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16 Cards in this Set

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Ferberizing a childs sleep problem
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.
value of anecdotal data
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
Value of clinical vignettes
can help recall disorders
understand a more abstract concept
normality
as ideal or utopian
as average or mean
as healthy
dysphoria
generic term meaning a feeling of unpleasantness, anxiety, anger/depression
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
defining a psychiatric disorder according to DSM-IV 1994
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
Organization of DSM
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
psychotic
an adjective reflecting severity of mental illness
inner feelings ranging from feeling good to feeling down
mood
communicative aspect of mood, what we communicate both vernbally and non-verbally about mood
affect
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
mania
fixed false beliefs

inconsistent with a persons culture or religion
delusions
fasle sensory perceptions
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
misinterpretation of external stimulus
illusion: common in children/adults right before sleep

thus may/maynot be normal
lost contact with reality as evidence by hallucinations delusions etc
psychosis:

ex someone with schizophrenia bipolar disorder or delirium may improve, still have the underlying disorder but not be deemed "psychotic"