Lecture quiz 3 Flashcards
(16 cards)
*Symptoms experienced tend to be ego syntonic
Personality disorders
Personality Disorder Controversies
Personality disorders are the weakest section of the DSM diagnostic system due to:
- Unreliability and low validity of categories
- multiple or mixed diagnosis
- Overlap with many other mental disorders as well as other personality disorders.
Models of Classification
-The current DSM conceptualizes PDs as homogenous syndromes with distinct categories
- Problem:
> Focus is on stereotypic features of the Disorder and ignores other symptoms.
- The Categorical model
- The degree to which a particular characteristic is present
- Doesn’t try to place people into categories
- Asks the question “how much” of each criteria or trait is present.
- DSM 5 further study needed for alternative model”
- Dimensional Models
*more severe diagnosis of the two
Dependence
- key component is impaired control over use due to
(needed for diagnosis of dependence)
- Tolerance- larger amounts needed for same effect
- Withdrawal - symptoms related to reduction or discontinued use
The bodys physical need for a specific agent (tolerance and withdrawal)
*Physical dependence (addiction)
some substances do not alter the body’s tolerance, however, the person feels they “need” the drug to help them cope
*Psychological dependence
*intense desire to obtain increasing amounts if the substances to the exclusion of all other activities.
Abuse
- *usually associated with dependence
- *craving to read minister substance to reduce the symptoms
Withdrawal criteria
Term used to describe a symptom that indicates almost beyond doubt the correct diagnosis of a disease.
Pathognomonic
3 broad categories of symptoms
1st Category
- *Positive symptoms: reflect an excess or distortion of normal functions involving:
A. Content of thoughts
1. Delusions: False beliefs
*Persecutory and ideas of reference - most common types
(Persecutory: the belief they are being conspired against, cheated, poisoned, etc.)
(Ideas of reference: innocuous events are meant specifically for them to provide instruction or warning)
2nd category of symptoms for schizophrenia
- *Hallucinations (false sensory perceptions)
- Auditory, visual, olfactory, gustatory, tactile
- Auditory most common
- Occur in the context of clear sensorium
- while they are wide awake (not waking from a dream) and not due to any substance use
- Negative Symptoms- Describes normal aspects of the person that they no longer have
(4 symptoms)
- *Flat Affect (affective flattening or blunt affect)
- Face appears immobile and unresponsive; poor eye contact; reduced body language
- *Avolition
- Inability to initiate and follow through in goal-directed behavior - *Algolia
- Poverty of speech - *Anhedonia
- loss of interest in pleasure
A decreased reactivity to the environment
Catatonia
*often associated with substance abuse or dependence
Intoxication