Term
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Definition
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characterized by the three C's
- craving to compulsion
- continuance despite adverse consequences
- loss of control
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Term
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Definition
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alcohol
drugs
gambling
sex
food
videogames
kleptomania
shopping
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Term
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Definition
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Experience of significant maladaptive behavioral and psychological symptoms due to the direct effect of a substance on the CNS.
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Term
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Definition
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Same dose of drug produces less of an effect & a greater amount of the drug is needed to achieve the same level of intoxication
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Term
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Definition
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Term
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Definition
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physiological and behavorial symptoms that result when a person stops or reduces their use of the substance
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Term
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Definition
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drugs that tend to increase feelings or alertness, reduced feelings of fatigue, and enable a person to stay waake over sustained periods of time.
examples
- cocaine
- methamphetamine
- MDMA/Ectasy
- Ritalin
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Term
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Definition
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Herion
oxycontin
percoset
methadone
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Term
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Definition
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NMDA is a type of glutamate receptor. If these areas are not active at a normal level, it results in subtle brain damage (cause degeneration of neurons and schizophrenia-like symptoms.
Examples of NMDA antagonists are
- PCP
- ketamine(K)
- dextromethorphan/Robitussin
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Term
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Definition
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barbiturates-act as depressants to slow down the action of the central nervous system.
causes relaxations makes people sleepy, dangerous in large quantities.
leads to increased tolerance and physiological and psychological dependence.
HOwever, tolerance does not increase amount needed to cause death
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Term
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Definition
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antianxiety drugs
taken up quickly int eh digestive tract
patients become psychologically and physiologically dependent on them. withdrawal likely.
relapse rates are high.
believed to work by enhancing the activity of GABA receptors
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Term
Addiction as a Progressive Illnes
Levels of involvement |
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Definition
- Use-0 non-pathological
- "risky"-heavy use with discrete negative consequences
- "Problem"- problematic use without functional decline
- DSM_IV Abuse-pathological
- DSM-IV Dependence-pathological
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Term
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Definition
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abnormal physical or mental condition
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Term
| symptoms of alcohol/substance Abuse DSM-IV |
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Definition
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impariment/distress in more than one symptoms for 12 months
- major role obligations
- physically hazardous situation
- legal problems
- interpersonal problems
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Term
| symtpoms of Alcohol Substance Dependence DSM-IV |
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Definition
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impairment/distress in more than three symptoms for 12 months
- tolerance
- withdrawal
- consume more than intended
- persistent desire or unsuccessful efforts to cut back
- excessive time spent acquiring, using, reocvering
- activities reduced
- use despite exarcerbation of a health condition
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Term
| Prevalence of Substance Abuse |
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Definition
- more than 1/3 US has tried an illegal substance
- Alcohol Abuse (13%) dependence (5%)
- Druge ABuse (8%) dependence (3%)
- rates are higher in Men (2:1)
- native American>Caucasion>Hispanic>African American>Asian American
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Term
| Comorbidity of Substance Abuse |
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Definition
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~50% w/SUD have mental disorder
~50% w/mental disorder have SUD
most likely to have SUD (30%) if you have Antisocial PD
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Term
| Mesolimbic Dopamine System |
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Definition
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center of psychoactive drug activation in the brain. involved in the release of dopamine and in mediating the rewarding properties of drugs.
Located in the center of the brain, the ventral tegmental area, controls emotions, memory, and gratification. activation of this area stimulates gratification, interupting normal functions
Drugs of abuse produce acute increases in dopamine in the Ventral Tegmental Area (VTA) which projects to the nucleus accumbens (NAc) and on to the prefrontal cortex (PFC)

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Term
| Genetic factors in alcohol abuse |
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Definition
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having parents who were alcoholics increases the likelihood of the child developing the abuse
whether genetics is solely the reason is still up for debate because of the possibility of environmental and personality factors
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Term
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Definition
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druge exposure
drug cues/contexts
stress
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Term
| why do people get treatment for SUD? |
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Definition
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Pressure of family and friends
court mandates
overdoes or drug-induced psychosis
hitting "botton"--loss of health, marriage, employment, housing
desire for change
users typically feel ambivalent about trying to change
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Term
| Prochaska & DiClement's Transtheoretical Model of Change |
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Definition
- Pre-contemplation
- contemplation
- determination/preparation
- action maintenance
- relapse (repeat cycle over again)
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Term
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Definition
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alchohol withdrawal includes insomnia, anziety, nausea, headaches, alcohol withrdawal delierium, alcohol-amnestic disorder
medications used are benzodiazepines
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Term
| recovery programs for addiction recovery |
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Definition
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medication
psychoeducation
stress management
relapse prevention
AA/NA support groups
behavorial couples therapy
finding new menaing and reinforcers
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Term
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Definition
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an individuals stable patterns of thinking, feeling and behaving. happens across importnat social contexts, and originates in early development.
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Term
| Psychodynamic Views of Personality |
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Definition
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Failure to meet developmental goals produces unconscious conflicts (related to trust, autonomy, identity)
Person develops characteristic defense/coping mechanisms
PROS: emphasizes development, explains abnormal personality
CONS: de-emphasizes temperament, difficult to test
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Term
| Trait view fo personality |
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Definition
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a collection of fixed attributes
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Term
| The Big Five Traits of Personality |
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Definition
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current dominant trait theory
openness
conscientiousness
extroversion
agreeableness
neuroticism
PROS: intuitive, descriptive
CONS: de-emphasizes situation, fundamental attribution error
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Term
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Definition
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temperament "x" social learning --> behavior/personality
PROS: emphasizes interaction of innate predispositions, previous learning,and current context. Implies ways to change behavior
CONS: identifying key dimensions of persons and situations
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Term
| Definition of Personality Disorder |
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Definition
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a pattern of behavior or experience that is
enduring, inflexible, and pervasive
which deviates from cultural expectations
AND causes distress or impairment
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Term
Personality Disorder Cluster A
Paranoid |
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Definition
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Odd, distrust or detachment
Paranoid suspiciousness and mistrust of others, see self as blameless
schizoid: impaired social relationships, inability and loack of desire to form attachments to others
schizotypal: peculiar thought patterns; oddities of perception and speech that interfere with communicaiton and social interaction
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Term
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Definition
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Term
Personality Disorders Cluster B
histrionic |
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Definition
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dramatic-emotional
Histrionic: self dramatization; over concern with attractiveness
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Term
Personality
Personality Disorder Cluster C
Avoidant |
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Definition
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Anxious
Avoidant: hypersensitivity to rejection or social derogation; shyness; insecurity in social interactionand initiating relationships
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Term
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Definition
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Term
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Definition
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Term
| General Definition of Eating Disorders |
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Definition
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Disorders of food ingestion, regurgitations, or attitude that affect health and well-being
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Term
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Definition
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intense fear of gaining weight or becoming "fat" coupled with refusal to maintain adequate nutrition and with sever loss of body weight
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Term
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Definition
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frequent occurrence of binge-eating episodes, accompanied by a sense of loss of control of overating and
recurrent inappropiate behavior like purging food or excessive exercise to prevent weight gain
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Term
Eating Disorder
Prevalence |
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Definition
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mostly caucasian, middle to upper class women
onset= early teens AN; late teens BN
BN 1.5% women .5% men
AN .9% women .3%men
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Term
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Definition
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diathesis is having a predisposition toward developing a disorder
Stress is the response of the individual to demand that are percieved as taxing or exceeding his or her personal resources
Whether a person develops a disorder is dependent on these two
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Term
| Social Diathesis in Western Culture (Eating Disorders) |
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Definition
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the advent of TV caused a dramatic shift in women's attitude toward weight and dieting
acculturation into US society is associated with higher rates of eating disorders
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Term
| psychological diatheses (eating disorders) |
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Definition
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perfectionism
negative body image and dieting
negative affect
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Term
| treatment of eating disorders |
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Definition
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no demonstrated efficacy for AN,
no long terms for bulimia, though antidepresants reduce frequency of binging and purgining
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Term
| psychological treatment of anorexia nervosa |
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Definition
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first step is weight restoration
then psychoeducation (about nutritiation and health
then target dysfunctional attitudes
body shape
thinness=worth
control
family involvement (communication about eating/attitudes about body shape
treatment still worse lon-term than bulimia
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Term
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Definition
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Term
| psychological treatment of bulimia |
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Definition
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cognitive-behavior therapy (end binge-purge cycles, target dysfunctional thoughts)
interpersonal psychotherapy ( improve interpersonal functioning)
Efficacy (similar in long-run, CBT may work quicker)
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Term
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Definition
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Term
| Antisocial personality disorder |
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Definition
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Disorder chatacterized by continual violation of and disregard for the rights of others through deceitful, aggressive or antisocial behavior, typically without remosrse or loyalty to anyone
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Term
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Definition
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Term
Personality Cluster A disorder
schizoid |
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Definition
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schizoid: impaired social relationships, inability and lack of desire to form attachments to others
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Term
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Definition
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Term
Personality Disorders Cluster B
Narcissistic |
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Definition
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Narcissistic: gradiosity; preoccupation with recieving attention
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Term
Personality Disorder Cluster B
Borderline |
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Definition
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Borderline: Impulsiveness; inappropiate anger; drastic mood shifts
(more women have this than men)
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Term
| DSM-IV 5 Aves of Diagnosis |
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Definition
- Axis I: clinical disorders, including major mental disorders, as well as developmental and learning disorders
- Axis II: underlying pervasive or personality conditions, as well as mental retardation
- Axis III: Acute medical conditions and physical disorders.
- Axis IV: psychosocial and environmental factors contributing to the disorder
- Axis V: Global Assessment of Functioning or Children’s Global Assessment Scale for children and teens under the age of 18.
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Term
Personality Disorder Cluster C
Dependent |
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Definition
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Dependent: difficult in separating in relationships; discomfort at being alone; subordination of needs in order to keep others involved in a relationship; indecisiveness
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Term
Personality Disorder Cluster C
Obsessive-Compulsive |
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Definition
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Obsessive-compulsive: excessive concern with order, rules, and trivial details; perfectionistic (more males than females 2:1)
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Term
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Definition
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Term
| Marsha Linehan Biosocial Theory for Borderline Personality Disorder |
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Definition
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emotional dysregulation and invalidating environment
Emotionally Sensitive Child + Traumatic Childhood Event + A Family that does not properly nurture the child's emotional needs = an adult with Borderline Personality Disorder.
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Term
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Definition
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Term
| Treatments for Borderline Personality Disorder |
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Definition
- Linehan's Dialectical behavior therapy (improve affect tolerance and regulation; develop better coping skills)
- Psychodynamic Therapy (help patient integrate extreme negative and positive views of the world)
- Medications (SSRI's, mood stabilitzers, low does of antipsychotic meds)
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Term
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Definition
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refers to syndrome casued by psychological deficits (slef-centered, manipulative, lack of empathy)
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Term
| Characteristics of Psychopathy |
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Definition
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Antisocial behavior
examples
impulsivity and sensation-seeking
irresponsible, socially deviant lifestyle, unlwaful behavior
substance abuse
absence of guilt, empathy, conscience
grandios self worth
superficial charm, pathological lying, exploitative
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Term
| Cleckley's "ABCDs" of Psychopathy |
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Definition
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A: appears normal (superficial charm, intelligence, not delusional
B: behavior is antisocial
C: consistency lacking (lack of goals, failre to follow life plan)
D: deficits (lack of remorse, incapacity for love)
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Term
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Definition
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Term
Developmental Precursors to Schizophrenia (Walker)
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Definition
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watched video tapes of 32 children who were pre-schizophrenic found that by age 2, the pre's showed more negative facial expressions and unusual hand movements
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Term
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Definition
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measure of the family environment based on what the family says during private interviews
three components
critism
hostility
emotional overinvolvement
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Term
EE (expressed emotion) relation to relapse in schizophrenia patients
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Definition
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patients in in high EE families are more likely to relapse
schizophrenia patients are more vunerable to stress.
biologically, stressed releases cortisol which lead to increased levels of dopamin and glutamate which are implicated in schiphrenia
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Term
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Definition
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