Ch. 7: Personality Disorders Flashcards
how does the biomedical approach classify psychological disorders
disorder is rooted in biomedical disturbances so solution should be of biomedical nature and work to reduce symptoms
how does the biopsychosocial approach classify psychological disorders
disorders have biological, psychological, and social components and require solutions that address all of these components via direct and indirect therapy
what is the DSM-5
compilation of many known psychological disorders organized by description of symptoms
what are positive symptoms
behaviors, thoughts, feelings that occur in addition to normal psychological behaviors
ex: hallucinations, disorganized thoughts
what are negative symptoms
the absence of normal psychological behaviors
ex: affects, avolition
what are the symptoms of as psychotic disorder
+ delusions, hallucinations, disorganized thought, disorganized behavior, catatonia
- various negative symptoms
what kind of disorder is schizophrenia
a psychotic disorder
what are the symptoms of schizophrenia
continuous sx of a psychotic disorder lasting 6+ months with 1+ month of active sx
+ psychotic: delusions and hallucinations
+ disorder: disorganized behavior and thought
- affects, avolition, other negative sx
What are delusions
false beliefs that deviate from reality and are not shared by others in society
Delusions of Reference
belief that elements in the environment are directed toward the individual (the TV is talking to you)
Delusions of Perception
belief person is being interfered with, discriminated against, plotted against, threatened
Delusions of Grandeur
belief that the person is remarkable in some way and believes that they are an important icon or great thinker
what is thought broadcasting
a delusion in which a person believes their thoughts are being broadcast to the external world
what is thought insertion
a delusion in which a person believes other thoughts and ideas are being placed in their head by an outside source
what are hallucinations
perceptions that SEEM real but are NOT due to actual external stimuli
ex auditory, visual, tactile
what is disorganized thought
thought patterns that manifest by loosening of association
ideas shift from one idea from another so sharply that they are incompressible for a normal person
what is disorganized behavior
inability to carry out the tasks of daily living
what is catatonia
certain motor movements characterized by either spontaneous movement/activity or persistent rigid posture
what is echolalia
a form of disorganized behavior in which someone else’s words are repeated
what is echopraxia
a form of disorganized behavior in which someone else’s actions are repeated
what is an affect
experience and display of emotion
what is a blunted affect
severe reduction in the intensity of affect expression
what is a flat affect
virtually no signs of emotional expression
what is an inappropriate affect
emotional expression is obviously deviated from content of speech
what is avolition
decreased engagement in purposeful, goal-directed actions
what happens during the prodromal phase
a phase of poor adjustment that a patient usually goes through prior to being diagnosed with schizophrenia
- deterioration, social withdrawal, peculiar behavior, inappropriate affect, unusual experiences
what kind of disorder is major depressive disorder
a mood disorder
what qualifies as a major depressive episode
2+ weeks with 5 of the following, 1 must be***:
- ** prominent and persistent depressed mood
- ** loss of interest in formerly enjoyable activities
- appetite disturbances
- substantial weight changes
- sleep disturbances
- decreased energy
- feelings of worthlessness or excessive guilt
- difficulty concentrating or thinking
- psychomotor sx
- thoughts of death or attempted suicide
what are the sx of a major depressive episode (mnemonic)
SIG E. CAPS
Sadness +
- Sleep
- Interest
- Guilt
- Energy
- Concentration
- Appetite
- Psychomotor sx
- Suicidal thoughts
what are the sx of major depressive disorder
at least one major depressive episode
what are the sx of a persistent depressive disorder
dysthymia: depressed mood that is not severe enough to meet the qualifications of a major depressive episode, but that lasts for an extended time, usually ~2 years
what are the sx of seasonal affective disorder
major depressive episode with a seasonal onset, typically the winter months
what type of disorder are bipolar disorders
mood disorders
what are the sx of bipolar disorders (I & II)
manic episodes followed by depressive episodes
what qualifies as a manic episode
+1 week of abnormal and persistent mood +3 of the following
- increased distractibility
- decreased need for sleep
- inflated self-esteem or grandiosity
- racing thoughts
- increased goal-directed activity or agitation
- pressure speech or increased talkativeness
- high-risk behaviors