exam 1 Flashcards

(104 cards)

1
Q

2007 United Nations Treaty

A

UN convention on the rights of persons w disabilites
article 7 pertains to children’s rights
children w disabilities have all the human rights and freedoms of other children
best interest of child is the primary consideration
right to express their views on matters relating to them freely, views given weight, given assistance to realize that right

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2
Q

adaptational failure

A

failure to master or progress in accomplishing developmental milestones
children’s psychological disorders all share this common ground

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3
Q

adultomorphism

A

tendency to interpret the behavior of children as if they were adults
tendency to reconstruct developmental phases by extrapolating from adult psychopathology

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4
Q

Applied Behavioral Analysis

A

functional approach to behavior
describes and tests relationships between stimuli, responses, and consequenes
how behaviors are acuqired due to consequences
positive and negative reinforment increase target
extinction and punishment decrease target
operant conditioning
antecedent -> behavior -> consequence

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5
Q

attachment styles

A

process of establishing and maintaining emotional bond with parents and significant individuals
(anxious avoidant) mask emotional expression, believe they are vulnerable, distrustful, aggressive behavior, conduct disorder, depressive symptoms
(anxious resistent) high anxiety, exaggerated emotions, phobias, anxiety, psychosomatic symptoms
(disorganized/disoriented) inability to form close attachments, indiscriminate friendliness, associated with large array of personality disorders

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6
Q

behavioral genetics

A

branch of genetics that investigates possible connections between genetic predisoposition and observed behavior
familial aggregation studies look for non-random clustering of disorders/characteristics and compare with general population

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7
Q

behaviorism

A

theory that all behaviors are learned through interaction with the environment
internal thoughts or feelings not a factor

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8
Q

brain structure and function

A

diencephalon: thalamus/hypothalamus; regulates behavior and emotion
limbic system: hippocampus, amygdala, cingulate gyrus, septum; suspected causes of psychopathology, regulate emotional experiences, expression, learning, impulses
basal ganglia: caudate nucleus; regulates and filters info related to cognition, emotions, mood, and motor function. associated with Adhd
cerebral cortex: left - verbal and cognitive. right - social perception and creativity. associated with communication and learning disorders

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9
Q

classical conditioning

A

where an automatic or natural response is triggered by a new stimulus
neutral stimulus triggers conditioned response
(bell - > drooling in pavlov’s dogs)

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10
Q

comorbidity

A

simultaneous occurrence of two or more childhood disorders
far more common than would be predicted from the general population base rates of individual disorders
may be artifactual, related to overlappng symptoms that define disorders

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11
Q

treatment effectiveness

A

treatment is effective in ~63% of cases
effective for internalizing and externalizing issues and for both sexes
effects of treatment continue after it is concluded
targeted treatment more effective than non targeted

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12
Q

screening

A

identification of subjects at risk for a specific negative outcome

developmental tests help screen

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13
Q

psychological testing

A

set of tasks given under standard conditions with the purpose of measuring some aspect of a child’s knowledge, skill, or personality

most tests are standardized

many tests normed in narrow groups may not be appropriate ot use in minorities

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14
Q

psychodynamic treatment

A

child psychopathology determined by underlying unconscious and conscious conflicts
help the child develop an awareness of unconscious factors that may be contributing to their concerns

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15
Q

projective tests

A

form of assessment that presents the child with ambiguous stimuli such as inkblots or pictures of people. the hypothesis is that the child will project his or her own personality onto the ambiguous stimuli

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16
Q

prevention vs treatment vs maintenance

A

prevention aims to decrease the chance that undesired future outcomes occur

treatment - corrective actions that will permit successful adaptation

maintenance - efforts to increase adherence to treatment over time to prevent relapse

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17
Q

neuropsychological testing

A

attempts to link brain functioning with objective measures of behavior known to depend on an intact central nervous system

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18
Q

nomothetic assessment approach

A

case formulation/asessment that emphasizes GENERAL principles that apply to all ppl

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19
Q

multimethod assessment approach

A

clinical assessment that emphasizes the importance of obtaining information from different informants in a variety of settings using a variety of procedures

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20
Q

ideographic assessment approach

A

case formulation/assessment that emphasizes the detailed representation of the individual child or family as a unique entity

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21
Q

family history and family treatment

A

info obtained from the parents about potentially significant historical milestones and events that might have a bearing on current events

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22
Q

electroencephalogram EEG

A

electrophysiological measure of brain functioning whereby electrodes are taped to the surface of the scalp to record electrical activity of the brain

sensitive to changes in state and emotionality

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23
Q

developmental history

A

same thing as family history

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24
Q

cultural considerations in treatment approach

A

compatibility with a child’s cultural patterns is very important (cultural compatibility hypothesis)
matching clinician ethnicity to child’s
adapting treatments to meet cultural needs
changes to deep/surface structures of treatment
cultural humility

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25
cognitive behavioral treatment
psychological disturbances result from faulty thought patterns and faulty learning and environmental experiences negative thought patterns are the target of change
26
client centered treatment
views disorders as a result of social or environmental circumstances therapist relates to child in an empathetic way unconditional, nonjudgmental, and genuine acceptance of the child as an individual
27
categorical vs dimensional systems
categorical - DSM, ICD, based on informed professional consensus; assumes disorder has a clear underlying cause dimensional - assumes that many independent dimensions or traits of behavior exist and that all children possess them to some extent
28
classification vs diagnosis
classification - system for representing the major categories and dimensions of disorders and the boundaries/relations among them diagnosis - identification of a disorder from an examination of the symptoms
29
clinical interview
allows professionals to gather info from the child and parents in a flexible conversational style developmental history, likes/dislikse, behavioral strengths, concerns, responses to discipline, etc
30
validity
face validity - the extent a method of measurement appears to actually measure the construct of interest construct validity- where scores behave as predicted based on previous research convergent validity - correlation between measures that are expected to be related discriminant validity - degree of correlation between measures that are not expected to be related criterion validity - how well a measure predicts behavior in settings where we would expect it to same time (concurrent) or in the future (predictive)
31
structured observation
observation of a subject in a clinic or laboratory, in which a subject is given a specific task or instructions to carry out, and researchers look for specific information
32
standardization
process by which a set of standards or norms is specified for a measurement procedure so that it can be used consistently across different assessments
33
single case experimental design
most ofen used to evaluate the impact of a clinical treatment on a subject’s problem repeated assessments of behavior over time, the replicataion of treatment effects on the same subject over time and the subject serving as their own control
34
semi-structured interview
includes specific questions designed to elecit info in a relatively consistent manner regardless of who is conducting that interview format that usually ensures that the most important aspects of a particular disorder are covered
35
retrospective design
people in the research sample are asked to provide info relating to an earlier time fails to identify those who did not develop a problem vulnerable to recollection biases
36
analog research
research that evaluates a specific variable of interest under conditions that only resemble or approximate the situation to which one wishes to generalize (study of college men looking after kids trained to act out ADHD (does it increase drinking?))
37
functional analysis of behavior (behavior analysis)
effort to identify as many factors as possible that could be contributing to a child’s problem behavior, thoughts, and feelings and to develop hypotheses about which are the most important or most easily changed
38
behavioral assessment abcs
antecedent -> events immediately preceding a behavior behavior(s) of interest consequence -> event that follows a behavior
39
checklist and rating scales
global behavior checklists allow people to rate behaviors on absence/presence, frequency, and intensity highly standardized economical CBCL child behavior checklist is a leading checklist for assessing concerns in children ages 6-18
40
consent /assent
informed consent requires participants to be informed of the nature of research as well as the risks and benefits assent means a child showing some kind of agreement to participate without necessarily knowing or understanding the extent of the research
41
cross sectional research
different children at different stages of development studied at the same point in time efficient, but limited in info generated regarding developmental changes
42
epidemiological research
research studying the incidence, prevalence, and co-occurance of childhood disorders and competencies in clinic referred and community samples
43
incidence vs prevalance
incidence - NEW cases over a specified period of time prevalance - ALL cases osbserved during a specified period of time
44
hypotheses
the research question; proposed explanation for an observed phenomenon
45
longitudinal research
a method of research whereby the same individuals are studied at different ages/stages of development
46
ethical issues
-children are more vulnerable -children’s abilities are more variable -children are more reliant on others -ethical principles should be adjusted -boundary and role issues are more complex with children -adult practices do not reliably transfer -key to monitor one’s own actions / motivations -essential to maintain an absolute commitment to the safety and well-being of the patient
47
reliability (consistency, inter-rater, test-retest)
consistency/repeatability of results obtained using a specific method of measurement internal consistency - do all parts of a method of measurement contribute in a meaningful way interrater- various ppl must agree on what they see test-retest - tests or interviews repeated within a short time period should yield similar results
48
prospective design
research sample is identified and then followed over time with data collected at specified time intervals assessed over time to understand the course of change or difference that may develop over time
49
operational definition
definition of a concept or variable in terms of the specific procedures used to produce or measure it operationalization of something like “aggression” —> “throwing object”
50
neuroimaging
structural - MRI, CT scans show the various structures of the brain functional - fMRI + PET; registers neural activity; which brain areas are active diffusion MRI shows connections between brain regions
51
naturalistic observation
unstructured observation of a child in his or her natural environment less control than structured observation
52
natural experiment
comparisons are made between preexisting conditions or treatments quasi experiments, known-group comparisons essentially correlational often the only option for questions in child psychopathology
53
multiple-baseline design
single case experimental design in which the effect of a treatment is shown by demonstrating that behaviors in more than one baseline change as a result of the institution of a treatment change must occur only when treatment is instituted and only for the target behavior , situation, or individual
54
mediating vs moderating variables
mediating - explains relationship between two other variables, clarifies how or why an effect occurs moderating - influence or changes the relationship between the two other variables affects strength/interaction, tells when or under what conditions an effect is likely to occur
55
random assignment
participants in a study are randomly placed into different groups to ensure each group is similar and that any differences in results are due to the experiment itself, not differences in groups
56
competence
ability to adapt to one's environment children's competence involves their performance relative to their same age peers as well as their individual course of development
57
continuity vs discontinuity
developmental theory in which normal and abnormal developmental changes are gradual and quantitative; development is additive rather than occurring in distinct stages discontinuity - idea that children pass through distinct developmental stages that are qualitatively different (Piaget, Erickson)
58
cultural beliefs and values
contributes to development/expression of children's disorders children's social behavior meaning is influenced by cultural beliefs/values research cannot be generalized cross-culturally neurobiological disorders less influenced by cultural factors
59
defining psychological disorder
pattern of behavioral, cognitive, emotional, or physical symptoms shown by individuals the person shows some degree of distress behavior indicates some disability; impairment that substantially interferes with or limits activity in one or more important areas of functoining such distress/disability increases risk of further suffering or harm such as death, pain, disability, important loss of freedom
60
developmental norms
average age at which children achieve various important developmental milestones guidelines, averages
61
developmental pathways
sequence and timing of particular behaviors and possible relationship between behaviors over time development as an active, dynamic process that can account for different beginnings and outcomes
62
developmental psychopathology
approach to disorders of childhood, adolescence and beyond organized around milestones/sequences in physical, cognitive, social-emotional, and educational development emphasizes developmental processes, context, and multiple/interacting events in shaping typical/atypical development
63
developmental tasks
psychosocial tasks of childhood that reflect broad domains of competence and tell us how children typically progress within each of these domains as they grow
64
emotion reactivity
dimension of emotional processes associated with individual differences in the threshold and intensity of emotional experience
65
emotion regulation
process by which emotional arousal is redirected, controlled, or modified to facilitate adaptive functioning
66
epigenetics
the means thru which environmental influences can cause changes in the ways genes work potential pathway to explain intergenerational effects of trauma or cultural trauma
67
etiology
study of the cause of disorders in childhood disorders, etiology considers how biological, psychological, and environmental processes interact
68
equifinality and multifinality
equifinality - similar outcomes stemming from different early experiences and developmental pathways multifinality - various outcomes may extend/stem from similar beginnings
69
family systems
behavior of an individual can be most accurately understood in the context of the dynamics of his or her family
70
qualitative research
describe, interpret, and understand the phenomenon of interest in the context in which it is experienced ; participants perspective intense and intimate understanding of a situation rarely achieved in quantitative research
71
gender differences in disorders
girls more likely to be dx with internalizing disorders boys more likely to be dx with externalizing disorders
72
internalizing and externalizing problems
internalizing- anxiety, depression, somatic symptoms, withdrawn behavior externalizing- acting out behaviors, aggression, and delinquent behavior
73
key historical figures
john locke - children should have rights jean marc itard- didn't lock up a feral child (victor) leta hollingsworth - kids issues stem from neglect benjamin rush - kinds incapable of adult insanity dorthea dix - established mental hospitals for kids clifford beers - guy who had psychosis, mental hygeine sigmund freud- psychoanalytic theory anna freud - applied it to kids
74
history of mental health views
18th century, demonic possession, kids kept in cages 19th-kids should have rights, moral insanity, masturbatory insanity 20th - disorders are physical diseases, mental hygiene, categorization, behaviorism, psychoanalytic theory, etc
75
molecular genetics
directly assess the associations b/w variatons n DNA sequences and variations n particular traits variations directly cause vairtions in traits
76
multiply determined
consider developmental pathways and interacting events that can go into child psychopathology multiple influences go into developments in disorders
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HPA axis
regulatory center of the brain made up of the hypothalamus control center and pituitary adrenal glands influences a persons response to stress and their ability to regulate emotions
78
what affects rates and expressions of mental disorders
poverty and socioeconomic disadvantage sex and gender differences race and ethnicity cultural issues child maltreatment and non-accidental trauma
79
neurotransmitters implicated in mental disorders
benzodiazepine-gaba: reduces arousal and anxiety, moderates anger and aggression dopamine: switch between different neurotransmitters, associated with mood disorders, adhd, and schizophrenia norepinephrine: emergency reactions, emotion regulation serotonin: regulatory concerns related to OCD, schizophrenia, mood disorders
80
neural plasticity and development
malleable nature of the brain evidenced throughout the course of development experience leads to anatomical differentation certain synapses are strengthened and stabilized, while others disappear
81
organization of development
early patterns of development and adaptation evolve over time and transform into higher order functions in a structured manner eg infant babbling turns into language
82
protective factors
personal or situation variable that reduces the chance for a child disorder positive cognitive schemas, coping skills, community support etc
83
pruning
process by which synapses are reducted to make room for new neurological development
84
psychoanalytic theory
human behavior influenced by unconscious thoughts, desires, and memories emphasizes importance of childhood experiences
85
resilience
ability to avoid negative outcomes despite being at risk for psychopathology caries depending on specific stressor, context, and other factors not a fixed trait
86
risk factors
precedes negative outcome and increases chance negative outcome occurs low ses, poor neighborhood, community violence, lack of nutrition and healthcare, parent substance use, domestic violence, homelessness, marginalization, risk factors, endocrine issues, low intelligenct, family adversity, etc etc
87
sensitive periods
windows of time during which environmental influences on development are enhanced eg infants - emotional cues toddlers - basic language sounds
88
social cognition
how people think about themselves in relation to others and how they interpret ambiguous events and solve problems
89
social learning
concept that learning occurs by observing and imitating others' behaviors learning does not require direct reinforcement
90
temperament
innate reactivity and self-regulation positive affect - easy child fearful/inhibited - slow to warm negative affect and irritability - difficult child
91
teratogens
agents that can cause birth defects medications, drugs, tobacco, alcohol, infections, chemicals, health problems
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vulnerability
child's susceptibility to developing a disorder, stemming from biological, social, psychological, and environmental factors
93
pros and cons of diagnosis
pros: fosters relief, hope, appropriate treatment naming the disorder can promote understanding and support insurance benefits for treatment negatives: negative self concept self-fulfilling prophesies stigma and victimization
94
DSM IV TR Multi axial diagnostic system VS DSM5 changes
multiaxial structure: I- clinical disorder II intellectual disorder or personality disorder III - current medical conditions IV - psychosocial/environmental problems V global assessment of functioning DSM 5 TR (2013) harmonizes with ICD-AA, allows global communication more naturalistic reliability trials no axes in DSM 5, specifiers replace subtypes lifetime perspective (disorder over time)
95
transactional model
risks combine to transform one another eg child's irritability contributes to parent's anxious handling which contributes to child's poor self regulation, difficult temperament which contributes to parent's punitive control which contributes child's oppositional behaviors etc and so on
96
shared and non-shared environmental factors
shared - produces similarities in development outcomes among siblings in the same household (parents drug use) non-shared - factors that produce differences between siblings (like their separate peer groups)
97
medical model
psychiatric model - syndrome characterized by clinically significant disturbances in an individual's cognition, emotion regulation, or behavior that reflects a dysfunction in the psychological, biological, or developmental processes underlying mental functioning ignores environment
98
Kauai STudy
entire birth cohort born 1955, longitudinal lived in poverty split into 2 groups resilient group : 4+ risk factors before age 2, but functional normally at 10 and 18 non-resilient: matched for age, sex, and risk status. serious coping problems at age 10 and 18 qualitative and quantitative assessment shows what kind of factors can contribute to resiliency
99
Jeffrey Case Study
jeffrey killed an old man with his friends, did other crimes jeffrey had MULTIPLE risks across domains with cascading effects on development key takeaway: number of risks accumulates and probability of poor outcomes increases expontentially
100
Molly Case Study
showed resiliency at age 9, but age 12 her coping system collapsed and she had to be hospitalized for depression. key point: resiliency varies over the lifespan and across different contexts
101
Bob Schumaker Resiliency POW video
Prisoner of War Social support in isolation by developing tapping with fellow prisoners spent time daydreaming, being hopeful good temperatment, strong morals key takeaway: people can bounce back from the most horrific of traumas post traumatic growth
102
Cathy Case Study longitudinal birth to age 32
Cathy's resiliency wavered over her life cooperative at age 2, support and stimulation adequate age 10, cathy still doing well age 14, cathy enter work force age 18, by age 32 she had been deserted by her husband, had 4 kids, married twice, tried to kill herself, but was doing alright key point: resiliency doesn't always predict good outcomes
103
Alan Case Study
key takeaway: conduct disorders and ADHD require ongoing, complex treatment involving changing environments, developing coping skills, working with family, and sometimes medication. often not afforded to people without money.
104