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56 Cards in this Set
- Front
- Back
Cognitive restructuring (p 57) –
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Therapy techniques that focus on changing irrational and problematic thoughts.
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Dissociation (p 246):
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A significant disruption in one’s conscious experience, memory, sense of identity, or any combination of the three, without a physical cause.
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Repression (p 153, 264):
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A defense mechanism consisting of the forgetting of painful or unacceptable mental content.
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Splitting (p 264):
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A defense mechanism in which one views oneself or others as all-good or all-bad in order to ward off conflicted or ambivalent feelings.
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Identification (p 264
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Taking on the traits of someone else; sometimes used as a defense mechanism.
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Posttraumatic Model (PTM) of DID (p 257):
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A theory of dissociative identity disorder that argues that it results from traumatic childhood experiences.
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Sociocognitive Model (SCM) of DID (p 257):
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A theory of dissociative identity disorder that argues that it is iatrogenic (a disorder unintentionally caused by a treatment) and/or the disorder results from socially reinforced multiple role enactments.
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Comorbidity (p 240):
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The presence of two or more disorders in one person, or a general association between two or more different disorders.
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Major Depressive Episode (p 166):
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A two-week or longer period of depressed mood along with several other significant depressive symptoms.
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Manic Episode (p 166):
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Abnormally elevated, expansive, or irritable mood that lasts at least one week and impairs social and occupational functioning.
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Hypomanic Episode (p 166):
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A less severe version of a manic episode, lasting four days or more, that does not impair functioning.
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Hysteria (p 256):
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A term once used to describe what are now categorized as dissociative or somatoform disorders.
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Melancholia (p 165):
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An early historical term for depression.
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Monoamines (p 182):
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A class of neurotransmitters involved in mood disorders, including norepinephrine, dopamine, and serotonin.
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Negative cognitive triad (p 191):
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Irrationally negative thinking about the self, the world, and the future.
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Disorganized symptoms of schizophrenia (p 463, 464):
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Disorganized speech, thought, or behavior, e.g., loose associations (a sequence of logically disconnected thoughts); neologisms (made-up words); clang associations (nonsense sequences of rhyming or like-sounding words); echolalia (repeating verbatim what others say); word salad (seemingly random collection of disorganized words); catatonic symptoms (bizarre motoric behaviors including rigidity and stupor) to purposeless flailing, pacing or spinning
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Catatonia (p 464):
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Psychomotoric symptoms ranging from extreme immobility and unresponsiveness to extreme agitation.
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Delusions (p 455):
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Fixed, false, and often bizarre beliefs.
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Positive symptoms of schizophrenia (p 460):
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Type 1 symptoms of schizophrenia are symptoms that represent pathological excesses, exaggerations, or distortions from normal functioning, such as delusions, hallucinations, and disorganized speech, thought or behavior
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Negative symptoms of schizophrenia (p 460):
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Type II symptoms are that which represent pathological deficits, such as flat affect, loss of motivation, and poverty of speech.
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Brief Psychotic Disorder (p 468):
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diagnosis involving a psychotic episode that has all the features of schizophrenia but lasts less than one month.
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Schizophreniform Disorder (p 468):
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diagnosis involving a psychotic episode that has all the features of schizophrenia but has not lasted six months.
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Schizoaffective Disorder (p 468):
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DSM-IV-TR diagnosis involving symptoms of both a mood disorder and schizophrenia.
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Shared Delusional Disorder (p 469):
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DSM-IV-TR diagnosis involving delusions that develop in the context of a close relationship with a psychotic person.
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Psychosis (p 455):
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A state of being profoundly out of touch with reality.
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ECT (p 188):
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Electroconvulsive therapy. A biological intervention for severe depression involving sending electric current through the skull to produce seizures.
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Neologisms (p 463):
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Made-up words, like “headvise” for headache.
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Downward drift (p 466):
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The decline in socioeconomic status of individuals with schizophrenia relative to their families of origin.
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Word Salad (p 463):
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A seemingly random collection of disorganized words.
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Echolalia (p 463):
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A speech abnormality in which a person mimics what he or she has just heard.
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What goes on Axis I?
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Symptom Disorders : Disorders characterized by the unpleasant and unwanted forms of distress and/or impairment
e.g., Somatoform Disorders; Mood Disorders, Dissociative Disorders, Schizophrenia |
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What goes on Axis II?
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Personality Disorders & Mental Retardation
Personality Disorders: Disorders characterized by extreme and rigid personality traits that cause distress or impairment |
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What goes on Axis III?
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Medical Conditions
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What goes on Axis IV?
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Psychosocial & Environmental Factors
E.g., occupational; problems with primary support group |
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What goes on Axis V?
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Global Assessment of Function
GAF (1-100) |
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The 6 Core Concepts:
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Context
Continuum between normal and abnormal behavior Cultural and historical relativism Advantages and limitations of diagnosis Principle of multiple causality Connection between mind and body |
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Context:
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the situational context in which the abnormal behavior occurs, i.e., life history; life events; demographic context variables such as age, gender culture and class
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Continuum between normal and abnormal behavior:
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a range from mild to severe used to help distinguish normal from abnormal behavior
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Advantages and Limitations of Diagnosis:
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categorizing and classifying help create a system that can facilitate treatment, research, and teaching.
same system can also oversimplify complex problems and the diagnosis of a mental illness can be stigmatizing to the person be diagnosed. |
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Historical Relativism:
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abnormal behavior must be considered within the time period and culture in which it occurs. we cannot make absolute and universal statements as a result.
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Principle of Multiple Causality:
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psychology has moved away from reductionism and now favors a more integrated approach which is open to the use of several different theoretical approaches in order to explain and provide treatment for abnormal behavioral. it is recognized that abnormal behavior can be caused by any individual or combination of the following causes - predisposing, precipitating, psychological, biological, environmental..
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Mind Body Connection:
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the appreciation of the connection between mind and body. Brain abnormalities can cause emotional distress an emotional distress can cause physical symptoms
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Subtypes of Schizophrenia
Paranoid: |
Prominent delusions or auditory hallucinations
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Subtypes of Schizophrenia
Disorganized: |
Prominent disorganized speech, disorganized behavior, and flat or inappropriate affect
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Subtypes of Schizophrenia
Catatonic: |
Prominent psychomotoric symptoms, such as rigid physical immobility, and unresponsiveness or extreme behavioral agitation, muteness, echolalia, and echopraxia
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Subtypes of Schizophrenia
Undifferentiated: |
Active schizophrenic symptoms that do not fit the paranoid, disorganized, or catatonic subtypes.
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Subtypes of Schizophrenia
Residual: |
Following at least one episode of schizophrenia, a state in which there are no prominent positive symptoms of schizophrenia but some negative symptoms and milder positive symptoms remain.
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Diagnostic Criteria for Schizophrenia:
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Two or more of the following 5 symptoms for at least 6 months:
-Delusions -Hallucinations -Disorganized speech -Grossly disorganized or catatonic behavior -Negative symptoms (such as lack of emotion, speech, or motivation) Causes social/occupational dysfunction and decline |
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Diagnostic Criteria for Major Depressive Episode:
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Five of the following symptoms (with one of the first two) for at least 2 weeks.
-Depressed mood -Diminished interest or pleasure -Weight loss or gain -Insomnia or hypersomnia -Fatigue or loss of energy -Feelings of worthlessness or guilt -Difficulty thinking, concentrating, deciding -Suicidality |
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Diagnostic Criteria for Manic Episode:
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Over 1 week of abnormally elevated mood, impaired functioning, and >3 symptoms
-Inflated self-esteem or grandiosity -Decreased sleep -Excessive talking or pressured speech -Racing thoughts -Distractibility -Increased activity -Pursuit of activities with painful consequences |
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Diagnostic Criteria for Hypomanic Episode:
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-4+ days of elevated mood
-Presence of at least 3 symptoms of a manic episode -The episode is not severe enough to cause impairment in functioning |
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Name 5 Mood Disorders :
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Major Depressive Disorder
Bipolar I Disorder Bipolar II Disorder Dysthymic Disorder Cyclothymia |
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Diagnotic Criteria for MDD:
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Five or more symptoms over a 2-week period
-Depressed mood most of the day (irritability in children) -Greatly reduced sense of pleasure/interest in almost all activities, most of the day -Significant (>5% body weight/ month) loss/gain of weight w/o dieting; or fluxuating appetite -Daily insomnia or hypersomnia -Excessive agitation/slowed movement -Fatigue or loss of energy -Feelings of worthlessness or inappropriate guilt -Recurrent thoughts of death or suicide Change from previous functioning Clinically significant impairment |
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Dysthymic Disorder
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Depressed mood most days for 2 years + 2 other symptoms:
-poor appetite or over-eating -Insomnia or hypersomnia -Low energy or fatigue -Low self-esteem -Poor concentration or indecisiveness -Feelings of hopelessness |
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Cyclothymic Disorder
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For at least 2 years, numerous periods with hypomanic symptoms and depressive symptoms
The depressive symptoms are not severe enough to meet criteria for a Major Depressive Episode |
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Dopamine Hypothesis:
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The hypothesis that excess dopamine transmission causes the psychotic symptoms of schizophrenia
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