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Flashcards in Psycho stuff Deck (84)
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1

Type of defense? Tantrums

Acting out - Expressing unacceptable feelings and thoughts through actions.

2

Type of defense? patient impulsively breaks items in the doctor's office due to the rage at his perceived abandonment

acting out

3

Type of defense? Temporary, drastic change in personality, memory, consciousness, or motor behavior to avoid emotional stress

Dissociation

4

Type of defense? A common reaction in newly diagnosed AIDS and cancer patients.

Denial - Avoiding the awareness of some painful reality.

5

Type of defense? resident yells at med student after being embarassed by his attending

Displacement - Transferring avoided ideas and feelings to some neutral person or object (vs. projection).

6

Type of defense? Mother yells at her child, because her husband yelled at her

Displacement - Transferring avoided ideas and feelings to some neutral person or object (vs. projection).

7

Type of defense? Men watching sports games for hours on end

Fixation - Partially remaining at a more childish level of development (vs. regression).

8

Type of defense? Abused child identifies with an abuser.

Identification - modeling behavior after another person who is more powerful (though not necessarily admired).

9

Type of defense? Describing murder in graphic detail with no emotional response.

Isolation (of affect) - Separating feelings from ideas and events.

10

Type of defense? A man who wants another woman thinks his wife is cheating on him.

Projection - Attributing an unacceptable internal impulse to an external source (vs. displacement).

11

Type of defense? After getting fired, claiming that the job was not important anyway.

Rationalization - Proclaiming logical reasons for actions actually performed for other reasons, usually to avoid self-blame.

12

Type of defense? ex heroin user really wants to use heroin, but volunteers with narcotics anonymous

Reaction formation - Replacing a warded-off idea or feeling by an (unconsciously derived) emphasis on its opposite (vs. sublimation).

13

Type of defense? A patient with libidinous thoughts enters a monastery.

Reaction formation - Replacing a warded-off idea or feeling by an (unconsciously derived) emphasis on its opposite (vs. sublimation).

14

Type of defense? bedwetting in a previously toilet-trained child when hospitalized

Turning back the maturational clock and going back to earlier modes of dealing with the world (vs. fixation). Often seen in children under stress such as illness, punishment, or birth of a new sibling, etc

15

Type of defense? Not remembering a conflictual or traumatic experience; pressing bad thoughts into the unconscious.

Repression - involuntary withholding an idea or feeling from conscious awareness (vs. suppression).

16

Type of defense? A patient says that all the nurses are cold and insensitive but that the doctors are warm and friendly.

Splitting - believing that people are either all good or all bad at different times due to intolerance of ambiguity. Commonly seen in borderline personality disorder.

17

Type of defense? Mafia boss makes large donation to charity.

Altruism - Alleviating guilty feelings by unsolicited generosity toward others.

18

Type of defense? Nervous medical student jokes about the boards.

Humor - Appreciating the amusing nature of an anxiety- provoking or adverse situation.

19

Type of defense? Teenager’s who wants to kill his father suddenly can't use his arm anymore

Sublimation - Replacing an unacceptable wish with a course of action that is similar to the wish but does not conflict with one’s value system (vs. reaction formation) or one that is socially acceptable

20

Type of defense? Teenager’s aggression toward his father is redirected to perform well in sports.

Sublimation - Replacing an unacceptable wish with a course of action that is similar to the wish but does not conflict with one’s value system (vs. reaction formation) or one that is socially acceptable

21

Type of defense? Choosing to not worry about the big game until it is time to play.

Suppression - Intentional withholding of an idea or feeling from conscious awareness (vs. repression).

22

Type of defense? mother says that her son with osteosarcoma is going to be a football player one day

Fantasy - substitution of an imaginary, less disturbing view of the world to avoid awareness of painful feelings (about one's illness)

23

transference vs. countertransference

  • transference - unconscious shifting of emotions/desires associated with one person to another
    • emotions often originate from feelings expressed toward parental relationships during childhood
    • often occurs because the therapist or physician somehow reminds the patient of the person associated with the original emotion; resemblance can be physical, behavioral, or situational
  • countertransference - doctors project feelings about formative or other important persons onto patient (doc sees patient as a younger sibling)

24

ADHD

typical age of onset?

sx?

trmt?

< 12 yo

hyperactivity, impulsiviity, inattention in multiple settings; commonly coexists w/ difficulties in school (associated with decreased frontal lobe volume/metabolism)

methylphenidate, amphetamines, atomoxetine, behavioral interventions

25

Conduct Disorder

typical age of onset?

sx?

trmt?

< 18 y 

(after this age, it is likely to be antisocial personality d/o)

patient has behaviors that violate the basic rights of others (physical threats, destruction of properties, theft)

26

Tourettes

typical age of onset?

sx?

trmt?

< 18 yo 

sudden, non-rhythmic motor + vocal tics that persists >1 year

trmt: antipsychotics, behavioral therapy

27

Separation anxiety d/o

typical age of onset?

sx?

trmt?

onset 7-9 years

overwhelming fear of separation from home or persons (may lead to factitious physical complaints to avoid going somehwere away from place of comfort)

trmt: SSRI, relaxation techniques

28

Autism

typical age of onset

sx?

more common in girls or boys?

early childhood

poor social interactions, communication deficits, repetitive/ritualized behaviors, and restricted interests

common in boys

29

Rett

typical age of onset?

sx?

trmt?

1-4 yo

symptoms of regression: loss of development, loss of verbal abilities, intellectual disabilities, ataxia, hand-wringing 

X-linked d/o - seen only in girls

30

Orientation to person, place, and time - which one is lost first? which one is lost last?

orientation to time is lost first

orientation to person is lost last