Clip 10: detachment and externalising problems

Question 1

welke heeft hij nog bij het detachment spectrum gezet

Answer 1

anhedonia

Question 2

anhedonia =

Answer 2

het niet meer kunnen ervaren van vreugde

Question 3

welke disorders horen bij detachment

Answer 3

• avoidant PD
• dependent PD
• histrionic PD
• schizoid PD

en hij zei nog:
- dysthymia
- MDD

Question 4

welke 2 woorden horen bij externalising

Answer 4

• disinhibited
• antagonistic

Question 5

welke soorten syndromen horen bij het externalising domain

Answer 5

disruptive, impulse-control, and conduct syndromes:
- oppositional defiant syndrome (ODD)
- intermitted explosive disorder
- conduct syndrome
- pyromanie (brandstichten)
- kleptomanie (stelen)

neurodevelopmental syndromes
- attention deficit hyperactivity syndrome

personality disorders

Question 6

oppositional defiant syndrome A=

Answer 6

a pattern of angry/irritable mood, argumentative/defiant behaviour, or vindictivenes lasting at least 6 months as evidenced by at least 4 symptoms, and exhibited during interaction with at least one person who is not a sibling

Question 7

verschil tussen oppositional defiant & conduct disorder

Answer 7

oppositional defiant does not include real criminal behaviour

Question 8

welke 3 categorieen horen bij oppositional defiant syndrome

Answer 8

angry/irritable mood
argumentative/defiant disorder
vindictiveness

Question 9

angry/irritable mood symptomen van oppositional defiant syndrome

Answer 9

• often loses temper
• is often touchy or easily annoyed
• is often angry and resentful

Question 10

argumentative/defiant behaviour welke symptomen bij oppositional defiant syndrome

Answer 10

• often argues with authority figures or, for children or adolescents, with adults
• often actively defies or refuses to comply with requests from authority figures or with rules
• often deliberately annoys others
• often blames others for their mistakes or misbehaviour

Question 11

vindictiveness symptomen bij oppositional defiant syndrome

Answer 11

• has been spiteful or vindictive at least twice within the past 6 months

Question 12

conduct syndrome A=

Answer 12

a repetitive and persistent pattern of behaviour in which the basic rights of others or major age-appropriate societal norms or rules are violated, as manifested by the presence of at least 3 for the past 12 months, with at least 1 present in the past 6 months (symptoms straks)

Question 13

4 categorieen van conduct disorder=

Answer 13

• agression to people and animals
• destruction of property
• deceitfulness or theft
• serious violations of rules

Question 14

aggression to people and animals symptomen van conduct disorder=

Answer 14

• often bullies, threatens or intimidates others
• often initiates physical fights
• had used a weapon that can cause serious harm to others
• has been physically crual to others
• has been physically crual to animals
• has stolen while confronting a victim
• has forced someone into sexual activity

Question 15

destruction of property symptoms conduct disorder=

Answer 15

• deliberately engaged in fire setting with the intention of causing serious damage
• has deliberately destroyed other peoples property (other than fire setting)

Question 16

deceitfulness or theft symptoms conduct disorder=

Answer 16

• has broken into someone elses house, building or car
• often lies to obtain goods or favors or to avoid obligations
• has stolen items without confronting a victim

Question 17

serious violations of rules conduct disorder symptoms =

Answer 17

• often stays out at night despite parental prohibitions, beginning before 13
• has run away from home whilst living in parental home, or once without returning for a lengthy period
• is often truant from school, beginning before age 13

Question 18

adhd A=

Answer 18

A persistent pattern of inattention and/or hyperactivity-impulsivity that interferes with functioning or development, as characterized by (1) and/or (2):
1) Inattention
2) Hyperactivity and impulsivity

Question 19

inattention bij adhd=

Answer 19

6 of meer, voor tenminste 6 maanden, negative impact op social and academic/occupational activities:

• fails to give close attention or makes careless mistakes
• difficulty sustaining attention
• does not seem to listen when spoken to directly
• does not follow through on instructions
• difficulty organizing tasks & activities
• avoids/dislikes/does not engage in tasks that require sustained mental effort
• often loses things
• easily distracted
• inattentful

Question 20

hyperactivity and impulsivity bij adhd=

Answer 20

• often fidgets or taps hands/feet
• leaves seat when remaining seated is expected
• runs about or climbs in inappropriate situations (in adults: feeling restless)
• unable to play or engage in activities quietly
• often on the go
• talks excessively
• blurts out an answer
• difficulty waiting their turn
• often interrupts or intrudes on others

Question 21

hoeveel van de symptomen voor adhd hebben kinderen nodig, en hoeveel hebben volwassenen nodig

Answer 21

kinderen = 6
volwassenen = 5

Question 22

substance related problems:

Answer 22

• alcohol use disorder
• alcohol intoxication
• alcohol withdrawal
• unspecified alcohol-related disorder

also for: caffeine, cannabis, recreational drugs, medications, tobacco, gambling

Question 23

alcohol use disorder A=

Answer 23

a problematic pattern of alcohol use leading to clinically significant impairment or distress, at least 2 during 12 months:

• often larger amounts or longer than necessary
• desire or unsuccessful efforts to cut down or control alcohol use
• great deal of time spent in activities necessary to obtain/use/recover from alcohol
• craving
• failure to fulfill major role obligations
• continued use despite having social/interpersonal problems due to alcohol
• social/occupational/recreational activities are given up due to alcohol use
• recurrent use when it is physically hazardous
• continued use despite having a persistent physical/psychological problem due to alcohol
• tolerance (need for more or diminished effect of the same amount)
• withdrawal (either actually withdrawal, or alcohol is taken to avoid withdrawal)

Question 24

other substance disorders

Answer 24

• … use disorder
• … intoxication
• … withdrawal

Question 25

welke is de distruptive, impulse-control and conduct syndromes chapter

Answer 25

15

Question 26

welke is de neurodevelopmental syndromes

Answer 26

1