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41 Cards in this Set
- Front
- Back
patient presents: unacceptable feelings and thoughts, expressed through actions.
Tantrums |
Acting Out
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patient presents: temporary, drastic change in personality memory,consciousness to avoid emotional stress.
can result in multiple personality disorder. |
Dissociation
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patient presents: avoidance of awarenes of some painful reality.
common reaction in newly diagnosed AIDS and cancer patients. |
Denial
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patient presents: avoided ideas and feelings are transferred to some neutral person or object vs protection.
mother places blame on her child because she is mad at her husband. |
Displacement
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patient presents: partially remaining at a more childish level of development .
men fixating on sports games. |
Fixation
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patient presents: modeling behavior after another person who is more powerful though not necessarily admired.
abused child identifies theirselves as an abuser. |
Identification
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patient presents: seperation of feelings from ideas and events.
describing murder in graphic detail with no emotional response. |
Isolation Affect
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patient presents: unacceptable internal impulse is attributed to an external source.
a man who wants another woman thinks his wife is cheating on him. |
Projection
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patient presents: proclaiming logical reasons for actions actually performed for other reasons, usually to avoid self blame.
after getting fired, claiming that the job was not important anyway. |
Rationalization
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patient presents: whereby a warded-off idea or feeling is replaced by an unconsciously derived emphasis on its opposite
patient with libidinous thoughts enters a monastery. |
Reaction Formation
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patient presents: turning back the maturational clock and going back to earlier modes of dealing with the world.
seen in children under stress (ex. bedwetting) and patients on dialysis (ex. crying) |
Regression
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patient presents: involuntarty withholding of an idea or feeling from conscious awareness.
not remembering a conflictual or traumatic experience, pressing bad thoughts into the unconcious. |
Repression
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patient presents: belief that people are either all good or all bad at different times due to intolerance of ambiguity. Boderline personality disorder.
patient says that all the nurses are cold and insensitive but that the doctors are warm and friendly. |
Splitting
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patient presents: guilty feelings alleviated by unsolicited generosity toward others.
mafia boss makes large donations to charity. |
Altruism
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patient presents: apprecitating the amusing nature of an anxiety-provoking or adverse situation.
nervous medical student jokes about the boards. |
Humor
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patient presents: process whereby one reaplaces and unacceptable wish with a course of action that is similar to the wish but does not conflict with one's value system.
actress uses experience of abuse to enhance her acting. Chemistry: a substance changing from a solid to gas. |
Sublimation
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patient presents: voluntary withholding of an idea or feeling from conscious awareness.
choosing to think about the USMILE until the week of the exam. Mature women wear a SASH: Sublimation, Altruism, Suppression, Humor. |
Suppression
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Freud discribed primal urges, food, sex, and aggression.
Instinct. Entirely subconcious. - Id - Ego - Superego |
Id
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Freud described mediator between primal urges and behavior accepted in reality.
- Ego - Id - Superego |
Ego
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Freud described moral values, conscience; can lead to self-blame and attacks on ego.
-Ego -Superego -Id |
Superego
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patient presents: limited attention span and poor impulse control. Hyperactivity, motor impairment, emotional liability. Difficulties in school. Frontal lobe volumes.
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Attention-deficit hyperactivity disorder (ADHD)
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patient presents: repetitive and pervasive behavior violating social norms.
After 18 years of age. |
Oppositional Defiant Disorder
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patient presents: sudden, rapid, recurrent, nonrhythmic, stereotyped motor movements or vocalizations (tics) that persist for >1 year. Coprolalia (obscene speech) found.
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Tourette's Syndrome
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patient presents: fear of seperation from home or loss of attachment figure.
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Seperation Anxiety Disorder
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patient presents: language impairment and poor social interactions. Focus on objects. Repetitive behavior and usually below normal intelligence.
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Autistic Disorder
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patient presents: a milder form of autism. all-absorbing interests, repetitive behavior, problems with social relationships.
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Asperger's Disorder
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patient presents: x-linked disorder seen almost exclusively in girls. Regression characterized by loss of development, mental retardation, verbal abilities, ataxia, and stereotyped hand wringing.
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Rhett's Disorder
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patient presents: marked regression in multiple areas of functioning. At least 2 years of apparently normal development. Significant loss of expressive or receptive language skills, social skills, adaptive behavior, bowel or bladder control, play or motor skills. Onset between 3 and 4 years old.
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Childhood Disintegrative Disorder
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Retrograde Amnesia
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inablility to remember things that occured before a CNS insult.
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Anterograde Amnesia
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inability to remember things that occured after a CNS insult
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Dissociative Amnesia
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inability to recall important personal information.
Usually subsequent to severe trauma or stress. |
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Hallucinations
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perceptions in the absence of external stimuli.
Ex. Seeing a light that is not actually present |
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Illusions
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misinterpretations of actual external stimuli
Ex. seeing a light and thinking that it is the sun. |
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Delusions
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false beliefs not shared with other members of culture/subculture that are firmly maintained in spite of obvious proof to the contrary
Ex. thinking the CIA is spying on you |
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Loose Associations
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disorders in the form of thought (the way ideas are tied together)
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Manic Episode
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elevated, expansive, or irritable mood lasting at least 1 week.
3 or more of the following: 1. distractibility 2. irresponsibility-seeks pleasure without regard to consequences (hedonistic) 3. Grandiosity-inflated self-esteem 4. flight of ideas-racing thoughts 5. in goal-directed activity/psychomotor agitation 6. need for sleep 7.talkativeness or pressured speech |
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Bipolar Disorder
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presence of at least 1 manic (bipolar 1) or hypomaniac (bipolar 2) episode. Depressive symptoms always occur eventually. Normal between episodes. Antidepressants can lead to mania. High suicide risk.
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Depressive Episode
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at least 5 of the following 9 symptoms for two weeks
1. sleep disturbance 2. loss of interest (anhedonia) 3. guilt or feelings of worthlessness 4. loss of energy 5. loss of concentration 6. appetite/weight changes 7. psychomotor retardation or agitation 8. suicidal ideations 9. depressed mood |
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Major Depressive Disorder
(recurrent) |
requires 2 or more major depressive episodes with a symptom free interval of 2 months.
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Dysthymia
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milder form of depression lasting at least 2 years.
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Seasonal Affective Disorder
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associated with winter season; improves in response to full spectrum light exposure.
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