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387 Cards in this Set

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Conversion disorder
symptoms involve voluntary motor or sensory functioning and suggest a serious neurological or other medical condition. due to psychological factors: stressors or conflicts
la belle indifference
lack of conern about symptoms
Etiology of conversion disorder
PRimary gain and secondary gain
Primary Gain
symptom keeps an internal conflict or need out of conscious awareness
secondary gain
symptom helps the individual avoid an unpleasant activity or obtain support from the environment
differential diagnosis for conversion disorder
conversion disorder is often difficult to distinguish from actual medical illness. However, CD usually involves the following 1) lack of concern about one's symptoms 2). failure for symptoms to conform to actual disease. 3). tendency of symptoms to be selective (can use for some activities).
factitious disorder and Malingering vs. Conversion disorder
facticious and malingering are voluntarily produced or feigned.
Pain disorder
pain that is sufficiently severe to warrent clinical attention that cannot be fully accounted for by a medical condition
Hypochondrias
unrealistic preoccupation with a fear of having or the belif that one has, a serious illness based on a misinterpretation of a bodily symptom.
-usually doctor shops
-resists referals for mental health tx.
differential diagnosis for hypocondriasis
physical symptoms are not of delusional intesity as it is with psychotic disorder.
-willing to consider not having a disease and that his fears are exaggerated.
Body dysmorphic disorder
preoccupation with a defect in appearance such as spots or the skin, facial swelling or excessive facial hair. The defect is eitherimagined or excessively concerned about it if a slight physical defect is actually present.
Factitious disorder
presence of a physical or psychological symptoms that are intentionally produced or feigned for the purpse of fulfilling an intrapsychic need to adopt a sick role.
Factitious disorder
a person with this disorder has an intrapsychic need to fulfill a sick role and therefore intentionally produce or feign physical or psychological symptoms. They are overly dramatic or vague and inconsistent when relating their history.
Munchasen's syndrom by proxy
aka Factitious disorder by Proxy. A care taker or parent intentionally produces symptoms for the child. Warning signs: Symptoms are not present when caretaker is not there. Recurrent inexplicable illness.
Form of child abuse.
Factitious disorder vs. Malingering
Facticious disorder is to fulfill a intrapsychic need.

Malingering disorder, people fake illness to recieve some sort of compensation or to avoid doing something.
Person also has antisocial personality disorder.
Dissociative disorders
disruption of consciousness, identity, memory or perception of the environment and not due to medical condition or substance abuse.
-dissociative amnesia
-dissociative fugue
-dissociative identity disorder.
-Depersonalization disorder
Dissociative amnesia
inability to recall important personal information that is not due to ordinary forgetfullness. Usually related to traumatic or stressful experiences.
Dissociative fugue
An unexpected travel away from work or home.A person cannot recall his identity or past and therefore my partially or fully assume a new identity. During recovering phase, the person cannot remember what happened during his fugue state.
Dissociative identity disorder
formly known as multiple personalities. It is the existence of two or more distinct identities or personalities in one individiual. Each has it's own pattern of perception of relating to the environment or self. Two personalities can take control and transition is usually abrupt and due to stress. Reports of severe physical or sexual abuse in child hood.
Depersonalization Disorder
one or more episodes of depersonalization which involve a feeling of detachemnt or estrangement from others. Reality testing remains in tact
sexual dysfunctions
characterized by a disturbance in the sexual response cycle or by pain related to the sexual intercourse.
Hypoactive Sexual desire disorder
Deficient or absense of sexual fantasies or desires
Sexual aversion disorder
Extreme aversion to and avoidance of gential sexual contact with sexual partner
Male erectile disorder
Inability to attain or maintain an adequate erection
Female sexual arousal disorder
Inability to attain or maintain an adequate lubrication swelling response of sexual excitement
Female orgasmic disorder/male orgasmic disorder
Delay in, or absense of orgasm following a normal sexual excitement phase
Premature ejaculation
orgasm and ejaculation iwth minimal sexual stimulation before on or shortly after penetration and before the person desires it
Dyspareunia
genital pain associated with sexual intercourse
Vaginismus
Involuntary spasms of the pubococygeus muscle in the outer third of the vagina which interferes with sexual intercourse
Treatment for sexual disorders
seek medical treatment first then behavioral or cognitive
Paraphillias
Characterized by intense recurrent sexual urges, fantasies or behaviors involving either non human objects, humiliations of self or others, children or other nonconsenting partners.
Treatment for paraphilias
covert sensitization and satiation therapy
Gender identity disorder
when a person feels the strong persistent identification with the opposite sex and expereinces discomfort with his or her own sex. Feels inappropriate in the gender role of that sex. Therefore wants to be the ooposite sex and often takes on stereotypical roles of the opposite sex.
Primary sleep disorders
sleep disorders not related to any medical or substance use or mental disorder
Sleep disorders are usually divided into what two categories?
Dyssomnia and parasomnias
Dyssomnias disorders are characterized by
disturbances in the amount of sleep, the quality of sleep and time of sleep
-Primary insomnia
-Primary hypersomnia
-narcolepsy
-Breathing related sleep disorder
-Circadian rhythm sleep disorder.
Primary insomnia
Difficulty falling asleep or the presence of nonrestorive sleep for one month
Primary hypersomnia
Excessive sleepiness for one month. As evidence by prolong sleep or daytime sleep episodes
narcolepsy
irresistible attacks of restorative sleep accompanied by cataplexy or intrusion of REM sleep during the transition between sleep and wakefulness
Breathing related sleep disorder
Disturbances in sleep due to lack of breathing from sleep apnea or central alveolar hypoventilation
circadian rhythm sleep disorder
A pattern of sleep disruption involving excessive sleep or insomnia due to a mismatch betwen the individual's natural slep wake cycle and the requirements of his or her schedule
Parasomnias
involve behavioral or physiological abnormalites during sleep or in the sleep wakefulness transition
nightmare disorder
repeated awakenings from frightening dreams that threaten self esteem, survival or security. The patient usually recalls in details these dreams
Sleep terror disorder
abrupt awakening from sleep beginning with a panicky scream or cry. It is very hard to awake someone from this state and when they do they are often confused and don't recall the dream. They show signs of fear during the sleep terror.
Sleep walking disorder
walks during sleep. Unresponsive to attempts to be awoken has blank stares. Occurs during slow wave sleep.
anorexia nervosa
1. Refusal to maintain a normal body weight
2. intense fear of gaining weight
3. distorted body image
4. in females amenorrhea
The restricting type
(anorexia nervosa)
weight loss is accomplished by dieting, fasting or excessive exercise. There is no binging and purging
The binge -eating/purging Type
weight loss is accomplished by binge eating and purging during anoretic episode
Bulima Nervosa
recurrent episodes of binge eating that is accompanied by a sense of lack of control, inappropriate compensation (binging) and self evaluation influenced by body shape and size
antisocial personality disorder
the person over 18 had no regard and violates the rights of others. He or she must have had conduct disorder when they were 15 and have three of the following symptoms since 15. Failure to conform to social norms with respect to social laws, deceitfulness, impulsivitiy, reckeless disregard for the safety of self and others, consistent irresponsibility and lack of remorse
antisocial personality disorders
usually violate the law and manipulate others for sex, money, power or other personal gain and persistently lie.
Individuals with Antisocial personality disorders often have ___________levels of anxiety and arousal.
Lower than average
what makes individuals with anti social personality disorder insensitive t opunishment and other aversive consequences?
having lower than average levels of anxiety and arousal
Why are antisocial personality disorders difficult to treat?
individuals with this disorder often are resistent to treatment and more interested in manipulating the therapists.
Borderline personality disorder
pervaisive pattern of instability of interpersonal relationships, self image and affect and marked impulsivity.
at least five sypmtoms must be present to diagnose a border line personality disorder
1. fear of abandonment 2)pattern of unstable relationships that is marked with idealization and devaluation 3. instability of sense of self or self image. 4. impulsivity in at least two areas that are self damaging. 5 recurrent threats of sucide or gestures, 6. affective instability, chronic feelings of emptiness.
Individuals with borderline personality disorder fear what?
Abandonment. They may engage in self destructive behaviors inorder to prevent others from leaving them.
relationships and borderline personality
intial engagement includes idealization but is quickly followed by devaluation and disillusionment.
Histrionic personality disorder
individuals are constantly seeking attention and emotionality. They feel uncomfortable when not in center of attention, interactions w/ others are inappropriately sexual or provocative, they have rapidly shifting or shallow emotions, impressionistic speech lacking in detail, exagerrated expression of emotion, easily influenced by others and considers relationships to be more intimate than they are (five of these)
Indiviudals with histrionic personality disorder tend to. ... however they quickly __________ their appeal because these individuals consistently demand to be __________
Draw attention to themselves and easily attract new aquaintainces.

lose


the center of attention
narcisstic personality disorder
pervaisive pattern of grandiosity, need for admiration and lack of empathy.
list at least five symptoms necessary for narcisstic personality disorder
1. grandiose sense of self importance; preoccupied with fantiasies of unlimited success power, beauty , love,; believes she is unique, requires excessive admiration, sense of entitlement, interpersonality exploitative, lacks empathy
individuals with narcisistic personality disorder often have a _________sense of themselves and believe________________
over inflated.

that other's feel the same way about them
avoidant personality disorder
person has a pattern of social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation
list four characteristics of avoidant personality
Avoids going to school or work for fear of critism, rejection or disapproval, doesn't get involved with people unless they are sure they will be liked, preoccupied with concerns of being criticized or rejected, views self as being socially inept, inferior or unappealing to others. Not willing to take risks
______________and ___________are useful for improving self confidence while ____________with relaxation training can help reduce social anxiety
Assertiveness training and social skills training
Dependant personality disorder
exceesive need ot be taken care of which leads to submissive and clingy behaviors and fears of separation.
List five characteristics of dependant personality
doesn't make decisions with out advice from others. Goes out of their way to seek nurturance from others. Does not disagree with others for fear of loss of support. Needs others to assume responsibility of their lives. Has difficulties intiating projects on their own
Obsessive -compulsive personality disorder
individual is preoccupied wiht orderliness, perfectionism and mental and interpersonal control which have the effect of severely limiting flexibility, openness and and effiency
List at least five characteristic symptoms
preoccupied with details that major point of activity is lost, perfectionism, excessive devotion to work preductivity that excules leisure activites and friendships, overconscientious and inflexible about morality, ethics and values. ubable to discard worn out or orthless objects, reluctant to delgate work to others unless they are willing to do it his way
What is the purpose of direct social work?
To increase social functioning
To alleviate personal dysfunction
promote social justice
The purpose of social work is to . . .
increase social functioning. Social workers attempt to increase the fit between human needs and resources and environment. Adequate fit increases the probability that the individual will gain personal fullfillment and become a productive member of society
WHat are the human needs and the environmental resources that can fill them?
Basic needs: shelter,food clothes can be fulfilled by social welfare systems, economic systems
Personal fullfillment can be filled by education, religious organizations, recreation;
Postive self image: Fulfilled my nuturance, acceptance, love and affirmation
emotional: companionship, self worth, belonging can be filled by friends, family, social network, and cultural reference groups.
What three ways do social workers increase socail functioning in individuals?
Provide prompt services to individuals at risk to prevent the development of dysfunction. To rehabilitate those whose functioning is limited by physical and mental disability. Eliminate and remedy problems that have already occured.
what is the importance of alleviating personal dysfunction (a purpose of direct social work).
Because of personal dysfunction clients cannot access the resources that are vailiable to them. Alleviating peronal disfunction by helping clients aquire interpersonal skills and let go of emotions impending their personal functioning.
psychosocial assessment
enables socialworker to thoroughly explore a client's problem and determine a client's expectations about therapy. Examines all aspect of the client's life both positive and negative. Leads to an understanding of the client's world
Problem system
Consist of three interacting systems that create or maintain the problem. Intrapersonal (biophysical and psychological), interpersonal( family, other relationships) and environment(support system and access to needed resources.
Example of how problem system create or maintain a problem
A person might be experiencing depression (intrapersonal). Because of this he is unable to reach out and interact with his family or friends (interpersonal). Lack of support in turn makes it hard for him to recover and he continues to remain in a depressive state. Furthermore being in an depressive state makes it difficult for him to access the avaliable resources (environmental) that would enable him to recover. Furthermore, social isolation (environmental) could lead to lowered self esteem (intrapersonal).
What the social worker should be asking during the interview.
The social worker should be inquiring about many other factors related to the client's life. This includes family history, how he related to family members, marital status of parents. Relationship status of the client. Living situation.
what social workers should ask during psycho social assessment Part II
Health and physical functioning: Because physical health can affect his psychosocial functioning it is important that health information is gathered. SOcial workers should encourage their clients to see a physician for a physical. The social worker should know the client's medical history, hospilization, diseases, whether or not and when he used drugs and how much.
Psychosocial assessment factors part III.
Interpersonal relationships: Social workers need to ask clients about their past and present relationships with friends and family and significant others and how he percieved him self and the relationships. This gives the social worker ideas of how he relates to others in and out of his/her immediate family.
psychosocial functioning factors part IV.
Social workers should be interested in any work or school attendence, how he feels about it. SW would also need to know about any history both family and ct regarding any compulsive and addictive behavior : anorexia, OCD, substance abuse.
Mental functioning: Any mental illness in the family or past dx of mental illness, any hospitlizations, oriented to time and place?
Cultural background. Social workers need to know the cultural, religious background of his client
Vineland adaptive behavior scale
designed to primarly test the adaptive functioning of mentally retarded children and adults, this test assesses a person's developmental level with regard to his/her ability to look after his /her own practical needs. Scores ore on four behavior domains. (communication, daily living skills, socialization and motor skills.
measures for the assessment of mental retardation
System of multicultrual pluralistic asessment (SOMPA)
-Vineland adaptive behavior scale
-AAMD adaptive behavior scale
System of Multicultral Pluralistic Asssesment (SOMPA)
integrates three components (medical, social system and pluralistic or sociocultural background). it also yeilds an ELP score (estimated learning potential) in conjunction with other tests. . It is used to estimate the extent to which children would benefit from programs designed for children with similar backgrounds.
AAMD Adaptive Behavior Scale
appropriate for three and above this scale is used to access how individuals cope with the social and natural demands of his or her environment.
Measures for individuals with Physical handicaps
Tests deveoped as alternatives to the Stanford-Binet and Wechsler tests for assessing the general intellectual ability of individuals with physical handicaps. Hiskey-nebraska test of Learning Ability, the Haptic Intelligence scale for the blind, Peabody picture vocabulary test.
Cross cultral tests
Culture fair tests: test developd to over come the problems of disadvantage background, minority or subcultral using a non verbal format. Such tests in includes the Leiter International Performance scale, The IPAT culture Fair intelligence Test , the Progressive Matrices Test and the Goodenough Draw-a Man Test.
Peresonality tests
Used when a social worker suspsects a personality pathology or to find out how his personality is affecting his relationships with others.
Catorgorized as either structured or projective.
Structured (objective) Personality test.
Minnesota multiphasic Personality Inventory
-Edwards personal Preferene Schedule
-California psychological Inventory
=Sixteen personality Factor questionaire
Edwards Personal Preference Schedule
developed on the basis of Murray's personality theroy, tests correspond to the 15 needs: achievement, exhibition, autonomy, affilation, nuturance
Sixteen Personality Factor Questionaire
identifies 16 primary source traits such as resrved versus warm hearted, trusting versus suspicuous, practical verses imaginative) designed for indivudals age 16
California Psychological inventory
Designed for thirteen years old and older. Similar to MMPI but emphasis is on positive normal affects of personality rather than psychopathology.
Projective Personality tests
examinees are prepresented with unstructured, ambiguous stimuli and must be subjectively scored.
Free association
client says what ever comes to their mind first. bassed on the premise that associating with out censure allows the unconscous material to surface into consciousness.
dream Analysis.
Free association about the events in a dream to identify it's latent (unconscious content).
resistance
When a client becomes aware of their unconscious material they might start to feel anxiety and not want to deal. Resistance comes in the form of missed appointments or tardiness
Transference
The therapist neutrally allows the client to bestow feelings upon him that he had for other people in the past. Postive transference vs. Negative transference. The fomer underlies what appears to be a quick improvement in symptoms during the early stages of therapy. Negative transference is viewed as form of resistance.
Countertransference
therapist inappropriate emotional actions to a client.
Clarification
restating the client's rearks and feeings in her behavior in a new way
Confrontation
point out discrepancies in his behavior.
interpretation
Connecting current behavior to unconscious thoughts
Catharisis
Emotional release resulting from the recall of unconscious material.
Repression
basic form of defense mechanism. information is excluded from the consciousness by keeping them in the unconsciousness
Regression
occurs whena person retreats to an earlier stage of life and his behaviors are characteristic of that stage.

Ie. a grown man who acts like a baby when sick to be nutured
reaction formation
anxiety evoking event is avoided by expressing the opposite.
displacement
Transfer of an instinctual drive from it's orginal target to a less threatening target so that the drive can be more safel expressed
sublimation
unacceptable impulses are diverted into a socially acceptable even admirable activity
Denial
a person admits the anxiety evoking thought, impulses but denies that it is personalyl relevant. Related to a child's magical power of thoughts and words
Introjection
ascribing the thoughts and behaviors of others to one's self to better control one's affective responses to those thoughts and behaviors.
Rationalization
when a person interprets his or her behaviors in a way that makes them seem more rational , logical or socially acceptable.

ie. a person who fails a test will attribute his bad grade to the teacher's poor teaching skill rather than to his poor study habits.
fixation
when the individuals libidinal energy remains invested in an unresolved confliect
undoing
a person repeatedly engages in a behavior to undo the effects of a past behavior that he or she has found unacceptable. The behavior is the opposite of the unacceptable behavior.
teleological approach
Adler believed that behavior is purposeful and is driven by a person's future goal's rather than past events.
idiographic approach
involves an intensive investigation of an individual inorder to understand the his personality
nomotetic approach
studying a variety of people to derive general principles about personality and behavior.
What are key concepts to Adler's personality theory?
inferiority feelings, striving for superiority, style of life and social interest
adler's individual psychology
Adler disagreed with Freud in that personality is driven by unconscious instinctives and his lack of attention to social factors. Adler believed that personality is based on future goals rather than past events. His approach to personality is an idiographic approach which involves an intensive investigation of an individual in order to understand his personality rather than taking a nomothetic approach which entails studying a variety of people ot derive general principals about personality and behavior.
Adler's personality theory
inferiority feelings, superiority, style of life and social interest are key concepts in Adler's personality theory. According to him people experience inferiority feelings during child hood as a result of real or imagined biological, psychological or social weakness. And superiority is an inhernt tendency toward perfect completion. The style of life is the specific ways that a person chooses to compensate for inferiorty and achieve superiority.
Adler's healty and unhealthy style of life
is distingished by social interest. Healthy life style is marked by goals that reflect optimism and confidence and that entail contributing to the welfare of others. While a mistaken style of life is characterized by an absense of social interest. Goals that reflect selfcenteredness, competitiveness and striving for personal power.
Adler's View on maladaptive behavior
disorders represent a mistaken style of life which is characterized by self centeredness, competitiveness, need to strive for superiority and compensating for inferiority and lack of social interest
Adler's therapy goals and Techniques
adler believes in establishing a collaborative relationship with the client, help the client to identif and understand his style of life and its consequences and reorient the client's beliefs and goals so that they reflect a more adaptive lifestyle.
Techniques used by adlerian
Life investigation:
Study of dreams: Dreams are a source of information about a client's life style and progress in therapy.
Interpretation of resistance and transferences: resistence and transference according to adler is an is viewed as reflections of the client's style of life.
more of Adlerian techniques
Acting as if: role playing
Paradoxial intention: alderians make use of client's resistance by requesting them to pay closer attention to them or to exaggerate their undesirable thoughts and behaviors.
Giving Encouragment and advice: Adler believes that the therapist primary goal is to offer encouragement since clients are viewed as discouraged rather than being sick. Therapist should offer alternative courses of action from which the client can then choose.
Jung's analytical Psychotherapy
Jung belived that behavior is determined by both past events and future goals and aspirations. Personality is the consequence of both conscious and unconscious factors. Unconscious represents the individual's thoughts, ideas, feelings, sensory perceptions and memories and is oriented toward the external world and governed by the ego.
Jung's view of the unconscious
Unconscious is made personal unconscious which contains experiences that were once conscious but now are repressed or forgotten or were unconsciously percieved and the 2) cllective unconscious is latent memory traces that have been passed down from one genration to the next.
archetypes
primordial images that cause peple to experience and understand certain phenomena in a universal way.
Jung also described personality as consiting of two attitudes and four basic psychological functions these are:
extraversion and introversion and four basic psychological functions, thinking, feeling, sensing and intuiting.
Jungian perspective of maladaptive behavior
symptoms are unconscious messages to the individuals that something is awry with him and that present him with a task that demads to be fulfilled
Whats is the primary goal of Jung's Analytical psychotherapy?
To rebridge the gap between the conscious and the personal and collective unconscious. This goal is achieved by interpretations that help the client become familiar with his or her inner world. Dream work is a key component of therapy because it is believed to be how collective unconscious is expressed.
Jungian and transference
Transference according to Jung is thought to be projections of the personal and collective unconscious and feels that transference plays a crucial role in therapy. However, he also considers countertransference to be a useful therapeutic tool that can provide the terapist with information about what is happening in the course of therapy
Neo Freudians
emphasize the role of interpersonal and other social influences rather than the importance of instictual forces in personality development
Neo freudian view of maladaptive behavior
Some of neo fruedians accept Freud's notion that anxiety is the basis of neurosis and that he origins of neurosis can be traced back to child hood. Horney believed that anxiety is the direct relationship of the child's interpersonal relationships. Basic anxiety
Ego analysts
Ego analsysts emphasise the ego on personality development (hence the name). They distinguish between two ego functions: The ego defensive functions and the ego autonomous functions. The ego defensive functions are similar to those described by freud and are involved in the resolution of conflict. The Ego autonomous functions however represent the "confliect fee ego sphere" and include such adaptive functions such as speech, learning, memory and pereption. They view personality as COUNTINUING THROUGH OUT THE LIFE SPAN RATHER THAN BEING FIXED IN CHILDHOOD
Ego's view on maladaptive behavior
pathology occurs when the ego loses it's autonomy with the id. The behavior is no longer under conscious control.
Ego analysts therapy goals and techniques.
Follow early classical psychoanalysis but emphasizes more on the present than on the past.
Object relations
Object relations and Freud share similar approaches in that they both examine the relationship of a young child with objects or significant others
Object relations personality Theory.
object relations approach focuses on the processes y which an infant assumes its own physical and psychological. For mahler, development entails the following phases. In the first month of life , the infant is an state of normal autism and is essentially oblivious to the external environment. The symbiotic phase if from the second to the eight month and is fused with its mother and does not differentiate betwee "I" and "not-I"
Development of separation individuation phase is where the development of object relationsihps occurs.
Object relations view of maladaptive behaviors
Different disorders are the result of abnormailites in early object relations. From Mahlers perspective, different disorders are associated with disturbances and fixation at different stages of development
counterconditioning
Pair maladaptive behaviors with an imcompatible behavior to eliminate the former.
Humanistic existential Theory and Models
1. To understand a person, one must undertand his or her subjective experience. 2. Emphasis on the uniqueness and "wholeness" of the individual. 3. focus on current behaviors. 4. individiual's inherent potential for self determination and self actualization. 5. therapy is authentic, collaborative, and egalitarian relationship between the client and therapist
Therapy models included in Humanistic and existential Theory models
Person-centered therapy, Gestalt THerapy, Transactional analysis, and reality therapy
Person CEnter Therapy
Carl Rogers. Every one has an innate self actualization tendency. This is the major source of motivation that guides them toward positive healthy growth.
Person Centered and Personality theory
Central concept: notion of self. To grow toward self actualization, the self must remain unified, organized and whole.
Person centered therapy and Maladaptive behavior
self becomes disorganized when there is an incongruence betwen self and experience. Incongruence occurs when the client encouters conditions of worth. Incongruence produces unpleasant visceral sensations that are expereinced as Anxiety. Seves as an signal that the unified self is being threatented. Anxiety may be alleviated through devense maneuvers such as perpetual distortion an denial.
Therapy goals
Primary goal: to help the client achieve congruence between eslf and experience. THis leads her to become a more fully functioning self actualing person.
therapy techniques and Person centered
unconditional postive regard: The therapist accepts the client for who they are. Does not pass judgement, must genuninely care about the client and affirm the client's self worth. Empathy: Therapist must convey that he undersands the world as the client sees it. Genuineness. Must be genunine and congruent in his word and behaviors
Person centered
Is non directive: does not interpret, manipulate, adivce or diagnostic lables. The client is the expert of his or her own inner processes and encourages clients to arrie at their own insights and decisions.
gestalt Therapy
Based on the premise that people are capable of assuming personal responsibility for their thoughts, feelings and actions and living as an integrated whole. Related to concepts drawn from Gestalt therapy: people tend to seek closure. 2. a Person's gestalts reflect his or he current needs. 3. Behavior represents a whole that is greater than the sum of its parts. 4. Behavior can only be understood in its context. 5. A person expereinces the world in accord with the principal of figure ground.
Gestalt therapy and personality theory
Personality consists of the self and the self image. SElf is what promotes creativity in the individual to move him toward self actualization or an integrated whole. The self image hinders growth and self actualization by imposing external standards. Person's interaction with the environment early in life determines which personality trait will dominate.
Gestalt and view of Maladaptive behavior
gestalt therapy considers maladaptive behavior as a Growth disorder. This is when the person abandons the development of self for the self image. It also stems from messed up boundaries between the self and the environment. (disturbance) that interferes with the person's ability to satisfy his or her own needs and thus reach homeostasis. There are four boundary disturbance.
Four boundary disturbances as outlined in Gestalt therapy
Introjection
Projection
retroflection
confluence:
Confluence
The absence of boundaries between self and environment
Therapy goals of Gestalt therapy
help a client achieve integration of the various aspects of the self in order to become a unified whole.
Gestalt therapy techniques
like prson center, gestalt also uses a noninterpretaive technique that focuses on the present awareness that doesn't focus on cognitive interpretation. They regard transference as "transference fantasy" and helf the clients to recognize the difference between reality
One of the primary factors in gestalt
foster awareness or a full understanding of one's thoughts feelings and actions. Therapists do this by directed awareness: Asking simple direct questions to keep the client in the here and now. NO questions: clients are discouraged to ask questions especially why questions because it masks ture feelings and fosters intellectualization.
Using I langanguage: Clients are encouraged to begin sentences with "I" in order to help them assume responsibility for their actions. Assuming responsibility: Clients are asked to tack on the phrase: ANd I take responsibility for it. Empty chair technique. And dream work
Family Therapy
built on general system theory which proposes that family is an entity that can be understood through the mutual interaction of it's components. It is an open system in which it takes in input and discharges output into the community or the environment. This system continues to strive for homeostasis or equilibrium.
Cybernetics
another model of the family therapy theory and is based on the concept of feed back loops either negative or postive feed back. Postive feedback encourages deviation or change which can disrupt the system and result in breakdown or runaways. The negative feed back loops reduce deviation and help a system maintain it's status quo. IN therapy, positive feed back promotes appropriate change in a dysfunctional family system
Application of family therapy
Family therapy is preferred over individual therapy when the later has not been effective, when a change in the client will affect the whole system, when there is a family conflict, when the family is maing one member the scape gaot for shared problems or when there is a family related crisis. It is not appropriate however when the family members are unavailable or not willing to participate.
communication interaction therapy assumption
1. People are always communicating even when they are doing nothing. 2. Communication has a report and command function the report function is the content (informational) aspect of communication and the command function is the nonverbal that portrays the relaships between the communicator. Problems arise when these two are not consistent. 3. Communication patterns are either symettrical or complementary. Symmetrical reflects equality between communicators and may foster competiveness. 4. Principal of equifinity: the result will be the same no matter where the change occurs in the system
Coomunication interaction Family therapy view of maladaptive behavior
Circular model therapy: Symptom is a cause and effect of dysfunctional communicational pattern. it includes blaming, using incomplete statements, mindreading, over generalizing. Making statement s that imply the events are unalterable
Communication /interaction family therapy: Therapy Goals
to alter the interactional patterns that maintain the present symtoms
Therapy techniques for Communication /interaction Family therapy
direct techniques: pointing out to family members problematic interaction patterns as they occur. Teaching family members the rules of clear communicatio nand interpreting interactional patterns. Indirect techniques: include paradoxial strategies in which the faily members have to engage in the dysfunctional behavir or relabeling.
Homogenous
Possseing the same or similar charcteristics
Hospital social Work
Social Work Services provided in a hopsital or other health care facility including, preventative, rehabilitative and follow up activities, helping patients with social and economic aspects of their care, patient and family counseling, discharge palnning , and proisions of information.
Humanistic Psychoterapies.
Share a phenomenological perspective and view of the individual as unique. A herean d now perspective and an emphasis on individual awareness and responsibility and a believe that people have an innate capacity for positive growth and self actualization.
AB Design
A single subject research design that includes a single baseline (A) phase and a single treatment (b) phase. A short coming of this design is that it does not aequately control history which can threaten a study's internal validity
Alpha (Level of signfcance)
The probablilty of rejecting the null hypothesis when it is true (ie the probability o maiking a type one error. The value of alpha is set by the experimenter prior to collecting or analyzing the data. In psychological research alpha is commonly set at either .01 or .05
Alternative hypothesis
The statistical hypothesis that states that there is a relationsip between the IV and the DV . The alternative hypothesis can either be directional or non directional.
Analogue studies
Studies conducted in a facsimile of reality. that is studies conducted in laboratory or other artificial setting. A problem with analougue studies sis that their results may have limited generalizability
Analysis of covariance (ANCOVA):
An extension of the Anova used to increase the efficiency of the analysis by statistically removing variablity in the DV that is due to an extraneous variable.
Arithmetic Mean
The measure of central tendency that is the arithmietic average of a set of scores. THe mean can be used when scores are measured on an interval or ratio scale.
Attrition (mortality)
Extraneous variable that threatens a study's interal validity during the course of the study differ in some relevant way from subjects who drop out of another group. When attrition occurs, it is not possible to tell if differences between group at the end of a study are due to the effects of the IV or to biases introduced by attrition.
Behavioral sampling :
A method of samping behavior in observational studies that usually entails some type of time and or event samping: (recording whether or not a behavior has occured during certain pretermined time intervals)
Bbetween groups designs.
Studies in which the effects of the different levels of one or more IVs are compared by administering each level or combination of levels to different group of subjects
Blocking
a method used to control the impact of extraneous variable when an investigator wants to statistically analyze its effects on the DV. Incolves blocking (grouping subjects with regard to their status on the aztraneous variable and then randomly assigning subjects in each bloc kto one of the treatment groups.
Carry over effects
A threat to a studies external validitiy that occurs in studies utilizing a repeated measure (within in subject) design when the effects of one levl of an IV affect how subjects respond to another level. Can be controlled by using a counter balanced design. Also known as practice effects, order effects and multiple treatment interference.
Case studies
a general term used to descrbe an indepth investigation of a single indivdiaul, family, organization. Although case studies are sually classified as descriptive research, the can be conducted as experimental studies. That is a in a single subject research. A short coming of case studies is that their results m ight not be generalizable to other cases
Central limit theorem
The tehorem derived from probability theory that predicts that the samping distribution of means will approach a normal shape as the sample size increases, regardless of the shape of the population distribution of scores. )also derived from probability theory are the predictions that the mean of sampnig distribution of means equals the population mean and its standard deviation equals the population standard deviation divided by the square root of N>.
Cohort effects
the effects of being part of a group that was born at a particular time and as a result was more exposed to unique educational, cultrual, and other experiences. Cohort effects can confound the results of a cros-sectional study since any observed differences between age groups might be due to these effects rather than to differences in age only.
Correlation coefficient
a numerical index of the relationship (degree of association) between two or more variables. The magnitude of the coeffiecient indicates the strength of the relationship; its sign indicates that direction (positive or negative.)
Acces provision
Actions taken by an agency to ensure that its services are available to the target population. examples include educating the public about the service, establishing convenient referral procedures and having ombudsman services to deal with obstacles to getting the service
Accountability
THe duty of a profession to notify the public about its functions and methods and to provide assurance to its consumers that members of the profession meet certain standards of competence. 20 the conditions of being answerable to the community to one's consumers or to supervisory groups
Accrual Acounting
Accounting method in which every expense is regarded as Debt even if actual funds have not been spent, and every payment owed is viewed as an assess, even if pay ment hasn't been recieved
Activism
ORganized behavior that seeks to achieve social or political objectives
Administration in social work
Includes activites and skills geared toward making staff and processes in an organization operate in a way that achieves its desired goals. It is typically humanistic in nature. Fucntions include planning, organizing, developing resources, budgeting, program evaluation, staff development, interorganizational relations, and management
Advisory Board
Comprised of individuals who have particular expertise, their role is to provide information, expert opnion and recommendation to an organization about how its goals can be achieved. THe members may be hired, elected or drafted as volunteers and sometimes include the agency's board of directors.
Advocacy,
In social welfare administration, activites aimed at informing the public in order to persuade people that change is necessary; administratiors use advocacy to get porfessional support for their view of how the community should develop. The goal is to get support (including resources from finacial and or decision making powers
agitator
Associated with community organizing. A person or a group who tried to promote change in a social institution. This can be done in many different ways (eg votor registration, publicity but the goal is alays institutional change.
Anomie
Occurs when the values, mores, norms, and codes of conduct for a community society or other group have been either eliminated or weakend. In this condition, individuals are often alientated and apathetic , and lose sight of their goals. Anomie is often found in rapidly changing communities or societes or in groups that expereince extreme stress.
Appropriation
The designation of funds to a specific group, agency or program. These funds are typically allocated by a governmental agency to enable the recipient to meet a specific goal.
Authoritarian Management
A managemnet style in which organization leaders have a fairly non -democratic philosophy of leadership. THe manager typically does not involve employees in decision making and submission to authority is expected .
Autonomous practice
those who practice professionaly without being under the auspices of an agency or other formal organization. Such professionals usually determine their own procedures and policies according to the goals and objectives of their practice. However they are expected to to follow the ethical and procedural guidelines established by their profession.
Barclay reprot
Report resulting from a 1980 british study on the need for and deliveryof social services and the role of social workers in delivering social services. THe report recommneded more social wokrers involvement in the counseling, social planning, promoting community decision networks, negotiation and social advocacy.
Bargaining
Associated with community organizing and planning. A process of negotiation/compromise that takes place between disputing parties. THe give and take process ideally results in an even exchange between groups
Basic Needs
Items considered by socal planners to be necessary for maintaining persoal well being: include adequate food, shelter clothing , heating fuel, clean water and security from bodily harm
zero based budgeting
budgeting based on zero mones at the start of the budget year organizations must justify each dollar requested fro the year, designed to eliminate unncessary budget allocation
malingering
involves the voluntary faking of physical or psychological symptoms in order to gain some reward or avoid responsibilities
Motivating staff and raising moral
participative leadership. staff should be a part of the assessment of the conflict situation and advise ways to resolve it.
Classical conditioning
occurs when an unconditioned stimulus is paired with a conditioned stimulus until the CS comes to elicit the same response (conditioned response) that is naturally elcited by the US
Shaping
application of operant conditioning. Involves reinforcing successive approximations of a behavior until the behavior is learned
Operant conditioning
response is earned or stregnthened as a result of reinforcement
negative reinforcement
application of operant conditioning. It involves removing an aversive stimulus to encrease the probablitity or strengh of a behavior
Variable interval schedule
variable interval schedule.: the time interval between the delivery of reinocers varies in unpredictable ways. (surprise test)
fixed ratio schedule
reinforcer is delivered each time the subject makes a specific number of responses (piece work)
variable ratio schedule
reinforcement occurs after a variable number of responses. A gambler recieveds reinforcement (money) after a variable number of responses.
fixed interval schedule
the subject is reinforced after a fixed period of time regardess of the number or responses made. (weekly pay checks)
Primary prevention programs
programs focus on preventin the development of mental disorders: ex. prenatal care ofr women in low ses groups and public education programs about dru and alcohol use.
secondary prevention programs
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tertiary prevention programs
designed to eliminate or reduce the residual disablities that exist after the onset of the disorder (alcholism and drug abuse) AA and synon.
crisis intervention
goal: to reach an individual in the early stages of a crisis in order to help him or her deal with the crisis in an effective manner. `
object permanence or object concept
key accomplishment of piaget's sensorimotor stage
Beck's hopelessnes scale
used to measure depression and assessing suicide ris. It is based on the assumption that hopelessness about the future is a good predictor of suicidal ideation and attempts.
id
present at birth. Operates on the basis of pleasure principal because it seeks immediate gratification of its needs in order to avoid tension.
Ego
develops at around six months of age. Operates according to the reality principal. It defers gratification of the id's insticnts until an appropriate object is available in reality.
dynamic principle
refers to the emphasis in psychoanalytic theory on understanding the individual in terms of the dynamic interactions (conflicts) that occur between the id, ego and superego.
genetic principle
psychoanalytic emphasis on the importance of childhood experience
covert sensitization
behavioral technique in whcih the aversive counterconditioning is done in the imagination.
in vivo flooding
more effective for agoraphobias.
satisficing
chosing a compromise that keeps the groups progressing toward a common goal
induction
purposely bringing up differences in opinons between groups in order to get the groups to actively discuss and wor toward resolving their differences
Co-optation:
trying to get everyone to work together toward a goal. Reduce conflict by including the expected opponets in your group.
Polarization
highlighting the differences between the groups in order to increase the conflict between them and to motivate them to make organizational improvements
Structural family therapy
dysfunction as resulting from an inflexible family structure that prohibits the family from adapting to situational and maturational changes
Communications/ interpretation (experiential family therapy)
purpose of symptoms is to maintain homeostasis in family. Pathological failies are stuck in dysfunctionaly comunication patterns. Change is a threat the to the family system. Goal of therapy is to alter the interactional patterns that maintain the presenting sympton
Basic principals of Communications family therapy
all communication has a report level and a command level (see other slide). relationships are either complementary or symmetrical. Principal of equifiniality and circular model of causality.
report level
the stated content of the message
command level
metacommunication or a covert message relative to how the commmunication is to be taken
symmetrical relationships
eglatarian relationships (equal). roles are mirror imagines. Competiveness
Complementary relationships
relationships that involve a fit between different roles. Reflect inequality and maximize differnces in communicators
principle of equifinity
the end result will be the same no matter where in the system the change occurs
circular model of causality.
behaviors of a different subsystem of a system reciprocally impact eachother
command level
metacommunication or a covert message relative to how the commmunication is to be taken
symmetrical relationships
eglatarian relationships (equal). roles are mirror imagines. Competiveness
Complementary relationships
relationships that involve a fit between different roles. Reflect inequality and maximize differnces in communicators
principle of equifinity
the end result will be the same no matter where in the system the change occurs
circular model of causality.
behaviors of a different subsystem of a system reciprocally impact eachother
dysfunctional communication
blaming and criticizing,mind reading, making incomplete statement, making statements tat imply that events are unalterable. denying. over generalizing, disqualifying.
dysthmic disorder
must be present for more days than not over a period of at least two years . Chronic less severe
major depressive disorder
depressed mood for most of the day every day for a period of at least two weeks. Can be distinguished from from normal functioning.
Buckley amendment
grants students over the age of 18 the rigth to inspect their student's records
Demand characteristics
cues in the situation that inform a subject how he is expected to perform in the course of the study and therefore affect his performance.
dysfunctional communication
blaming and criticizing,mind reading, making incomplete statement, making statements tat imply that events are unalterable. denying. over generalizing, disqualifying.
dysthmic disorder
must be present for more days than not over a period of at least two years . Chronic less severe
major depressive disorder
depressed mood for most of the day every day for a period of at least two weeks. Can be distinguished from from normal functioning.
Buckley amendment
grants students over the age of 18 the rigth to inspect their student's records
Demand characteristics
cues in the situation that inform a subject how he is expected to perform in the course of the study and therefore affect his performance.
Hawthorne effect
occurs when subjects behave differently that nthey normally would bcause they are aware they are being observed
evaluation apprehensive
desire of subjects to avoid negative evaluations
experimenters expectancy
tendency of experimenters to treat subjects in a group differently.
Self monitoring
client records inofmration about the frequency and conditions surrouding a target behavior.
Alcohol withdrawl
tremors, nausea and vomiting, autonomic hyperactivity, depressed mood and irritablity, transiet illusions and hallucinations and insomnia
cocaine intoxication
euphoria, grandiosity, hypervigilance, impaired judgement, rambling and incoherent speech, perspiration, chils and the visual or tactile hallucination
hyperthroidism
endocrine disorder, produces weight loss , increased appetite, intolerance to heat, tremors and rapid heart rate.
caffine intoxication
psychomotor agitation, flushed face, diuresis, rambling speech and twitching.
reverse discrimination
described practies designed to protect minority group members that result in discrimination gainst majority group members
Ethnocentrism
emotional attitude that one's own cultrue or race is superior to any other.
paraphasing
restates the content o the message. does not respond to the emotional component of the client's message
reflection
restating affective component of the client's message. Shows client that his feelings have been understood.
goal of client center therapy
congruence between self and experience
Partialization
dividing a client's problems inot smaller more managable parts and determining what problems will be dealt with first and what problems will be dealt with later. Provides a client with a les threatening model for learning to cope.
anal stage
key task toilet training
Genital stage
12+ sexuality becomes becomes focus on mature, genital love and adult sexual satisfaction
Phallic stages
3-6. primary conflict a child needs to resove is the oedipus .electa complex. She is able to identify with the same sex parent and develop super ego.
Latency stage
developing social skill
positive reinforcement
application of a stimulus to contingent on a behavior to increase the likely hood that the behavior will occur again
postive punishment
withdrawl of a stimulus contigent on the performance of a behavior in order to decrease the liely hood that the behavior will occur again.
directives
Strategic family therapist tells the family members precisely what tasks he o r she wants them to perform
Paradoxical directives
Strategic family therapists prescribe the symptoms. He assigns the members to act out a symptom he wants to resist. As a result the family will rebel and result in the desired change
STrategic Family therapy
rapid change and use resistance of the family members in the service of change. Views that communication defines relationships and that every relationship is a struggle for power ie, who defines the relationship. Symptoms reflect this. Therapist relieves symptoms by defining alternative ways of defining relationships.
ordeal
a paradoxial techinque in making the client do something unpleasant when a symptom occurs. Ie buying his mom an expensive present each time he fights with her.
reframing
providing an alternate way of explaining the behavior.
How does Milan systemic therapy use techniques such as paradoxial directives? how is that different from strategic family therapy?
Milan systemic therapy uses techniques such as paradoxial directives to provide the family information that will provide family with informaiton that will help family members derive solutions to their problems. While Strategic family therapy use the paradoxial techniques to have the family resist the behavior.
What is paradoxial directives
Prescribing the problem symptom. In milan systemic therapy the goal is to provide family with information to solve their problems while in strategic family therapy the goal is for the family to resist he behavior.
What is another way of wording positive connotation? How is this useful in milan systemic family therapy?
Positive connotation is like reframing. The therapist explains to the family that they're problematic behavior is resistant to change to preserve the family.
according to Milan systemic therapy what is a open system? What is a closed system?
An open system, according to milan is a system that accepts information from outside itself while closed system does not accept information from systems outside itself.
define homeostasis
the balanced state systems seek to maintain.
How is milan systemic family therapy system different?
The use of a therapeutic team. one or two of the members meet with the clients while the other two observe from a one way mirror. . This way, terapist can share his observations or make suggestions.
What is hypothesizing in Milan Systemic?
the team uses the information collected in inital meeting to derive hypothesis of how the family functions.
Circularity
Problems in a system cannot be understood linear. Rather they must be understood in the context of the system
Circular questions
IN milan therapy, used to help family members recognize differences in their perceptions about what is occuring.
View of maladaptive maladative behavior
cicular patterns of action and reaction. Maladaptive beahvior results when a family's patterns become so fixed that family members are no longer able to act creatively or make new choices about their lives.
Restructuring the family is the main long term goal of what type of family therapy?
Structural family therapy
Enmeshed
when boundaries are too disfuse or permeable
Disengaged,
when boundaries are overly ridgid
What are some key words to identify family structural system
Boundaries. Enmeshed. Disengaged. Subsystems. Hireachies. Alignments. Family structural map. Family interactions!!!
What is joining in Structural family therapy?
thetherapist forms a strong bond with the family members and acknowedges the various perspectives and accommodating to the family organizations and patterns.
Extended family therapy systems
exteneds general systems tory beyound nuclear family
Differentiation of self
person's ability to separate his or her intellectual and emotinal functiong from the functioning of other family members. Lower levels of differentiation will mean that the individual will be more fused with the emotions that dominate the family
Undifferentiated family ego mass.
family who is highly emotionally fused.
Emotional triangle
Emotional instability experienced by two people brings in a third person to difuse the tension and increase stability. Lower level of differentiation in family members result in emotional triangles
Emotional cut off
dysfunctional methods used by children to free themselves from the emotional ties to their families. They avoid all emotional involvement
Multigenerational transmission process
dysfunction is viewed as a result of the transmission and escalation of a family's dysfunctional emotional system through several generations.
increasing differientiation of all family members is a goal of what family therapy
Extended family system
Therapeutic trangle
a therapist becomes the third member of the emotional triangle and remains objective and neutral.
Key words in extended family system therapy
Undifferentiation of self. Extended family. Emotional triangle. Emotional cut off. Multigenerational transmission process. Undifferentiated family ego mass. Therapeutic triangle. genogram. Detriangulation
Detriangulation
Therapist does not take sides with the couples and has them take responsibility for their action
For family structureal therapists a afamily structure is a function of
boundaries
List the family therapy with the appropriate leaders
Satir: communication/interpretation
Bowen: extended family therapy
milan: Systemic family therapist
Haley: strategic
mininchuen: structural
Admistration in social work
directs the overall program of a social agency
Functions of administration
setting agency program. Analyzing social conditions in the community, deciding what programs will be provided. finaces, securing funds. Setting organizational goals and helping to achieve these goals. Make necessary changes in procvess and structure to improve the effectiveness and efficiency of process that contribut to transforming social policy.
administrative objectives
meet specific organizational goals, protect the agency so that it survives and promote the growth of an organization.
conformity to group norm
highest wehn task is abiguous or complex, when group consensus is high and when members have participated in setting the group norms. People who are high in authrotarianism and low self esteem are more likely to conform.
idiosyncracy credits
a group allows a person to deviate from the norm when she has a history of conforming to the norm, has contributed in some special way to the group or has served as the group leader.
Criterion measure
test or measure to distinguish between acceptable and unacceptable levels of job performance.
objective measures of job performance
measures of job performace that directly assess productivity
subjective measures of job performance
Measures of the job performance or other behavior reflect the onion or judgement of the rater. Susceptible to raters bias
japanese management approach
emphasizes colective respnosibility and decision making, a non specailized career path, life time employment and implicit methods of control.
Job burn out
due to the effects of the job. Inability to cope with continued stress. Feeling of constant psychological exhaustion. Sign of burn out is increase effort but not an increase of productivity
leadership styles
autocratic, democratic, laissez faire. Autocratic style greater productivity when the manager is there.
management by objective
staff members participate in setting goals. This enhances the staffs commitment to attainment of the goal. Workers are more motivated to achieve goals when they have partcipated in the development therefore, MBO emphasizes the joint determination of goals by supervisor and worker
program evaluation
evaluate the effectiveness of a social program. identifies the program's objectives, specifies the tecnhiques for achieve these objectives collecting and analzing the relevant data
Formative evaluation
conducted during the planning and development of a program for the purpse of determining what modifications are needed to make the program more effective.
summative evaluation
a systematic evaluation of a program after it has been administered to deterine if its objectives have been met.
scientific management
advocates the use of scientific methods to increase the efficiency and productivty of workers and by also using pay as the primary motivator.
Human relations movement
emphasizes social relationships and the roles on productivity and moral. Hawthorne studies.
community organization
seeks to help individuals and groups deal with social problems and improve their social well being through planned collective action. Objectives: help community members achieve social justice and economic and social development and develop their capacity to help themsevls.
supervision
objectives are to improve the qaulity of an organizations service throuh more effective work anby staf and maintain the social workers ability to cope with their work and with difficult situations through support and guidence. Administration. Education and support.
Theory x and theory y.
Theory x believes that workers are lazy and avoid work and need tobe controlled and motivated (scientific Management). Theory y believes that people want to work and are self motivated and integrate personal goals with the organizations.
Training
Maximize motivation by ensuring that the materials learned are meaningful to the learner. B. provide immediate feedack. C. foster overlearning. Provide frequent opportunties gor practice. distributed or spaced practice is better than mass practice.
ON the job training
Internships. Provide ohands on participation and on congoing feedback, relevant to the job and provides maximum job opportunties for transfer of training.
Off the job training
Lectures, role playing. provides more opportunties to focus on specfic job elements to provide supplemental information and to use professional trainers and has the sufficient flexible t tolerate errors.
Amnestic Disorder
impairment to learn new information or to recall previously learned information or past event . Caused by general medical condition or substance abuse
Anorexia nervosa
fear of gaining weight. distorted body perception. onset at adolescent. Anorexic Binge eatting/purging type.
Bulima nervosa
recurrent episodes of binge eating and purging . Lack of control and compensary to lose weight such as self induced vomiting , excessive exercise or laxative or direutic use. Weight loss is not threatening.
Anterograde amnesia
loss of memories for events and expereicnes that occur subsequent to amnesia causing trauma
retrograde amnesia
loss of memories for events and experiences that occured in a perod of tie prior to an amnesia causing event
Antisocial personality disorder
a pattern of disregard for and violations of rights of other. Conduct disorder at fifteen and presense of charactistic at fifteen. 18 years old. Inflexible traits, persistent and maladaptive and ipair functioning or or cause subjective distress.
Adult anti social behavior
criminal agressive or other antisocial conduct that does not meet the critera for anti social personality disorer
Conduct disorder
Persistent pattern of behaviors that violate the rights of others and age appropriate social rules . Onset can be in childhood before 10 or in teens.
Autistic disorder
qualitive impairment in social interaction and communication and restricted repetitive and stereoytyped behaviors, interest and activities. Four times common in MALES. Abnormalities are present at after one year of birth.
Rett's disorder
Begins at five months: deceleratd head growth, loss of handskills and social engagement, poor coordination, impaired language development and psychomotor retardation. present in FEMALES only
Childhood Disintegrative Disorder
Charcterized by a significant loss of skill following seemingly normal development during a period of two years post birth. ressive and receptive language, social skills, control of bowel or bladder functions, play, motor skills. More common in males.
Autistic disorder:
significant impairment in communication inability and disinclination to communcate with others, idiosyncratic language, absense of age-appropriate imaginative social imitative play.) and socail interaction. Failure to for age appropriate relationships with peers
Asperger disorder
Impairment in social interaction. Non functional repetive sterotypical behaviors, interests NO DELAY IN LANGUAGE.
Attention deficit/hyperactivity disorder
evident before seven. Must be significant and evident in at least two different settings. Characterized by hyperactivity and inattention not account for by development. More common in males
Conduct disorder
violates the rules and norms of society and rights of other in a variety of settings. more common in ales. Child hood onset type before 10. Adolescent Onset type. after ten. More common in males.
tic
sudden rapid recurrent, non rhythmic steryotyped motor movement or vocalization.
Coprolalia
Obscene gestures , words
Palilalia
a repetition of one's sounds/words.
Echolalia
Repitition of last sound/ word of another individual.
Tourette's disorder
multiple motor tics and a minimum of one vocal tic over the course of the disorder. Must be repeated over aday, most days and no more than three consecutive symtom free monhts more than a one time period. More common in males
Chronic motor or vocal tic disorder
charcterized by either single or multiple motor tics or vocal tics over more than a one year time period. Tics occur repeately in aday most days with a maximum of thre tic free consecutive months.
Transient tic disorder.
Characterized by a single or multiple motor or vocal tics tha occur repetively over a day's time, most days for a minimum of a four week period and maximum of twelve consecutive motnsh. Individual has never met the critera for tourrette's disorder or chrontic motor or vocal tic disorder.
encopresis
pattern of expelling feces into places not appropriate by an individual who is at least four years of age. each month over a t least a three month period. Not due to substance or medical condition
Enuresis
pattern of urinating in bed or clothing by an individual who is at least five years of age. Must occur at least twice a week over at least three consecutive months or must result in significant distress or impairment. May be voluntary or involuntary.
Separation anxiety disorder
characterized by excessive anxiety around separation from signifcant others. Must be evident for a minimum of four weeks. Onset before 18
Selective mutism
persistent failure to speak in ceratin situations but an ability to speak in other situations. period of one month and not evident in the first month of school. Not diagnosed if it is apparent that the individual's failure to speak has it's roots in lack of failiarity comort with the language. More common in females
Reacive attachement disorder of infancy or early childhood.
inability to relate in most social situations. Inhibited type: characterized by failure to initiate and to respond to social interactions in a anner consistent with development level. Disinhibited. Indiscriminate socialbility.
Sterotypical movement disorder.
repetitive non funcional motor behavior body rocking, head banging. that disrupts the individual's life, that has the potential to cause physical injury requiring medical attention.
Delirium, dementia, and amnestic and otre cognitive disorders
signifcant decline in cognition caused by either t direct effects of substance toxin or a medical condtion or both. Substance/medical condition is provided as part of the diagnosis.
Delirium.
A disturbance in consciousness with a concomitant change in cognitiononsets a brief period of time and the disorders are dfined in terms of etiology.
Civil Rights ACt of 1964
Required that public facilities and schools be desgregated and that agencies recieving funds from the federal government end discrimniatory hiring
Voting rights act of 1965
Increased the federal government's role in legal actions involving civil rights, and banned the use of tests or other mechanisms to disqualify black people from voting
Economic opportunity act of 1964:
Provided education, training and employment opportuntities to reduce poverty. Estabished the following: Jobcorps: Local community action agencies. Volunteer servce to America
Job corps
Provided training of poor youths a neighborhood youth coprs to emply teenagers, a legal aid program, and medical clinics in low income areas.
Local community Action agencies,
whcih coordinated local programs for poor people. In particular, they funded such programs has head start, which is designed to raise the educational achievement of low income preschooloers and upward bound, which was established to encharage young people who have left school to return to school and go on to college.
Volunteer service of america
an adult corps of volunteers estabishedto improve impoverished areas.
Food Stamp act of 1964.
Individuals on welfare and other poor persons are provided low cost coupons or stams which can be exchanged for certain food. Food stamps regulations are uniform in all states and are available in all counties. This changed foodstamps from a welfare program to a universal program for low income people.
Medicare and medicaid act. Titles XVIII and XIX of social security act
Established the federal government's role in providing medical services to citizens who are elderly and poor.
Medicare
universal federal program for almost all persons over age 64 and some individuals under age 63 who have disabilities. It provides mandatory insurance for hospital services and optional insurance for doctors services
medicaid
provides federal grants to states for medical services to individuals recieveing welfare and other indigent people.
supplemental security income
SSi eliminated state administered and financed adult assistance programs for individuals who are elderly, bind and disabled and established in their place a federaly administered and financed minimum benfit payment.
Comprehensive emploment and training act of 1973
CETA which combined many of the job training programs developed in the 1960s was established to retrain and place long term uneploed, underemployeed and disadvantaged peoplein jobs more suited to them and with more future potential. It provided for state and local organizations to contact with public agencies and industry to offer job training and subsidized jobs.
Earned Income tax Credit
tax system was used for the first time to transfer resources to ppor people. The earned income tax credit was created to give workers who earned less than 4000 a tax credit equal to tenpercent of their earnings.
Social security indexing:
extablished automatic and annual adjustments to social security benefits to compensate for inflation. Indexing has helped to reduce the percentage of elderly people living below poverty level.
Child abuse prevention and treatment act of 1974
law passed that guarunteed the development of programs that were responsible for the investigation of maltreatment, establish a reporting system, pass laws that protect minors from mental, physical and sexual abuse and provides guardians adlitum to represent child's interests in court cases.
Title XX of the social security act
title XX added to the social security act in 1975 consolidated seocial services and has since become the nations single source of funds for personal social services. Title XX seperated income transfer from personal social serices programs, set an upper limit on federal funding for social services and encouraged the states to play a larger role in developing funds for their personal social services. Because under title xx the states would obtain funding throuhg block grants from federal government, each state aquired more flexibility in determining where to allocate its funds.
goals of title XX
1. increase self sufficiency of needy people and as a way of preventing reducing or eliminating dependacny on welfare and to change the ay social services are provided to low income people. INparticular to provide them in a more economical way.
Omnibus Budget Reconcilation ACT of 1981
amended title XX discontinued 57 social programs by incopoprating them into seven block grants : SOcial services, community services, alcohol, derug abuse, and mental helath services: maternal and child health services, community dvelopment services, primary health services and preventative health services. THe funds earmarked for these blocked programs were much lower than those previously allocated to the individual programs
Job training and partnership Act of 1982
Enacted after the elimination of CETA was to increase the government's reliance on private sectors: it provided federal funds to support local private indistry councils under the act, the councils were were to award contracts to job placement agencies and local industries and pay a fee for each person placed in a prviate sector job.
Stewart B. McKinney Homeless Assitance Act of 1987
Competitive programs were established for single room occupancy hotel rehabilitation, transitional housing, housing for disabled people, and prevention of homelesness. THe act also incorporated food and shlter support programs previously supported by FEMA
Family support ACT of 1988
This act sought to enforce the responsiblities of parents by improving the processes used to establish paternity and to develop and enforce child support regulations. It also required staes not providing AFDC to unemployed parents to administer the program for at least six months per year, and created the Job opportunties and ABsic skills trainign (JOBS program which trains and educates mothers recieving AFDC so that they can become more employable. THe BOBS program also provided child care to help AFDC recipients enter the labor force as well as health care.
Americans with disability act of 1990
Prohibited against discrimination in work place , inhousing and in public accommodations against individuals with disabilities
Ryan white comprehensive AIDS resources ACT of 1990
This law assigned 880 million per year to provide emerency relief to cities. It also included provisions for planning, early intervention, treatment of HIV disease in children and efforts in rural areas
Civl rights act of 1991.
overturned supreme court rulings that had denied women and racial minority groups protection in the work place. It provided that victims of deliberate discrimination based on gender,disability, race or religion can obtain monetary damages.
Alcohol, Drug abuse and emtnal health Administration Reorganization ACT of 1992.
Transferred research activites in mental health and substance abuse to NIH and created separate block grants for mental health and substance abuse services. ADAMHA was later renamed the substnace abuse and metnal Health services administration
Family and medical leave act of 1993
THis law requires US companies with more thatn 50 employees to provide their workers with up to 12 weeks per year of job protected, unpaid leave with ehalth care coverage intact so that they can care for a new born, a newly adopted or foster child or for a sick family member.
Violent Control and law enforcement act of 1994.
Created 16 prevetion programs and incoprated the violance against woman act of 1994 which expantded penalties for offenders, provided funding for prevetion and training and granted protection to victims
Delirium
disturbance in consciousness witha concomitant change in cognition onsets over a brief period , the disorders are defined in terms of etiology
dementia
Disturbance that consists of impairment in a number of cognitive abilities including memory,
Amnestic Disorder
Involves impairment of emmory solely.
Substance dependence
has reference to the continued use of substance in spite of the onset of signifcantly distressful cognitive, behavioral and physiological symptoms.
Tolerance :
requires greater amounts of the substance to get desired effects/ intoxicated
WIthdrawl,
symptoms characteristics of cessation of the specifc drug
Substance abuse
Reference to the development of pattern of substance use that is maladaptive )results in inability to fulfill responsibilities, use of substance in dangerous contexts, socisubstance related problems with the law or negative impact on individuals personal /social life.
Substance induce disorders
reversible, substance specific mental disorders caused by substance intoxiction and those caused by substance withdrawl.