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37 Cards in this Set

  • Front
  • Back
Symptom-Contigent Cues
Environmental cues that go along with clients symptoms- e.g. imagine climbing tall building (heights)
Reportable Internally Elicited Cues
Physiological feelings that person can visualize- e.g. sweaty/vertigo when faced with fear
Unreportable Cues Hypothesized
(To be related to #2) person never says what they are afraid of, but therapist can realize whats wrong. e.g. move to new town, really mad at husband
Hypothesized Dynamic Cues
Derived from psychoanalytical theories of Freud- underlying people's anxiety- e.g. castration
Stampfl & Levis Video
Fighting Fear with Fear- therapist directed- girl scared of bug, really scared of getting married
Patient directed vs. Therapist directed
patient does talking(therapist listens and encourages)-better bc patient doesnt get ideas in head from therapist, expresses how things really are for them vs. therapist creates situation and concentrates on clients feelings
Rape Video
patient-directed- flooding, like watching a movie bc patient relives situation over and over- eventually there is a release of affect/or catharsis- release of neg. emotion
1% of population affected, decreased sense of future
Acute Stress Disorder
Traumatic event, still anxiety more than 30 days after event
Negative Affect
ven diagram between anxiety and depression, high neuroticism develop trauma
6 Categories of criteria-
Threat to physical integrity compromised (specific event) witnessed, exposed to, experienced or confronted with event and threatened life
Fear, horror, helplessness
B(one of these is high enough to qualify for PTSD)
Re-experiencing trauma-physiological rxn, intense psychological stress, watching event happen again, nightmare, flashback
Avoidance- Stay away from where event occurred, avoid thoughts, conversation, stimuli or any cues inability to recall events, repression, anhedonia
Increased arousal- exaggerated startle response, irritability, difficulty concentrating, hypervigilant
Time frame- (+) 30 days
Disturbances- cause clinically significant impairment
Sudden death of loved one, combat, rape, childhood neglect, crime occurrence, abuse
- Some people get it- view differently, selective attention, more prevalent in depressed and neurotics
Openness to experience
C- E
Older MEN are more likely to develop, history of psychiatric predisposition, addictive disorder- WOMEN exposed to more trauma
Assessing for PTSD
CAPS, SCID, PCL-C, Mississippi scale, Keane scale, Multimodal Assessment, Impact of events scale
Clinically administered PTSD scale- takes 1-2 hrs to administer, only good for 1 event, multiple caps for multiple events
sctructured clinical interview of DSM-4
Life Events Checklist, PCL-C
QUICKEST METHODS- life events is better for people paying out of pocket, PCL-C score above a certain threshold
Multimodal assessment
Many ways of measuring, heart rate, behavior, different aspects measured
Exposure Therapy * Best Tx
Systematic Desensitization
Prolonged exposure
Anxiety Management Training (AMT)
Relaxation, diaphramatic breathing, cognitive restructuring(challenge irrational beliefs)
Eye movement desensitization and reprocessing- developed by SHAPIRO, eyes track finger movements
Dismantle Study
Breakdown EMDR into 2 separate components
1. eye movement(no progress)
2 Thinking of trauma (progress)
Only eliminates anxiety, antidepression meds
Childhood sexual and physical abuse
1/10 MEN
-any form of sexual contact or sexual experience before age 15/16- perpetrator=5yrs older than victim
ABUSE(common factors)
Flashbacks, unwanted thoughts, mood and anxiety disorders, substance abuse, borderline personality disorder, dissociation, headaches, asthma, heart problems, IBS
Why people abuse
Victims of abuse, Drugs and alcohol, sexually attracted to kids, unmanaged anger, capture innocence of children, no empathy
Clues of Abuse
History of psychopathology, memory blockage, late 1st memory, extreme aversion to sexual activity, extreme anxiety during sex
How to approach victims of abuse
Have them talk a bout Trauma, Deal with another problem first, build REPORT and go from there