Lecture 5 Personality And Health

Front 1

identify 2 aspects that Psychodynamic theory brought to psychiatry.

Back 1

1. early childhood experiences affect adult personality and determine BEHAVIOR

Front 2

Unconscious motivation

Back 2

unconsciousness--> most impt. determinant of behavior

Front 3

What is psychopathology occur?
When does it occur?

Back 3

-phobias
-panic attacks
-somatic symptoms

occurs when hidden drives intrude into voluntary behavior --> cause symptoms

Front 4

Identify Freud's 3 structures of the mind.

Back 4

1.ID:
2.EGO:
3.SUPEREGO:

Front 5

Id

Back 5

-Born with child
-Pleasure principle
-IDS WANTS
-biological urges for food, water, elimination, warmth and sex
-constantly wants satisfaction
-life energy -->libido

Front 6

Ego

Back 6

-task --> satisfy ID in realistic manner
-still must be in accordance with superego
-unconscious

Front 7

Superego

Back 7

-conscience
-internalized beliefs
-morals
-values

Front 8

What is Intrapsychic conflict

Back 8

-demands of ID, superEGo and reality sometimes conflict.

-leads to anxiety
-EGO must settle conflict by defence mechanisms

Front 9

what are the defense mechanisms used to satisfy the conflict demands of ID.

Back 9

a. repression
b. denial
c. projection
d. regression
e. rationalization
f. intellectualization

Front 10

repression

Back 10

-motivated forgetting
-unconscious
-did not happen
-never happened
-distorts reality
-mother of all defenses

Front 11

denial

Back 11

-reality is opposite
-part of process when coming to grip with reality
-protects from overwhelming realization

*Alcoholic insists hes only a social drinker

Front 12

regression

Back 12

-going backwards

Front 13

rationalization

Back 13

- despite the negative, look at the positive
-so you dont feel as bad

Front 14

intellectualization

Back 14

-ie. sailor whos boat is sinking explains to the crew technical aspects of the damage .. to rid his fearful emotions

Front 15

What is Neurosis?

Back 15

-psychopathological symptoms that occur when defense mechanisms are not working.

symptoms include:
-Somatoform disorder (no REAL physical disorder)
-Dissociative disorder
-Anxiety disorder

Front 16

What are Somatoform disorders?

Back 16

-involve physical symptoms with NO apparent physiological basis.

-reflects unconscious displacement of anxiety-->body

Front 17

Identify 4 Somatoform Disorders.

Back 17

1. Pain disorder
2. body dysmorphic disorder
3. hypochondriasis
4. conversion disorder
5. somatization disorder

Front 18

Pain disorder

Back 18

psychological --> onset and maintenance of pain

Front 19

body dysmorphic disorder

Back 19

-occupied with imagined or exaggerated defects in appearance

Front 20

Hypochondriasis

Back 20

-fears of having serious illness

Front 21

conversion disorder

Back 21

Sensory and Motor symptoms without any physiological cause

Front 22

somatization disorder

Back 22

recurrent, multiple symptoms complaint but no biological basis

Front 23

Describe the DSM-IV criteria for CONVERSION DISORDER.

Back 23

-1+ symptom affecting M/S neurological condition

-symptons appear in context of STRESS

-symptoms NOT intentially produced

-not due to medical condition or substance

Front 24

La Belle indifference

Back 24

-pt with conversion dx sometimes show la belle

-LACK OF CONCERN regarding symptoms

Front 25

what is Hysterical blindness?

Back 25

-falls under conversion disorder

-follows stress / conflict
ie. video of mother who cant see after hearing that her child was raped

Front 26

Glove anesthesia?

Back 26

conversion paralysis
symptoms feel like carpal tunnel

Front 27

Identify 2 Differential diagnoses for symptoms similar to Conversion dx.

Back 27

1. malingering: simulation of exag. illness for FINANCIAL or other obv. gains

2. factitious disorder: to gain attention from medical personal

Front 28

What 2 other disorders are often seen with conversion disorder?

Back 28

1. anxiety
2. depression

Front 29

Personality Disorder

Back 29

-excessive rigid patterns in behavior
-resistant to change
-1st observed @ childhood
-AXIS II of DSMIV

Front 30

Identify 3 clusters of personality disorders

Back 30

cluster A: Odd or eccentric

cluster B: dramatic, emotional, erratic

cluster C: anxious and fearful

Front 31

Identify Cluster A

Back 31

Odd or Eccentric disorders:
-paranoid
-Schizoid
-schizotypal

Front 32

cluster A: paranoid

Back 32

tense, guarded, holds grudge

Front 33

cluster A: schizoid

Back 33

-socially isolated
-restricted emotions
-no interpersonal relationships
-no wife, doesnt go out

Front 34

cluster A: schizotypal

Back 34

-peculiarities of thought
-appearance
-disconcerned
-emotionally detatched

Front 35

Identify Cluster B:

Back 35

B: dramaticm emotional, or erractic behavior

-histrionic
-narcissistic
-borderline
-antisocial

Front 36

B: histrionic

Back 36

-seductive
-needs immed. gratification
-needs reassurance
-moodie
-shallow
-acts out for attention
ie. sends Dr. flowers

Front 37

B: narcissistic

Back 37

-self absorbed
-expects special tx
-envious of attention to others

Front 38

B: borderline

Back 38

-cant be alone
-intense mood swings
-chronic anger
-drug and alcohol abuse
-sexual promiscuity
-self harm gestures

Front 39

B: antisocial
*** not what it sounds like ***

Back 39

-manipulative
-exploitive
-dishonest
-lack of guilt
-breaks social rules
-has childhood hx of this
-out for themselves , noone else

Front 40

Identify Cluster C

Back 40

C: Anxious or fearful behavior

-Avoidant
-dependent
-Obsessive compulsive

Front 41

C: avoidant

* avoidant v. schizoid

Back 41

-easily hurt or embarrassed
-few close friends
-sticks to routines
-avoids new or stress exp

* schizoid doesnt mind being alone

Front 42

C: dependant

Back 42

-wants others to make desicion
-need costant advice
-fears abandonment

Front 43

C: Obsessive compulsive

Back 43

-perfectionist
-overconscientious and orderly
-indecisive
-too detailed
-stiff
-cant express affection

Front 44

Describe the CRITERIA for OCPD

Back 44

Need 4 of 8;
1. rules rules rules
2. perfectionist
3. excessive devotion to work
4. inflexable
5. cant get rid of junk
6. doesnt delegate
7. miserliness
8. rigid and stubborn

Front 45

Freud refers to OCPersonality D as ___.

Back 45

-Anal retentive personality.
-person is stuck in anal stage of development (1.5-3) during issues of autonomy.
-control FREAK

Front 46

OCD v. OCPD

Back 46

OCD- AXIS I Anxiety disorder
OCPD-AXIS II

Front 47

How does Freud tap into the human unconscious mind?

Back 47

1. free association:
-waiting for freudian SLIP and RESISTANCE
2. dream analysis;
-indirectly satisfying represssed urge or conflict

Front 48

In psycholanalytical treatment, dreams are ___.

Back 48

-royal road to unconscious

Front 49

Identify Freuds 3 view of human nature

Back 49

1. deterministic:
2. pessimistic
3. acceptance today

Front 50

deterministic

Back 50

GOAL -->tension reduction

Front 51

pessimistic

Back 51

can judge a person by the jokes they tell and laugh about

Front 52

acceptance today

Back 52

problem with emperical verification ??????

Front 53

Psychological assessment concludes that ...

Back 53

patients reaction to illness reflect biology, AND experience, culture, lifestyle and personality

Front 54

What is Psychological testing?
What does a good test need?

Back 54

-test a sample of ind. behavior and make inferences

-standardized/ uniform
-reliable
-valid

Front 55

How can you examine if the test is reliable?

Back 55

1. test-retest
2. alternate forms: form a & b
3. measure internal consitancy (1/2 test)
4. interscorer (person that grades) reliability

Front 56

Identify 6 types of psychological tests

Back 56

1. IQ
2. aptitude test
3. achievement test
4. personality tests
5. neuropsychological batteries
6. vocational/interest

Front 57

IQ test

Back 57

-access ability to do abstract thinking, problem solve, attention, memory

Front 58

Aptitude test

Back 58

access abilities --> job matching test

Front 59

achievement test

Back 59

test what you learned

Front 60

personality test

Back 60

assess traits, attitude, values

Front 61

neuropsychological batteries

Back 61

following head trauma, are there any neurological deficits??
-disturbance in behavior

Front 62

What is MMPI-2?

Back 62

Minnesota multiphasic Personality Inventory

-helps determine which individuals are prone to physical symptoms due to stress.

Front 63

Jenkins Activity Survey;
What type personality are you?
Type A characteristics.

Back 63

-competative
-timely
-hostile/cynicism

Front 64

What is the MMPI Validity Scale?

Back 64

-used to identify test takers that are trying to manipulate the test results.

L: Faking Good
F: Faking bad
K: defensive: produce normal profile but we know something is wrong

Front 65

Identify the Criteria for Hypochondriasis.

(somatoform disorder)

Back 65

-preocc. w/ fears of having serious dx
-preocc. w/ medical evaluation
-belief is NOT delusional
-duration >6m
-occurs early adulthood
-comorbidity with anxiety and mood disorder.

Front 66

Identify 2 personality scales that can be used to detect depression. (used in literature)


**OBJECTIVE TESTING**

Back 66

1. BECK depression Inventory

2. Hamilton Psychiatric Rating Scale for Depression (HAM-D)

Front 67

Beck Depression Inventory

Back 67

-self report inventory

Front 68

HAM-D

Back 68

-involves CLINICIAN rating the patient.
"gold standard"
-good reliability and validity
-21 items
-relies on clinical interviewing SKILLS

Front 69

HAM-D assess:

Back 69

-insomnia
-somatic symptoms
-working capacity/ interest
-mood
-guilt
-psychomotor retardation
-agitation
-anxiety
-insight

Front 70

** PROJECTIVE TESTING **
Projective Hypthesis

Back 70

-access unconscious motivation
-person given ambigious test stimulus and asked to make sense of it
-interpreted based on persons needs, motives, unconscious conflicts and defenses

Front 71

Identify 2 Projective Personality Tests

Back 71

1. Rorschach
2. Thematic apperception test

Front 72

Rorschach

Back 72

-10 cards
-bi-symmertrical ink blots

Front 73

TAT

Back 73

-20 cards
-scenes of human interaction
-make up a story regarding what is going on