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37 Cards in this Set
- Front
- Back
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Somatoform disorder definition
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Physical sx or concern about physical sx that are not explained by an actual condition.
Sx not intentionally produced! |
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Other names for somatization disorders
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Hysteria and Briquet's syndrome.
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Somatization disorder
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Typically starts before age 30
Usually manifests as pain, GI, sexual or neurological sx. |
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Unidifferentiated somatoform disorder
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Persists more than 6 months. 1 or more complaints.
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Alternate names of undifferentiated somatoform disorders
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Abridged somatization and subsyndromal somatization disorder.
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Conversion disorder alternate names
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Hysteria, hysterical neurosis, conversion type.
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Conversion disorder
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1 or more deficits in voluntary motor or sensory function
subtypes are motor, sensory, seizures/convulsions and mixed Excludes pain and sexual dysfunction. Evidence of psych factors are preceded by the stressor. Linkage to psych stressor or conflict is req for dx. |
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Pathogen of conversion disorder
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Decreased blood flow in thalamus and basal ganglia (contralateral to symptoms).
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Hypochondriasis - which NT is deficient?
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Serotonin
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Body dysmorphic disorder - which NT is deficient?
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Serotonin
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Risk factor for malingering
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antisocial personality disorder
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Characteristics of a classic pt with factitious disorder (2)
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Female - 20-40, health care worker
Male - middle-aged - socially isolated. |
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Notes are v. good for this lecture. (in syllabus)
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(nothing)
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Personality disorder definition
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Pattern of beh/inner exp that deviates from culture in 2 or more ways:
Cognition, affectivity, interpersonal functioning, impulse control. |
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Personality disorders have high co-morbidity with...
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axis I disorders.
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High rate of ______ with antisocial personality disorder
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ethanol dependence.
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General descriptor for II-A disorders
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Odd/eccentric
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General descriptor for II-B disorders
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Dramatic
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General descriptor for II-C disorders
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Anxious
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Ego-syntonic
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Seen in people with personality disorders
Nothing is wrong with themselves. Problems are because of events, circumstances or other people. |
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Ego-dystonic
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Ideas, situations or symptoms that a patient dislikes.
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Pts with borderline or schizotypal personality disorders often have...
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brief psychotic-like episodes in response to significant stress.
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The deviant behaviors in people with PDs are actualy...
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manifestations of the defense mechanisms by these individuals.
e.g. borderline PD people will split people into all good or all bad categories. |
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Paranoid PD
DSM |
General distrust of others early in life and 4 of the following:
Suspicion that others are exploiting/deceiving Preoccupation with doubts of loyalty or trustworthiness Reluctance to confide in others Interpretation of benign remarks as threatening Persistence of grudges Perception of attacks against character Recurrence of suspicion regasrding fidelity or loved one. High inc of family members with SCZ Affects more men than women. Prominent use of projection defense mechanism (e.g. if you hate someone, you think they hate you) |
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Cluster A
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Paranoid PD
Schizoid PD Schizotypal PD |
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Schizoid personality disorder
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Voluntary social withdrawal and restricted range of emotional expression. Need 4:
No desire for close relationships Solitary activities Little interest in sexual activ with another person Taking pleasure in few activities Few close friends Indiff to praise or criticism Emotionally cold and flat affect. Not thought disordered/delusional. Lacks eccentric behavior. Men 2x than women |
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Shizotypal PD
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Marked eccentric behavior, cognitive or perceptual distortions and discomf with close relationships
Ideas of reference Odd beliefs or magical thinking Suspiciousness Inapp/restricted affect Odd/eccentric appearance or behavior Few close friends Odd thinking or speech Excessive social anxiety |
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Cluster B
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Affective dysregulation, impulsivity, disordered sense of self in relation to other people
Antisocial PD Borderline PD Histrionic PD Narcissistic PD |
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Antisocial PD
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Poor conduct as a child.
At least 3: Failure to conform to social norms by committing unlawful acts Deceitfulness/repeated lying/manipulating others for personal gain Impulsivity/failute to plan ahead Recklessness and disregard for safety of self/others Irresp/failure to sustain work or honor financial obligations. Lack of remorse for actions!!! More men than women. High rate in prison. 5x more risk among 1st degree relative. High risk in fam with alcohol dep. "Charming" Long history - They are a sociopath. |
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Borderline PD
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5:
Desp efforts to avoid real or imagined abandonment Unstable, intense interpersonal rel. Unstable self-image Impulsivity in at least two harmful ways (spending, sexual, substance abuse, etc.) Recurrent suicidal threats or attempts or self-mutilation Unstable mood/affect Genreal feeling of emptiness Difficulty controlling anger Transient, stress-related paranoid ideation or dissociative symptoms. women-2x more than men 10% suicide rate. high functioning splitting people they know (all good or all bad) |
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Etiology of borderline PD
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Genetics
Psychological/environment factors. - as a child, many of the victims suffered from trauma, physical abuse, sexual abuse, witness serious domestic violence, etc. |
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Histrionic PD
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excessive emotionality or attention seeking.
need 5 of the following: Uncomfortable when not the center of attention Inapp seductive or provocative behavior Uses physical app to draw attention Speech that is impressionistic or lacking in detail Theatrical and exaggerated expression of emotion Easily inf by others or situation Perceives relationships as more intimate than they actually are. Basically a desire to be attractive and to get attention. Much more freq in females. |
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Narcissistic PD
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Pattern of grandiosity, need for admiration, lack of empathy
Need 5: Exagg sense of self-importance Preoccupied with fantasies of unlimited money, success, brilliance, etc. Believes they are special or unique and can only associate with other high-status people. Needs excessive admiration Sense of entitlement Takes adv. of others for self-gain Lacks empathy Envious of others or believes others are envious of him/her arrogant or haughty. Superficially charming. At risk of depression and suicide |
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Cluster C
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Obsessive-Compulsive personality disorder
Avoidant PD Dependent PD |
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Avoidant PD
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This is identical to social phobia
Pattern of social inhibition, hypersensitivty, and feelings of inadequacy. Avoid occupation that inv interpersonal contact due to fear of criticism or rejection Unwilling to interact unless certain of being liked Cautious of intrapersonal relationships Preocc with being criticized or rejected in social situations Inhib in new social situations bc they feel inadequate Believes they are socially inept and inferior Reluctant to engage in new activities for fear of embarassment. Differs from schizoid in that persons with avoidant personality disorder intensely desire relationships but have great difficulty forming them. |
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Dependent PD
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Submissive or clinging behavior due to excessive need to be taken care of
need 5: Difficulty making everyday decisions without reassurance from others Needs others to assume responsibility for most areas of life. Cant express disagreement bc of fear of loss of approval. Difficulty initiating projects bc lack of self-confidence. Goes to excessive lengths to obtain support from others Feels helpless when alone. Urgently seeks another relationship when one ends. Preoccupied with fears of being left to take care of self. More often in women, prone to depression, symptoms usually decrease with age. |
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Obsessive-Compulsive PD
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Pattern of preoccupation with orderliness, control and perfectionism at the expense of efficiency
Preoccupied with details, rules, lists, organization such that the major point of the activity is lost Perfectionism that is detrimental to completion of task Excessive devotion to work Excessive conscientiousness or scrupulousness about morals or ethics. Will not delegate tasks Unable to discard worthless objects Miserly Rigid and stubborn. More often in older child. In med. Increase in first degree relatives. similar NAME to obsessive compulsive disorder. not the same thing though. |
