Exam 2 Flashcards

1
Q

What are the four general characteristics of Conduct Disorder?

A
  • 1.) aggression to ppl and animals (ex. bullying, starting fights, forcibly stealing, torture small animals)
  • 2.) deceitfulness and theft (nontrivial)
  • 3.) Property destruction
  • 4.) serious rule violations
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2
Q

What are the characteristics of “limited pro-social emotions”?

A
  • lack of remorse/don’t feel guilty
  • callous (lack empathy - knowing and feeling others’ emotions) (“cold”)
  • unconcerned about own performance
  • don’t express emotions
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3
Q

What are the differences between childhood (early) onset vs adolescent onset of CD

A
  • childhood: less that 10 yrs old; left untreated persists into adulthood and tend to be more aggressive as adults
  • adolescent: usually more brief, “maturity gap,” peer relations tend to influence this
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4
Q

What are the 3 major features of relational aggression? What age group/gender is it used by most?

A
  • typically girls middle/HS age
  • 1.) exclude ppl from groups
  • 2.) rumors
  • 3.) manipulating friendships
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5
Q

What are the 3 general characteristics of Oppositional Defiant Disorder?

A
  • 1.) defiance - voluntary motor response, “no” response (ex. arguing, deliberately annoying others, blame others)
  • 2.) angry/irritable (more tantrums then developmentally normal)
  • 3.) vindictive (malicious ill will prompting urge to hurt or humiliate others)
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6
Q

What is the 60% rule for following directions?

A
  • within normal limits if child follows 60% of directions

- less than 60% = defiance

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7
Q

What are the reasons to treat defiant behavior? (RLA)

A
  • # 1 referral reason
  • defiance is a learning readiness behavior - have to follow directions for ppl to teach you things
  • related to aggression - if you treat defiance then aggression decreases
  • freedoms and opportunites restricted
  • expensive if left untreated
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8
Q

What are the reasons to treat disruptive behavior?

GEBPD

A
  • generalizes over time and across settings (left untreated adult men more likely to engage in aggressive & criminal behavior; in women more depression and anxiety)
  • has effects on adults (adults act more harshly and hostile towards child)
  • staff burnout: adults quit, costly for employers
  • interferes with peer relationships
  • correlated with depression and anxiety
  • freedoms and opportunities restricted
  • expensive if left untreated
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9
Q

Explain the role of negative reinforcement in coercion. Why is negative reinforcement powerful in this case?

A
  • the behaviors of both the parent and child are reinforced bc aversive thing is removed (child gets out of following direction/doing task; parent gets out of child tantrum)
  • negative reinforcement is followed by immediate consequence so reinforcer is powerful
  • as you climb ladder in aversiveness, more intense aggressiveness is negatively reinforced by removal of even more aversive things
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10
Q

What are the 3 primary characteristics of ADHD?

A
  • 1.) hyperactivity - nondirective (doesnt accomplish anything IRL, just neural motor feedback) & relentless and pervasive across settings
  • 2.) attention problems in two possible forms (short attentions span OR distractable)
  • 3.) impulsive/impulsivity (can appear in 3 ways) (short latency between antecedent and behavior meaning react suddenly) (cognitive analysis - act as if they arent thinking about consequences, “thoughtless”) (inordinantly influenced by immediate outcomes - not affected by long-term outcomes, maladaptive bc society constructed around delayed outcomes)
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11
Q

What are the 3 types/presentations of ADHD?

A
  • ADHD Predominantly Inattentive Type (ADD) (mostly attn problems)
  • ADHD Predominantly Hyper-Impulse Type (lots of hyper-motor behavior & impulsivity but pays attn)
  • ADHD Combined Type (all 3 features)
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12
Q

What are the differences between ADD and Combined Type ADHD

A
  • ADD: neglected (not pop. or rejected), more depression and anxiety
  • Combined: referred at younger age; tend to be rejected by peers, more likely to have ODD/CD
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13
Q

What are the reasons not to rely on medication for ADHD?

A
  • works well on 40% of kids
  • works ok on 40% (manages symp and reduce severity)
  • does nothing for 20% of kids
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14
Q

What are the side effects of ADHD medicine?

A
  • sleep problems
  • appetite suppression
  • weight loss
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15
Q

How long does it take for ADHD medicine to work and how long does it last?

A
  • takes about 30 mins to kick in

- lasts 4-8 hrs

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16
Q

What are the specific learning disorders associated with ADHD?

A
  • little less than half of ADHD kids have significant trouble with certain academic areas; low achievement compared to norm
17
Q

Explain the etiology of ADHD?

A
  • considered a neuro-developmental issue
  • genetically high heritability
  • frontal lobe affected - executive functions affected including planning for future and inhibiting behavior
18
Q

Why do children w/ ADHD develop ODD?

A
  • ADHD hyperactive behavior is aversive - may lead to coercion and parents acquiescing more readily which reinforces defiant behavior
19
Q

What kinds of parenting behavior do we see in parents of children w/ ADHD co-occurring w/ ODD?

A
  • tend to over-react (react more frequently to hyperactive behavior, and harshly)
  • fewer rewards for compliance and good behavior
  • lax (don’t follow through with punishment)
20
Q

Why/how does timeout work?

A
  • time-out from positive reinforcement (temporarily take away good things)
  • outcome: undesirable behavior happens less
21
Q

What is the most difficult step for parents in the flow chart?

A
  • waiting 5 seconds silently after giving the command
22
Q

What is the logic for the steps after the first timeout?

A
  • sometimes the situation changes and the parents need a way out
  • otherwise parents prompt the command again - don’t acquiesce
23
Q

What feature of ADHD makes parent training the treatment of choice?

A
  • ADHD kids heavily influenced by immediate outcomes

- therefore crucial for treatment at time and place of behavior - parents can act immediately with misbehavior