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65 Cards in this Set

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Any syndrome of behaviors or psychological symptoms that:
Cause present distress or disability (functional impairment)
Beyond expected reactions to stress
mental disorder
What are the three criteria of the DSMIV
1. diagnostic __________
2. diagnostic __________ sets
3. _________ text
classification, criteria, descriptive
c, c, d
Axis I: All _________ disorders except: personality and MR
clinical
c
Axis II: __________ and ____________
personality disoders and MR
p and m
Axis III: GMC
general medical conditions
Axis IV: ___________ stressor
psychosocial
p
Axis V: GAF
global assessment of functioning
Which axis using a coding range of none to catastrophic
Axis IV: psychosocial stressor
Which axis uses the two subscales of symptom severityand functional impairment?
Axix V: global assessment of functioning
The DSM is organized into how many major diagnostic classes
16 and the 17 is for "other conditions that may be a focus of clinical attention"
an axiety disorder which primarily consists of the fear of experiencing a difficult or embarrassing situation from the which the sufferer cannot escape.
agoraphobia
a
Excessive preoccupation or worry about having a serious illness and this is an example of what kind of disorder:
hypochondriasis, somatoform
h, s
"faking sick"
factitious disorders
f
physical symptoms cannot be fully explained by GMC, substance or another mental disorder:
somatoform disorder
s
These are example of what kind of disorders: disruption in integration of consciousness, memory, identity, and perception of environment
dissociative disorders
d
A broad classification of sleeping disorders that make it difficult to get to sleep:
dyssomnias
d
A sleep disorder characterized by partial arousals during sleep or during transitions between wakefulness and sleep and are often associated with stress and depression:
parasomnias
p
Only DSM class that's grouped based on common etiology and response to identifiable stressors in excess of what would be expected and onset is within 3 months:
adjustment disorders
a
An impulse control disorder characterized by the repeated urge to pull out scalp hair, eyelashes, facial hair, nose hair, pubic hair, eyebrows or other body hair.
"trich", trichotillomania
t
Enduring patterns of inner experience and behavior that deviate markedly from cultural norms and are pervasive and inflexible:
personality disorders
p
What are the four groups of disorders covered in the ROS:
mood, anxiety, psychotic, substance use
m,a,p,s
persecution, ideas of reference, jealousy, grandiosity, somatic are examples of _____________ and they fall under what category of disorders:
delusions, psychotic
d,p
fixed false beliefs, not culturally sanctioned: ________. And they fall under what category of disorders:
delusions, psychotic
d,p
auditory, visual, tactile, olfactory, gustatory can all be examples of:_____________ and they fall under what category of disorders:
hallucinations, psychotic
h,p
"the great mimicker"
substance use disorders
s
The mental status examination can be divided into what two sections:
observational data and formal cognitive testing
o d, f c t
Loses thread of conversation and discusses irrelevant topics based on internal and external stimuli and does not return to the original point
tangential (thought disorder)
t
Loss of capacity for goal directed thinking - eventually get back to original point:
circumstantial (thought disorder)
c
Thought disorder where ideas expressed are unrelated:
looseness of association
l of a
Thought disorder where there is incoherent incomprehensible connections of thought:
word salad
w s
Thought disorder that uses association by double meaning:
punning
p
Thought disorder characterized by rapid thinking - extreme:
flight of ideas
f of i
Thought disorder characterized by a form of speech pattern where thinking is driven by word sounds (rhyming, tongue twisters):
clanging
c
Thought disorder where new words are created by the patient through the combination of other words:
neologisms
n
A distortion of a sensory perception:
illusions
i
A 30 point screening tool:
mini mental status examination, Folstein
m
Enduring patterns of perceiving, relating to, and thinking about the environment and oneself exhibited in a wide range of imiportant social and personal contexts:
personality traits
p
An enduring pattern of inner experience and behavior that deviates markedly from the expectations of the individual's culture:
personality disorder
p
10 disorders that are divided into 3 clusters:
personality disorders
p
Paranoid, schizoid, and schizotypal fall under what cluster (odd or eccentric)
Cluster A "Mad or Weird"
Antisocial, borderline, histrionic, and narcissistic fall under what cluster (dramatic, acting out, problem with empathy)
Cluster B "Wild"
Avoidant, dependent, OCD fall under what cluster: (prominent anxiety and novelty avoidance)
Cluster C "Sad or Anxious"
The displacement of attitudes and feelings originally experienced in relationships with people from the past onto the analyst:
transference
t
Unconscious ideas or impulses are repressed and prevented from reaching awareness because they are unacceptable to consciousness for some reason: (remaining silent, withholding info, missing appts)
resistance
r
It is psychoanalytic if it involves what to things:
transference and resistance
t and r
Avoiding the awareness of some painful aspect by negating sensory data:
denial
d
The redirection of an unacceptable impulse into an acceptable form of behavior:
sublimation
s
The redirection of an unacceptable impulse into its opposite:
reaction formation
r
An impulse toward a given person or situation is redirected toward a "safer" less distressing object.
Displacement
d
An unacceptable or anxiety-provoking impulse or affect is transplanted to another individual or situation. It is then "out there" rather than in oneself.
projection
p
An acceptable explanation for a feeling or behavior is used to camouflage the unacceptable underlying motive or impulse.
rationalization
r
The avoidance of "feeling" by taking refuge in "thinking."
intellectualization
i
Disturbing psychological material is secondarily removed from consciousness or primarily prevented from becoming conscious.
repression
r
The removal of disturbing affect from an idea or event, with the dispassionate details or description remaining.
isolation of affect
i of a
Intentional repression of unpleasant conscious material.
suppression
s
A conscious and unconscious defense that allows material that stirs unpleasant affects to be better tolerated in consciousness.
humor
h
Relies on instrumentation to measure moment to moment feedback about physiological processes – EMG, EEG, GSR
biofeedback
b
John Watson – psychology should concern itself only with publicly observable phenomena
Behavioral therapy
b t
Who developed operant conditioning:
B.F. Skinner
B
Relaxation training, heirarchy construction, desensitization of the stimulus
systematic desensitization
s
Aaron Beck, based on rationale that an individual’s affect and behavior are largely determined by the way in which he structures the world. A person structures the world on the basis of cognitions – verbal or pictorial ideas available to the consciousness that are based on assumptions (schemas, developed from previous experience)
cognitive therapy
c t
These are used in what type of therapy:
Four processes
Eliciting automatic thought – (________ distortions) ie people will laugh at me when they see how bad I bowl
Testing automatic thoughts – therapist helps the pt test the validity of automatic thought
Identifying maladaptive assumptions – patterns emerge among auto thought that represent rules or maladaptive general assumptions
Testing the validity of maladaptive assumptions – therapists ask the pt to defend the validity of their assumptions
cognitive therapy, cognitive
ct, c
These are examples of what: overgeneralizing (if it’s true in one case, it applies to any case),
selective abstraction (the only events that matter are failures),
excessive responsibility (I am responsible for all bad things),
assuming temporal causality (if it has been true in the past, it’s always going to be true),
self-references (I am the center of everyone’s attention, esp my bad performances),
catastrophizing (Always think of the worst, it’s almost likely to happen to you),
dichotomous thinking (everything is either one extreme or the other)
cognitive erros
ce
Friedrich Mesmer – originated the phenomenon of _________
hypnosis
h
Used to recall painful or repressed memories, regression, treating amnesia, and dissociative fugue, abreaction

Stop smoking, control obesity, substance abuse, chronic pain, somatoform d/o, phobias
hypnosis
h