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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 |
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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 |
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Bidel's 3 P's |
Persistent Pervasive (cross-situational) Pathological (clearly abnormal) |
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percentage of people dx w/ PD |
9-13% |
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3 clusters of PD |
A: odd or eccentric PDs (3) B: dramatic PDs (4) C: anxious or fearful PDs (3) |
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cluster has features seen in schizophrenia/schizophrenia spectrum disorder |
cluster A |
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pervasive pattern of suspiciousness of others such that their motives are interpreted as malevolent or threatening |
paranoid PD |
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percentage of pop with paranoid PD |
0.5-2.5% (more men than women) |
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pattern of detachment from social relationships and restricted range of expression of emotions |
schizoid PD |
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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 |
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% pop with schizotypal PD |
3% (more common in males) |
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Cluster A PDs |
Paranoid PD Schizoid PD Schizotypal PD |
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Cluster B PDs |
antisocial PD Borderline PD narcissistic PD histrionic PD
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pervasive pattern or disregard for and violation of basic rights of others occurring since age 15; more common in men |
antisocial PD |
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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 |
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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 |
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suicide rates of borderline PD |
75% attempt 10% commit |
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tx of choice for borderline PD |
dialectical behavior therapy (DBT) |
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tx hierarchy of DBT |
1. reduce self-injurious and suicidal behaviors 2. reduce behaviors that interfere w/ therapy 3. increase quality of life behaviors
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4 main skills taught in DBT |
1. mindfulness 2. distress tolerance 3. emotion regulation 4. interpersonal effectiveness |
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pattern of grandiosity, need for admiration, and lack of empathy; more men than women |
narcissistic PD |
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pattern of excessive emotionality and attention-seeking; more women than men |
histrionic PD |
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cluster C PDs |
avoidant PD dependent PD obsessive-compulsive PD |
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pervasive pattern of social inhibition, feelings of inadequacy, and hyper-sensitivity to negative evaluation; inferiority complex |
avoidant PD |
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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 |
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preoccupation w/ orderliness, perfectionism, and mental and personal control, at expensive of flexibility, openness, and efficiency |
obsessive-compulsive PD |
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developmentally inappropriate patterns of inattention and/or hyperactivity-impulsivity |
attention-deficit hyperactivity disorder (ADHD) |
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associated problems w/ ADHD |
direct effect/results: academic failure indirect results: peer problems --> depression comorbid conditions: ODD and CD |
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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 |
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50-80% ADHD kids also have |
ODD and CD |
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comorbid conditions w/ ADHD |
ODD CD anxiety depression Tourettes syndrome |
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what percentage of kids w/ tourettes have ADHD? |
50% |
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symptoms of ADHD more likely when |
child is tired task is complex low immediate feedback not supervised when in public places |
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T/F genetic factors heavily implicated ADHD |
true |
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treatment of ADHD |
medications (Ridolin) behavior therapy combination |
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conduct problems |
oppositional defiant disorder (ODD) conduct disorder (CD) |
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dx in children who show pattern of angry/irritable, argumentative/defiant, or vindictive behavior lasting at least 6 months |
oppositional defiant disorder (ODD) |
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what percentage kids have ODD |
3-16% |
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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) |
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percentage with CD |
5% |
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something done by youth that would not be offense if adult |
status offense |
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illegal regardless of age |
index offense |
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types of CD |
under socialized or solitary-aggressive type socialized or group-delinquent type (better px) |
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category or dx changes over time, but underlying propensity is stable |
heterotypic continuity |
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comorbidity w/ conduct problems |
cognitive and verbal deficits ADHD (1/3-1/2 have it) health problems internalizing problems |
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produces anxiety and inhibits anxiety in presence of novel events |
behavioral inhibition system |
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activates behavior and cues rewards will be present w/o punishment |
behavioral activation system |
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coercive behavior occurs at higher rates in homes w/ children w/ conduct problems |
patterson's coercion hypothesis |
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dx requirements for mental retardation (ID) |
-deficient intellectual functioning (IQ) -deficient adaptive functioning/behavior (communication, living skills) -onset during dev't period |
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elimination disorders |
enuresis encopresis
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repeated voiding of urine into bed/clothes at least 2xs/week for 3 months |
enuresis |
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types of enuresis |
nocturnal diurnal primary (no bladder control established) secondary (bladder control present before, but not anymore) |
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passage of feces at inappropriate places for at least 1x month for 3 months |
encopresis |
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tx for encopresis |
enema lubricants (mineral oil) add fiber toileting schedule reinforcement
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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 |
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subtypes of anorexia |
restricting subtype binge-purge subtype |