Chapter 12-psychological disorders Flashcards
Inappropriate affect
Action inappropriate for situation
-uncontrollable laughter at wrong time
In schizophrenia
Schizophrenia
Split between thoughts and emotions
Nothing to to with split personality
Thinking is scattered
-loose associations
Bland/flattened affect
No emotions shown
Schizophrenia condition
Labile affect
Back and forth between inappropriate affect and no emotions
Schizophrenic personality
Schizophrenic psychosis
Hallucinations
- most common is auditory
Schizophrenic lucid/clear periods
In touch with reality
-occurs from time to time
Neologisms
Made up language between schizophrenics
Not understood by others
Coined expression or language
Schizophrenic religiosity
Push religion down someone’s throat
Always quote the bible
Fanatics
Children of schizophrenic patients
Double bind situation
-catch 22
Encouraged to give attention/affection to parent
Parent rejects child
-unable to give child proper care and attention
Schizophrenic positive/negative symptoms
Positive (severe)
- delusions
- hallucinations
- being out of touch with reality
Negative (minor)
- social withdrawal
- apathy
- showing no/blunt/affect emotions
Can only be on anti psychotic meds for so long
Tartive dyskinesia
Gumming
Fly catching motions
Myoclonus jerks
-spastic muscle jerks
What causes schizophrenia
Chemical imbalance
Excessive amounts of dopamine
Enlarged ventricles
-fluid filled cavities in the brain
Clang association
Schizophrenia
Always rhyming words
All schizophrenics fall in two categories
Reactive (acute)
- react to the situation stress
- temporary psychotic break
- when stress goes away, go back to being normal
Process (chronic)
- slow, gradual process of becoming schizophrenic
- always schizophrenic
- 50% of autistic children become schizophrenic by adolescence (18-19)
4 types of schizophrenia
Catatonic
Paranoid
Disorganized
Chronic undifferentiated
Catatonic schizophrenia
Motor disturbance
- agitated/hyper active
- catatonic stupor
Frozen mobility
- locked on one thought or object
- does not say anything
- can be for days, weeks, month at a time
- once they break the stupor, they finish the sentence
- waxy flexibility
- move arms and legs, they stay in that position
Either agitated or catatonic
-can not go back and forth
Paranoid schizophrenic
Highest emotional and intellectual level
Appear normal until you tap into their delusion
Always planning on how to “get you, before you get them”
Distrustful
Auditory most common
Disorganized schizophrenia
Show regression back to infantile behavior
-spit in face, vulgar, masturbate in public
Loose association
Inappropriate affect
Chronic undifferentiated affect
Can not diagnose type of schizophrenia
Show symptoms of all types
Catch all diagnosis
-waste bucket
Psychiatric interview
Unstructured interview
- no preconceived notions
- go with the flow
- no mental checklist
Establish and maintain a good rapport
- mutual respect and understanding
- good working relationship
Favorite three words
-tell me more
Avoid giving advice
Ask open ended questions
- let’s client talk about what is important to them
- don’t ask fixed questions
Never ask the question why
- makes you rationalize/justify position
- can bring up negative feelings
- embarrass the subject, put on the spot
- don’t always know why we do things
Make behavioral observations
- allows patient to comment on observation
- offers defense without demanding one
Focus on feelings
-what are you feeling right now
Don’t let patient manipulate the interview
-they may to try to control interview, interview you
Avoid killer statements
- “you don’t really believe that do you.”
- “I don’t believe you said that”
Anxiety
General apprehension or nervousness about something that takes place in the future
Fear
Present time
Rational
Put in immanent danger
Phobia
Irrational fear
Something in the past causes fear
Agoraphobia
Open spaces
Panic attacks associated with fear
Become shut ins
Coprophobia
Fear of feces
Xanthophonia
Color yellow
Satanophobia
Devil
Phallophobia
Penis
Astraphobia
Storms
Thunder
Lightening
Equinophobia
Horses
Triskaidekaphobia
Number 13
Arachnophobia
Spiders
Obsessive compulsive disorder
Anal personality
Obsessed with one thought to the exclusion of all other thoughts
Death on the brain
- homicide
- suicide
Sex on the brain
-nympho
Cleanliness/germs
- cleaning
- washing hands
If you are obsessed with thinking may not be compulsive behavior
If you are compulsive with actions you thought about it beforehand
-check, recheck, and check again
Hypochondriacal disorder
Imaginary illness
-all in your head
Psychosomatic disorder
Real, genuine disorders
Brought on by stress (emotional)
-converted to real physical symptoms
Treat emotional problems first, physical problems will tend to disappear
What causes one to be abnormal?
Raging conflict between id, ego, super ego
-Freudian, psychoanalytical
Behavioral point of view
-we learn to be abnormal, just like we learn any other type of behavior
Humanistic point of view
-faulty self image, distorted view of yourself
Cognitive point of view
-false assumptions and unrealistic coping strategies
Dissociative disorders
Cut off part of yourself from rest of yourself
Depersonalization
Don’t feel attached to your own body
Traumatic event happened
-don’t want to deal with it
Amnesia
Cut off memory from contact with other memories
Glove anesthesia
No feeling in hand
Emotionally hand cut off
Caused by guilt
-startling, masturbation
Fugue state
Lost identity of the past
Running away from something in the past
Did
Multiple personality disorder
Long history of psych illness
Most are malingerers
-avoiding responsibility
Very few actual did individuals
95% sexually and physically abused in childhood
Wacky American fad
-does not exist outside America
Self mutilating behavior
-enjoy slasher films
Separate handwritings
Different brain waves
Different period cycles
Anti social personality
Character disorder
Something went wrong with socialization process
Psychopath/sociopath
Lie, steal, cheat with no guilt or remorse
Lacking super ego
Charming
Unable to treat with psychotherapy
-due to manipulation
Brain under aroused
- causes them to me risk takers
- violence, stealing
Narcissistic personality
Exaggerate self love and self importance
Need constant attention and admiration
React in violent rage to criticism
Depression
Most common disorder
1 of 2 world wide disorder
50% chance that if 1 twin is depressed, other twin will be depressed
50% chance if depressed will be depressed again within 2 years
Bipolar disorder
Formerly known as manic depressive disorder
Highest of irrational highs to lowest of suicidal lows
More often depressed than manic
Negative self image when in depressed cycle
-self blame, guilt, suicidal
Famous bipolar authors
Mark twain
Virginia wolf
Earnest Hemingway
Walter Whitman
Alcoholism
Drink 3 times as much as other students if you join a fraternity or sorority
1 in 2 become dependent if start before 14
