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94 Cards in this Set

  • Front
  • Back
Health
State of complete well-being
Disease
A process caused by the environment, a malfunction, or an identifiable agent
Sickness
Assuming a sick role
Illness
Totality of how a patient behaves and feels
Direct risks
Factors that endanger health directly
Indirect risks
Factors that are of lower risk, or are failed prevention
Primary prevention
Practices that protect and promote health
Secondary prevention
Practices that enhance disease resistance
Biopsychosocial Model
-Multiple determinants in development of disease
-Hierarchal system of biological and social agents that contribute to disease
Organization of biopsychosocial model
Biosphere, society, culture, community, family, dyad, individual, organ system, tissue, cellular, molecular
Integrated Sciences Model
Each pt is an integrated system of 5 domains: biological, behavioral, cognitive, sociocultural, environmental
Cognitive Theory
Piaget (0 to 11+)
Assimilation
interprets new experiences in terms of existing mental structures (kid thinks all 4 legged animals are dogs)
Accommodation
Change existing mental structures to explain new experiences (learn to distinguish between dog and cat)
Piaget's 4 stages + ages
Sensorimotor (0-2)
Preoperational (2-7)
Concrete Operational (7-11)
Formal Operational (11+)
Sensorimotor
0-2
Internalize motor activity
Move towards object permanence
Repetition of mvmts to learn them
Object permanence
recognition that objects continue to exist when no longer visible
Preoperational
2-7
Improved use of mental images
Egocentrism
Animism
Centration
Egocentrism
Inability to see things from another's point of view
Animism
attribute human qualities to inantimate objects
Centration
tendency to focus on only one dimension of a problem
Concrete operational
7-11
Begin to understand rules
Decentration
Reversibility
Conservation
Decentration
Ability to coordinate several aspects of a problem at the same time
Reversibility
ability to visualize the reversal of an action (Beginning of abstraction)
Conservation
Awareness that physical quantities remain the same, even if appearances change (Volume, number, length, mass)
Formal operational
11+
Ability to understand abstract concepts
Logical thinking
Abstract thinking
Analyze according to themes
Appreciate double meanings
Hypothesize
Inductive and deductive reasoning
Psychosexual Stages of Development (Who?)
Freud
Oral Stage
0-1
Libidinal focus: mouth
Breast feeding
[weaning]
Anal Stage
1-3
Libidinal focus: retaining and expelling feces
[toilet training]
Phallic stage
3-6
Libidinal focus: genitals
Oedipal and Electra Complexes
Latency stage
6-11
No libidinal focus
Identify with same sex friends
Genital Stage
11+
Libidinal focus: genitalia
Preparing for work and marriage
Psychosocial Stages of Development
Erikson (first life-span stage theorist)
Trust vs ?
mistrust
Trust vs. Mistrust
Infancy
Need supportive, nurturing enviro
Form attachment to parents

feel safe and secure
Autonomy vs ?
Shame/doubt
Autonomy vs Shame/Doubt
1-3
Need sens of self-control, adequacy
First exp of independence

Gain independence and self-confidence
Initiative vs ?
Guilt
Initiative vs Guilt
3-5 1/2
Need to initiate activities
Sense of purpose, direction

Explore the environment
Industry vs ?
Industry vs Inferiority
Industry vs Inferiority
5 1/2 to 12
Competence with peers
Belonging to groups

Learn how things work
Identity vs Role Confusion
Puberty to 20
Need sense of identity
Experiment w/ goals and lifestyles

Form positive self-concept
Intimacy vs ?
Isolation
Intimacy vs Isolation
20s - 35
Need close relationships, friendships
Relationships with the opposite sex

Form meaningful social relationships
Generativity vs ?
Stagnation
Generativity vs Stagnation
35-60
Generate learning back into society
Working and parenting

Develop concern about the world
Integrity vs ?
Despair
Integrity vs despair
60s+
Need to find satisfaction in life
Review value, meaning & purpose of life

Achieve personal fulfillment
Stages of Moral Development (WHO?)
Kohlberg
Kohlberg Level I, Stage I
Self-focused

Avoid punishment
Kohlberg Level I, Stage 2
Self-focused

Trade off to meet own needs
Kohlberg Level II, Stage 3
Social focused

Live up to other's expectations
Kohlberg Level II, Stage 4
Social Focused

Obey laws, social conscious
Kohlberg Level III, Stage 5
Selfless

Sense of democracy, rules are relative
Kohlberg Level III, Stage 6
Selfless

Universal principles, justice, human rights
Symptoms of depression
Sleep
Interests
Guilt
Energy
Concentration
Appetite
Psychomotor
Suicidal Ideation
DSM IV Axis I
Clinical Syndromes

Mental disorders, such as schizophrenia, mood disorders
DSM IV Axis II
Personality Disorders, MR

OCD, antisocial, narcissistic
DSM IV Axis III
General Medical Conditions

Alcoholism
DSM IV Axis IV
Psychosocial and Environmental Problems

Life events, stressors, Retirement, death of family member
DSM IV Axis V
Global Assessment of Functioning

from 1 to 100, to assess at time of assessment, and highest level in recent past
Health literacy
How well people can understand health information and apply it to make decisions about their health
Ethnogeriatrics
component of geriatrics that includes race, ethnicity, and culture
Id
Pleasure principle

Completely unconscious
Ego
Reality principles

Completely conscious
Superego
Morality principle

Both conscious and unconsious
suppression
just below awareness
forgetting
will come into consciousness with effort

(person forgets dental appointment, afraid of dentist)
repression
buried deeply in unconscious
difficult to bring to consciousness
motivated to forget what is painful

(person was sexually abused, doesn't remember)
rationalization
acceptable interpretations
cheap excuses
justify mistakes or failures

blame poor score on bad test
regression
fall back into a more secure time
retreat to younger age

return to thumbsucking with stress of new sibling
projection
attributes own thoughts on others
exaggerates faults in others

happens in married couple counseling
displacement
act out on a safer target
take out frustrations

child angry at parent takes it out on sibling
reaction formation
reaction to unacceptable desire
opposite extreme

overt sexual desires becomes religious fanatic
intellectualization
shift focus from something painful
academic, medical
sophisticated excuses

terminal illness in family, philosophizes about death
denial
not admitting truth
something too painful to face
sublimation
have unacceptable desire
find socially acceptable outlet

desire to hit others - become boxer
compensation
develop strength in 1 area to make up for weaknesses in others
shift focus to strengths

poor grades - becomes sports star
Classical conditioning
Conditioning a neutral stimulus to be a learned stimulus with a specific response
Operant conditioning
Strengthen behavior by reinforcement
Differences between classical and operant
Classical - passive
- based on association

Operant - active
- based on reinforcement
Fading (behavior)
Gradual reduction of stimulus (or sudden) resulting in reduction of behavior
Positive reinforcement
add a positive consequence
negative reinforcement
remove a negative consequence
punishment I
add a negative consequence
punishment II
remove a positive consequence
primary reinforcer
have intrinsic value

safety, water, food, air
secondary reinforcer
have extrinsic value

money, recognition, trophy, award, attention
Fixed ratio reinforcement
get reinforcement for the behavior every time, every other time, every fourth time, etc
fixed interval reinforcement
get reinforcement every week, month, five minutes, regardless of how much behavior you exhibited
variable ratio
deliver reinforcement after a random number of presentations of the behavior
variable interval
deliver reinforcement after a random amount of time, regardless to how much behavior was shown
Behavior therapy
aversion therapy - used for alcoholics
biofeedback
flooding - think a ton about - thought so you get over it
systematic desentization (eg - bad fliers)
Cognitive distortions
always, never, need, have to, definitely, all, none, good bad, deserve, can't, awful, know, is, are