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Occupational Pediatrics test 2
Dr. Serfas's 2nd test
62
Medical
Graduate
03/30/2013

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Cards

Term
The difference between temperament and personality is?
Definition
Temperament- largely lower limbic structures

Personality- higher limbic structures
Term
what system is responsible for:
Sensation and expression of emotion
Governs emotional and social lives
Molded through nature and nurture
Definition
limbic system
Term
an early name for the limbic system?
Definition
The Papez Circuit
Term
Area of the brain responsible for raw spontaneous manifestations of emotion
Definition
hypothalamus (lower limbic system)
Term
Adds emotional coloring: most sophisticated area of limbic system
Definition
neocortex
Term
area of the brain with:
Emotional thought
Awareness of feelings
Control over feelings
Mood, motivation and social awareness
Definition
upper limbic system- Cingulate Cortex-ring of gyri that forms inner core of frontal, parietal and temporal lobes that controls emotional experience
Term
“gate keeper of emotion”
Definition
amygdala
Term
amygdala damage causes...
Definition
Blind to Emotion: theirs and others
One of the leading hypotheses to explain autism
Learned Fear: developmental trauma disorder
Aggression
Predatory: attacks for food
Affective: for show
Term
Refers to a collection of inborn, relatively stable traits that influence how individuals process and respond to the environment and that contribute to the development of personality and everyday functioning...
Definition
TEMPERAMENT
Term
Nine basic characteristics of temperament...
Definition
1. activity level
2. rhythmicity (ie. eating, sleeping and play)
3. approach to or withdrawal from novel situations
4. intensity of emotional responses
5. sensory threshold
6. mood
7. adaptability
8. distractibility
9. attention span and persistence
Term
The 4 patterns of attachment behavior between parents and infants
Definition
1. secure
2. avoidant
3. resistant or ambivalent
4. disorganized/disoriented.
Term
Children's developmental progress and occupational performance depend as much on how well their ____ needs are being met as they do on the adequacy of the nutrition and shelter they receive.
Definition
psychosocial p. 410
Term
characterized by a well-established pattern of disobedience and hostility toward authority figures that lasts for over 6 months
Definition
Oppositional defiant disorder (ODD)
Term
One of the leading hypotheses to explain autism
Definition
amygdala damage
Term
T/F- Left cerebral hemisphere has more important role in the emotional gestalt
Definition
False- right
Term
emotion associated with Right medial frontal cortex
Definition
feel bad emotions
Term
Left medial frontal cortex is associated with what kind of emotions?
Definition
feel good emotions
Term
B pattern attachment
Definition
Secure attachment-
Early on-infant seeks caregiver. As they gain independence, they go out and then they want to come back. They are easily comforted when the parent comes back.
Term
A pattern of attachment
Definition
insecure attachment-
Systematically suppress emotion, particularly when most distresses
Emotional control is understood as child’s effort to minimized investment in a relationship that has too much rejection, but reliant for protection and survival
Adults deny negative emotion or negative past experience
Deny infant’s attachment needs
Withdraw when infant show’s negative & need comfort
Term
Minimize emotional arousal level to avoid engagement with parent
Intrinsically less fearful
Higher heart rates and cortisol levels than secure group even after reunion
Definition
Insecure Avoidant attachment pattern A
Term
hormone that is produced under stress and can be tested by a cotton swap mouth test.
Definition
cortisol levels
Term
High affect of expression
Perpetual strong bids for parental attention
Parents preoccupied; focused on own attachment relationships in past and present unresolved which may result in expressed anger and distress
Definition
Attachment pattern C- Insecure ambivalent
Term
No organized strategy for achieving a attachment relationship with a caregiver
Contradictory behaviors: approach-withdrawal, push-pull
Highly anxious or depressed
Maltreatment of children common
2nd generation effect from one or more parents living with unresolved past
Definition
Insecure-Disorganization: (D) pattern
Term
areas of the brain (3) where stress hormones (cortisol) can have a negative impact on emotion and memory
Definition
Hippocampus
Anterior cingulate gyrus
Amygdala
Term
Stress occurring in the first year of life can have permanent damage on memory in later life (true or false)
Definition
TRUE
Term
The affect on the brain that is caused by child abuse and results in the child not remembering the incident
Definition
Hippocampal memory storage atrophied
Term
A small increase in cortisol is for what purpose?
Definition
for fight or flight, heightened memory, lower sensitivity to pain
Term
7 areas of the ages and stages questionnaire
Definition
1. self-regulation
2. compliance
3. communication
4. adaptive functioning
5. autonomy
6. affect
7. interaction with people
Term
inborn traits that characterize process of and response to environment
Definition
temperament
Term
examples of temperament
Definition
Activity level
Rhythmicity
Approach/withdraw
Intensity
Sensory trigger
Mood
Adaptability
Distractibility
Attention/persistence
Term
DOING
Definition
competancy
Term
being
Definition
self-efficacy
Term
Subjective feeling of satisfaction in accomplishment
Intrinsic rewards/motivation
Definition
self-efficacy
Term
becoming
Definition
self-esteem
Term
description one attaches to oneself
Beliefs
Ideas
Attitudes
Based on attributes and roles
Definition
self-concept
Term
What model?
Perceived competency and social support are important predictors of global self esteem in children
Hierarchical structure explains development of Self Esteem
Definition
Harter’s Model of Self Esteem Development
Term
The ability to monitor one’s own and other’s feelings, to discriminate among them and to use this information to guide one’s thinking and action (Solovey, 2005)
Definition
emotional intelligence
Term
Developmental/Adaptive Function Assessments with SE Domain
Definition
Hawaii Early Learning Profile
Pediatric Evaluation of Disability Inventory
School Function Assessment
Vineland Adaptive Behavior Scales
Term
Self Esteem Assessments
Definition
Piers-Harris (2002) Self Concept Scales (grades 4-12)
Tennessee Self Concept Scale 2 (age 7-12, adults 13-90) (Fitts & Warren, 1996)
Pictorial Scale of Perceived Competence & Social Acceptances for Young Children (age 4-7) (Harter & Pike, 1984)
Term
Self Esteem Assessments
Definition
Self esteem is based on self perception
Self-Perception Profile for Young Children age 8-15 (Harter, 1985)
Self-Perception Profile for Adolescents grade 9-12 (Harter, 1995)
Term
Social Adjustment/Skill Assessments
Definition
Social Responsiveness Scale-2 (Constantino & Gruber, 2012)
Measures impairments in social and reciprocal behavior in children with ASD age 4-14
Child and Adolescent Social Perception Measure (CASP) ( J Magill-Evans, C Koning, et.al. 1995)
Measures ability of children age 6-15 years to identify emotions from nonverbal and situational cues

Social Skills Rating Scales & Social Skills Improvement System (Gresham & Eliot, 1990, 2008)
Social skills and problem behaviors in children age 6-15 years
Intervention planning
Child Behavior Checklist (Achenbach, 2000, 2001)
Age 2-18
Emotional and behavior problems
School Social Skills Rating (Brown et al. 1984)
School age
Ratings by teacher
Term
the three foundational sensory systems which are a basis of occupational performance
Definition
Tactile
Vestibular
Proprioceptive
Term
Brain’s ability to recognize and interpret internal and external sensory information for performance skills.
Definition
perception
Term
Refers to one’s ability to receive, interpret, and respond successfully to sensory information
Definition
perceptual motor
Term
Commonly Recognized Senses
Definition
Vision
Audition
Somatosensory (tactile, touch)
Gustation
Olfaction
Term
sensitivity to overall melody or intonation of spoken language
Definition
prosody
Term
babies hear low/high pitched sounds better...
Definition
low-pitched
Term
In what plane is sound localization in?
Definition
the horizontal plane
Term
By 6 months, perceive high/low frequencies better, perception of full range almost fully developed
Definition
high
Term
At 3-5mo, what gender has better hearing?
Definition
girls
Term
Slower, higher-pitched, highly-intonated
Good for language acquisition
Definition
motherese
Term
What percentage of HI are preventable?
Definition
50%
Term
sound waves cannot be conducted from the outer or middle ear to the inner ear.
Definition
conductive hearing loss
Term
occurs either in the inner ear or in the auditory nerve.
Causes: damage in hair or nerve cells in the cochlea or auditory nerve.
Definition
Sensori-neural hearing loss
Term
Sensory processing issue
Definition
Sound localization & lateralization
Auditory discrimination
Auditory pattern recognition
Definition
Central Auditory Processing Disorder (CAPD)
Term
Common Assessments used by SLPs (x2)
Definition
Test of Auditory Processing Skills (TAPS-3) (Martin & Brownell, 2005)
SCAN-3 Tests for Auditory Processing Disorders for Children (Keith, 2009)
Term
the dominant sense in human perception of the external world
Definition
vision
Term
photoreceptor for more central, fine detail, bright light and color vision, color blindness is caused by deficiency or absence of one or more types
Definition
cones
Term
photoreceptor for peripheral vision, night vision, and dim-light.
Definition
rods
Term
Magnocellular Theory of Dyslexia:
Definition
Vision and Hearing Correlates. Problems with parietal and temporal lobes
Term
continued fixation of a moving object so that the image is maintained continuously on the fovea
Definition
Visual pursuit or tracking
Term
rapid change of fixating from one point in the visual field to another
Definition
Saccadic eye movements or scanning
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