Term
| Left and right hemispheres-Women |
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Definition
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Term
| Left and right hemispheres-Men |
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Definition
| right hemispheres to talk, left for spatial tasks |
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Term
Parasympathetic division
functions for |
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Definition
| Homeostasis and resource conservation |
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Term
Sympathetic division
functions for |
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Definition
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Term
| Physical maladaptation can occur as a result of psychosocial stress resulting in pathophysiological changes |
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Definition
Hypertension
Peptic ulcer
Rheumatoid arthritis |
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Term
| Emotional imbalance/psychopathology result from |
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Definition
| incoordinated neurotransmission |
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Term
| Three major classes of neurotransmitters: |
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Definition
Biogenic (monoamines)
Amino acids
Peptides |
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Term
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Definition
Catecholamines
Dolamines
Ethylamines
Quaternary amines |
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Term
| Altered monoamine activity results in: |
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Definition
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Term
| Norepinephrine A catecholamine; a key role in: |
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Definition
Mood
Anxiety
Arousal
Learning
Memory |
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Term
| Ach (a quaternary amine) and histamine (an ethylamine) are neurotransmitters key in: |
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Definition
Troubling side effects of psychoactive medication
Cognitive disorders
Dementia
Alzheimer’s
Down’s Syndrome
Sleep disorders |
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Term
| Amino Acids play a role in |
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Definition
Anxiety
Epilepsy
Memory
Schizophrenia |
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Term
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Definition
| enkephalins and endorphins produced by the brain |
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Term
Neuropeptides enkephalins and endorphins produced by the brain
Decrease |
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Definition
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Term
Neuropeptides enkephalins and endorphins produced by the brain
play a key role in |
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Definition
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Term
| the topographic theory developed by Freud consisted of |
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Definition
Unconscious
Preconscious
Conscious |
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Term
| the Structural theory later developed by Freud consists of |
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Definition
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Term
According to Topographic theory the following represents: Repressed thoughts and feelings
NOT available to the conscious mind
Primary thinking process
Primitive drives
Wish fulfillment
Immediate gratification
Pleasure seeking
No logic or concept of time
Dreams provide wish fulfillment
Parapaxes (Freudian slips) |
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Definition
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Term
According to Topographic theory Memories NOT immediately available but accessed easily
Example: students know material for the exam but not off the tip of their tongue
represent |
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Definition
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Term
According to Topographic theory Contains thoughts in the current awareness
Unlike preconscious, does NOT have access to the unconscious mind
Secondary process thinking
Logical, mature, time-oriented
Delayed gratification
represent |
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Definition
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Term
Structural theory: Present at birth
Instinctive sexual drives
Instinctive aggressive drives
NOT influenced by external reality |
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Definition
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Term
| Structural theory: Moral values and conscious |
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Definition
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Term
Structural theory: Controls expression of id
Adapts id to external world using defense mechanisms
Sustains satisfying interpersonal relationships
Sense of reality between personal body and external world |
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Definition
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Term
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Definition
| adaptive, or maladaptive, learning |
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Term
| Learning theory– repeated stimulation gives decreased response |
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Definition
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Term
| Learning theory– repeated stimulation gives increased response |
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Definition
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Term
| A natural, reflexive, unconditioned response |
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Definition
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Term
| Positive emotional response occurs with lover’s voice |
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Definition
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Term
| Reflexive response – food aroma |
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Definition
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Term
| negative emotional response occurs at the sound of the doctors voice with prior stressful events (white coat hypertension) |
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Definition
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Term
| Operant Conditioning Occurs because of |
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Definition
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Term
| Types of Operant conditioning |
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Definition
| Positive reinforcement, Negative reinforcement, Punishment, Extinction |
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Term
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Definition
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Term
| transference is a problem when it |
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Definition
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Term
Pattern of voluntary social withdrawal without psychosis
Detachment from social relationships
Restricted emotions |
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Definition
| Schizoid: Characteristics |
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Term
Little, if any, emotional connection with the doctor
Withdraws further with symptoms
Increased anxiety because illness forces interaction with others
May delay seeking care until symptoms become severe, out of fear of interacting with others
May appear detached and unappreciative of help |
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Definition
| Schizoid: In the Doctor’s Office |
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Term
Peculiar appearance (wear costumes)
Magical thinking
Unusual thought patterns and behavior without psychosis |
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Definition
| Schizotypal: Characteristics |
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Term
| Peculiar behavior becomes magnified with illness |
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Definition
| Schizotypal: Characteristics |
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Term
Patient wears funny costumes backwards
Keeps 25 dogs and 15 birds who talk to him/her
Can’t drive a car on Wednesdays because of bad luck |
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Definition
| Schizotypal: Characteristics |
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Term
Characteristics
Refusal to conform to social norms
Dishonest
A pattern of disregard for, and violation of, the rights of others
History of conduct disorder in childhood and adult criminal activity
Commonly known as “psychopaths” or “sociopaths” |
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Definition
| Antisocial Personality Disorder |
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Term
Irresponsible, impulsive or dangerous health behavior, without regard for consequences to self or others
Angry, deceitful, or manipulative behavior
Does not learn from experience |
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Definition
| Antisocial: In the Doctor’s Office |
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Term
Erratic, unstable behavior/mood
Boredom
Feels alone
Impulsive
Attempts suicide
Self-injury
Commonly comorbid with mood or eating disorders |
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Definition
| Borderline: Characteristics |
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Term
Mistrust of doctors and delay in seeking treatment
Intense fear of rejection and abandonment
Abrupt shifts from idealizing to devaluing caregivers; splitting
Self-destructive threats
May show “mini-psychotic” episodes
Periods of loss of reality |
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Definition
| Borderline: In the Doctor’s office |
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Term
Pompous, grandiose
Needs admiration
Lacks empathy for others
Illness may increase anxiety related to doubts about personal adequacy |
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Definition
| Narcissistic: Characteristics |
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Term
Often demanding when ill
Denial of illness or minimization of symptoms
Has a perfect self-image that is threatened by illness
Sees themselves as better than the doctor’s other patients |
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Definition
| Narcissistic: In the Doctor’s Office |
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Term
Attention seeking
Extroverted
Emotional
Sexually provocative
Shallow, vain, unable to sustain intimate relationships
“Don Juan” dress and behavior |
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Definition
| Histrionic: Characteristics |
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Term
Overly dramatic, attention-seeking behavior, with tendency to draw caregiver into excessively familiar relationship
Approaches the doctor in sexual fashion during illness
Wants the doctor to touch to show how bad the problem is
Inadequate focus on conditions and their management, with over-emphasis on feeling states
Tendency to dramatize somatic complaints |
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Definition
| Histrionic: In the Doctor’s Office |
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Term
Timid
Socially Withdrawn
Sensitive to rejection
Feelings of inadequacy/inferiority
Hypersensitivity to negative evaluation |
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Definition
| Avoidant: Characteristics |
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Term
Fear of rejection by the doctor
Avoids tests and treatment |
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Definition
| Avoidant: In the Doctor’s Office |
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Term
Poor self confidence
Wants others to make choices for them and assume their responsibilities
Submissive and clinging behavior
May become an abused spouse
Fear that illness will lead to abandonment and helplessness |
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Definition
| Dependent: Characteristics |
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Term
Dramatic and urgent demands for attention
Angry outbursts at doctor if not responded to
Patient may contribute to prolong illness or encourage procedures in order to get attention
May abuse substances and medication |
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Definition
| Dependent: In the Doctor’s Office |
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Term
Preoccupied with:
Orderliness – makes lists
Perfectionism
Control
Indecisive
Stubborn |
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Definition
| Obsessive-Compulsive: Characteristics |
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Term
Anger about disruption of routines
Repetitive questions and excessive attention to detail
Follow the doctors orders to the letter
Fear of relinquishing control to doctor |
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Definition
| Obsessive-Compulsive: In the Doctor’s Office |
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Term
Procrastinates
Inefficient
Sullen
Outwardly compliant, but inwardly defiant |
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Definition
| Passive-Aggressive: Characteristics |
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Term
Asks for help but does not follow the doctor’s advice
Example:
Patient with chronic low back pain
Doctor’s advice begin core stabilization
Patient’s schedule is too busy exercise |
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Definition
| Passive-Aggressive: In the Doctor’s Office |
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Term
Category provided for the following type situation:
Personality pattern meets the general criteria for a Personality Disorder and traits of several different Personality Disorders are present, but the criteria for any specific Personality Disorder are not met |
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Definition
| Personality Disorder Not Otherwise Specified |
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Term
Attend to and be empathic toward patient fears, even when irrational in appearance
Carefully detail care plan for patient with advance information about risks of procedures/treatments
Maintain patient’s independence when possible
Professional, but not overly friendly stance |
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Definition
| Global Patient Management Strategies |
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Term
Do not become personally overly involved or too zealous in trying to provide social supports
Set clear limits in context of treatments
Be aware of patient’s potential for self destructive behavior
Discuss feeling with staff |
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Definition
| Global Patient Management Strategies |
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Term
Thorough history taking and careful diagnostic work-ups are reassuring
Give clear and thorough explanation of diagnosis and treatment options
Do not overemphasize uncertainties about treatments
Avoid vague and impressionistic explanations
Treat patients as an equal partner; encourage self monitoring and allow patient to participate in treatment |
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Definition
| Global Patient Management Strategies |
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