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94 Cards in this Set
- Front
- Back
Health
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State of complete well-being
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Disease
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A process caused by the environment, a malfunction, or an identifiable agent
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Sickness
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Assuming a sick role
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Illness
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Totality of how a patient behaves and feels
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Direct risks
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Factors that endanger health directly
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Indirect risks
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Factors that are of lower risk, or are failed prevention
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Primary prevention
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Practices that protect and promote health
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Secondary prevention
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Practices that enhance disease resistance
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Biopsychosocial Model
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-Multiple determinants in development of disease
-Hierarchal system of biological and social agents that contribute to disease |
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Organization of biopsychosocial model
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Biosphere, society, culture, community, family, dyad, individual, organ system, tissue, cellular, molecular
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Integrated Sciences Model
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Each pt is an integrated system of 5 domains: biological, behavioral, cognitive, sociocultural, environmental
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Cognitive Theory
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Piaget (0 to 11+)
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Assimilation
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interprets new experiences in terms of existing mental structures (kid thinks all 4 legged animals are dogs)
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Accommodation
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Change existing mental structures to explain new experiences (learn to distinguish between dog and cat)
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Piaget's 4 stages + ages
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Sensorimotor (0-2)
Preoperational (2-7) Concrete Operational (7-11) Formal Operational (11+) |
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Sensorimotor
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0-2
Internalize motor activity Move towards object permanence Repetition of mvmts to learn them |
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Object permanence
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recognition that objects continue to exist when no longer visible
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Preoperational
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2-7
Improved use of mental images Egocentrism Animism Centration |
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Egocentrism
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Inability to see things from another's point of view
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Animism
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attribute human qualities to inantimate objects
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Centration
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tendency to focus on only one dimension of a problem
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Concrete operational
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7-11
Begin to understand rules Decentration Reversibility Conservation |
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Decentration
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Ability to coordinate several aspects of a problem at the same time
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Reversibility
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ability to visualize the reversal of an action (Beginning of abstraction)
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Conservation
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Awareness that physical quantities remain the same, even if appearances change (Volume, number, length, mass)
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Formal operational
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11+
Ability to understand abstract concepts Logical thinking |
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Abstract thinking
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Analyze according to themes
Appreciate double meanings Hypothesize Inductive and deductive reasoning |
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Psychosexual Stages of Development (Who?)
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Freud
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Oral Stage
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0-1
Libidinal focus: mouth Breast feeding [weaning] |
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Anal Stage
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1-3
Libidinal focus: retaining and expelling feces [toilet training] |
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Phallic stage
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3-6
Libidinal focus: genitals Oedipal and Electra Complexes |
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Latency stage
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6-11
No libidinal focus Identify with same sex friends |
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Genital Stage
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11+
Libidinal focus: genitalia Preparing for work and marriage |
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Psychosocial Stages of Development
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Erikson (first life-span stage theorist)
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Trust vs ?
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mistrust
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Trust vs. Mistrust
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Infancy
Need supportive, nurturing enviro Form attachment to parents feel safe and secure |
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Autonomy vs ?
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Shame/doubt
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Autonomy vs Shame/Doubt
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1-3
Need sens of self-control, adequacy First exp of independence Gain independence and self-confidence |
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Initiative vs ?
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Guilt
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Initiative vs Guilt
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3-5 1/2
Need to initiate activities Sense of purpose, direction Explore the environment |
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Industry vs ?
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Industry vs Inferiority
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Industry vs Inferiority
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5 1/2 to 12
Competence with peers Belonging to groups Learn how things work |
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Identity vs Role Confusion
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Puberty to 20
Need sense of identity Experiment w/ goals and lifestyles Form positive self-concept |
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Intimacy vs ?
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Isolation
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Intimacy vs Isolation
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20s - 35
Need close relationships, friendships Relationships with the opposite sex Form meaningful social relationships |
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Generativity vs ?
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Stagnation
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Generativity vs Stagnation
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35-60
Generate learning back into society Working and parenting Develop concern about the world |
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Integrity vs ?
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Despair
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Integrity vs despair
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60s+
Need to find satisfaction in life Review value, meaning & purpose of life Achieve personal fulfillment |
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Stages of Moral Development (WHO?)
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Kohlberg
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Kohlberg Level I, Stage I
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Self-focused
Avoid punishment |
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Kohlberg Level I, Stage 2
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Self-focused
Trade off to meet own needs |
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Kohlberg Level II, Stage 3
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Social focused
Live up to other's expectations |
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Kohlberg Level II, Stage 4
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Social Focused
Obey laws, social conscious |
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Kohlberg Level III, Stage 5
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Selfless
Sense of democracy, rules are relative |
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Kohlberg Level III, Stage 6
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Selfless
Universal principles, justice, human rights |
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Symptoms of depression
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Sleep
Interests Guilt Energy Concentration Appetite Psychomotor Suicidal Ideation |
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DSM IV Axis I
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Clinical Syndromes
Mental disorders, such as schizophrenia, mood disorders |
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DSM IV Axis II
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Personality Disorders, MR
OCD, antisocial, narcissistic |
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DSM IV Axis III
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General Medical Conditions
Alcoholism |
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DSM IV Axis IV
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Psychosocial and Environmental Problems
Life events, stressors, Retirement, death of family member |
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DSM IV Axis V
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Global Assessment of Functioning
from 1 to 100, to assess at time of assessment, and highest level in recent past |
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Health literacy
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How well people can understand health information and apply it to make decisions about their health
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Ethnogeriatrics
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component of geriatrics that includes race, ethnicity, and culture
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Id
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Pleasure principle
Completely unconscious |
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Ego
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Reality principles
Completely conscious |
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Superego
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Morality principle
Both conscious and unconsious |
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suppression
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just below awareness
forgetting will come into consciousness with effort (person forgets dental appointment, afraid of dentist) |
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repression
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buried deeply in unconscious
difficult to bring to consciousness motivated to forget what is painful (person was sexually abused, doesn't remember) |
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rationalization
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acceptable interpretations
cheap excuses justify mistakes or failures blame poor score on bad test |
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regression
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fall back into a more secure time
retreat to younger age return to thumbsucking with stress of new sibling |
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projection
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attributes own thoughts on others
exaggerates faults in others happens in married couple counseling |
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displacement
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act out on a safer target
take out frustrations child angry at parent takes it out on sibling |
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reaction formation
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reaction to unacceptable desire
opposite extreme overt sexual desires becomes religious fanatic |
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intellectualization
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shift focus from something painful
academic, medical sophisticated excuses terminal illness in family, philosophizes about death |
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denial
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not admitting truth
something too painful to face |
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sublimation
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have unacceptable desire
find socially acceptable outlet desire to hit others - become boxer |
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compensation
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develop strength in 1 area to make up for weaknesses in others
shift focus to strengths poor grades - becomes sports star |
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Classical conditioning
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Conditioning a neutral stimulus to be a learned stimulus with a specific response
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Operant conditioning
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Strengthen behavior by reinforcement
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Differences between classical and operant
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Classical - passive
- based on association Operant - active - based on reinforcement |
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Fading (behavior)
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Gradual reduction of stimulus (or sudden) resulting in reduction of behavior
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Positive reinforcement
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add a positive consequence
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negative reinforcement
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remove a negative consequence
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punishment I
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add a negative consequence
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punishment II
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remove a positive consequence
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primary reinforcer
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have intrinsic value
safety, water, food, air |
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secondary reinforcer
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have extrinsic value
money, recognition, trophy, award, attention |
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Fixed ratio reinforcement
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get reinforcement for the behavior every time, every other time, every fourth time, etc
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fixed interval reinforcement
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get reinforcement every week, month, five minutes, regardless of how much behavior you exhibited
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variable ratio
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deliver reinforcement after a random number of presentations of the behavior
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variable interval
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deliver reinforcement after a random amount of time, regardless to how much behavior was shown
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Behavior therapy
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aversion therapy - used for alcoholics
biofeedback flooding - think a ton about - thought so you get over it systematic desentization (eg - bad fliers) |
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Cognitive distortions
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always, never, need, have to, definitely, all, none, good bad, deserve, can't, awful, know, is, are
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