Behavioral Flashcards
Describe the 3 roles of the health care provider
1) looked to as an expert by society
2) Unique position in a family’s life
3) First line of defense -the foyer in the mansion of health care
Looked up as an expert by society is a
role as a health care provider
having a unique position in family’s life is a
role as a health care provider
Being the first line of defense-the foyer in the mansion of health is a
role as a health care provider
9 Normal Behaviors
Age 1-3 years
1) Very active, lovers exploring
2) increase in cognitive awareness but slower increase in language-often results in more meltdowns, tantrums
3) more defiant-Testing boundaries, seeking predictability
4) imitate expressions, sayings
5) separation anxiety
6) Increase in tantrums that last less than 10 min and average 3-5 a week
7) increase in fears and slight phobias
8) aware of gender differences-ask questions about genitalia , touches genitalia more frequently
9) Distinguishes more who is in primary circle and who is not, stranger Danger can set in
Very active , loves exploring? Normal, abnormal. Age
1-3
normal
Increase in cognitive awareness but slower increase in language- Often results in more meltdowns, tantrums.
Normal, abnormal? age?
1-3
normal
more defiant-o Testing boundaries, seeking predictability . normal? abnormal? age
1-3
normal
Imitate expressions, sayings, etc. normal? abnormal? age
1-3
normal
Separation Anxiety
normal? abnormal? age
1-3
normal
• Increase in tantrums that last less than 10 min and average 3-5 a week (give or take due to changes in environment or developmental growth). normal? abnormal? age
1-3
normal
Increase in fears and slight phobias.
normal? abnormal? age
1-3
normal
Aware of gender differences – asks questions about genitalia, touches genitalia more frequently
normal? abnormal? age
1-3
normal
Distinguishes more who is in primary circle and who is not-Stranger Danger can set in
normal? abnormal? age
1-3
normal
4 abnormal behaviors . ages 1-3
• Separation Anxiety that doesn’t calm after 3-4 weeks in new environment
o Child isn’t calmed in an appropriate amount of time (usually under 20 min)
• Tantrums and/or meltdowns that have significant frequency, intensity, duration and/or include biting, hitting, holding breath, etc.
o Ask about when, how long, how often, parent reaction
o Parent reactions are key
• Physical Aggression
o Towards other siblings or peers
o Towards animals
o Can be a sign of feeling powerless
• Sexual Acting out
o Preoccupation with things of a sexual nature beyond curiosity about gender, baby making, etc.
o Imitating sexual acts
o Oral Sex, sexual positions, etc
Separation Anxiety that doesn’t calm after 3-4 weeks in new environment
o Child isn’t calmed in an appropriate amount of time (usually under 20 min)
Normal? abnormal? age
abnormal
1-3
• Tantrums and/or meltdowns that have significant frequency, intensity, duration and/or include biting, hitting, holding breath, etc.
o Ask about when, how long, how often, parent reaction
o Parent reactions are key
Normal? abnormal? age
abnormal
1-3
• Physical Aggression o Towards other siblings or peers o Towards animals o Can be a sign of feeling powerless Normal? abnormal? age
abnormal
1-3
• Sexual Acting out o Preoccupation with things of a sexual nature beyond curiosity about gender, baby making, etc. o Imitating sexual acts o Oral Sex, sexual positions, etc Normal? abnormal? age
abnormal
1-3
8 normal behaviors in ages 3-6
• Has capacity for social contribution/involvement
• Develops independence
• Begins development of gender and ethnic identities
o Continued question about the origins of life
o More aware of gender differences
o Crushes on peers can develop
• Learning difference between reality and make believe
o However, very concrete cognitive development
• Occasional lying – evidence of newfound cognitive ability
• While awareness of feelings of others is present, still ego-centric, still difficult to put others needs and wants above their own
• They love stories about when they were a baby
• Tantrums and/or meltdowns still happen but are less frequent
• Has capacity for social contribution/involvement
normal?abnormal?age?
normal
3-6
• Develops independence
normal?abnormal?age?
normal
3-6
• Begins development of gender and ethnic identities
o Continued question about the origins of life
o More aware of gender differences
o Crushes on peers can develop
normal?abnormal?age?
normal
3-6
• Learning difference between reality and make believe
o However, very concrete cognitive development
normal?abnormal?age?
normal
3-6
• Occasional lying – evidence of newfound cognitive ability
normal?abnormal?age?
normal
3-6
• While awareness of feelings of others is present, still ego-centric, still difficult to put others needs and wants above their own
normal?abnormal?age?
normal
3-6
• They love stories about when they were a baby
normal?abnormal?age?
normal
3-6
• Tantrums and/or meltdowns still happen but are less frequent
normal?abnormal?age?
normal
3-6
6 abnormal behaviors ages 3-6
• Chronic Tantrums
o Ask about frequency, duration, and intensity
o Note difference between emotional expression and tantrum
• Physical Aggression
o Towards other siblings or peers
o Towards animals
o Can be a sign of feeling powerless
o Not being given alternatives to anger outbursts
• Sexual Acting out
o Preoccupation with things of a sexual nature beyond curiosity about gender, baby making, etc.
Imitating sexual acts
Oral Sex, sexual positions, etc
• Severely controlling behavior (rule out leader-type personality)
o Will not play with peers unless he/she is choosing and directing play
o Inflexible about clothes, food, family activities, etc.
Tantrums if they cannot get their way (sign of high anxiety)
• Physical tics/compulsions/habits
o Biting nails, pulling hair out, etc.
o Rule out self soothing behavior vs. sign of deeper anxiety
o Ex: picking/pinching skin vs. playing with hair or humming
• Fears and phobias that become fixations
o Afraid that the house is going to catch on fire
o Afraid that sibling is going to get sick and die
• Chronic Tantrums
o Ask about frequency, duration, and intensity
o Note difference between emotional expression and tantrum
Normal?abnormal? age?
abnormal
3-6
• Physical Aggression o Towards other siblings or peers o Towards animals o Can be a sign of feeling powerless o Not being given alternatives to anger outbursts Normal?abnormal? age?
abnormal
3-6
• Sexual Acting out o Preoccupation with things of a sexual nature beyond curiosity about gender, baby making, etc. Imitating sexual acts Oral Sex, sexual positions, etc Normal?abnormal? age?
abnormal
3-6
• Severely controlling behavior (rule out leader-type personality)
o Will not play with peers unless he/she is choosing and directing play
o Inflexible about clothes, food, family activities, etc.
Tantrums if they cannot get their way (sign of high anxiety)
Normal?abnormal? age?
abnormal
3-6
• Physical tics/compulsions/habits
o Biting nails, pulling hair out, etc.
o Rule out self soothing behavior vs. sign of deeper anxiety
o Ex: picking/pinching skin vs. playing with hair or humming
Normal?abnormal? age?
abnormal
3-6
• Fears and phobias that become fixations
o Afraid that the house is going to catch on fire
o Afraid that sibling is going to get sick and die
Normal?abnormal? age?
abnormal
3-6
3 normal behaviors ages 6-9
• Concrete thinking moves into Abstract thinking
o Black and white thinking still present (i.e. Rules are very important and “normal” is emphasized)
• Responsibility increases
o Chores, hygiene, caring for personal items
• Learning curve regarding social awareness/participation is happening
o Social cues/rules are noticed and taken into consideration
o Peer relationships are practice ground for adult relationships
• Concrete thinking moves into Abstract thinking
o Black and white thinking still present (i.e. Rules are very important and “normal” is emphasized)
Normal?abnormal? age ?
normal
6-9
• Responsibility increases
o Chores, hygiene, caring for personal items
Normal?abnormal? age ?
normal
6-9
• Learning curve regarding social awareness/participation is happening
o Social cues/rules are noticed and taken into consideration
o Peer relationships are practice ground for adult relationships
Normal?abnormal? age ?
normal
6-9
3 abnormal behaviors ages 6-9
• Social interaction vs. isolative behavior
• Physical tics/compulsions/habits
o Biting nails, pulling hair out, etc.
o Rule out self soothing behavior vs. sign of deeper anxiety
o Ex: picking/pinching skin vs. playing with hair or humming
• Fears and phobias that become fixations (consider media exposure)
o Afraid that the house is going to catch on fire
o Afraid that sibling is going to get sick and die
• Social interaction vs. isolative behavior
normal? abnormal? age?
abnormal 6-9
• Physical tics/compulsions/habits
o Biting nails, pulling hair out, etc.
o Rule out self soothing behavior vs. sign of deeper anxiety
o Ex: picking/pinching skin vs. playing with hair or humming
normal? abnormal? age?
abnormal 6-9
• Fears and phobias that become fixations (consider media exposure)
o Afraid that the house is going to catch on fire
o Afraid that sibling is going to get sick and die
normal? abnormal? age?
abnormal 6-9
7 normal behaviors ages 9-12
o Able to think abstractly Empathy is easier Imagining how behavior will impact a circumstance is possible o Pre-occupied with appearance o Puberty begins Self conscious about body o Increase in defiance and independence o Increase of social media use o Emotionally labile o Less focus on family and more focus on friends Relationships are more complex and social interactions are more intense o Abnormal Bx:
o Able to think abstractly
Empathy is easier
Imagining how behavior will impact a circumstance is possible
normal? abnormal? age?
normal 9-12
o Pre-occupied with appearance
normal? abnormal? age?
normal 9-12
o Puberty begins
Self conscious about body
normal? abnormal? age?
normal 9-12
o Increase in defiance and independence
normal? abnormal? age?
normal 9-12
o Increase of social media use
normal? abnormal? age?
normal 9-12
o Emotionally labile
normal? abnormal? age?
normal 9-12
o Less focus on family and more focus on friends
Relationships are more complex and social interactions are more intense
normal? abnormal? age?
normal 9-12
5 abnormal behaviors 9-12
o Anxiety Symptoms o Depressive symptoms o Self Harming behavior o Eating/Food Issues o Body Image Issues
o Anxiety Symptoms
normal? abnormal? age?
abnormal 9-12
o Depressive symptoms
normal? abnormal? age?
abnormal 9-12
o Self Harming behavior
normal? abnormal? age?
abnormal 9-12
Eating/Food Issues
normal? abnormal? age?
abnormal 9-12
o Body Image Issues
normal? abnormal? age?
abnormal 9-12
define Secure Attachment
o Uses caregiver as a “secure base”, will explore environment when caregiver is present, shows distress when caregiver is not present but is easily consoled when caregiver returns
what type of attachment Uses caregiver as a “secure base”, will explore environment when caregiver is present, shows distress when caregiver is not present but is easily consoled when caregiver returns?
Secure Attachment
define Insecure/Avoidant Attachment
Ignores caregiver, low affect, doesn’t explore room. Emotional expression is stunted regardless of who is around. Avoids caregiver upon re-entry. Although infant appeared to be unfazed by caregiver’s presence or absence their monitored heart rate revealed significant distress.
what type of attachment Ignores caregiver, low affect, doesn’t explore room. Emotional expression is stunted regardless of who is around. Avoids caregiver upon re-entry. Although infant appeared to be unfazed by caregiver’s presence or absence their monitored heart rate revealed significant distress.
Insecure/Avoidant Attachment
define Insecure/Ambivalent Attachment
Children generally are raised with disorganized neglecting and inattentive parenting. the parents are even less able to provide stability and psychological strength for them after divorce and ,as a result the children are even more likely to become clinging but inconsolable in their distress , as well as to act out, suffer mood swings , and become oversensitive to stress. Pg. 1092
what type of attachment Children generally are raised with disorganized neglecting and inattentive parenting. the parents are even less able to provide stability and psychological strength for them after divorce and ,as a result the children are even more likely to become clinging but inconsolable in their distress , as well as to act out, suffer mood swings , and become oversensitive to stress.
Insecure/Ambivalent Attachment
Disorganized attachment
Most commonly found in abused or neglected children.
Caregivers are abusers as well as comforters = very unpredictable for child
Infants run to caregivers for comfort but then run away
Sometimes hit caregiver upon re-entry
Most commonly found in abused or neglected children.
Caregivers are abusers as well as comforters = very unpredictable for child
Infants run to caregivers for comfort but then run away
Sometimes hit caregiver upon re-entry
Disorganized attachement
