Psych 2 Flashcards

Question

What are the crieria for the incapacity act?

Answer 1

Intervention must benefit adult Least restrictive Must take into account past/present wishes of adult When practicable, relatives/carers account taken NO mental health disorder For/detention not to be used unless necessary Action must be consistient with what a competent court would decide

Answer 2

Intervention order - one time | Guardianship order - full time person appointment to make decisions on behalf of individual

Answer 3

Removal from public space Appears to be in immediate need of care/treatment to place of safety Detain for up to 24 hours To allow for assessment and make arrangements for care and treatment

Answer 4

>Person is not criminally responsible for offence if at the time was due to mental health disorder was unable to distinguish wrongfullness of situation >Not if disorder is a personality disorder which is characterised by abnormallyy aggressive or irresponsible conduct

Answer 5

Incapable of mental or physical condition of participating effectively in a trial Ability to: >Understand nature of charge >Requirement to tender a plea to charge and effect of such plea >Understand evidence >Understand purpose + follow the trial >Instruct/communicate with legal defence Unable to remember doesn't count

Answer 6

Murder becomes culpable homicide if person's ability to determine/control conduct at the time was impaired by abnormality of mind >A mental disorder ?Alcohol/drugs are not in themselves enough

Answer 7

``` Compulsion order Restriction order Assessment order Treatment order Interim compulsion order Transfer for treatment direction Hopital direction ```

Answer 8

Mental disorder Detention is needed Treatment avialable Risks to self/others

Answer 9

Lasts 28 days When court think you are ill >Whilst waiting for trial

Answer 10

Lasts until you are acquited or convicted Waiting for trial and court thinks you are ill Need two doctors, one being a psychiatrist and you to agree

Answer 11

Mo fixed time Used when too ill to continue with trial because of mental illness Two doctors have examined and agree

Answer 12

Convicted of offence + prison 12 weeks Needs 2 doctors, they must state you need to go to hospital

Answer 13

``` Convicted of offence and sentence prison >Sent instead to treatment in hospital >Must have mental disorder + treatable + risk + necessary Lasts up to 6 months 2 doctors, with 1 being a psychiatrist ```

Answer 14

If person serious risk to public >On top of compulsion order No time limit Scottish minster musct give approval >For any periods out of hospital, or moving between hospitals Reviewed every 2 years or on psych evidence

Answer 15

``` Enduring patter of following areas: >Cognition >Affectivity >Interpersonal feeling >Impulse control Pattern inflexible and pervasive Clinically significant distress or impairment in a range of areas needed for functioning Pattern is stable and traced back to early adulthood Not explained by a different diagnosis Not attributable to phsiological change ```

Answer 16

Characterised by profound concern about basic safety of any human relationship: Schizoid Schizotypal Paranoid

Answer 17

``` No-one expected to have anything but malign intent No hallucinations/delusions Suspects exploitation/harm from others Hidden meanings Bears grudges Recurrent suspicion Not due to anything else ```

Answer 18

Pervasive pattern of detatchment from social relationships Restricted range of expression of emtion in interpersonal settings Doesn't want to have close relationships/family Solitary activites Lacks close friends/confidants Indifferenant to praise/critism of others

Answer 19

``` Inability to hold certain feelings without acting upon them Narcissistic personality disorder Borderline personality disorder Antisocial personality disorder Histronic personality disorder ```

Answer 20

``` Repeated disregard + violate rights of others Failure to conform to social norms with respect to lawful behaviours Deceitfulness Impulsibity Irritability + aggressiveness Reckless disregard for self/others Consistient irresponsibility Lack of remorse ```

Answer 21

Uncertain sense of safety of relationships >Prone to feeling abandoned Try to manage by hurtin/killing self Frantic effort to avoid abandonment Persistiently unstable self-image /sense of self Recurrent suicidial behaviour Chronic feelings of emptiness Inappropriate anger/controlling anger difficulties

Answer 22

Pervasive pattern of grandiosity Lack of empathy Precoccupied with fantasies of unlimited success, power, brilliance etc Believes speical/unique Interpersonally exploitative (takes advantage of others) Envious of others Arrogant

Answer 23

Pervasive pattern of excessive emotionality + attention seeking Uncomfortable when not centre of attention Interaction with others inapproriately sexually seductive/provaocative Rapidly shifting shallow emotions Consientious use of apperance to draw attention to self Style of speech excessively impressionistic Self dramatisation Suggestible Consideres relationships more intimate then actually are

Answer 24

Prominent problems relating to anxiety + how it is managed Dependent personality disorder Obsessive compulsive personality Avoidant personality disorder

Answer 25

pervasive + excessive need to be taken care of leading to submissive/clinging behviour Difficulty making everday decisions without advice Needs others to assume responsibility for most major areas of life Has difficulty expressive disagreement with others for fear of loss of support Difficulty initiating projects /doing things by self Excessive lengths to obtain nurturance + support from others Uncomfortable/helpless when alone Uregently seeks another relationship for support/care after previous has ended

Answer 26

Pervasive pattern of preoccupation with orderliness, perfectionism and mental/interpersonal control >At expense of flexibility, openness and efficiency Preoccupied with details/lists/rules etc to major point of activity is lost Perfectionism that interferes with task completion Excessively devoted to work/productivity Overconscientious + inflexible about morals/ethics Reluctant to delegate unless done to their standard Misery spending style to be hoarded towards future Rigidity or stubbornness

Answer 27

Pervasive pattern of social inhibition, feelings of inadequacy and hypersensitivity to negative evaluation Avoids occupational activities that involve significant interpersonal contact due to fears or criticism Unwilling to get involved unless certain of being liked Restraint in intimate relationships for fear of shame/ridicule Preoccupied with being rejected in social situations Views self as socially inept/unappealing/inferior Reluctant to take personal risks because may be embarrassing

Answer 28

Reduced responsiveness to drug caused by revious administration

Answer 29

Dispositional - less reaches active site - decreased absorption, metabolism Increased rate of metabolism to inactive metabolites Increased excretion Pharmacodynamic - site less affected by drug >Down-regulation >Reduced signalling etc

Answer 30

The withdrawl effect of a drug is the reverse of the acute affect of the drug Eg - opiates cause constipation, when withdrawn can cause diarrhoea

Answer 31

Natural stimulant (from coca plant) >Coca leaves can be chewed/brewed >Cocain hydrochloride snorted/injected Smoking/injecting gives fastest response

Answer 32

Stimulant and euphorant Increased alertness and energy Increased confidence + impaired judgement Lessens appetite + desire for sleep

Answer 33

``` Damage to nose and airways Convulsions with respiratory failure Cardiac arrhytmias/MI Hypertension Toxic confusion Paranoid psychosis ```

Answer 34

``` Depression Irritability Agitation Craving Hyperphagia Hypersomnia ```

Answer 35

"speed" Stimulant, like cocaine but longer lasting Sniffed, swallowed or injected Amphetamine sulphate

Answer 36

``` Opium Morphine Heroin Methadone Coedine/dihydrocodeine ```

Answer 37

Opiate Taken by smoking, snorting and injection Injection most dangerous, smoking least

Answer 38

``` Analgesia Drowsiness/sleep Mood change Respiratory depression Cough reflex depression Sensitisation of labryinth Decreased sympathetic outflow Lowering of body temp Pupillary constriction Consitpation ```

Answer 39

Nausea/vomiting + headache first time Phlebitis Anorexia Constipation Long term Tolerance Withdrawl Social/health problems

Answer 40

``` Craving Insomnia Yawning Muscle pain/cramps Increased salivary, nasal + lacrimal secretions Dilated pupils Piloerection ```

Answer 41

Decriminalises drug use Allows for normalisation of lifestyle Reduces IV misues >However, leakage onto ilicit market

Answer 42

MDMA Tablet form Causes relaxed euphoric state without hallucinations

Answer 43

Euphoria followed by harm Increased sociability Inability to distinguish between desirable and not 20 mins to 2-4 hours

Answer 44

``` Nausea and dry mouth increased blood pressure and temperature in clubs users risk dehydration large doses can cause anxiety and panic drug induced psychosis ? liver and brain cell damage ```

Answer 45

Tetrahydrocannabinol psychoactive agent Usually smoked, sometimes eaten Relaxing/stimulating euphoriant

Answer 46

Increased sociability + hilarity Increased appetite Changes in time perception Synaesthesia ``` In higher doses causes: Anxiety Panic Persecutory ideation Hallucinatory activity ```

Answer 47

Respiraoty problems, like tabacco Toxic confusion Exacerbation of major mental illness Psychosis - linked

Answer 48

``` Family of drugs consisting of testosterone and synthetic analogues Legitimately prescribed in hypogonadism Muscular dystophy Some anaemias And wasting in AIDs ``` Muscle hypertrophy particularly marked in upper body - pecs, deltoids, trapezius + biceps

Answer 49

``` Acne, strech marks, baldness Feminisation in males with hypogonadism/ gynaecomastia Virilisation in women Growth deficits because of premature closure of epiphyses Liver disease (jaundice + tumours) Increased cholesterol + hypertension Anger Hypomania + mania Depression/suicidality on withdrawl ```

Answer 50

``` Learning difficulties CO-morbid specific learning problems Difficulty controlling emotion Anxiety Lack of energy/motivation Difficulties joining in Sensory problems - too noisy Preoccupations - eg germs ```

Answer 51

Syndrome with distinctive behavioural abnormalities Associated with low IQ Pervasive and present across lifespan + settings Heritable Male more than female

Answer 52

The ability to be able to imagine what others might be thinking based on their knowledge and not your own. Eg - A person will look for an object where they last remember it being, even if you know as a spectator that it is not there.

Answer 53

The act of staying away from school with good reason

Answer 54

Compares the motivation for not going to school | Eg - is it because they are afraid of school, unwilling or have a good reason?

Answer 55

Activity suppressed by right ventrolateral amygdala when labeling emotions Reduced connectivity between right ventrolateral cortex and amygdala in GAD in adolescents

Answer 56

Behavioural: Desensitise Help overcome fear Manage feelings SSRIs

Answer 57

``` Don't expect children to have cognitive awareness Parents should be collaborators Step-wise processes Externalisation - do not blame them Problem solving to overcome barriers ```

Answer 58

``` Decreased sharing Decreased social understanding Decreased percepctive of others Increased technical understanding Increased rigidity/fixed learning patterns ```

Answer 59

``` Learning disabilities Disturbed sleep Hyperactivity High levels of anxiety/depression OCD School avoidance Aggression Self-injury Suicidal behaviour ```

Answer 60

Strongly genetic | Congenital causes as well (downs, rubela)

Answer 61

``` Acknowledge Establish needs Appreciating can't vs won't Decrease demands -> reduce stress -> improve coping Psychopharmacology ```

Answer 62

``` Refusal to obey with adults request Often argues Often loses temper Deliberately annoys people Touchy or easily annoyed by others Spiteful/vindictive ```

Answer 63

ODD behaviour is learned, and enacted to obtain a result ODD likely to be from impaired functioning and adversity Whereas ADHD is impulsive and poor cognitive control/ability to sustain a goal ADHD stronger genetic component

Answer 64

Groups/indivual/self taught A strucutred program informed by social learning theory Focuses on positive reinforcement ofdesired behaviour and developing positive parent-child relationships

Psych 2 Flashcards

(88 cards)