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26 Cards in this Set
- Front
- Back
- 3rd side (hint)
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Hs
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HIGH: somatic issues (usu. NOT delusional), fear illness & death. Narcissistic. Complaining & Demanding. Pessimisstic. Poor insight & poor tx candidates. LOW: no somaticizing. Alert. Sensitive. Thoughtful. Effective
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VARIES: ill and elderly higher
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D
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HIGH: depressive sx, unhappy, self-deprecatory, guilty, psychomotor retardation, weakness. Agitated, tense, low self-confidence. Good tx candidate LOW-Low tension, anxiety, guilt. Relaxed. Competitive. Impulsive OVERALL: dissatisfaction & discomfort w/life
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VARIES: adol lower than adult by 5; elderly higher than others by 5-10 Current disappointments lower scores
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Hy
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T>80 is pathological condition (overwhelmed; react to stress and avoid responsibility by somaticizing) Sx appear and disappear suddenly. Not in acute turmoil but dysphoric. Low insight. Immature. naive positive perceptions of others; excessive trust of others. Passive-aggressive. High interest in others, so can use them. Hi need for affection & acceptance. Resist psych explanations for problems.
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Varies: high SES and education are higher; women higher than men. Higher if have real medical issues.
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Pd
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Measure of rebelliousness T>75: antisocial, criminal T= 65 - 75: rebellious, in conflict freq., low work/school achievement. Impulsive. Bad planning. Impatient. Lo frustration tolerance. Immature. Narcissistic. Exhibitionistic. Insensitive. Use others. Shallow. Extroverted & adventurous. Lots of interests but lack direction. Hostile & aggressive. Dysphoric at times. Don't have strong feelings. Verbal. Poor tx prognosis. Can't accept blame. Intellectualize.
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VARIES: higher for younger vs older; and Aam, Native Am, Latino vs Cauc & Asian (5 - 10 pts)
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Mf
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High T = deviation from sex stereotyped role of own gender. Low scores for women: very trad fem OR more androgynous lifestyle.
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VARIES: women less likely to have high scores
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Pa
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T>70 (esp. if highest scale) = psychotic (disturbed thinking, delusions). Feel mistreated, angry. Projection as defense. T = 60 - 70: paranoid orientation. Overly sensitive. Overly responsive to others' opinions. Put upon. Rationalize. Blame others. Suspicious. Rigid. Overly rational. Low mood; labile. Poor tx prognosis.
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Few false positives. VARIES = AA score higher?
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Pt
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Psychological turmoil and discomfort; OCD. Excessive doubts, compulsions, obsessions, FEARS. Extremely anxious & agitated. Worriers. Sad, pessimistic. Fatigue. Introspective. Low self-confidence. Ridgid & moralistic. Perfectionist. Neat & meticulous. Seen as dull. Shy. Rationalize & intellectualize. Tend to make slow, stead progress in tx. need L/T tx.
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Sc
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Problems with thinking, MOOD & BEHAVIOR. T>75 = possible psychosis OR acute turmoil OR cry for help. High scores: Schizoid lifestyle (aliented, misunderstood, withdrawn). High anxiety. Dysphoric. Unable to express their hostile & aggressive feelings. Self-doubts. Eccentric. Stubborn. Immature. Impulsive. goals are vague. Prognosis is poor but do tend to stay in tx, so may improve.
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VARIES: 5 pts higher for college students, AA, Native A, Latinos, substance abusers, medical problems (stroke, epilepsy, etc.)
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Ma
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Excessive psychological & physical energy. T> 80 = manic episode. HIGH: overactivity. Unrealistic self-appraisal. Inefficient. Don't finish projects. Impulsive. Periods of irritability & hostility. Unrealistic optimism. Higher tendency to substance abuse. Sociable. Often superficial & manipulative. outwardly confident but inwardly dissatisfied. Worriers. Prog for tx not great.
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College, AA, Native A & latinos 5 - 10 pts higher. Elderly are below 50.
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Si
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Tendency to withdraw from social contacts & responsibilities; neurotic maladjustment; self-deprecation. Timid, shy, retiring in social groups. Lack self-confidence. Can be seen as cold. Sensitive to others' opinions.Overcontrolled. Passive. Serious. Reliable and cautious. Unoriginal. Somewhat inflexible. Great difficulty making even minor decisions. Worriers. Anxious. Moody. May have trouble forming tx alliance. LOW - sociable, extroverted. needf to be with others. Active. Like power, status, recognition. Competitive.
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this is a stable Scale
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123/213/231 - note NOT 132/312
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Somatic complaints w/secondary gain. Depression. Dependency vs. self-assertion problems. Low energy. Not risk takers or achievement oriented. Conforming.
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not sociable. Depressed
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132/312 conversion valley
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Conversion D/O: Loss of voluntary motor or sensory function, without physiological basis (gets worse w/stress; Sx relieve psychological problems, secondary gain). Sx are NOT intentional. Use of denial and repression; lack insight. Passive-dependent. Conforming. Want to be liked. Do NOT want to hear that their problems are psychological in origin.
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sociable. Not depressed.
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138
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DX: Schizophrenia (paranoid type) or paranoid personality d/o. Bizarre somatic symptoms that may be delusional. Depressed. Agitated & excitable. Substance abuse. Bored and restless. Ambivalent about close relationships.
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labile
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247/274/472
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substance abuse. Passive-aggressive personality d/o. family & marital problems. Dysphoric. OC thoughts/behaviors. Angry. Getting a raw deal. Phobic. Ruminative.Fear failure. Difficulty tolerating anxiety during tx.
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278/728
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Hx of sexual abuse. High emotional turmoil with schizoid lifestyle. Anxious and depressed.Somatic complaints. Shy, inadequate. High standards. Interest in obscure subjects. Look at subscales to get a dx.
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687/867 Psychotic or Paranoid Valley
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Serious psychopathology. Hallucinations and delusions. Shy with blunted affect. Unable to handle everyday life; require hospitalization. Poor memory and concentration
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24/42
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In tx bec of trouble with family or law. Impulsive. If elevated - suicidal. Remorse after acting out, but never change. Substance abuse.
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13/31
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conversion sx. Overly optimistic. Immature. Egocentric. Shallow. Poor prognosis bec resist psyc explanations for problems
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18/81
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hostile and aggressive. Either bottle up feelings or are overly belligerent. Socially inadequte. Unhappy/depressed.
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23/32
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nervous/agitated and depressed. Passive/dependent. Interested in power and achievement. Extremely overcontrolled. Resist psyc explanations.
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34/43
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chronic intense anger (more acting out if 4 is higher on occasion). Blame others for difficulties. Somatic compalints but not anxious or depressed. Outwardly conforming but inwardly quite rebellious. Sexual maladjustment. Suicidal thoughts after episodes of substance abuse.
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36/63
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Chronic feelings of hostility towards family members that are often unrecognized by ct. Defiant and difficult. Narcissistic & egocentric. Naïve world view
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46/64
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Immature. Narcissistic. Self-indulgent. Passive-dependents who make lots of demands on others but resent even small demands on themselves. Suspicious. Repressed anger. Deny psychological problems.
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48/84
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Odd and peculiar. Poor impulse control (substance abuse, sexual acting out including rape). Insecure. Past hx of sexual abuse. Psychotic w/high scales.
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68/86
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Intense feelings of inferiority and insecurity. No social skills. Psychotic thinking and delusions.
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69/96
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Rather dependent and have strong needs for affection. Marked overreactions to stress. Anxious/tense. Labile w/lack of modulation.
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