Abnormal Psych Across the Lifespan Flashcards

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1
Q

Why are psychological problems in children especially poignant?

A

Because they affect children at a time in their lives when they have relatively little ability to cope

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2
Q

Do some disorders look different in children than they do in adults?

A

Yes, some problems are unique to childhood, disorders that manifest themselves differently in children than in adults

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3
Q

How do we consider something abnormal or normal for children?

A

Must be considered in light of developmental issues in addition to factors such as ethnicity or gender
-What is acceptable behaviour at one age may be unacceptable at another age

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4
Q

What is Autism Spectrum disorder characterized by?

A

Pervasive deficits in the ability to relate to and communicate with others, and by a restricted range of activities and interests.

Oversensitivity of under sensitivity to certain stimuli- become hyper focused on one specific thing

May have delayed speech or non verbal communication

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5
Q

Who is autism usually found in and when is it detected?

A

It is 4x more common in boys
Lifelong condition found in all socioeconomic levels

Becomes evident between ages 18-30 months, need to see symptoms before age 3

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6
Q

People with autism may also have…

A

OCD

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7
Q

Type 1

Type 2 Autism

A

1: Can tell autism is developing
2: child is developing normally and then around 1.5 years old, regression happens

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8
Q

What are some of the main features of Autism?

A
  • Aloneness
  • Language and communication problems
  • Ritualistic or stereotyped behaviours
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9
Q

What type of body movements do Autistic people use?

A

Twirling, flapping hands, rocking back and forth with the arms around knees

-May mutilate themselves, bang head, bite hands

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10
Q

What are the language skills like in people with Autism?

A

Child may be mute, or may have peculiar usage of language such as echolalia, pronoun reversals, use of words that only they know, raise voice at end of sentence

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11
Q

How do people with Autism feel in regards to Sameness?

A

PRESERVATION of Sameness- aversion to environmental changes, want the same food, same Monday outfit

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12
Q

Do individuals with Autism differ intellectually from the norm?

A

Yes, lag below the norm

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13
Q

Psychodynamic perspectives on Autism

A

Focused on pathological family relationships

Kanner and Eisenberg- reared by cold, detached parents who were “emotional refrigerators”

Bettelheim- extreme self-absorption is the child’s defence against parental rejection

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14
Q

Cognitive perspective on Autism

A

They have a perceptual deficit that limits them to processing only one stimulus at a time

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15
Q

Biological perspectives on Autism?

A
  • Have period of overgrowth of brain size early in postnatal development, followed by slowed growth resulting in BRAIN VOLUME SMALLER than average for children
  • Smaller corpus callosum impacts lateralization (where one side of the hemisphere specializes in certain things)
  • underdeveloped mirror neurons leading to social deficits
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16
Q

Myths associated with Autism?

A

Immunizations and environmental factors, blame it on pollutants or noise

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17
Q

What does the treatment of Autism focus on?

A

Focuses on behavioural, educational and communication deficits

-Highly intensive and structured, importance on EARLY INTERVENTION

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18
Q

What medication can be used for Autism?

A

Haldol
-may be helpful in reducing social withdrawal and repetitive motor behaviour, aggressions, hyperactivity

Could go on antipsychotics but side effect is weight gain

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19
Q

What is an Intellectual Disability?

A

involves a broad delay in the development of cognitive and social functioning
-Assessed using formal intelligence tests and observations of adaptive functioning

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20
Q

What are the 3 criteria to determine intellectual disability?

A

1) An IQ score of approx. 70 or below on intelligence test
2) Evidence of impaired functioning in adaptive behaviour
3) Onset of the disorder before age 18

-Can’t just have low IQ, has to be accompanied by one of the other criteria!

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21
Q

Do most fall into mild or severe intellectual disability category?

A

Mild- 90%

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22
Q

What is the prevalence rate of intellectual disability?

A

7.18 in 1000

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23
Q

What are the classifications of intellectual disability?

A

Mild: IQ of 55-70, 90% prevelance. Can reach grade 6 skill level, can live independently

Moderate: IQ of 40-55, 6% prevalence. Can reach grade 2 skill level

Severe: IQ of 25-40, 3% prevalence. Need constant supervision

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24
Q

What is Down Syndrome?

A

A condition caused by a Chromosomal abnormality involving an extra chromosome on the 21st pair

Usually need a visual aid

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25
Q

What are the physical features of Down Syndrome?

A

Round face, flat nose, downward sloping folds at inner corners of eyes, small hands and short fingers, disproportionately small legs and arms

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26
Q

What problems do people with Down Syndrome usually have?

A

Most have Mental Retardation, and physical problems like malformation of the heart and respiratory difficulties

Most die by middle age

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27
Q

What do children with down syndrome have to deal with?

A

learning and developmental difficulties, uncoordinated due to lack of muscle tone, memory deficits, difficulty expressing thoughts clearly

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28
Q

Down syndrome is the most common…

A

Chromosomal disability linked to intellectual disability

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29
Q

What is Fragile X Syndrome?

A

Believed to be caused by a mutated gene on the X chromosome. Defective gene is located in are of chromosome that appears fragile

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30
Q

Who does Fragile X syndrome affect more?

A

Guys because they only have 1 X chromosome

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31
Q

How often does Fragile X Syndrome cause Mental Retardation?

A

Causes MR in about 1 in every 1,000 to 1,500 males and about 1 in every 2,000 to 2,500 females

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32
Q

What is Phenylketonuria (PKU)?

A

Genetic disorder that prevents the metabolization of phenylpyruvic acid.. leading to MR

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33
Q

How do you treat PKU?

A

Go on low PKU diet, can’t eat chicken, eggs, beef. Can just eat pasta, rice, fruits, veg

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34
Q

What is the prevalence of PKU?

A

Occurs in 1 in 10,000 births

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35
Q

What is Tay-Sachs disease?

A

Disease of lipid metabolism that is genetically transmitted and usually results in death in early childhood
-Recessive gene on chromosome 15 affects mostly Jews of Eastern European ancestry and French Canadians

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36
Q

What do children experience in Tay-Sachs disease?

A

Gradual loss of muscle control, deafness and blindness, retardation, paralysis… usually die before age 5

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37
Q

What are Prenatal Factors in Intellectual Disability?

A
  • Cytomegalovirus: maternal disease of the herpes virus group that carries a risk of MR to the unborn child
  • FASD- linked to development of ADHD = only preventable cause of intellectual disability
  • Birth complications including oxygen deprivations, prematurity, brain infections
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38
Q

In order to diagnose Fetal Alcohol Syndrome, you need..

A

Confirmation that the mother drank

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39
Q

Cultural-Familial Causes of Intellectual Disability

A

Cultural-familial retardation: Milder form of MR that is believed to result or be influenced by impoverishment in the child’s home environment

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40
Q

Inclusion or integration approach to intervention

A
  • Least restrictive environment
  • All students regardless of ability have the opportunity to be in same classroom
  • Accommodation: give these kids aides such as pictures or blocks to help them learn
  • Modifications: actually change the difficulty of what they are doing
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41
Q

What are some advantages of inclusion?

A
  • Greater independence
  • Expand awareness of individual difference
  • Promotes acceptance
  • Appreciate that all can learn from each other
  • Better self-concept and circle of friends
42
Q

What are some Disadvantages of inclusion?

A
  • Attitudes may be negative
  • low self-esteem
  • Risk
  • Increased workload for teachers
43
Q

What are some behavioural approaches to handling intellectual disability

A
  • Teach people with MR basic hygienic behaviours
  • Shape the desired behaviour by using verbal instruction and rewards
  • Social skills training
  • Anger management
44
Q

What is a learning disorder?

A

Deficiency in a specific learning ability noteworthy because of the individual’s general intelligence and exposure to learning opportunities

45
Q

What is the intellectual level of someone with a learning disorder?

A

Have average to above average intelligence, but there is a discrepancy between where there IQ is and where they are actually performing

46
Q

More times you need to be taught something, more likely you have a ________

A

Learning disability

47
Q

What is Dyslexia?

A

Learning disorder characterized by impaired reading ability that may involve difficulty with the alphabet or spelling

48
Q

What is the most common learning disorder?

A

Dyslexia- 80%

49
Q

What is Mathematics disorder?

A

deficiencies in arithmetic skills, problem understanding basic mathematical terms or operations

50
Q

When does mathematics disorder become apparent?

A

As early as grade 1 (age 6) but is generally not recognized until grade 3

51
Q

What are disorders of written expression?

A

Dysgraphia: characterized by errors in spelling, grammar, punctuation or difficulty composing sentences

52
Q

When does Dysgraphia become apparent?

A

By around Grade 2, although milder cases may not be recognized until grade 5

53
Q

What is the prevalence of dysgraphia?

A

4-10%

54
Q

What is reading disorder?

A

Dyslexia- poorly developed skills in recognizing letters or works and comprehending written text

-Similar rates for males and females

55
Q

When does reading disorder usually become apparent?

A

Usually by grade 2 (age 7) but sometimes at age 6

56
Q

Neurobiological perspectives on learning disorders

A

Sensory processing dysfunction –> lots who have learning disabilities also have ADHD

57
Q

Genetic factors in learning disorders?

A

People whose parents have dyslexia are at a greater risk themselves

Higher rates of concordance for dyslexia among twins

58
Q

Interventions for learning disorders

A

Focus on a child’s information processing style and academic strengths while trying to boost self-esteem and motivation
-develop close teacher-parent partnerships

59
Q

What is the Individual Education Plan in response to learning disorders?

A

A contractual document that contains learning and behavioural outcomes for a student, a description of how the outcomes will be achieved and a description of how the outcomes will be evaluated

60
Q

What is ADHD?

A

behaviour disorder of childhood that is characterized by excessive motor activity and inability to focus one’s attention

-must show these characteristics in 2 or more settings

61
Q

What are the 3 subtypes of ADHD

A
  • Predominantly inattentive type: disorganized, daydream
  • Predominantly hyperactive type: constantly on go, interrupt others
  • Combination type: have 6 traits of each type
62
Q

If you are over 17, how many symptoms do you need to be diagnosed ADHD?

A

5 symptoms

63
Q

What are the prevalence rates of ADHD?

A

Between 5-10% of children aged 6 to 14 have it

boys 2-3x more likely

6-8 year olds have higher rates than 12-14 yr olds

64
Q

When is ADHD usually detected?

A

See it in the first couple years of school

65
Q

What are some features of ADHD?

A
  • poorly in school
  • fail to follow or remember instructions
  • more likely to have a learning disability
  • problems getting along with people
  • disruptive
  • unpopular with peers
66
Q

What medications are used for ADHD?

A

Similar to those used for depression

RITALIN- stimulant drugs

Calming affects, increase attention spans, reduces annoying and disruptive behaviour

Successful in helping 3/4 children

67
Q

Biological perspectives on ADHD

A

Areas of the brain involved in regulating attention and inhibition of motor behaviour, lack of executive control

68
Q

What are environmental perspectives on ADHD?

A

Children with ADHD were 2.5x more likely to have had prenatal exposure to tobacco smoke

69
Q

What are some side effects of Ritalin/stimulants?

A

loss of appetite or insomnia, hallucinations, retard a child’s growth

Rare cases can result in cardiac arrest

70
Q

Are the effects of medication for ADHD long acting?

A

No, have to take it daily

71
Q

What is Conduct disorder?

A

Abnormal behaviour in childhood characterized by disruptive, antisocial behaviour, severe behaviours

72
Q

Prevalence rates of conduct disorder?

A
  1. 3 %
    - more common in boys, especially the childhood onset type (features appear before age 10)

Prior to age 10 it is oppositional defiance disorder
After 18 it is antisocial personality

73
Q

Actions common to boys and girls with conduct disorder

A

Boys: stealing, fighting, vandalism
Girls: lying, substance abuse, running away

74
Q

When diagnosing conduct disorder you look for this…

A

Whether their actions are done with or without empathy

75
Q

What is oppositional defiant disorder?

A

Childhood characterized by excessive oppositional tendencies to refuse requests from parents and others
-more closely related to non-delinquent behaviours

76
Q

Features of oppositional defiant disorder?

A

Refuse to follow requests, defiant of authority, easily angered, feel resentful towards others, blame others for mistakes, deliberately annoy people

77
Q

What are the 3 categories of oppositional defiant disorder?

A
  • Vindictive
  • Angry and Irritable
  • Aggressive and Defiant
78
Q

If diagnosis for oppositional defiant disorder is prior to age 5, how often do you have to see symptoms?

A

Everyday for 6 months

79
Q

What is learning theory perspective on Oppositional defiant disorder?

A

Arises from parental use of inappropriate reinforcement strategies
-may be linked to unassertive and ineffective parenting styles, don’t have a lot of rules

80
Q

What is Family theory perspective on Oppositional defiant disorder?

A

Tend to be characterized by negative, coercive interactions, receive more punishment
-Family members use negative behaviours or means of coercion

81
Q

What is CBT treatment for disruptive behaviours?

A

Programs with explicit rules and clear rewards for obeying the rules

  • Use rewards and punishments
  • Anger management
  • Calming self-talk
82
Q

What is separation anxiety disorder?

A

childhood condition characterized by extreme fears of separation from parents or others on whom the child is dependent

Usually following a stressful life event

83
Q

What are some of the main features of separation anxiety disorder?

A
  • Follow family members around
  • Voice concerns about death
  • nausea or vomiting when separation is anticipated
  • throwing tantrums when parents are about to leave
84
Q

What is the prevalence of separation anxiety disorder?

A

4% of children

85
Q

Psychoanalytic theories on separation anxiety

A

Anxiety symbolizes unconscious conflicts

86
Q

What are cognitive theories on separation anxiety?

A

Cognitive bias in processing information, such as interpreting ambiguous situations as threatening, expecting negative outcomes, negative self-talk

87
Q

Depression in childhood

A

Show greater sense of hopelessness and more negative attributions

88
Q

Prevalence rates of childhood depression

A

2% of Canadian children

No gender difference in childhood, but after age 15 girls become more likely

89
Q

How many children who are depressed in childhood have a recurrence later in life?

A

about 3/4 children who were depressed between ages 8-13 have a recurrence later in life

90
Q

What are some correlates of Childhood depression?

A
  • Attributional style: usually internal, stable and global

- Adolescent girls: social challenges such as pressure to narrow their interests and pursue feminine activities

91
Q

What medication is used for childhood depression

A

Antidepressants such as Prozac

92
Q

What are some factors associated with childhood suicide?

A

Gender: girls more likely to attempt, boys to complete

Age: between 15-24

Ethnicity: highest in First Nations

Depression: higher risk when combined with low self-esteem

Previous suicidal attempts: 1 in 4 attempters repeats

Family problems: present in 75% of cases

Stressful life events: breakup, unwanted pregnancy, etc.

Substance abuse

Social contagion: widespread publicity of suicides

93
Q

What is Dementia?

A

Cognitive impairment involving generalized progressive deficits in a person’s memory and learning of new info, ability to communicate, judgment and motor coordination

94
Q

What are the two major losses in Dementia?

A
  • Memory loss

- Disturbance of executive function

95
Q

What is the average duration of life after someone contacts a doctor about memory loss

A

3.3 years

96
Q

What are some abnormalities in people with dementia?

A
  • Amyloid plaques
  • Neurofibrillary tangles
  • inflammation of brain
97
Q

What are some causes of dementia?

A
  • Huntington’s or Parkinson’s disease
  • head injury
  • stroke
98
Q

What is Alzheimer’s disease?

A

Fatal neurogenerative disorder that accounts for the majority of dementia cases (95%)

99
Q

Who is at greatest risk for getting Alzheimer’s?

A

People who have a mother with Alzheimer’s

100
Q

When is the diagnosis for Alzheimer’s given?

A

when all other potential causes of dementia are ruled out

101
Q

What is the treatment for Alzheimers?

A

No cure, but some medications slow down the decline in memory, and thinking abilities and inhibit the breakdown of acetylcholine