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Abnormal Psych Final
Flashcards for terms and key ideas
113
Social Studies
Undergraduate 4
12/06/2013

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Term
four criteria for abnormality
Definition
1. Distress
2. Impairment
3. Risk
4. Behavior outside the cultural and social context of the within which it takes place
Term
Biopsychosocial model
Definition
Biological cause: genetic and environmental influences. Inherited factors.
-Psychological: disturbances in thoughts or feelings
-Sociocultural: various circles of influences. Friends, family, institutions, policies.
Term
Various methods to study disorders
Definition
-scientific method: progression of steps
- experimental design: manipulation of a key variable.
- correlational design: tests of relationships between variables
Term
Research studies for disorders
Definition
surveys, laboratories, case studies.
Term
Diagnostic and Statistical Manual of Mental disorders Axis(DSM-V)
Definition
Axis 1= Clinical disorders
Axis 2= personality disorders and mental retardation.
Axis 3=General medical conditions. Preexisting problems.
Axis 4= Pyschosocial and environmental problems
Axis 5= Global Assessment of Functioning. 1-100
Term
Differential Diagnosis
Definition
“Rule out”. Process of systematically ruling out alternative diagnoses
Term
Case Formulation:
Definition
analysis of the client’s development and the factors that might have influenced their psychological status.
Term
Cultural Formulation
Definition
The clinician’s assessment of the patients degree of identification with their culture and how this may affect them.
-Culture-bond syndromes: Disorders that fit only within particular cultures.
Term
Treatment sites for those with disorders
Definition
psychiatric hospitals, inpatient treatment centers, outpatient treatment, clinic, office, mental health center. Halfway houses, day treatment programs, work/school
Term
Modality
Definition
form in which clinician offers therapy
-Individual, group, family, milieu
Term
Psychological assessment
Definition
procedure where a clinician provides a formal evaluation of cognitive, personality, and psychosocial functioning.
Term
Clinical interview
Definition
series of questions. Make observations and learn background that will help with diagnosis.
Term
Mental status examination
Definition
client’s current state of mind. Asses appearance, attitudes, behavior, mood, affect, speech, thought processes, content of thought, perception, cognition, insight and judgement.
Term
In Vivo observation
Definition
clinician records behavior in natural context like the home.
Term
Behavioral self report
Definition
client records problem behavior and where and how it occurs
Term
Self-monitoring
Definition
client keeps records of frequency of certain behaviors
Term
Neuropsychological assessment
Definition
process of gathering info about a brain functioning on the basis of tests. These include EEG, CT scans, MRI, fMRI, and PET.
Term
Anxiety Disorders
Definition
Characterized by the experience of arousal, apprehension, or feelings of dread, hypervigilance, avoidance, or phobia.
Term
Panic Disorder
Definition
frequent and recurrent panic attacks
Term
Specific Phobias
Definition
irrational fears of particular objects or situations. Must be present for at least 6 months.
Term
Social Phobia
Definition
fear of being observed by others acting in a way that will be humiliating or embarrassing. Unrealistic fear of failure causing people to lose ability to concentrate on performance, and causing them to make mistakes.
Term
Generalized anxiety disorder
Definition
Does not have particular focus, people feel anxious although they cannot express why. They expect the worst to happen to them.
Term
Obsessive compulsive disorder
Definition
-Obsession: Recurrent and persistent thought, urge or image. Causes marked anxiety and distress.
-Compulsion: The action or thought that the person uses to try and get rid of the obsession.
-Tics: pattern of abnormal motor symptoms.
Term
Acute Stress disorder
Definition
anxiety resulting from traumatic event. Lasts from 2 days to 4 weeks.
Term
Post Traumatic Stress disorder
Definition
anxiety disorder where someone experiences distressing symptoms for more than a month following a traumatic event.
Term
Antisocial PD
Definition
highly impulsive, lacks regret over actions. “psychopath” “sociopath”. Lacking regard for society’s moral or legal standards. Exploitation, deceit, coercion, use of dominance or intimidation.
Term
Avoidant PD
Definition
Individual desires but is fearful of involvement with other people. Terrified about public embarrassment. Low self-esteem, sensitivity to criticism or rejection.
Term
Borderline PD
Definition
pervasive pattern of poor impulse control and instability in mood, relationships, and self image. Go beyond insecure, unsure and conflicted about life goals, seek others to fill emptiness but end up driving them away and they become moody, reckless.
Term
Narcissisism
Definition
unrealistic inflated sense of self-importance. Grandiosity, attention seeking. Little interest in others, predominance of own ego.
Term
Obsessive-Compulsive Personality disorder
Definition
Sense of self derived from work productivity. Relationships become secondary to work. Displays rigidity and stubbornness.
Term
Schizotypal
Definition
person has peculiarities and eccentricities of thought and behavior. May have magical thinking and believe in psychic phenomena.
Term
Histrionic
Definition
attention seeking often through methods that seems ludicrous. Flirtatious or seductive, demand reassurance or praise.
Term
Paranoid PD
Definition
Extremely suspicious of others
Term
Schizoid
Definition
indifference to social relationships, limited emotional expression.
Term
Somatoform Disorders
Definition
Disorders where a person’s psychological problems are translated into physical symptoms.
Term
Conversion Disorder
Definition
person experiences a change in bodily function not due to an underlying medical condition. Transformation of psychological conflict to physical symptoms. Appears suddenly due to stress.
Term
Somatization disorder
Definition
Similar to conversion disorder, but includes multiple, rather than one, symptom.
Term
Pain Disorder
Definition
clients experience pain to such a degree that their lives become consumed by the pursuit of relief.
Term
Malingering
Definition
deliberate feigning of illness or psychological disorder for an ulterior motive
Term
Factitious disorder
Definition
where people show a pattern of falsifying symptoms. Munchausen’s syndrome.
Term
Body Dysmorphic Disorder
Definition
people preoccupied with the belief that part of their body is ugly.
Term
Illness Anxiety Disorder (hypochondria)
Definition
Preoccupied with having a serious (terminal) illness. Performs excessive health related behaviors.
Term
Dissociative Disorder
Definition
disorder in which people lose a sense of self over time, memory or reality.
Term
Dissociative Identity Disorder (multiple personality disorder)
Definition
formerly multiple personality disorder, in which a person develops more than one self or personality.
Term
Dissociative amnesia
Definition
inability to remember important personal detail and experiences.
Term
Depersonalization disorder
Definition
people feel that they are not real
Term
Derealization
Definition
people feel as though they are living in a dream.
Term
Insomnia
Definition
Disorder where someone has problems falling asleep or staying asleep at least 3 nights a week for 3 months. Occurs in spite of the opportunity for sleep.
Term
Hypersomnolence
Definition
Characterized by excessive sleepiness. Sleepiness not caused by insomnia or depression.
Term
REM sleep behavior disorder
Definition
Characterized by thrashing and acting out while dreaming. Danger to self and others.
Term
Nightmare Disorder
Definition
Reoccurring awakenings from extremely frightening and disturbing well remembered dreams. Themes of threats to survival or safety, lots of distress. Occurs in REM sleep.
Term
Sleep Terrors
Definition
Sudden arousal from sleep with intense fear, rapid heart rate and breathing, screams, sweat. Does not occur in REM sleep. No recall of dream or episode later.
Term
Sleep Walking
Definition
Repeated episodes of rising from bed and walking about. Person does not remember episode.
Term
Narcolepsy
Definition
Overwhelming urge to fall asleep. The person immediately enters REM sleep and has cataplexy (loss of muscle tone)
Term
Sleep Apnea
Definition
Suspension of external breathing. Nocturnal breathing disturbance (snoring or gasping).
Term
Dysthmia (eeyore disorder)
Definition
Chronic, persistent, low-level depression. “glum”. Has to have occurred for at least 2 years and is not major depression or mania.
Term
Major Depressive Disorder
Definition
symptoms include disrupted sleep, perpetual sadness, guilt or worthlessness, energy loss, disrupted appetite, suicidal ideation. Not chronic! May come from a serotonin deficiency.
-Serotonin deficiency contributes to depression, treatment with SSRIs (Prozac, Zoloft)
Term
Bipolar (Type I)
Definition
Mania symptoms often without any depressive episodes. Symptoms include inflated self esteem and grandiosity, decreased need for sleep, more talkative, racing thoughts, sometime manifests itself with an increase in goal directed activity, impulsivity. Symptoms last at least ONE week.
-Excess norepinephrine (lithium decreases these)
Term
Bipolar (Type II)
Definition
Hypomanic episode with at least one episode of major depression. Elevated mood for at least four days.
Term
Cyclothymic disorder
Definition
Hypomania with mild depressive episodes. At least two years in duration.
Term
Seasonal Pattern Mood Disorder
Definition
temporal relationship between the season and the onset of depressive syndrome. At least two years of this pattern.
Term
Male Hypoactive Sexual Desire
Definition
Low/absent desire for sex. Cannot even have thoughts or fantasies.
Term
Female Sexual interest/arousal disorder
Definition
lack of or significantly reduced sexual interest/arousal.
Term
Premature Ejaculation
Definition
Ejaculation within 1 minute of penetration. Most common in young men
Term
Genito-Pelvic pain/penetration disorder
Definition
Pain during intercourse or in antipation. Tensing of pelvic muscles during intercourse.
Term
Erectile Disorder (impotence)
Definition
recurring inability to achieve or maintain penile erection until completion of sexual activity. Occurs in older men.
Term
Female Orgasmic disorder
Definition
inability to have an orgasm/have one with any pleasure.
Term
Delayed Ejaculation
Definition
marked delay or infrequency
Term
Paraphilias
Definition
disorders and deviations in which sexual arousal occurs almost exclusively in the context of inappropriate object or individuals. Person has recurrent, intense sexually arousing fantasies, sexual urges or behaviors involving nonhuman objects, children or non-consenting persons, the suffering of oneself or partner.
Term
Exhibitionaism
Definition
“flasher” sexual gratification attained by exposing oneself to strangers
Term
Fetishism
Definition
Sexually aroused from nonliving, unusual objects. Causes distress or life impairment. Usually begin in adolescence
Term
Froutteurism:
Definition
sexually aroused from touching and rubbing up against a non-consenting person
Term
Pedophilia
Definition
Sexual deviation involving attraction toward children. 13 years old or younger
Term
Sexual Masochism
Definition
Sexual arousal associated with pain or humiliation. Being beaten, bound, humiliated, blindfolded.
Term
Sexual Sadism
Definition
Sexual arousal associated with inflicting pain or humiliation. Bondage, dominance, restraining, rape, cutting, strangulation.
Term
Transvestic Disorder
Definition
Sexual arousal involving cross dressing. Usually heterosexual male.
Term
Voyeurism
Definition
Sexual arousal is derived from observing unsuspecting individuals
undressing or naked. “peeping Tom
Term
Hybristophilia
Definition
Sexual attraction to those who have performed atrocities
Term
Gender Dysphoria
Definition
Dissatisfaction with one’s own biological gender. Primary goal is to live life as the opposite sex, not to seek sexual arousal.
Term
Positive symptoms of Schizophrenia
Definition
Active and sudden.
•Delusions, which consist of false and fixed beliefs ex. Persecution, grandeur, nihilistic.
•Hallucinations. False perceptions, they are vivid and clear and can be auditory, visual, or tactile.
•Disorganized thought and speech. Word salad.
•Disturbed behavior. Odd or disturbing body movements.
Term
Negative Symptoms of Schizophrenia
Definition
Slow and chronic
•Flat affect, blunt emotion.
•Does not initiate or maintain activities.
•Doesn’t speak a lot.
Term
Paranoid Schizophrenia
Definition
bizarre delusions or auditory hallucinations. Theme of harassment or persecution.
Term
Catatonic Schizophrenia
Definition
characterized by motor immobility or stupor. Mutism, rigid posturing, echolalia.
Term
Disorganized Schizophrenia
Definition
disorganized speech, disturbed behavior, flat affect. NOT paranoid.
Term
Biological Cause of Schizophrenia
Definition
Too much dopamine
Term
Schizoaffective Disorder
Definition
continuous period of psychosis during which there is an episode of major depression or mania.
Term
Brief Psychotic disorder
Definition
characterized by delusions, hallucination or disorganized speech. Symptoms last between 1 day and 1 month.
Term
Delusional disorder
Definition
false belief without other psychotic symptoms
Term
Cognitive disorders
Definition
Central characteristic is cognitive impairment resulting from brain trauma, disease, toxic substances. Features disruption in attention, memory impairment, impairment in executive function.
Term
Delirium
Definition
Cloudy consciousness with disorientation, memory deficits, perceptual disturbances, language deficits. Onset is rapid and the duration is brief. Can result from brain tumors, blows to head, diseases, intoxication, withdrawal, sleep deprivation
Term
Dementia
Definition
Cognitive impairment that involves progressive deficits in a person's memory and learning of new info, ability to communicate, judge, or be coordinated. Occurs with physical conditions like cardiovascular diseases, neurologically based disorders, and dysfunctions in other bodily symptoms.
Term
Alzheimer's disease
Definition
form of dementia that occurs with severe cerebral atrophy and other microscopic changes in the brain. Symptoms: vague speech, confabulation. Usually occurs in people over 85. No cure as of yet.
Term
Amnestic Disorders
Definition
people are unable to recall previously learned info or register new memories.
Term
Traumatic Brain Injuries (TBI)
Definition
headaches, sleep disturbances, sensitivity to light and sound, diminished performance in attention, memory, language, reaction. May also suffer from depression, outbursts, mood swings.
Term
Pica
Definition
eating things that are not edible (dirt, grass, glue). Childhood disorder. Must occur for longer than a month.
Term
Rumination
Definition
regurgitating and re-swallowing food. Infants and low IQ adults
Term
Bulimia
Definition
Recurrent episodes of binge eating and compensatory behavior (vomiting, laxatives, fasting, excessive exercise)
Term
Biological factors for eating disorders
Definition
Lack of serotonin causes hunger (binging), excess serotonin causes fullness (anorexia).
Term
Psychological factors for eating disorders
Definition
Turmoil, dislike of self, mood disorder. Problems regulating emotions. Distract from inner pain. Family dysfunction
Term
Impulse control disorders
Definition
People with ICDs repeatedly engage in behaviors that are potentially harmful, cannot stop themselves, and experience a sense of desperation if they cannot carry out their impulses. Before they act they feel pressure or tension that is relieved when they carry out their act.
Term
Kleptomania
Definition
Irresistible urge to steal. No value of object stolen, not due to some other cause.
Term
Pathological gambling
Definition
intense, overwhelming urge to gamble. Often devote entire lives and money to chasing that big win. Pattern of "chasing" losses
Term
Pyromania
Definition
Deliberate and purposeful fire setting, tension and arousal beforehand, relief afterwards. Fascination with fire. Not done for monetary gain, political agenda etc. Not better explained by conduct or antisocial disorder.
Term
Trichotillomania
Definition
Recurrent pulling out of one's hair resulting in noticeable hair loss. Tension beforehand, relief or gratification afterwards.
Term
Intermittent Explosive Disorder
Definition
Episodes of failure to resist aggressive impulses that result in serious assaultive acts or destruction of property. Aggressiveness is grossly out of proportion to the event. Episodes are not because of drugs/alcohol
Term
Intellectual disabilities (mental retardation)
Definition
-deficits in intellectual functions based on IQ tests, have hard time reasoning, problem solving, learning from experience, abstract thinking, academic learning.
-Deficits in adaptive functioning: failure to meet standars for independence. Have problems functioning in daily life activities, deficits exist across multiple enviroments.
-Causes: down's syndrome, PKU, Fetal alchohol syndrome, anoxia at birth
Term
Specific learning disorder
Definition
level of achievement is below that expected for age, schooling. Manifests in slow reading, poor comprehension, problems with math.
Term
Attention Deficit Hyperactivity Disorder (ADHD)
Definition
Maladaptive levels of inattention, excessive activity, and impulsiveness. Usually identified at age 3-4 (must be before 12), must be impairing at home, school, sports, friends etc, must occur for at least 6 months. Treatment with behavior therapy, medication, social skills training.
-Inattention: does not listen to others, looses assignments, poor attention to detail, careless mistakes, easily distracted.
-Hyperactivity and impulsivity: fidgeting, cannot sit still, leaves seat all the time, blurts out answers, cannot wait turn, interrupts, excessively active.
Term
Autism
Definition
Significant impairment in social interactions and communications, restricted pattern of behavior, interests, and activity. Avoids eye contact, odd facial expressions, gestures, behavior. Have trouble understanding body language. Echolalia, repetitive behavior.
Term
Asperger's Disorder
Definition
Impaired social skills and restricted behavior, but has normal cognitive and language development.
Term
Rett's Disorder
Definition
Occurs in females and is characterized by a sudden deceleration of development.
Term
Childhood Disintegrative Disorder
Definition
Occurs between ages of 2-10 and is characterized by the sudden, rapid onset of autistic traits. Loss of communication, adaptive behavior
Term
Conduct Disorder
Definition
pattern of violating the rights of others or societal norms, aggressive behaviors. Has to occur before age 10. Bullies, threatens, starts fights, physically cruel to animals or people, steals, destroys property, other serious violation of rules.
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