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Abnormal Psych - Final
-Antisocial , Borderline personality disorders, Autism, and Schizophrenia alcohol dependence, marijuana, and amphetamines terms and concepts about addiction ADHD, pedophilia, how we learn paraphil
112
Psychology
Undergraduate 3
12/09/2012

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Cards

Term
characteristics of people with antisocial personality disoder
Definition
-stealing
-irresponsible, deceitful, impulsive
-do not have empathy or a conscious
-selfish
-violate social norms
Term
substance abuse occurs in __% of people with antisocial personality disorder
Definition
60%
Term
what does the prognosis look like for people with antisocial disorder?
Definition
poor chance of recovery
Term
manie sans delire
Definition
mania without delirium

people with unusual emotional responses and impulsive rages but no deficits in reasoning ability

AKA antisocial personality disorder
Term
who coined the term psychopathic personality?
Definition
cleckley
Term
6 criterion for antisocial personality disorder
Definition
1. superficial charm

2. grandiose of self-worth

3. need for stimulation

4. pathological lying

5. manipulative

6. lack of remorse
Term
conduct disorder
Definition
people that engage in behaviors that violate social norms
Term
connection between antisocial disorder and conduct disorder
Definition
people with antisocial disorder had conduct disorder as children
Term
antisocial personality disorder: genetics?
Definition
-genetic link between criminal behavior and antisocial

-children with parents that were criminals are more likely to become criminals if grew up in orphanage (gene-environment interaction)
Term
endophenotype
Definition
genetics that are influenced by environment
Term
neurobiological influences of antisocial personality disorder
Definition
lack of anxiety/fear

low serotonin and dopamine levels
Term
antisocial personality disorder: under-arousal hypothesis
Definition
psychopaths have abnormal levels of cortical arousal

seek stimulation to boost arousal
Term
antisocial personality disorder: 2 hypotheses
Definition
1. fearlessness

2. underarousal
Term
antisocial personality disorder: biology
Definition
BIS and reward system imbalance

fear and anxiety produced by BIS may seem less apparent and positive feelings associated with the reward system seem important
Term
antisocial disorder: rewards
Definition
if a reward is clearly no longer being given, still continue to work for reward

shows that psychopaths may not be deterred from goal despite the knowledge of it no longer being obtainable
Term
antisocial personality disorder: developmental influences
Definition
rates of antisocial behavior decline at age 40
Term
antisocial personality disorder: therapy and treatment
Definition
1. therapeutic communities: intensive group therapy of 80 hrs/week

2. parent training: parents learn how to motivate kids, encourage prosocial behavior, reduce problems
Term
____ is one of the most common personality disorders observed in clinical settings
Definition
borderline personality disorder
Term
borderline personality is seen in _ to _ percent of the population
Definition
1-2%
Term
what 2 disorders are commonly comorbid with borderline personality disorder?
Definition
depression and bipolar
Term
__% of people with this borderline personality disorder also have a substance abuse problem
Definition
70%
Term
antisocial personality disorder: biological influences
Definition
1. genetic vulnerability

2. abnormally low cortical arousal

3. high fear threshold
Term
atisocial personality disorder: psychological influences
Definition
difficulty learning to avoid punishment

indifferent concern of others
Term
antisocial personality disorder: social and cultural influences
Definition
1. criminality

2. stress and trauma

3. inconsistent parental discipline

4. SES disadvantage
Term
borderline personality disorder: biological influences
Definition
1. genetic link to mood disorders

2. inherited tendencies for impulsivity or volatility
Term
borderline personality disorder: psychological influences
Definition
suicidal

moody

impulsive
Term
borderline personality disorder: social
Definition
early trauma, sexual or physical abuse

rapid cultural changes like immigration
Term
characteristics of autism
Definition
significant impairment in social interactions

communication issues

restricted patterns of interest and activities
Term
autism: impairment in social interactions
Definition
joint attention issues: do not pay attention to social cues. cant read people

may not enjoy meaningful relationships with others or understand/care about social interaction
Term
autism: impairment in communication
Definition
1/3 of people with autism never acquire speech

echolalia: repeat speech of others
Term
echolilia
Definition
autism; repeat speech of others
Term
Autism: restricted behavior, interests, activities
Definition
maintenance of sameness: dont like change

stereotyped and ritual behaviors
Term
1 in ___ have autism
Definition
1 in 500
Term
list the autism spectrum disorders (3)
Definition
1. autistic

2. pervasive developmental disorder

3. aspbergers
Term
autism: what did they used to think the cause of autism was?
Definition
result of failed parenting

parents characterized as being perfectionists, old, aloof, with high SES and high IQs

autistic may lack self awareness (speak in third person)
Term
autism: biological
Definition
-genetic predisposition

5-10% risk of having more than 1 child autistic

they might not be able to produce oxytocin (bonding neurochemical)
Term
autism: neurobiological
Definition
people with autism have fewer neurons in amygdala

amygdala in kids with autism is enlarged early in life (causes more anxiety/stress) and excessive release of cortisol damages amygdala

mercury in vaccinations
Term
difference between autism and aspbergers
Definition
aspbergers = more verbal

obsessed with random facts

IQ in average range
Term
treatment for autism
Definition
teach language and communication skills

inclusive schooling

SSRIs
Term
Schizophrenia: biological influences
Definition
1. inherited tendency (multiple genes) to develop disease

2. prenatal and birth complications (viral infection during pregnancy or birth injury affect childs brain cells)

3. brain chemistry (abnormalities in the DA and glutamate systems(

4. brain structure (enlarged ventricles)
Term
Schizophrenia: trigger for biological/genetic predisposition
Definition
1. stressful, traumatic life event

2. high expressed emotion (family cricism, hostility, and intrusion)

3. sometimes no obvious trigger
Term
Schizophrenia: Cultural influences
Definition
culture influences interpretation of disease and symptoms

hallucinations and delusions
Term
1 out of __ people will have schizophrenia
Definition
1 out of 100
Term
3 symptoms of schizophrenia
Definition
1. catatonia

2. hebephrenia

3. paranoia
Term
Define: catatonia
Definition
alternating immobility and excessive agitation
Term
Define: hebephrenia
Definition
silly and immature emotionality
Term
List 5 types of Symptoms of schizophrenia
Definition
1. delusions

2. hallucinations

3. disorganized speech

4. behavioral problems

5. withdrawal
Term
Schizophrenia: delusions
Definition
1. may be unrealistic and bizzare beliefs not shared by others in culture

2. delusions of grandeur or persecution
Term
Schizophrenia: hallucinations
Definition
1. sensory events that aren't based on any external event (hearing voices, seeing people who have died)

2. many have auditory hallucinations
Term
Schizophrenia: disorganized speech
Definition
1. jumping from topic to topic

2. talking illogically (not answering direct questions, going off on tangents)

3. speaking in unintelligible words and sentences
Term
Schizophrenia: Behavioral problems
Definition
-pacing

-agitation

-catatonic immonbility

-keeping body parts in same position when they are moved by somebody else

-inappropriate dress

-inappropriate affect

-ignoring personal hygiene
Term
Schizophrenia: Withdrawal
Definition
lack of emotional response (flat speech, little hange in facial expressions)

apathy (little interest in day-to-day activities)

delayed and brief responses in conversation

loss of enjoyment in pleasurable activies (eating, sex, etc)
Term
5 types of schizophrenia
Definition
1. paranoid

2. disorganized

3. catatonic

4. residual

5. undifferentiated
Term
Characteristics of: Paranoid schizophrenia
Definition
1. delusions of grandeur

2. hallucinations (especially auditory)

3. higher level of functioning between episodes

4. may have stronger familial link than other types
Term
Characteristics of: disorganized schizophrenia
Definition
1. disorganized speech and behavior

2. immature emotionality, inappropriate affect

3. chronic and lacking in remissions
Term
Characteristics of: Catatonic schizophrenia
Definition
1. alternating immobility and excited agitation

2. unusual motor responses

3. odd facial or body mannerisms

4. rare
Term
Characteristics of: Residual schizophrenia
Definition
1. has had at least one schizophrenic episode but no longer shows major symptoms

2. still shows "leftover" symptoms (social withdrawal, bizarre thoughts, flat affect, inativity)
Term
Characteristics of: Undifferentiated schizophrenia
Definition
1. symptoms of severeal types

does not fall neatly into one category
Term
Positive symptoms of schizophrenia: behavior
Definition
1. active manigestations of abnormal behavior

hallucinations, delusions, disorganized speech, odd body movements, catatonia
Term
Negative symptoms of schizophrenia: behavior
Definition
flat affect (lack of emotional expression)

avolition *lack of initiative, apathy)

alogia (relative absense in amount or content of speech)
Term
Schizophrenia: emotional and cognitive influences
Definition
interaction styles that are high in cricism, hostility, and emotional over-involvement can trigger a relapse
Term
Schizophrenia: List types of treatment
Definition
1. individual, group and family therapy

2. social skills training

3. medications
Term
Schizophrenia: Medication
Definition
1. neuroleptic medications help to clarify thinking and perceptions of reality, reduce hallucinations and delusions

drug treatment must be consistent.
Term
Schizophrenia: Social skills training
Definition
can occur in hospital or community settings

teaches person social, self-care and vocational skills
Term
Schizophrenia: family,group, and individual therapies
Definition
1. can help patient and family understand the disease and symptom triggers

2. teaches families communication skills

3. provides resources for dealing with emotional and practical challenges
Term
pyschopharm effects of alochol
Definition
effects GABA

alcohol reinforces movement of chloride ions (decrease effects of GABA) and causes neurons to have difficulty in firing
Term
how is glutamate system affected by alcohol
Definition
glutamate = excitatory, involved in learning and memory

blackouts can occur
Term
What systems does alcohol effect?
Definition
1. GABA

2. Glutamate

3. serotonin
Term
alcohol: withdrawal delirium (delerium tremens)
Definition
produces frightening hallucinations and body tremors
Term
what enzyme metabolizes alcohol?
Definition
alcohol dehydrogenase
Term
4 Stages of alcoholism
Definition
1. prealcoholic stage (drinking occasionally)

2. prodromal stage: heavy drinking but not noticeable

3. crucial stage: loss of control, occasional binges

4. chronic stage: daily activities involve getting and drinking alcohol
Term
what are amphetamines used for?
Definition
adhd

energy boosting


MDMA
Term
what do amphetamines do
Definition
enhance dopamine and norepinephrine

stimulate CNS
Term
what were amphetamines originally marketed for?
Definition
nasal decongestant

reduce appetite
Term
Causes of substance abuse disorders: biological
Definition
genetic predisposition for addiction

drugs act as reinforcer, acting on DA system and limbic system, VTA and nucleus accumbens
Term
Causes of substance abuse disorders: Psychological (5)
Definition
TO USE DRUGS:
1. drug use for pleasure, "good feelings"

2. negative reinforcement: drug use to escape pain

3. feelings of being in control

4. want to avoid withdrawal symptoms

5. other disorders: psych or anxiety or mood
Term
Causes of substance abuse disorders: social influences
Definition
1. exposure to drug through media, family, etc

2. social expectations and cultural norms

3. peers or family support drug use
Term
Biological influences of substance abuse
Definition
1. sensitivity to drug

2. rate of metabolism

3. base levels of arousal (other disorders)

4. disorders of mood and anxiety
Term
Treatment of substance abuse: agonist substitution
Definition
safe drug alterntives

ex: methadone (heroin sub)
Term
Treatment of substance abuse: antagonistic treatments
Definition
block or counteract the effects of psychoactive drugs

ex: naltrexone for opiote use

decrease withdrawal and cravings
Term
Treatment of substance abuse: aversive treatment
Definition
make abusing substance very unpleasant

ex: antabuse for alcohol (accumulation of acetyldehyde)

and silver nitrate for smoking
Term
Psychosocial treatments for alcoholics (4)
Definition
1. inpatient facilities

2. AA meetings

3. controlled drinking strategies

4. relapse prevention
Term
adverse effects of chronic marijuana use
Definition
impaired memory

relations with others

employment
Term
what is the chemical the brain makes that contains THC?
Definition
anandamide
Term
DSM criteria for adhd
Definition
1.inattention

2. hyperactivity

3. impulsivity
Term
adhd: cultural construct
Definition
more people in us have this than any other country

fast-paced culture, pushing for academic success

boys are three times more likely to be diagnosed
Term
when do adhd symptoms first appear?
Definition
age 3-4
Term
up to __% of kids with adhd have a comborbid diagnosis
Definition
80%
Term
which disorders overlap with adhd? (3)
Definition
1. operational defiant disorder

2. conduct disorder

3. bipolar disorder
Term
operational defiant disorder
Definition
loses temper

argues with adults

deliberately annoys people

spiteful
Term
causes of adhd
Definition
genetics

associated with the D4 dopamine receptor, Dopamine transport gene, D5 receptor
Term
what does ritalin do?
Definition
inhibits DAT1 gene and increases amount of dopamine available
Term
adhd: environmental factors
Definition
DAT1 gene mutation more likely if mother smoked during pregnancy

toxins and food additives

low birth weight, maternal alcohol consumption
Term
adhd medication
Definition
stimulants - methylphenidate/ritalin, dexadrine

strattera
Term
adhd; strattera
Definition
adhd med

norepinephrine reuptake ihibitr

lower abuse potential because does not produce a high
Term
non-medicinal treatment for adhd
Definition
-teach parents how to respond to kids and motivate

-set goals for kids behavior

-social skills training
Term
__% of men and _% of women reported being touched by adults when they were kids
Definition
12% men

17% women
Term
__% of men and __% of females are sexually abuse children
Definition
90% men

10% women
Term
paraphilia
Definition
aroused in context of objects that are abnormal
Term
gender differences in sexuality
Definition
aroused in context of objects that are abnormal
Term
gender differences in sexuality
Definition
-more men admit that they masturbate

-men express more permissive attitude than women about premarital sex

-females are aroused by more things + both genders, regardless of sexuality
Term
Culural differences of sex
Definition
in new guinea boys at age 7 are expected to give oral sex to other boys because semen does not come out spontaneously and is sacred
Term
Causes of paraphilias
Definition
-pre-existing deficiencies in levels of arousal

-treatment received from adults during childhood

-early sexual fantasies reinforced by masturbation

-strong sex drive and uncontrollable thought processes
Term
4 treatments for paraphilias
Definition
1. covert sensitization

2. relapse prevention

3. orgasmic reconditioning

4. medical
Term
paraphilias: covert sensitization
Definition
aversive consequences paired with arousing stimuli so that you dont like it anymore
Term
paraphilias: relapse prevention
Definition
therapeutic preparation for coping with future situations
Term
paraphilias: orgasmic reconditioning
Definition
pairing appropriate stimuli with masturbation to create positive arousal patterns
Term
paraphilias: medical treatment
Definition
drugs that reduce testosterone to reduce sexual desire

fantasies and arousals return when drug stops
Term
fetishism
Definition
sexual attraction to nonliving objects
Term
voyeurism
Definition
peeping

view unsuspecting people naked
Term
8 types of paraphilias
Definition
1. fetishism

2. voyeurism

3. exhibitionism

4. transvestite fetishism

5. sexual sadism

6. sexual masochism

7. pedophilia

8. incest
Term
how do people learn paraphilias?
Definition
1. early inappropriate sexual associations or experiences

2. inadequate development of adult arousal patterns or development of social skills

3. inapproproate sexual fantasies associated with masturbatory behavior. reinforced

4. repeated attempts to inhibit behavior only makes it worse
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