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134 Cards in this Set
- Front
- Back
Factors influencing normal development (biological x5)
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genes, in utero effects, brain structure, head injuries/illnesses, gender
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Factors influencing normal development (psychological x5)
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temperament, self-esteem, coping, emotion regulation, cognitions
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Factors influencing social development (social x5)
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environment, modeling, interaction with environment, peers, school
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dimensional classification
(pros and cons) |
everyone possesses symptoms to varying degrees, disorder when it reaches an extreme
Pros: everyone has behaviours and symtoms, people rated as below or above average, analyze how it will affect functioning Cons: practically difficult, insensitive to contextual effects, dependent on understanding of "normal" |
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categorical classification
(cons) |
distinctive categories that are black and white and must meet specific criteria
Cons: specific/rigid and people don't always fit into criteria, behavior hardly falls into certain categories, impaired but at a subthreshold? |
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DSM-IV-TR
(cons x4) |
categorical tool and listing of mental health disorders
Cons: no focus on infancy and childhood (developmentally inappropriate criteria), individualistic, need to meet criteria for treatment, doesn't cater well to those that don't fit |
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Evidence based practice
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integration of best available reserach with clinical experience in context of patient characteristics, cultures, and preferences
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Ethics (x5)
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respect for dignity of persons and peoples, responsible caring, integrity of relationships, social justice, honest practices
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Assessing Children (4 items)
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interviews, observations, rating scales, tests
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Formulating a Case (1 + 5 items)
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context - look at environment child is working within
predisposing - pre-birth/in utero and family history precipitating - what has led to current situation present - what needs to be dealt with perpetuating - looking at factors that could keep problem going protective - stress positives and strengths that help people overcome difficulties |
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ADHD
(3 types) |
difficulties in behaviour, cognitive functioning (poor at planning, problem solving, focus, and attention span), social functioning (peers avoid or ignore because seen as annoying)
inattentive, hyperactive/impulsive, combination |
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Conduct Disorder (CD)
Onset Times (2) |
aggressive and antisocial behaviors that overflow onto other people
Childhood onset (before 10) Adolescent onset (after 10, more covert) |
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Oppositional Defiance Disorder (ODD)
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Child's behavior exists on a spectrum from non-compliance (failure to respond to a task, passive in nature) to defiance (vocal, active refusal to a reasonable request)
-caused by poor parenting + child's nature |
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Patterson's Bidirectional Influence (ODD)
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Give them what they want leading to reinforce defiance; harsher punishment and model hostile behaviour
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Separation Anxiety Disorder
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Not wanting to separate from parents and excessive anxiety concerning separation, preoccupation with returning home
-environmental triggers(rsponse to dangerous life event) -chronic and progressive |
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Behavioral Treatment for Anxiety
(2 items) |
-flooding and habituation
-systematic desensitization |
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Childhood Depression
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child is irritable or grumpy (low mood) or has diminished interests or pleasure (over 2 week period)
-uses adult diagnositc criteria |
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Autism
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impairments in social interaction, communication, and restricted/repetitive patterns of behaviours/interests/activities
-likely to have an intellectual disability, genetic condition |
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Echolalia
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feature of autism, child repeats what they heard (whether immediately after event or delayed)
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Male Erectile Disorder
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inability to attain or maintain an adequate erection
-acquired problem, likely due to occasional failure and attribution |
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Theory of Sexual Functioning
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Performance demands, for normal males, creates a positive affect and focus on sexual cues
Performance demands, for impaired males, creates a negative affect with focus on failure (negative feedback) |
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Diathesis-stress model
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looks at an individual's disposition and liability to disorders
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Psychoanalytic theory
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three components of psyche (id, ego, superego), and pathology stems from either ego anxieties (causing fixations or stress) or tension among components
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Behavioural Theory
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dependent on classical conditioning and operant conditioning
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Classical Conditioning
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pairing of stimulus with unconditioned stimulus
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Operant conditioning
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behaviours are rewarded, punished, or reinforced, which influences their recurrence after response
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Depression Affects... (4 things)
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Emotions (sadness, loneliness), motivations (loss of interest, yearning for escape, no will), cognitions (pessimism and negative self-concept), and physical state (movement, fatigue, appetite)
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Beck's Cognitive Theory
(cons x4) |
Depression arises from cognitive triad, logical errors in thinking, and cognitive schema
-does not explain diversity of symptoms of depression, psychological reactions more complex, individual differences not accomodated, does not distinguish from abnormal |
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Cognitive Triad (3 parts)
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patients tend to hold negative automatic thoughts about self, world, and future
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Logical Errors in Thinking (4 parts)
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-arbitrary influences = jump to conclusion based on little evidence
-selective abstraction = confirmation bias and attending to the negative -overgeneralizations = sweeping conclusions from minimal events -dichotomous thinking = thinking in all or none terms |
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Cognitive Schemata
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organised representations of prior experience that facilitate information processing, guiding behaviour and interpretation
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psychometrics
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identify the boundaries of appropriate use of constructs as found using a measure
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reliability
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replicability of score, consistency or stability of score across measurements
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alternate-form reliability
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two versions of test developed and look for correlation
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split-half
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divide questions into two groups
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internal consistency
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item and correlation score
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test-retest
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want scores to remain the same when test is taken again
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inter-rater reliability
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measure error produced by different raters
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validity
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meaningfulness of score, degree to which a score corresponds to construct measure is assumed to quantify
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concurrent validity
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correlation between score and criterion score using correlated scores from new and old measures
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predictive validity
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measure taken now and taken in future, correlation between score and criterion outcome
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face validity
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degree that a measure seems to be a good measure (based on inference)
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discriminant validity
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don't want high correlation coefficient, want yours to be better (measuring different constructs)
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construct validity
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what is the construct that accounts for score variance
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personality disorder
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enduring pattern of inner experience and behavior that deviates from norms and manifests itself in cognition, interpersonal function, affect, impulse control
-inflexible and pervasive |
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Clusters and Classifications of Personality Disorders
(3 clusters) |
Odd/Eccentric (schizoid, schizotypal, paranoid)
Dramatic/Flamboyant (narcissitic, antisocial, borderline, histrionic) Anxious/Fearful (avoidant, dependent, OCD) |
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Clinical Impressions of Schizophrenia
(4 items) |
ambivalence, associative disturbances, affective disturbances, preference for fantasy over reality
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Formal Thought Disorder
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Derangement in form of language: reduced cohesion, greater repetition, less predictable
-impaired inhibitory mechanisms in semantic network result in intrusions of activated associations in speed |
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Panic Disorder
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repeated panic attacks (change behavior related to attacks)
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Simple Phobia
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excessive fear of a specific stimulus
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Social Phobia
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fear of social performance or scrutiny
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Obsessive-compulsive disorder
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preoccupied with details, routine, and perfectionism interfering with task completion
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Generalized Anxiety Disorder
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excessive worry/anxiety
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Paruresis
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disruption of urination in defined public or social settings
-stable and unremitting, prevalence in late childhood and puberty -not generally associated with an event; combination of shyness with precipitating context that prevents learning |
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Enuresis
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bedwetting (involuntary and frequent)
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Psychogenic urninary retention
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people can't urinate because it is a pseudo-neurological disorder (regardless of other's attentions)
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Biopsychosocial Framework
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physical pathology, mental processes, and structural context
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Te Whare Tapa Wha
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Maori definition of health, modeled as a house with four sides (body, psychological, family, spritiual)
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Acute Illnesses
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rapid onset, quick to resolve, self-treated
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Chronic Illnesses
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Long-lasting, sometimes self-manageable, onset from acute situation
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health psychology (3 items)
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promotion and maintenance of health, prevention and treatment of illness, social construction of what it means to be ill
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Socioeconomic status
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can be defined as educational attainment, income, job category, materialistic access, trapnsportation, property ownership
-connected to stress, depression |
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Structured interviewing
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quantitate participants' views (questionnaire), closed questions, fixed answer choices, specific set order
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Semi-structured interviewing
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investigate participants' views, open ended questions, no leading questions, no set order
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underweight
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condition of being lighter than average for one's height and build
-under 18.5 kg/m^2 for BMI |
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overweight
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weighing more than is normal or desriable for height/build
-in between 25 and 30 kg/m^2 |
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BMI Limitations (4 items)
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Treated as absolute categories, obesity as a diagnosis and not a symptom, not a direct measure of body fat (muscle?), not direct measure of spread of body mass/fat
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Anorexia nervosa
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refusal to maintain body weight above a minimally normal weight for age and height, intense fear of gaining weight, disturbance in perception of one's body weight or shape, amenorrhea
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Bulimia Nervosa
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recurrent episodes of binge eating and recurrent inappropriate behaviour (purging or non-purging subtypes)
-3 months at least twic a week -self-concept influenced by body shape and weight |
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Eating-disorder-not-otherwise specified
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anorexia nervosa criteria met but menstruating or normal weight -or- bulimia nervosa criteria met but compensatory behavior not as frequent
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Body Image
(3 parts) |
subjective picture or mental image of one's body
-perceptions, beliefs, and feelings |
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Body Dysmorphia
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preoccupation with defect in appearance, functional impairment (spend hours thinking about defect, feelings of self-consciousness lead to avoiding public situations)
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Substance Dependence
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behavior controlled by a substance with need for dose escalation, withdrawal on sensation
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Addict
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habitual user of substance (excessive use of drugs)
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Addictions
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continued use because of history
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Transtheoretical Model/Stages of Change Model
(5 parts) |
Used to understand the process of change common to all theories of psychotherapy
-precontemplation = not aware or concerned of problem -contemplation = vaguely considering change -preparation = intention fromed, start to plan -Action = start to make change -Maintenance = keep up change |
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3 Benefits of Stages of Change
3 Cons of Stages of Change |
Benefits: no assumption about readiness to change, provide structure for interventions and monitoring, applied to health-related behaviors too
Problems: assume insight can be gained, not explicit about relapses, trouble with coplex combinations of behaviors |
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Sex
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Defined as chromosomal differences
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Gender
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defined as socially constructed role differences
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Transexualism
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desire to belong to other sex
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Transgenderism
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does not fit into gender roles
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Gender Identity Disorder
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strong and persistent cross-gender identification (persistent discomfort)
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Medicalizing Disorders Pros
(3 parts) |
legitimizes distress, justifies seeking help, facilitates withdrawal from life stress
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Medicalizing Disorders Cons
(4 parts) |
focuses on individual (not cultural context), distress not seen as a real physical condition, pathologizes life experiences, medication as easy route to quick recovery
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Negative Affectivity
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trait propensity to experience poor mood states
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Personal self-consciousness
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trait propensity to focus on self (emotional states + body presentation)
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Somatization
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trait propensity to make somatic attributions for sensations
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Systematic Lupus Erythematosus
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SLE or Lupus, photosensitivity to sunlight causing mild to severe rashes, cyclical/chronical
-invovles problems with menstruation and miscarriage |
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Rheumatoid Arthritis
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autoimmune disease, inflammation and destruction of many joints; disability builds up as joint erosions do not heal
-cyclical |
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HIV
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Retrovirus invading host's cells, leads to AIDS
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Illness Beliefs
(5 parts) |
Feedback process of coping with illness
-Identity = symptoms and labels of condition -Timeline = how long illness is going to last -Causes = beliefs about onset of illness -Controllability = personal control versus outside of control -Consequences = impact on individual and those close to them |
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Stress
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Transaction between person and their environmental demands
-tradtionally: major life events |
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Primary Stress Appraisals
(3 parts) |
Harm, threat, and challenge
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Secondary Appraisals (coping)
(2 parts) |
Self, help
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Coping (3 parts)
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problem-focused (active and approach), emotion-focused (passive and avoidant), meaning-focused (passive and approach)
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CB Therapists
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help people become aware of potentially problematic situations, help people understand how they think
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compliance
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traditional term for taking medicine as prescribed
-reinforces power differential |
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Non-compliant
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purposeful and unintentional non-compliance
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Suboptimal Dosage (4 parts)
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wasted products, worsening health status, need for more appointments, premature death
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Adherence
(Two correlations) |
steady observance or maintenance of medical recommendations for treatment
-specifically necessary for individual and medications are not generally overused |
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Measuring Medication Taking (3 ways, two with deception)
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-Inert dose of additional substance and check with blood test
-Electronic monitoring of when pill bottles are opened -Questionnaires that are disease-specific and relies on self-report |
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Health Belief Model
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Cost-benefit analysis and predicts the likelihood of action
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Concordance
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optimize health gain from best use of medicines, compatible with what patient desires and is capable of achieving
-shared decision making, therapeutic alliance, consumer-led healthcare |
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Quantitative Data
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anything that can be represented as numerical quantity
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Qualitative Data
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anything not being converted to numerical representation, interpreting the deeper meaning of data
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Media/medium
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conduit of information
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Discourses
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culturally specific sets of statements/meanings/metaphors; actively received by people
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Borderline Personality Disorder
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instability in interpersonal relationships, self-image, affect, impulsivity
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Paranoid Disorder
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pervasive distrust, suspiciousness of other's motives
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Schizoid Disorder
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pattern of detachment from social relationships, restricted range of expression of emotions
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Schizotypal Disorder
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social/interpersonal deficits marked by discomfort with close relationships`
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Schema Therapy
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identification and modification of schemata driving inappropriate behaviors
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Antisocial personality disorder
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pervasive pattern of disregard for the violation of rights of others
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psychopathy
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emotional detachment and antisocial lifestyle
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Avoidant personality disorder
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social inhibition, inadequacy, hypersensitivity to negative evaluation
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dependent personality
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advice/reassurance from others
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Humanistic Theory
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consequence of deviation from drive for self-actualization
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social learning theory
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learn fear responses from observation of other's responses
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Cognitive Behavioral Therapy
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Change cognitive distortions, focus on present but learn how schemas were formed
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mania
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increased self-esteem, grandiosity, decreased need for sleep, talkativeness, racing thoughts, distractability, agiation, high risk activities
-extreme defense mechanism |
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Factors influencing simple phobias
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familiarity (positive and negative associations), beliefs and expectations regarding stimulus
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Maintained Phobias
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experience with object or situation, socially transmitted information, cognitive rehearsal
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Preparedeness theory
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biological or evolutionary in nature, beneficial to have specific fear of stimuli or to acquire it more easily
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Neurological disorders
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damage or disease to brain following onset of disease or trauma
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Alzheimer's
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amnesia, aphasia (language), apraxia (impaired motor abilities), agnosia (failure to identify objects)
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health promotion
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holistic approach to health, respecting cultural differences, promoting positive health at societal and individual level
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Multiple Sclerosis
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neurological conditon involving destruction of myelin sheath that surrounds nerve cells (blocks/distorts normal transmission of nerve impulses)
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Social causation model
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higher levels of stress from those less well-off (greater exposure, emotional impacts, less resources)
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social drift model
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mental health problems decreases SES, less economically viable and experience greater stress
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Relativity issue
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knowingly having less resources than other groups in society
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Transvetism
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wearing clothing of opposite sex
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unstructured interviews
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guided conversation (participant observation, record field notes, use of key informants)
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Genetic essentialism
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genes revealing true nature of person, negation of environmental influences
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Genetic contingency
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rise of genetic explanations has condition specific effect
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