Exam III Flashcards

1
Q

Paraphilia

A

The intense sexual arousal to atypical objects, situations, or individuals.

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2
Q

Sexual Response Cycle

A

Excitement, Plateau, Orgasmic, Resolution

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3
Q

Performance Anxiety

A

Anxiety about performing sexually. May come from body image issues, premature ejaculation, difficulties, insecurities, etc.

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4
Q

Female Desire Disorder

A

About 1/3 of women in the US, usually no interest in sex, fantasies, initiation of sex, arousal, or sensations, at least 6 months, causes significant distress.

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5
Q

Male Hypoactive Disorder

A

At least 6 months, Causes distress, only 2% of males 16-44, male symptoms of the female desire disorder.

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6
Q

Sensate Focus

A

A therapeutic technique where the therapist assigns the couple the assignment of non-genital stimulation.

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7
Q

Erectile Dysfunction

A

Difficulty maintaining erection, generalized situations, can be caused by nicotine, increases with age, can be co-morbid or cause other diagnosis (depression, substance abuse)

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8
Q

Female Orgasmic Disorder

A

Normal sexual desire and excitement phase, little or no orgasm, about 10% of women never have an orgasm.

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9
Q

Genito-Pelvic Pain Disorder

A

Pain during intercourse that’s not due to lack of lubrication, may be caused by trauma

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10
Q

Frotteuristic Disorder

A

A disorder in which a person rubs their erect penis on a non-consenting person.

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11
Q

Gender Dysphoria

A

Strong and persistent cross-gender ID, discomfort with ones assigned sex, 2/3 of transgender boys ID as gay.

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12
Q

Diagnosis of Gender Dysphoria in Children (6)

A

Strong desire to be other gender, cross dressing, cross-gender roles and toys, rejection of gender toys, dislike of sexual anatomy, secondary sex characteristics, playmates of different gender.

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13
Q

Congenital Adrenal Hyperplasia

A

Females with too high levels of sex hormones.

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14
Q

Androgen Insensitivity Syndrome

A

Males with androgynous sex characteristics.

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15
Q

Kraepelin

A

Father of modern psychiatry, credited with the classification of psychosis as- Manic depression or dementia

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16
Q

Delusions

A

False beliefs on a spectrum

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17
Q

Types of Delusions

A

Bizarre, Jealousy, Erotmanic, Grandiose, Mood congruent, mood incongruent, controlled, reference, persecutory, somatic, thought broadcasting, thought insertion

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18
Q

Characteristics of Psychotic Language

A

Word Salad, Clanging, Neologisms, Alogia, Hyper-metaphorical, Echolalia

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19
Q

Bizarre Delusions

A

Something that couldn’t have happened

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20
Q

Jealousy Delusions

A

Ridiculous accusations

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21
Q

Erotmanic Delusions

A

Believe someone is in love with them, usually famous

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22
Q

Grandiose Delusions

A

Self-important and powerful

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23
Q

Mood Congruent Delusions

A

Mood is equal to delusional state

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24
Q

Mood Incongruent Delusions

A

Mood is unequal to delusional state

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25
Controlled Delusions
Environment is controlling them
26
Reference Delusions
Environment has a special connection to them
27
Persecutory Delusions
Followed/Plotted against
28
Somatic Delusions
False beliefs about bodies
29
Thought Broadcasting Delusions
Believe they can hear other people's thoughts
30
Thought Insertion Delusions
Thoughts being put into their head
31
Word Salad
Words are randomly thrown together
32
Clanging
Repeat a word because they like the sound, not meaning
33
Neologisms
New words latched on to
34
Alogia
Little or no speech
35
Hyper-metaphorical
Over generalizations, latch on to a metaphor
36
Echolalia
Mimicing
37
Etiology of Schizophrenia
Heredity, Neurochemistry, Neuroanatomy, Neurobehavioral markers, Environmental Factors, Psychosocial, Family, Culture, SES, Trauma
38
Heredity- Schizophrenia
1st degree relatives have a 10x greater risk, Twin studies showed that 50% of twins have no signs when their twin has schizophrenia
39
Neurochemistry- Schizophrenia
Larger amount of dopamine
40
Neuroanatomy- Schizophrenia
Enlarged brain ventricles, cerebral atrophy, smaller brain, smaller thalamus and hippocampus
41
Neurobehavioral Markers- Schizophrenia
Impaired reaction time, attention deficit, short term memory deficit, problems with smooth eye pursuit
42
Environmental Factors- Schizophrenia
In utero Infection, Herpes simplex in 3rd trimester, Obstetric Complications- High Blood Pressure, Severe viral or bacterial infection in childhood
43
Psychosocial Factors- Schizophrenia
Freud- over protective mothers, Bowen- anxious parents
44
Family Factors- Schizophrenia
Lidz- when families have something horrible happen in their family and act like nothing is wrong, Brown- hostile families cause relapse 2x than normal
45
Cultural Factors- Schizophrenia
Happens in all cultures, Delusions differ by culture, US has most negative
46
SES Factors- Schizophrenia
Low SES more prevalent, Urban is more prevalent than rural
47
Trauma Factors- Schizophrenia
Read- 50% had history of physical or sexual abuse. Dose effect- the greater the trauma, the greater the side effects, strong relationship between trauma and schizophrenia
48
Biological Treatment- Schizophrenia
50% relapse rate, side effects are a big issue, Thorazine, Chlorpromazine, Phenothiazines, Clozapine, Psychotherapy not shone to be effective, can cause sexual dysfunction
49
Clozapine
Latest drug in schizophrenia treatment, shone to be the most effective
50
Tardive Dykenesia
Side effect of drugs, shuffling, fine motor problems
51
Thorazine
Dopamine blocker, 1st med of choice for schizophrenia
52
Chlorpromazine
60% showed improvements for schizophrenia
53
Phenothiazines
Limited range of success with schizophrenia
54
Family Therapy and Schizophrenia
Expressed emotion of when a person comes out of treatment, 9 months, educational therapy, decreases hospitalization
55
CBT and Schizophrenia
Teaches social skills, acceptance and commitment therapy, cognitive skills
56
Schizoaffective Disorder
Symptoms of Schizophrenia and mood disorder, more common in females
57
Delusional Disorder
Can be functional with false beliefs, lasts about a month, Uncommon and under-diagnosed.
58
Shared Delusional Disorder
Two people sharing in a delusion that feed off of one another.
59
Melancholia
Depression with melancholic features
60
Manic Episodes
At least 1 a week, increased energy, inflated self-esteem, very little sleep, talkative, racing thoughts, distracted, agitated, reckless behavior
61
Hypomanic Episodes
Not enough to be considered manic, No psychotic symptoms, frequently followed by depression, 15% eventually turn manic.
62
Major Depressive Disorder
Most common adult diagnosis, likelihood of episodes increase as episodes happen, up to 15% die of suicide.
63
Disruptive Mood Regulation Disorder
Temper outbursts, onset before age 10, at least 3x a week, irritable between outbursts, 2.5% show signs of ADD
64
Endogenous Depression
Organic depression, something from inside the self.
65
Exogenous Depression
Depression from environmental factors
66
Attribution styles to depression
Internal/External locus of control (Rotter), Stable/Unstable, Global/Specific
67
Learned Helplessness
Seligman, created learned helplessness by testing rats with an electric floor, can be created by parents creating unrealistically high standards for children
68
Psychoanalytic View of Depression
Aggression turned inward
69
Bipolar I
Formerly called Manic Depression, equal in genders, most have a major depressive episode, 4 per year on average, some self-medicate
70
Bipolar II
Hypomanic, major depressive episode is necessary, more common in males, 40% spend more time in depressive state
71
Triple Column Technique
A CBT technique that uses the irrational self talk, rational self talk, and all or nothing talk to compare self-talk. Beck
72
Development of Substance Abuse
The faster acting the substance, the greater the risk of dependance, Nicotine was the leading cause of preventable deaths
73
Tolerance
The need for greater and greater doses to get desired effect.
74
Withdrawal
Stopped or reduced use of a substance that may cause significant symptoms
75
Substance Intoxication
Dosage varies with substance, usually requires dosage over the safe amount, if you expect you will receive a substance, you'll use more, tolerance becomes an issue with needing more and more each use.
76
Nicotine Use
Nicotine is the number 1 cause for preventable deaths. Can cause things such as lung cancer, throat cancer, etc.
77
Jellineks Stages of Alcoholism
Pre-alcoholic, Early alcoholic, Middle alcoholic, Late alcoholic
78
Pre-alcoholic stage
Frequent drinking to reduce stress, social drinking, control over drinking behavior
79
Early Alcoholic Stage
Begins with first blackout, sneaking drinks, avoids reference to drinking, gulping drinks
80
Middle Alcoholic Stage
Impossible to stop after one drink, chain drinking, life revolves around alcohol
81
Late Alcoholic Stage
All day drinking, severe liver damage, ethical deterioration, physical dependance.
82
Impact of Continued Alcohol Use
Physical, emotional, relationship issues
83
Cannabis Use
Most widely used illegal drug, 5% use, can cause intoxication, delirium, psychotic and induced anxiety disorders.
84
Cocaine Use
Bring a euphoric effect, causes serious dependance and withdrawal, can cause sudden death, Can cause mood disorder, psychosis, and sexual dysfunction
85
PCP Use
Can cause psychosis, mood, anxiety, and delirium
86
Amphetamines
Can cause paranoia and hallucinations, withdrawal mirrors depressive episodes, long term brain injury and sexual dysfunction.
87
Agonist
A chemical that binds to a receptor and activates it to reduce a response.
88
Antagonist
Block the receptors of natural agonist drugs.
89
12 Step Programs
Run by disease model, involves peers becoming leaders and mentors, must be abstinent from substance.