Study your flashcards anywhere!

Download the official Cram app for free >

  • Shuffle
    Toggle On
    Toggle Off
  • Alphabetize
    Toggle On
    Toggle Off
  • Front First
    Toggle On
    Toggle Off
  • Both Sides
    Toggle On
    Toggle Off
  • Read
    Toggle On
    Toggle Off
Reading...
Front

How to study your flashcards.

Right/Left arrow keys: Navigate between flashcards.right arrow keyleft arrow key

Up/Down arrow keys: Flip the card between the front and back.down keyup key

H key: Show hint (3rd side).h key

A key: Read text to speech.a key

image

Play button

image

Play button

image

Progress

1/51

Click to flip

51 Cards in this Set

  • Front
  • Back

Edwin Cole's most common confessed sexual sins?

Incest


adultery


fornication


porn


masturbation


sexual fantasies



when does sexuality begin to unfold?

during preschool & scholastic yrs

What is Reenactment Behavior

when children begin to exhibit externalized behavior. reenacting what they have experienced or seen

Acting in and Acting out

Acting in: Internalized typical in females


Acting out: externalized typical in males



Acting In Presents As:

Depression

anxiety


codependency


eating disorders


inhibited sexual desires


self mutilation




Acting Out Presents As:

Sexual Perpetration

impulse control disorder


antisocial personality disorder


kleptomania


pyromania




What is a Love Map?

it is not present @ birth, it differentiates within a few yrs. it is a developmental representation or template in your mind/brain and is dependent on input through the senses. Once formed extremely resistant to change



Kinsey's scale of sexual orientation





Sequence of Sexual Addiction

Initiation Phase


Establishment Phase


De-escalation/escalation phase


acute phase


chronic phase


Sexual addiction causes impaired thinking.

sex is his life w/o he will die

he is sensitized to see sexual signals everywhere


he sees sex objects and others; objectifies people


he views himself unfit for love; contacts are devoid of intimacy




Sexual Compulsivity

The inability to control one's sexual behavior (loss of control) preoccupation and rituals predominately precede compulsive acting out

Treatment of Sexual Addiction

questions need to be asked about behaviors that have been engaged in addictively. need history of substance use, over 50% have problems w/alcohol & other drugs


accurate initial assessment must be followed by sensitive monitoring of symptomatic status throughout the course of treatment.

Dimensions of Sexual Health & 12 step support

nurturing, sensuality,sense of self, relationship sexuality, partner sexuality, non-genital sexuality, spiritual sexuality

Gambling

any betting or wagering, for self or others, whether for money or not, no matter how slight or insignificant, where the outcome is uncertain depends on chance or skill.

Compulsive Gamblers

written hot checks


3-6 mo behind in bills


owes relatives, friends, banks, bookies, loan sharks


sells things of self and family


has secret checking accounts


cashed in insurance policies or maxed out cards


debt may be as high as 100k


embezzeled

Pathological Gambling

persistent & recurrent maladaptive gambling behavior.


1. preoccupied w/ reliving past gambling experiences


2. needs to gamble w/increasing amounts of money


3.has repeated unsuccessful efforts to control, cut back/stop gambling


4.restless or irritable w/trying to cut down or stop


5.used as an escape


6. tries to break even the after loosing chasing one's losses.


7.lies


8.committed illegal acts


9. lost relationships, jobs, education opportunities


10. relies on others for money

Difference between compulsive gambling and substance abuse

hidden addiction


cant overdose/no saturation point


financial problems require immediate attention in treatment


can function @ employment site


cannot be tested


no ingestion of chemicals


fewer resources for gamblers and family


%of disease different


prevention message not as easily accepted



Similarities between gambling and substance abuse

denial 1st drink/win remembered


use of rituals depression/mood swings


preoccupation rush like that of coke


inability to stop progressive disease


dysfunctional families


blackouts/brownouts


immediate gratification


chasing the first win/high


low self-esteem/high ego

Pathological gambling characteristics

1.gambler cant stop when winning


2.habitual


3.absorbs & precludes all other interests


(preoccupation&craving)


4. seeks & enjoys pleasure/pain thrill release of endorphin


5. tolerance little at first then more then affordable


6. always optimistic beyond reach of objection/argument



Stages of Compulsive Gambling

winning


losing


desperation


hopelessness

features of compulsive gambling

distorted thinking


extravagant generosity


workaholic traits


chase behavior


the bail out

Clomipramine (anafranil)

used in mood state theory to treat gambling; blocks the re-uptake of norepinephrine and serotonin which serves to increase mood.

Fluvoxamine (luvox)

SSRI medication reduced 17 subjects compulsive gambling 7 got complete abstinence

Other Drugs used in gambling treatment

opioid-naltrexone


valproate(depokote)-interacts w/gaba


lithium (eskalith) decreases norepinephine and increases serotonin



Gambling Treatment Issues

1.individuals attempt to take control of therapy


2.plan for relapse


3.avoid discussing gambling


4.stay structured/goal oriented


5.missed appointments and last minute cancellations


6.look for cross addictions and replacement behavior


7. anticipate depression, anxiety and critical remarks about treatment


8.keep gamblers significant family members involved in treatment


-dont waste time trying to convince them about the odds of winning they know and dont care.

Women Gamblers

1/3 of pathological gamblers are women


more prone to depression less concerned about impressing ppl. play alone less competitive games and rely on more luck rather than skill. become dependent on gambling faster than males.

Action Gamblers

Controlling,domineering and manipulative. usually men. see themselves as friendly, sociable, gregarious, and generous. start gambling at an early age (teens) prefers skill games, card games, poker craps, dice, horse and dog races and sports betting


Escape Compulsive Gamblers

low self esteem


become liers


manipulative


4 stages- winning-losing-desperation-hopeless


no "winning" stage for escape gamblers but they have winning episodes


play luck


start later in life

Eating Disorder Models

Biochemical Model-endorphin addiction


Psychodynamic model-phobic avoidance disorder


Cognitive/behavioral model-false beliefs/dysfunctional behavior


Family Systems Model-faulty communication

Sexual abuse and eating disorders

experienced incest


family meals verbal and physical torture by parent


fearful during meal time


stress triggers and reenactment behavior


ptsd and dissociative disorders

Course of Anorexia Nervosa

Phase 1- early weight loss-brings praise from relatives and friends


Phase 2-advanced weight loss-brings about the need to continue to lose weight, ppl begin to voice concern


phase 3- burn out or depletion-endorphins no longer exists (reward) dysphoria, irritability, agitation, jumpy, sleep disturbances, inability to concentrate



anorexia

phobic avoidance disorder

physiological aspects of anorexia (experimental starvation research)

1. depression


2.irritability


3.mood lability


4. indecisiveness


5.obsessive thinking


6. difficulty concentrating



Medical Symptomatology of Anorexia

-fatigue; weight loss


brittle nails; loss of libido


constipation; loss of menses


thinning hair; dry skin; lanugo


slowed heart rate; swollen joints


hypothermia; reduced breast size


lowered blood pressure; disruption of ovulation


diminished vaginal secretions; decreased estrogen production

Emotional Eating

marked by periods of binge eating, grazing, and/or eating when one is not hungry in order to soothe feelings

Binge-eating

uncontrolled eating followed by guilt and shame about the eating episode.

The emotional eater

may or may not be obese; not all overweight people are emotional eaters

issues with emotional eating

1. weight becomes focus of life


2.feeling tormented by eating habits


3.putting off living one's life until thin


4. social w/d and isolation increases


5. professional failures attributed to weight


6. intense fear of rejection related to weight


7. dreams about being happier when thin


8.low self esteem and it's based on weight control and eating

The Funnel Effect

pleasurable or activities that were previously enjoyable, are progressively less acceptable for the anoretic; she denies herself the pleasure of food and this generalizes or spreads to many other aspects of life.

The Gamblers Fallacy (monte carlo fallacy)

the mistaken belief that , if something happens more frequently than normal during some period, it will happen less frequently in the future or that if something happens less frequently than normal during some period it will happen more frequently in the future

Anorexia treatment phases

1. baseline- about 5 days-assessment; patient adjusts to facility & treatment contract is created


2. Weight gain- measured @ the same time each day


3. Maintenance- 7-10 days contract is renegotiated to reward maintenance; discharge planning


4. Follow on-out patient programs



Psychological profile of a woman with anorexia



-depression


-denial of her condition


-ambiguity about sexuality


-great fear of bodily changes


-feelings of self doubt ex: intelligence/appearance


-rigid/obessional thinking point that eating restricts other activities

Initial Assessment of Anorexia

weight history


use of exercise


laboratory values


foods that are avoided


frequency of binge or purge behaviors


methods of purging


medical/psychological co-occurring disorder


previous 1-6 wk intake;food & fluids

The Refeeding Syndrome

potentially fatal condition, must be prevented early in the refeeding phase by working closely with registered dietitian to avoid a too aggressive increase in caloric intake.

Anorexia-Restrictive Type

during the current episode of anorexia nervosa, the person has not regularly engaged in binge eating or purging behavior

binge eating/purging type

during the current episode of anorexia the person regularly engages in binge and purging behavior

Bulimia Nervosa

reccurent episodes of binge eating: eating in a discrete period of time and lack of control over eating during episode


occur on avg twice a week for 3 months



purging type

engages regularly in self induced vomiting or misuse of laxatives, diuretics, or enemas

non purging type

uses other inappropriate compensatory behaviors such as; fasting, excessive exercise, but does not regularly engage in self induced vomiting or misuse of laxatives, diuretics, or enemas

Reflex Peripheral Edema

a state that is exacerbated during laxative w/d constipation also is problematic during w/d from laxatives

Cognitive behavioral therapy for bulima nervosa

stage 1: self monitoring, weekly weighing,