect/results: academic failure


indirect results: peer problems --> depression


comorbid conditions: ODD and CD

associated features w/ ADHD

intellectual deficits


lower academic function


more health problems


accident proneness and risk-taking


family problems


parents (marital stress, etc)


peer problems

50-80% ADHD kids also have

ODD and CD

comorbid conditions w/ ADHD

ODD


CD


anxiety


depression


Tourettes syndrome

what percentage of kids w/ tourettes have ADHD?

50%

symptoms of ADHD more likely when

child is tired


task is complex


low immediate feedback


not supervised


when in public places

T/F genetic factors heavily implicated ADHD

true

treatment of ADHD

medications (Ridolin)


behavior therapy


combination

conduct problems

oppositional defiant disorder (ODD)


conduct disorder (CD)

dx in children who show pattern of angry/irritable, argumentative/defiant, or vindictive behavior lasting at least 6 months

oppositional defiant disorder (ODD)

what percentage kids have ODD

3-16%

repetitive and persistent pattern of behavior in which basic rights of others and major age-appropriate societal norms or rules are violated (sounds like antisocial PD)

conduct disorder (CD)

percentage with CD

5%

something done by youth that would not be offense if adult

status offense

illegal regardless of age

index offense

types of CD

under socialized or solitary-aggressive type


socialized or group-delinquent type (better px)

category or dx changes over time, but underlying propensity is stable

heterotypic continuity

comorbidity w/ conduct problems

cognitive and verbal deficits


ADHD (1/3-1/2 have it)


health problems


internalizing problems

produces anxiety and inhibits anxiety in presence of novel events

behavioral inhibition system

activates behavior and cues rewards will be present w/o punishment

behavioral activation system

coercive behavior occurs at higher rates in homes w/ children w/ conduct problems

patterson's coercion hypothesis

dx requirements for mental retardation (ID)

-deficient intellectual functioning (IQ)


-deficient adaptive functioning/behavior (communication, living skills)


-onset during dev't period

elimination disorders

enuresis


encopresis


repeated voiding of urine into bed/clothes at least 2xs/week for 3 months

enuresis

types of enuresis

nocturnal


diurnal


primary (no bladder control established)


secondary (bladder control present before, but not anymore)

passage of feces at inappropriate places for at least 1x month for 3 months

encopresis

tx for encopresis

enema


lubricants (mineral oil)


add fiber


toileting schedule


reinforcement


criteria for anorexia nervosa

1. restriction of energy intake relative to energy requirements


2. intense fear of gaining weight


3. disturbed body perception; undue influence of weight or shape on self-evaluation or persistent denial of seriousness of current low weight

subtypes of anorexia

restricting subtype


binge-purge subtype