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51 Cards in this Set
- Front
- Back
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Edwin Cole's most common confessed sexual sins? |
Incest adultery fornication porn masturbation sexual fantasies |
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when does sexuality begin to unfold? |
during preschool & scholastic yrs |
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What is Reenactment Behavior |
when children begin to exhibit externalized behavior. reenacting what they have experienced or seen |
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Acting in and Acting out |
Acting in: Internalized typical in females Acting out: externalized typical in males |
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Acting In Presents As: |
Depression
anxiety codependency eating disorders inhibited sexual desires self mutilation |
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Acting Out Presents As: |
Sexual Perpetration
impulse control disorder antisocial personality disorder kleptomania pyromania |
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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
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Kinsey's scale of sexual orientation |
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Sequence of Sexual Addiction |
Initiation Phase Establishment Phase De-escalation/escalation phase acute phase chronic phase |
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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 |
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Sexual Compulsivity |
The inability to control one's sexual behavior (loss of control) preoccupation and rituals predominately precede compulsive acting out
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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. |
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Dimensions of Sexual Health & 12 step support |
nurturing, sensuality,sense of self, relationship sexuality, partner sexuality, non-genital sexuality, spiritual sexuality |
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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. |
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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 |
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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 |
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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 |
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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 |
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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 |
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Stages of Compulsive Gambling |
winning losing desperation hopelessness |
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features of compulsive gambling |
distorted thinking extravagant generosity workaholic traits chase behavior the bail out |
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Clomipramine (anafranil) |
used in mood state theory to treat gambling; blocks the re-uptake of norepinephrine and serotonin which serves to increase mood. |
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Fluvoxamine (luvox) |
SSRI medication reduced 17 subjects compulsive gambling 7 got complete abstinence |
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Other Drugs used in gambling treatment |
opioid-naltrexone valproate(depokote)-interacts w/gaba lithium (eskalith) decreases norepinephine and increases serotonin |
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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. |
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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. |
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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
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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 |
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Eating Disorder Models |
Biochemical Model-endorphin addiction Psychodynamic model-phobic avoidance disorder Cognitive/behavioral model-false beliefs/dysfunctional behavior Family Systems Model-faulty communication |
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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 |
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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 |
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anorexia |
phobic avoidance disorder |
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physiological aspects of anorexia (experimental starvation research) |
1. depression 2.irritability 3.mood lability 4. indecisiveness 5.obsessive thinking 6. difficulty concentrating |
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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 |
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Emotional Eating |
marked by periods of binge eating, grazing, and/or eating when one is not hungry in order to soothe feelings |
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Binge-eating |
uncontrolled eating followed by guilt and shame about the eating episode. |
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The emotional eater |
may or may not be obese; not all overweight people are emotional eaters |
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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 |
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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. |
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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 |
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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 |
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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 |
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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 |
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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. |
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Anorexia-Restrictive Type |
during the current episode of anorexia nervosa, the person has not regularly engaged in binge eating or purging behavior |
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binge eating/purging type |
during the current episode of anorexia the person regularly engages in binge and purging behavior |
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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 |
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purging type |
engages regularly in self induced vomiting or misuse of laxatives, diuretics, or enemas |
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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 |
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Reflex Peripheral Edema |
a state that is exacerbated during laxative w/d constipation also is problematic during w/d from laxatives |
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Cognitive behavioral therapy for bulima nervosa |
stage 1: self monitoring, weekly weighing, |
