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17 Cards in this Set

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Obsession

Recurrent and persistent thoughts or urges that are unwanted


 


More than excessive life-worries


 


Person attempts to ignore or suppress thoughts by neutralizing them with a compulsion

Examples of Obsessions

Concern with dirt or germs


 


Worry that something terrible may happen


 


Symmetry, order


 


Fear of harming onself or other

Compulsions

Repetitive behaviors or mental acts that person feels driven to perform in reponse to an obsession


 


Behaviors are aimed at preventing/reducing anxiety

Examples of Compulsions

Excessive or ritualized hand washing, grooming, or bathing


 


Repeating rituals


 


Constant checking or touching


 


Ordering or arranging

Stereotypical Motor Behavior

Repetitive, seemingly driven, and apparently purposeless motor behaviors


 


Hand waving, body rocking, head banging

Tics

Sudden, rapid, recurrent, non-rhythmic motor movements or vocalizations 

Tics vs. Stereotypical Motor Behaviors

Tics - more involuntary 


 


Stereotypical Motor Bxs - more self-soothing or -stimulating and more intentional

Assessing for Substance Use Problems

Developmental, medical, social, substance use, family, educational hx, clinical interview


 


Spirituality, ethnic identity


 


Mental status examination 


 


Physical examination 


 


Self-report; reports of family, peers, school


 


Structured interviews and standardized tests


 


Lab results 


 


Drug screening

Discrepancy Model for Learning Disorder (LD) Identification 

LD occurs when child performs below grade level in at least one academic area


 


Compare performance to same age peers on standardized tests


 


Examine discrepancy between IQ and achievement



Criticisms of Discrepancy Model 

IQ tests do not necessarily measure intelligence


 


IQ and achievement are not independent of each other


 


Typically, people must fail before they are recognized as LD 

Components of Adaptive Behavior (proposed by AAIDD)

AAIDD = American Association of Intellectual & Developmental Disabilites 


 


Conceptual 


Social 


Practical 

Conceptual (Adaptive Bx) 

Academic related - memory, language, reading, writing, math reasoning, gaining practical knowledge

Social (Adaptive Bx)

Awareness of others' thoughts and feelings


 


Interpersonal communication skills 


 


Friendship skills 


 


Social judgment

Practical (Adaptive Bx)

Personal care


 


Job responsibilities 


 


Self-management of bx


 


Task organization (school and work)

Nightmares

Elaborate and story-like, seem real 


 


Occur during REM sleep


 


Can be remembered and described in detail

Sleep Terrors

Abrupt awakenings from sleep (scream or cry)


 


Difficult to awaken or comfort


 


Little or nothing remembered of the dream 

Nightmares vs. Sleep Terrors

Similarities - both include (partial) awakenings with fearfulness and autonomic activation 


 


Differences - 


-Nightmares - occur later in night, clearly recalled dreams, mild arousal, complete awakenings 


 


-Sleep terrors - occur in first part of night, little or no recall, significant arousal, partial awakenings