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Flashcards in Impulse Deck (44):
1

__________ is a disposition to act to decrease heightened tension caused by buildup of instinctual drives or by diminished ego defenses against the drives.

Impulse

2

______________ disorders attempt to bypass the experience of disabling symptoms or painful effects by acting on the environment.

Impulse control

3

________________ disorder is characterized by discrete episodes of losing control of aggressive impulses. These have an acute onset and remit spontaneously. They are most often described as a spell or attack by the patient, who feels genuine regret or remorse afterward.

Intermittent Explosive disorder

4

Verbal aggression, such as temper tantrums, tirades, and verbal arguments, or physical aggression, such as toward animals, property, or other persons, that occurs twice weekly for a period of 3 months is indicative of _________________ disorder.

Intermittent Explosive disorder

5

Three behavioral outbursts involving damage or destruction of property or physical injury against animals or people in a 12 month period is diagnostic of ________________ disorder.

Intermittent Explosive disorder

6

(T/F) The magnitude of aggressiveness expressed during the recurrent outbursts exhibited in Intermittent Explosive disorder is grossly out of proportion to the provocation or stressor.

True.

7

The recurrent aggressive outbursts in Intermittent Explosive Disorder (are/are not) premeditated.

Are not

8

Intermittent Explosive disorder typically onsets during (early/late) adolescence.

Late

9

Intermittent Explosive disorder is more common in (males/females).

Males

10

What is the course of treatment for Intermittent Explosive Disorder?

  • Psychotherapy
  • Pharmacotherapy

11

______________ is the recurrent failure to resist impulses to steal objects that are not needed for personal use or for their monetary value. There is an increasing sense of tension within the individual before committing the theft, followed by pleasure or gratification after the theft.

Kleptomania

12

In kleptomania, stealing (is/is not) committed to express anger or vengeance.

Is not

13

Fewer than __% of shoplifters actually have kleptomania, which is prevalent in only __% of the population.

  • Fewer than 5% of shoplifters
  • Prevalent in only 0.6% of the population

14

Kleptomania is more common in (males/females) by a ratio of 3:1.

Females

15

Kleptomania typically onsets during (early/late) adolescence.

Late

16

What is the course of treatment for kleptomania?

  • Behavioral therapy
  • SSRIs

17

The deliberate and purposeful fire setting on more than one occasion, marked by tension or arousal before the act and followed by pleasure or gratification after, is referred to as ______________.

Pyromania

18

(T/F) Patients suffering from pyromania display a fascination with, interest in, or curiosity about fire and its situational contexts.

True.

19

Pyromania is more common in (males/females).

Males

20

Pyromania typically onsets during (early/late) adolescence.

Late

21

What is the course of treatment for pyromania?

Mostly psychotherapy

22

_____________ is the persistent and recurrent problematic gambling behavior. This behavior leads to clinically significant impairment or distress.

Gambling disorder

23

Patients suffering from gambling disorder must display four signs from a list of symptoms for 12 months in order to be diagnosed. What is the list of symptoms?

  • Preoccupation with gambling
  • Needs to gamble with increasing amounts of money to achieve desired excitement
  • Unsuccessful attempts or efforts to stop
  • Restless or irritable when attempting to stop
  • Gambles when distressed
  • After losing, returns next day to get even
  • Lies about extent of gambling
  • Committed illegal acts to finance gambling
  • Jeopardized relationship, job, education for gambling
  • Relies on others to provide money to relieve financial situation caused by gambling

24

Gambling disorder has a prevalence of __% of the general population.

1%

25

Gambling disorder is more common in (males/females).

Males

26

What is the course of treatment for gambling disorder?

  • Psychotherapy
  • Pharmacotherapy
  • Gamblers Anonymous

27

______________ is the recurrent pulling out of one's hair, resulting in hair loss. This condition is marked by repeated attempts to decrease or stop the hair pulling, as it causes distress and impairment in social and occupational areas of functioning.

Trichotillomania

28

______________ is the recurrent picking of one's skin that results in skin lesions. It is marked by repeated attempts to decrease or stop the skin picking, as it causes distress or impairment.

Excoriation disorder

29

______________ is a pattern of angry/irritable moods, argumentative/defiant behaviors, or vindictiveness lasting at least six months. These behaviors are demonstrated during interaction with at least one individual who is not a sibling.

Oppositional Defiant disorder

30

Oppositional Defiant disorder is diagnosed after displaying 4 symptoms from a list for at least six months. What is the list of symptoms?

  • Angry/Irritable Mood
    • Often loses temper
    • Touchy or easily annoyed
    • Angry and resentful
  • Argumentative/Defiant Behavior
    • Argue with authority figures
    • Actively rebels against authority
    • Deliberately annoys others
    • Blames others for his or her mistakes or misbehavior
  • Vindictiveness
    • Spiteful or vindictive at least twice in the last six months

31

_____________ is a repetitive and persistent pattern of behavior in which the basic rights of others or major age-appropriate societal norms or rules are violated.

Conduct disorder

32

Conduct disorder is diagnosed by the presence of at least 3 criteria from a list of 15 in the past year, with at least one of the criterion present in the past six months. What are some of the criteria?

  • Aggression to people or animals
    • Bullies, threatens, intimidates others
    • Initiates fights
    • Has used a weapon
    • Physically cruel to people or animals
    • Stolen while confronting a victim
    • Forced someone into sexual activity
  • Destruction of property
    • Engaged in fire setting with intent to cause damage
    • Deliberately destroyed property
  • Deceitfulness or Theft
  • Serious Violations of Rules

33

_________________ are disorders in which the usual integration of memory, consciousness, or personal identity is interrupted in an attempt to cope with overwhelming or traumatic stress.

Dissociative disorders

34

What is the course of treatment for dissociative disorders?

Psychotherapy

35

_______________ is a dissociative disorder characterized by one or more episodes of inability to recall important personal information, usually of a traumatic or stressful nature.

Dissociative amnesia

36

___________ is the apparently purposeful travel or bewildered wandering that is associated with identity amnesia or amnesia of other important autobiographical information. Afterwards, the individual is also amnestic about the travel.

Fugue

37

_______________ is a dissociative disorder defined as the disruption of identity characterized by two or more distinct personality states. This may be described in some cultures as an experience of possession. The disruption in identity involves marked discontinuity in sense of self and sense of agency, accompanied by related alterations in affect, behavior, consciousness, memory, perception, cognition, and/or sensory-motor functioning.

Dissociative Identity disorder

38

(T/F) Dissociative Identity Disorder is characterized by recurrent gaps in the recall of everyday events, important personal information, and/or traumatic events that are inconsistent with normal forgetting.

True.

39

What are some of the common signs of multiplicity (multiple personalities) in a patient?

  • Reports of time distortions or lapses
  • Behavioral episodes that are not remembered by patient
  • Being recognized or called by another name by people whom the patient does not recognize
  • Patient refers to self with different name or in third-person
  • Other personalities elicited under hypnosis
  • Use of the word "we" in interview
  • Discovery of writings, drawing, or objects among personal belongings that the patient does not recognize
  • History of severe emotional or physical trauma as a child

40

Dissociative Identity disorder is more common in (males/females), with a ratio between 5:1 - 9:1.

Females

41

Over __% of outpatients with Dissociative Identity disorder have attempted suicide.

70%

42

Dissociative Identity disorder usually onsets during (early/late) adolescence.

Late

43

______________ is defined as experiences of unreality, detachment, or being an outside observer with respect to one's thoughts, feelings, sensations, body, or actions.

Depersonalization

44

_____________ is marked by experiences of unreality or detachment with respect to surroundings.

Derealization