block 6 W4 Flashcards

1
Q

Organic causes of psychosis

A

-> Medications: anti-Parkinson’s, cardiac meds like beta blockers and digoxin, corticosteroids
-> Autoimmune conditions like encephalitis
-> Endocrine: Thyroid and parathyroid issues and endocrine
-> Tumours
-> Infection like HIV,, Lyme disease, meningitis
-> Neurological conditions like Parkinson’s, Huntington’s, Motor neurone disease

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2
Q

Tuberous sclerosis

A

Benign tumours develop in different parts of the body due to autosomal dominant condition. It can be detected in the skin as macular hypopigmentation. Associated with epilepsy and autism.

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3
Q

Reaction formation

A

Psychoanalytic defence mechanism-expression of the opposite of disturbing ideas

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4
Q

Measure of attachment for 1-2 year olds

A

Strange situation procedure

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5
Q

Measure of attachment for 3-6 year old

A

Story stem assessments

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6
Q

Aspects of learning disabilities

A

Impaired adaptive behaviours, social functioning, reading, writing, intelligence, IQ, self-care

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7
Q

Kinaesthetic intelligence

A

Intelligence expressed and felt physically and hands on work

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8
Q

Adler’s theory

A

We strive for superiority due to an inferiority complex

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9
Q

L-data

A

Life-record data like school grades, absence from work

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10
Q

Pre-natal factors for psychosis

A

Premature births, unwanted pregnancy, maternal influenza, rubella, malnutrition

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11
Q

Mild IQ disability

A

50-70 score with reasonable independence

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12
Q

Is Schizophrenia attributed to alcohol or drug intoxication?

A

No

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13
Q

Is Schizophrenia attributed to organic brain disease?

A

No

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14
Q

How long must at least 2 symptoms occur for schizophrenia to be diagnosed?

A

1 month

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15
Q

Parent-child psychosocial therapy

A

Focuses on parental understanding of child’s behaviour, perception of child and ther own childhood experiences

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16
Q

Social cognitive theory

A

Emphasises the role of learning and environment in personality development. Includes the theory of locus control

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17
Q

Home-visiting programmes

A

Attachment based intervention which supports positive parent-child interaction using role-modelling

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18
Q

Endocrine organic disease that can cause psychosis

A

Thyroid and hyperparathyroid issues, adrenal disorder

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19
Q

Infective cause of psychosis

A

HIV, lyme disease and meningitis

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20
Q

Phenylketonuria

A

Metabolic cause of learning disability. Autosomal recessive condition caused by absence of phenylalanine hydroxylase causing build up of phenylalanine leading to microencephaly

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21
Q

Displacement

A

Psychoanalytic defence mechanism-expression of the opposite of disturbing ideas

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22
Q

Learning disabilities-considerations

A

Reduced life expectancy, die by indifference, increased incidence of mental disorder

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23
Q

Personality disorders

A

Issues with interpersonal relationships like co-operation and maintaining, worse physical health, higher risk of developing other mental health conditions

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24
Q

Avolition

A

Lack of will

25
Q

Toxoplasmosis

A

Causes infection in birds and mammals which causes brain damage and jaundice in babies

26
Q

Schizophrenia effect on the brain

A

Increased ventricular volume, decreased cortex volume

27
Q

Jung theory

A

There is a personal vs collective unconscious and a balance between introversion and extroversion

28
Q

Criticism of OCEAN big five personality

A

Does not comment on personality development, poor predictor of future behaviour

29
Q

Early intervention of psychosis

A

Cost effective and open referral,

30
Q

Sublimation

A

Psychoanalytic defence mechanism- Channelling impulses into a socially acceptable outlet

31
Q

Cluster B personality disorder

A

Dramatic, emotional, narcissistic, impulsive

32
Q

Where is passivity related to in the brain in schizophrenia?

A

Cingulate gyrus

33
Q

Diagnostic overshadowing

A

Physical needs are not addressed in patients with learning disabilities

34
Q

Autoimmune cause of psychosis

A

Encephalitis

35
Q

Cluster A personality disorder

A

Schizoid, schizotypal, paranoid, odd, eccentric

36
Q

Infectious cause of learning disability

A

Toxoplasmosis or cytomegalovirus

37
Q

Cluster C

A

Patient is anxious, fearful, avoidant and OCD disorder

38
Q

Side effects of clozapine

A

Hyperlactation, weight gain, seizures, agranulocytosis

39
Q

Theories of personality

A

Psychodynamic, humanisitic, trait, social-cognitive

40
Q

Humanistic theory

A

People have free will, want to do good, achieve self actualisation and perception and understanding of reality is most important

40
Q

Which area of the brain is associated with auditory hallucinations in Schizophrenia?

A

Broca’s area

41
Q

Disorganised attachment

A

Seek out comfort but fears close proximity, contradictory behaviours, dysregulated in presence of caregiver

42
Q

Prevalence of psychosis

A

Men, urban areas, migrants, earlier onset with younger age and genetics

43
Q

Early childhood factors for psychosis

A

Left-right dominance, late milestones, lateral language development

44
Q

Parental sensitivity and behaviour training

A

Behavioural management and improve quality of parenting

45
Q

Eyesenck’s three factor theory

A

Introversion vs extroversion, emotional stability vs neuroticism, impulse control vs psychosis

46
Q

Timeframe for antipsychotic prescribing

A

1-2 years

47
Q

Neonatal causes of psychosis

A

Low birth weight, hypoxia, structural brain abnormalities

48
Q

Acute and transient psychotic disorder

A

Complete recovery within a few months, not caused by drugs or organic cause. Onset of 2 weeks.

49
Q

Side effects of antipsychotics

A

Sedation, weight gain, hyperprolactinaemia, QTC prolongation, involuntary movement

50
Q

Cattell’s 16 personality factors

A

Trait theory of personality which uses L-data, Q-data and T-data to form personality

51
Q

Q-data

A

16PF to rate an individual’s personality

52
Q

T-data

A

Objective test to find personality construct

53
Q

Dopamine

A

Mediates attachment of salience to ideas and objects- hyperactivity causes salience to unimportant stimuli with delusions in schizophrenia

54
Q

Second gen antipsychotics

A

Less extrapyramidal side effects but significant cardiometabolic side effect

55
Q

Which factors are impaired in learning disability?

A

Intelligence, adaptive behaviours and social functioning

56
Q

Psychodynamic theory

A

Conflict with childhood experience, pleasure seeking impulses and social demands

57
Q

Roger’s theory of personality

A

Humanistic theory around our self concept and we need postivie regard and change our behaviour to get this. Idea of a fully functioning person open to new experiences

58
Q

Social treatment of psychosis

A

Housing, employment, education support, social connections