chapter3 DSM Flashcards

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1
Q

diagnosis

A

identification of the nature of the disorder

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2
Q

clinical assessment

A

the process of obtaining relevant information and making a judgment about mental illness based on the information

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3
Q

diagnostic classification system

A

-Predicts the disorder’s future course

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4
Q

3 benefits of classification systems

A

1) patients to be able to put a name to their experiences and to learn that they are not alone;

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5
Q

classification system drawbacks

A

(1) They can be subject to diagnostic bias—perhaps on the basis of the patient’s sex@ race@ or ethnicity; and

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6
Q

diagnostic bias

A

a systematic error in diagnosis

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7
Q

reliability

A

A property of classification systems (or measures) that consistently produce the same results.

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8
Q

problems from reliability come from two main reasons

A

the criteria for disorders are unclear

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9
Q

Validity

A

A property of classification systems (or measures) that actually characterize what they are supposed to characterize.

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10
Q

prognosis

A

The likely course and outcome of a disorder.

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11
Q

prevalence

A

number of ppl who have the disorder

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12
Q

incidence

A

number of new cases identified in a given period

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13
Q

ICD

A

international classification of diseases

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14
Q

DSM-5

A

the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders@ Fifth Edition; a widely used system for classifying psychological disorders.

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15
Q

how was the dsm 3 different

A

did not rest on the psychodynamic theory

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16
Q

Comorbidity

A

the co-occurrence of two or more disorders in a single individual

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17
Q

22 categories of mental disorders

A

Neurodevelopmental DisordersSchizophrenia Spectrum and Other Psychotic DisordersBipolar and Related DisordersDepressive DisordersAnxiety DisordersObsessive-Compulsive and Related DisordersTrauma- and Stressor-Related DisordersDissociative DisordersSomatic Symptom and Related DisordersFeeding and Eating DisordersElimination DisordersSleep-Wake DisordersSexual DysfunctionsGender DysphoriaDisruptive@ Impulse Control@ and Conduct DisordersSubstance-Related and Addictive DisordersNeurocognitive DisordersPersonality DisorderswParaphilic DisordersOther Mental DisordersMedication-Induced Movement Disorders and Other Adverse Effects of MedicationOther Conditions That May Be a Focus of Clinical Attention

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18
Q

unscientific

A

NIMH

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19
Q

how is the dsm 5 unscientific

A

Proposed diagnoses and criteria were not adequately field-tested

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20
Q

clinical psychologist

A

A mental health professional who has a doctoral degree that requires several years of related coursework and several years of treating patients while receiving supervision from experienced clinicians.

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21
Q

counseling psychologist

A

A mental health professional who has either a Ph.D. degree from a psychology program that focuses on counseling or an Ed.D. degree from a school of education.

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22
Q

psychiatrist

A

A mental health professional who has an M.D. degree and has completed a residency that focuses on mental disorders.

23
Q

psychiatric nurse

A

A mental health professional who has an M.S.N. degree@ plus a C.S. certificate in psychiatric nursing.

24
Q

social worker

A

A mental health professional who has an M.S.W. degree and may have had training to provide psychotherapy to help individuals and families.

25
Q

Hare’s Psychopathy Checklist

A

interpersonal features

26
Q

is diagnosis helpful

A

One argument for the use of diagnosis is that if people with common symptoms can be grouped together@ then perhaps some common experience in their lives may also be found that explains their functioning. In addition@ diagnostic categories facilitate communication—that is@ a single word can convey symptoms@ treatment@ and prognosis.

27
Q

two main approaches for diagnosis

A

categorical and

28
Q

three main categories that underlie neuropsychosocial model

A

neurological and other biological factors (i.e.@ the structure and functioning of brain and body)@

29
Q

four main methods

A

structural brain imaging

30
Q

structural brain imaging

A

provides information about the basic structure of the brain and allows clinicians or researchers to see abnormalities in brain structure

31
Q

CT scan

A

A neuroimaging technique that uses X-rays to build a three-dimensional image (CT or CAT scan) of the brain.

32
Q

Magnetic resonance imaging

A

A neuroimaging technique that creates especially sharp images of the brain by measuring the magnetic properties of atoms in the brain.

33
Q

functional brain imaging

A

fmri

34
Q

PET scan

A

A neuroimaging technique that measures blood flow (or energy consumption) in the brain and requires introducing a very small amount of a radioactive substance into the bloodstream.

35
Q

Functional magnetic resonance imaging (fMRI)

A

A neuroimaging technique that uses MRI to obtain images of brain functioning@ which reveal the extent to which different brain areas are activated during particular tasks.

36
Q

neuropsychological testing

A

The employment of assessment techniques that use behavioral responses to test items in order to draw inferences about brain functioning.

37
Q

neurotransmitter and hormos

A

used mainly in research

38
Q

3 types

A

A meeting between clinician and patient during which the clinician asks questions related to the patient’s symptoms and functioning.

39
Q

behavior and its four categories

A

appearance

40
Q

patient self report

A

Thus@ the patient’s own report of his or her experiences is a crucial part of the clinical assessment.

41
Q

Malingering

A

Intentional false reporting of symptoms or exaggeration of existing symptoms@ either for material gain or to avoid unwanted events.

42
Q

factitious disorder

A

A psychological disorder marked by the false reporting or inducing of medical or psychological symptoms in order to receive attention

43
Q

semistructured interview

A

An interview in which questions are posed in a standardized yet flexible way.

44
Q

main advantage to unstructured interview

A

allows clinicaiton to pursue issues and topics specific to the patient

45
Q

cognitive assessment

A

measures how well an individual solves problems@ interprets information and recalls information

46
Q

Wechsler Adult Intelligence Scale (WAIS)

A

verbal comprehension (i.e.@ the ability to understand verbal information);

47
Q

personality assessment inventories

A

in order to assess general personality functioning@ a clinician may use an -inventory—

48
Q

most common inventory used

A

Minnesota Multiphasic Personality Inventory

49
Q

Minnesota Multiphasic Personality Inventory

A

the most widely researched and clinically used of all personality tests. Originally developed to identify emotional disorders (still considered its most appropriate use)@ this test is now used for many other screening purposes.

50
Q

projective tests: TAT & Rorschach

A

A tool for personality assessment in which the patient is presented with ambiguous stimuli (such as inkblots or stick figures) and is asked to make sense of and explain them.

51
Q

Three social factors to assess

A

family functioning

52
Q

family adaptability and cohesion scale

A

how mental illness affects family dynamics

53
Q

assessment as an interactive process

A

Mental health researchers and clinicians learn about patients from assessing psychological and social factors and@ to a lesser extent@ neurological and other biological factors. Information about each type of factor should not be considered in isolation but rather should influence how the clinician understands the other types of information.