Chapter 12-psychological disorders Flashcards

0
Q

Inappropriate affect

A

Action inappropriate for situation
-uncontrollable laughter at wrong time

In schizophrenia

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1
Q

Schizophrenia

A

Split between thoughts and emotions

Nothing to to with split personality

Thinking is scattered
-loose associations

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2
Q

Bland/flattened affect

A

No emotions shown

Schizophrenia condition

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3
Q

Labile affect

A

Back and forth between inappropriate affect and no emotions

Schizophrenic personality

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4
Q

Schizophrenic psychosis

A

Hallucinations

- most common is auditory

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5
Q

Schizophrenic lucid/clear periods

A

In touch with reality

-occurs from time to time

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6
Q

Neologisms

A

Made up language between schizophrenics

Not understood by others

Coined expression or language

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7
Q

Schizophrenic religiosity

A

Push religion down someone’s throat

Always quote the bible

Fanatics

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8
Q

Children of schizophrenic patients

A

Double bind situation
-catch 22

Encouraged to give attention/affection to parent

Parent rejects child
-unable to give child proper care and attention

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9
Q

Schizophrenic positive/negative symptoms

A

Positive (severe)

  • delusions
  • hallucinations
  • being out of touch with reality

Negative (minor)

  • social withdrawal
  • apathy
  • showing no/blunt/affect emotions
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10
Q

Can only be on anti psychotic meds for so long

A

Tartive dyskinesia

Gumming

Fly catching motions

Myoclonus jerks
-spastic muscle jerks

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11
Q

What causes schizophrenia

A

Chemical imbalance

Excessive amounts of dopamine

Enlarged ventricles
-fluid filled cavities in the brain

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12
Q

Clang association

A

Schizophrenia

Always rhyming words

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13
Q

All schizophrenics fall in two categories

A

Reactive (acute)

  • react to the situation stress
  • temporary psychotic break
  • when stress goes away, go back to being normal

Process (chronic)

  • slow, gradual process of becoming schizophrenic
  • always schizophrenic
  • 50% of autistic children become schizophrenic by adolescence (18-19)
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14
Q

4 types of schizophrenia

A

Catatonic

Paranoid

Disorganized

Chronic undifferentiated

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15
Q

Catatonic schizophrenia

A

Motor disturbance

  • agitated/hyper active
  • catatonic stupor

Frozen mobility

  • locked on one thought or object
  • does not say anything
  • can be for days, weeks, month at a time
  • once they break the stupor, they finish the sentence
  • waxy flexibility
  • move arms and legs, they stay in that position

Either agitated or catatonic
-can not go back and forth

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16
Q

Paranoid schizophrenic

A

Highest emotional and intellectual level

Appear normal until you tap into their delusion

Always planning on how to “get you, before you get them”

Distrustful

Auditory most common

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17
Q

Disorganized schizophrenia

A

Show regression back to infantile behavior
-spit in face, vulgar, masturbate in public

Loose association

Inappropriate affect

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18
Q

Chronic undifferentiated affect

A

Can not diagnose type of schizophrenia

Show symptoms of all types

Catch all diagnosis
-waste bucket

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19
Q

Psychiatric interview

A

Unstructured interview

  • no preconceived notions
  • go with the flow
  • no mental checklist

Establish and maintain a good rapport

  • mutual respect and understanding
  • good working relationship

Favorite three words
-tell me more

Avoid giving advice

Ask open ended questions

  • let’s client talk about what is important to them
  • don’t ask fixed questions

Never ask the question why

  • makes you rationalize/justify position
  • can bring up negative feelings
  • embarrass the subject, put on the spot
  • don’t always know why we do things

Make behavioral observations

  • allows patient to comment on observation
  • offers defense without demanding one

Focus on feelings
-what are you feeling right now

Don’t let patient manipulate the interview
-they may to try to control interview, interview you

Avoid killer statements

  • “you don’t really believe that do you.”
  • “I don’t believe you said that”
20
Q

Anxiety

A

General apprehension or nervousness about something that takes place in the future

21
Q

Fear

A

Present time

Rational

Put in immanent danger

22
Q

Phobia

A

Irrational fear

Something in the past causes fear

23
Q

Agoraphobia

A

Open spaces

Panic attacks associated with fear

Become shut ins

24
Q

Coprophobia

A

Fear of feces

25
Q

Xanthophonia

A

Color yellow

26
Q

Satanophobia

A

Devil

27
Q

Phallophobia

A

Penis

28
Q

Astraphobia

A

Storms

Thunder

Lightening

29
Q

Equinophobia

A

Horses

30
Q

Triskaidekaphobia

A

Number 13

31
Q

Arachnophobia

A

Spiders

32
Q

Obsessive compulsive disorder

A

Anal personality

Obsessed with one thought to the exclusion of all other thoughts

Death on the brain

  • homicide
  • suicide

Sex on the brain
-nympho

Cleanliness/germs

  • cleaning
  • washing hands

If you are obsessed with thinking may not be compulsive behavior

If you are compulsive with actions you thought about it beforehand
-check, recheck, and check again

33
Q

Hypochondriacal disorder

A

Imaginary illness

-all in your head

34
Q

Psychosomatic disorder

A

Real, genuine disorders

Brought on by stress (emotional)
-converted to real physical symptoms

Treat emotional problems first, physical problems will tend to disappear

35
Q

What causes one to be abnormal?

A

Raging conflict between id, ego, super ego
-Freudian, psychoanalytical

Behavioral point of view
-we learn to be abnormal, just like we learn any other type of behavior

Humanistic point of view
-faulty self image, distorted view of yourself

Cognitive point of view
-false assumptions and unrealistic coping strategies

36
Q

Dissociative disorders

A

Cut off part of yourself from rest of yourself

37
Q

Depersonalization

A

Don’t feel attached to your own body

Traumatic event happened
-don’t want to deal with it

38
Q

Amnesia

A

Cut off memory from contact with other memories

39
Q

Glove anesthesia

A

No feeling in hand

Emotionally hand cut off

Caused by guilt
-startling, masturbation

40
Q

Fugue state

A

Lost identity of the past

Running away from something in the past

41
Q

Did

A

Multiple personality disorder

Long history of psych illness

Most are malingerers
-avoiding responsibility

Very few actual did individuals

95% sexually and physically abused in childhood

Wacky American fad
-does not exist outside America

Self mutilating behavior
-enjoy slasher films

Separate handwritings

Different brain waves

Different period cycles

42
Q

Anti social personality

A

Character disorder

Something went wrong with socialization process

43
Q

Psychopath/sociopath

A

Lie, steal, cheat with no guilt or remorse

Lacking super ego

Charming

Unable to treat with psychotherapy
-due to manipulation

Brain under aroused

  • causes them to me risk takers
  • violence, stealing
44
Q

Narcissistic personality

A

Exaggerate self love and self importance

Need constant attention and admiration

React in violent rage to criticism

45
Q

Depression

A

Most common disorder

1 of 2 world wide disorder

50% chance that if 1 twin is depressed, other twin will be depressed

50% chance if depressed will be depressed again within 2 years

46
Q

Bipolar disorder

A

Formerly known as manic depressive disorder

Highest of irrational highs to lowest of suicidal lows

More often depressed than manic

Negative self image when in depressed cycle
-self blame, guilt, suicidal

47
Q

Famous bipolar authors

A

Mark twain

Virginia wolf

Earnest Hemingway

Walter Whitman

48
Q

Alcoholism

A

Drink 3 times as much as other students if you join a fraternity or sorority

1 in 2 become dependent if start before 14