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16 Cards in this Set
- Front
- Back
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Ferberizing a childs sleep problem
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book "solve your childs sleep problem" author recommends letting children cry for a certain amount of time before checking on them w/ no evidence that this works.
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value of anecdotal data
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single case report not yet substantiated by studies using large numbers of people.
autopsies morbidity mortality conferences published case reports(JAMA)(NEJM) Accident analysis - Cypress plane crash and pilot-copilot miscommunication preventing the detection jof falling cockpit pressure |
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Value of clinical vignettes
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can help recall disorders
understand a more abstract concept |
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normality
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as ideal or utopian
as average or mean as healthy |
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dysphoria
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generic term meaning a feeling of unpleasantness, anxiety, anger/depression
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defining mental disorders
DSM |
1952: DSM (diagnostic and statistical manual) - list of recog'd diagnoses
DSM III- 1980 international standards? based on observed clinical findings ICD (international classificatio n of Disease) by the WHO, used extensively in europe |
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defining a psychiatric disorder according to DSM-IV 1994
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a clinically significant behavioral or psychological syndrome or pattern that occurs in an individual and is associated with distress or disability or with a increased risk of suffering death pain or freedom
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Organization of DSM
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16 major diagnostic classes ie delirium, alcohol-induced etc
ie Posttraumatic stress disorder: duration more than 1 mo, avoidance of related stimuli, distressing dreams, reccurent intrusive recollection of events etc |
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psychotic
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an adjective reflecting severity of mental illness
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inner feelings ranging from feeling good to feeling down
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mood
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communicative aspect of mood, what we communicate both vernbally and non-verbally about mood
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affect
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a mood disorder which includes elation decreased need for sleep sexual promiscuity spending sprees and irritability typically to the extent where person has lost contact with reality
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mania
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fixed false beliefs
inconsistent with a persons culture or religion |
delusions
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fasle sensory perceptions
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hallucinations
regarded as pathological unless in the first few months of a person grieving for someone close false sensory perceptions in the absensce of external stimuli |
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misinterpretation of external stimulus
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illusion: common in children/adults right before sleep
thus may/maynot be normal |
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lost contact with reality as evidence by hallucinations delusions etc
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psychosis:
ex someone with schizophrenia bipolar disorder or delirium may improve, still have the underlying disorder but not be deemed "psychotic" |
