Flashcards in PSYCH Deck (42):
term for incoming info that is threatening or contradictory to stored memory is refuted
term for perceptions of events that are threatening or contradictory to past experiences are neither recognized nor retrievable from memory (involuntary)
term for: an event of memory is re-conceptualized in sufficiently abstract terms to distance it from its original referent & assoc. conditioned emotional responses
term for: an idea feeling or behavior inconsistent with one's self-concept is attributed to another person
term for: stress is responded to using cognitive processes from earlier developmental stages associated with periods of less stressful coping
what are the EEG changes seen in a pt with delirium?
the pattern of hypoactivity appears on EEG as diffuse slowing of the dominant rhythms, generalized delta waves and loss of reactivity of the EEG to eye opening and closing
term for: pattern of uncontrollable anxiety for at least 6 months that is unrelated to a specific person situation or event
generalized anxiety disorder
term for: having emotional symptoms like anxiety and depression causing impairment following an identifiable psychosocial stressor and lasting less than 6 months
the PTSD symptoms have to last how long for a diagnosis?
lasts greater than 1 month
in order to diagnose acute stress disorder you have to have symptoms with what time line?
2 days - 1 month (symptoms must start no later than 3 days after trauma)
what is the min. amount of time a pt has to show uncontrollable anxiety symptoms for so that you can diagnose genearlized anxiety disorder?
at least 6 months
symptoms of somatization disorder usually develop before what age?
what are the categories of complaints in multiple organ systems with somatization disorder?
at least 4 pain, 2 GI, 1 sexual, 1 pseudoneurologic
term for: sudden loss of sensory or motor function (paralysis, blindness, mutism) often following an acute stressor; pt is aware but sometimes indifferent toward symptoms
term for: preoccupation with and fear of having a serious illness despite medical evaluation and reassurance
hypochondriasis (illness anxiety disorder)
term for: preoccupation with minor or imagined defect in appearance, leading to significant emotional distress or impaired functioning; pts often repeatedly seek cosmetic surgery
body dysmorphic disorder
term for: prolonged pain with no physical findings; pain is the predominant focus of clinical presentation and psychological factors play an important role in severity, exacerbation or maintenance of pain
term for: pt consciously creates physical and or psychological symptoms in order to assume the sick role ; they want to be the "the interesting pt"
term for: pt consciously fakes or claims to have a disorder in order to attain a specific secondary gain
term for: persistent reexperiencing of a previous traumatic event (war, rape, robbery, accident); symptoms can begin anytime after the event
term for : chronic factitious disorder with predominantly physical signs and symptoms. characterized by a hx of multiple hospital admissions and willingess to receive invasive procedure
Munchausen's syndrome (factitious disorder)
term for: unacceptable feelings and thoughts are expressed through actions
term for: temporary, drastic change in personality, memory, consciousness, or motor behavior to avoid emotional stress
(e.g. extreme forms can result in dissociative identity disorder like multiple personality disorder)
term for: avoidance of awareness of some painful reality
(e.g. a common reaction in newly diagnosed AIDS and cancer pts)
term for: process whereby avoided ideas and feelings are transferred to some neutral person or object
(e.g. mother yells at her child, b/c her husband yells at her)
term for: partially remaining at a more childish level of development
(e.g. men fixating on sports games)
term for: modeling behavior after another person who is more powerful (though not necessarily admired)
(e.g. abused child identifies himself/herself with an abuser)
term for: separation of feelings from ideas and events
isolation of affect
(e.g. describing murder in graphic detail with no emotional response)
term for: an unacceptable internal impulse is attributed to an external source
(e.g. a man who wants another woman thinks his wife is cheating on him)
term for: proclaiming logical reasons for actions actually performed for other reasons, usually to avoid self-blame
(e.g. after getting fired, claiming that the job was not important anyway)
term for: process whereby a warded-off idea or feeling is replaced by an (unconsciously derived) emphasis on its opposite
(e.g. pt with libidinous thoughts enters a monastery)
term for: turning back the maturational clock and going back to earlier modes of dealing with the world
(e.g. seen in children under stress such as illness, punishment, or birth of a new sibling ; like bedwetting in a previously trained kid when hospitalized)
term for: INVOLUNTARY withholding of an idea or feeling from conscious awareness
(e.g. not remembering a conflictual or traumatic experience; presssing bad thoughts into the unconscious)
term for: belief that people are either all good or all bad, at different times due to intolerance of ambiguity. Seen in borderline personality disorder
(e.g. a pt says that all the nurses are cold and insensitive but that the doctors are warm and friendly)
what are the four mature defenses?
term for: guilty feelings alleviated by unsolicited generosity toward others
altruism (e.g. mafia boss makes a large donation to charity)
term for: appreciating the amusing nature of an anxiety-provoking or adverse situation
(e.g. nervous medical student jokes about the boards)
term for: process whereby one replaces an unacceptable wish with a course of action that is similar to the wish but does not conflict with one's value system
(e.g. teenager's aggression toward his father is redirected to perform well in sports)
term for: VOLUNTARY witholding of an idea or feeling from conscious awareness
suppression (e.g. choosing not to think about boards during the week of the exam)
what are the 3 subtypes of cluster A?
what are the four subtypes of cluster B?