Abnormal Psych Across the Lifespan Flashcards
Why are psychological problems in children especially poignant?
Because they affect children at a time in their lives when they have relatively little ability to cope
Do some disorders look different in children than they do in adults?
Yes, some problems are unique to childhood, disorders that manifest themselves differently in children than in adults
How do we consider something abnormal or normal for children?
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
What is Autism Spectrum disorder characterized by?
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
Who is autism usually found in and when is it detected?
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
People with autism may also have…
OCD
Type 1
Type 2 Autism
1: Can tell autism is developing
2: child is developing normally and then around 1.5 years old, regression happens
What are some of the main features of Autism?
- Aloneness
- Language and communication problems
- Ritualistic or stereotyped behaviours
What type of body movements do Autistic people use?
Twirling, flapping hands, rocking back and forth with the arms around knees
-May mutilate themselves, bang head, bite hands
What are the language skills like in people with Autism?
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
How do people with Autism feel in regards to Sameness?
PRESERVATION of Sameness- aversion to environmental changes, want the same food, same Monday outfit
Do individuals with Autism differ intellectually from the norm?
Yes, lag below the norm
Psychodynamic perspectives on Autism
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
Cognitive perspective on Autism
They have a perceptual deficit that limits them to processing only one stimulus at a time
Biological perspectives on Autism?
- 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
Myths associated with Autism?
Immunizations and environmental factors, blame it on pollutants or noise
What does the treatment of Autism focus on?
Focuses on behavioural, educational and communication deficits
-Highly intensive and structured, importance on EARLY INTERVENTION
What medication can be used for Autism?
Haldol
-may be helpful in reducing social withdrawal and repetitive motor behaviour, aggressions, hyperactivity
Could go on antipsychotics but side effect is weight gain
What is an Intellectual Disability?
involves a broad delay in the development of cognitive and social functioning
-Assessed using formal intelligence tests and observations of adaptive functioning
What are the 3 criteria to determine intellectual disability?
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!
Do most fall into mild or severe intellectual disability category?
Mild- 90%
What is the prevalence rate of intellectual disability?
7.18 in 1000
What are the classifications of intellectual disability?
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
What is Down Syndrome?
A condition caused by a Chromosomal abnormality involving an extra chromosome on the 21st pair
Usually need a visual aid
What are the physical features of Down Syndrome?
Round face, flat nose, downward sloping folds at inner corners of eyes, small hands and short fingers, disproportionately small legs and arms
What problems do people with Down Syndrome usually have?
Most have Mental Retardation, and physical problems like malformation of the heart and respiratory difficulties
Most die by middle age
What do children with down syndrome have to deal with?
learning and developmental difficulties, uncoordinated due to lack of muscle tone, memory deficits, difficulty expressing thoughts clearly
Down syndrome is the most common…
Chromosomal disability linked to intellectual disability
What is Fragile X Syndrome?
Believed to be caused by a mutated gene on the X chromosome. Defective gene is located in are of chromosome that appears fragile
Who does Fragile X syndrome affect more?
Guys because they only have 1 X chromosome
How often does Fragile X Syndrome cause Mental Retardation?
Causes MR in about 1 in every 1,000 to 1,500 males and about 1 in every 2,000 to 2,500 females
What is Phenylketonuria (PKU)?
Genetic disorder that prevents the metabolization of phenylpyruvic acid.. leading to MR
How do you treat PKU?
Go on low PKU diet, can’t eat chicken, eggs, beef. Can just eat pasta, rice, fruits, veg
What is the prevalence of PKU?
Occurs in 1 in 10,000 births
What is Tay-Sachs disease?
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
What do children experience in Tay-Sachs disease?
Gradual loss of muscle control, deafness and blindness, retardation, paralysis… usually die before age 5
What are Prenatal Factors in Intellectual Disability?
- 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
In order to diagnose Fetal Alcohol Syndrome, you need..
Confirmation that the mother drank
Cultural-Familial Causes of Intellectual Disability
Cultural-familial retardation: Milder form of MR that is believed to result or be influenced by impoverishment in the child’s home environment
Inclusion or integration approach to intervention
- 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