Clip 10: detachment and externalising problems Flashcards
welke heeft hij nog bij het detachment spectrum gezet
anhedonia
anhedonia =
het niet meer kunnen ervaren van vreugde
welke disorders horen bij detachment
- avoidant PD
- dependent PD
- histrionic PD
- schizoid PD
en hij zei nog:
- dysthymia
- MDD
welke 2 woorden horen bij externalising
- disinhibited
- antagonistic
welke soorten syndromen horen bij het externalising domain
disruptive, impulse-control, and conduct syndromes:
- oppositional defiant syndrome (ODD)
- intermitted explosive disorder
- conduct syndrome
- pyromanie (brandstichten)
- kleptomanie (stelen)
neurodevelopmental syndromes
- attention deficit hyperactivity syndrome
personality disorders
oppositional defiant syndrome A=
a pattern of angry/irritable mood, argumentative/defiant behaviour, or vindictivenes lasting at least 6 months as evidenced by at least 4 symptoms, and exhibited during interaction with at least one person who is not a sibling
verschil tussen oppositional defiant & conduct disorder
oppositional defiant does not include real criminal behaviour
welke 3 categorieen horen bij oppositional defiant syndrome
angry/irritable mood
argumentative/defiant disorder
vindictiveness
angry/irritable mood symptomen van oppositional defiant syndrome
- often loses temper
- is often touchy or easily annoyed
- is often angry and resentful
argumentative/defiant behaviour welke symptomen bij oppositional defiant syndrome
- often argues with authority figures or, for children or adolescents, with adults
- often actively defies or refuses to comply with requests from authority figures or with rules
- often deliberately annoys others
- often blames others for their mistakes or misbehaviour
vindictiveness symptomen bij oppositional defiant syndrome
- has been spiteful or vindictive at least twice within the past 6 months
conduct syndrome A=
a repetitive and persistent pattern of behaviour in which the basic rights of others or major age-appropriate societal norms or rules are violated, as manifested by the presence of at least 3 for the past 12 months, with at least 1 present in the past 6 months (symptoms straks)
4 categorieen van conduct disorder=
- agression to people and animals
- destruction of property
- deceitfulness or theft
- serious violations of rules
aggression to people and animals symptomen van conduct disorder=
- often bullies, threatens or intimidates others
- often initiates physical fights
- had used a weapon that can cause serious harm to others
- has been physically crual to others
- has been physically crual to animals
- has stolen while confronting a victim
- has forced someone into sexual activity
destruction of property symptoms conduct disorder=
- deliberately engaged in fire setting with the intention of causing serious damage
- has deliberately destroyed other peoples property (other than fire setting)
deceitfulness or theft symptoms conduct disorder=
- has broken into someone elses house, building or car
- often lies to obtain goods or favors or to avoid obligations
- has stolen items without confronting a victim
serious violations of rules conduct disorder symptoms =
- often stays out at night despite parental prohibitions, beginning before 13
- has run away from home whilst living in parental home, or once without returning for a lengthy period
- is often truant from school, beginning before age 13
adhd A=
A persistent pattern of inattention and/or hyperactivity-impulsivity that interferes with functioning or development, as characterized by (1) and/or (2):
1) Inattention
2) Hyperactivity and impulsivity
inattention bij adhd=
6 of meer, voor tenminste 6 maanden, negative impact op social and academic/occupational activities:
- fails to give close attention or makes careless mistakes
- difficulty sustaining attention
- does not seem to listen when spoken to directly
- does not follow through on instructions
- difficulty organizing tasks & activities
- avoids/dislikes/does not engage in tasks that require sustained mental effort
- often loses things
- easily distracted
- inattentful
hyperactivity and impulsivity bij adhd=
- often fidgets or taps hands/feet
- leaves seat when remaining seated is expected
- runs about or climbs in inappropriate situations (in adults: feeling restless)
- unable to play or engage in activities quietly
- often on the go
- talks excessively
- blurts out an answer
- difficulty waiting their turn
- often interrupts or intrudes on others
hoeveel van de symptomen voor adhd hebben kinderen nodig, en hoeveel hebben volwassenen nodig
kinderen = 6
volwassenen = 5
substance related problems:
- alcohol use disorder
- alcohol intoxication
- alcohol withdrawal
- unspecified alcohol-related disorder
also for: caffeine, cannabis, recreational drugs, medications, tobacco, gambling
alcohol use disorder A=
a problematic pattern of alcohol use leading to clinically significant impairment or distress, at least 2 during 12 months:
- often larger amounts or longer than necessary
- desire or unsuccessful efforts to cut down or control alcohol use
- great deal of time spent in activities necessary to obtain/use/recover from alcohol
- craving
- failure to fulfill major role obligations
- continued use despite having social/interpersonal problems due to alcohol
- social/occupational/recreational activities are given up due to alcohol use
- recurrent use when it is physically hazardous
- continued use despite having a persistent physical/psychological problem due to alcohol
- tolerance (need for more or diminished effect of the same amount)
- withdrawal (either actually withdrawal, or alcohol is taken to avoid withdrawal)
other substance disorders
- … use disorder
- … intoxication
- … withdrawal
welke is de distruptive, impulse-control and conduct syndromes chapter
15
welke is de neurodevelopmental syndromes
1
