Exam 3 Flashcards
pervasive pattern of criminal, impulsive callous, or ruthless behavior; disregard for rights of others; no respect for social norms. Fred- the bowler with the parrot.
Antisocial PD
rapidly shifting and unstable mood, self-concept, and interpersonal relationships; impulsive. Example: girl who dated rocker guy and wore all rocker clothes, dated a country guy and wore all country clothes, etc.
Borderline PD
Grandiose thoughts and feelings of one’s own worth; obliviousness to others’ needs. Sense of entitlement.
Narcissistic PD
Rapidly shifting moods, unstable relationships, and intense need for attention and approval; dramatic, seductive, behavior. More stable sense of self. Shallow emotions.
Histrionic PD
Anxious, fearful - cluster
Cluster C
pervasive anxiety, a sense of inadequacy, and a fear of being criticized, which leads to the avoidance of social interactions and nervousness.
Avoidant PD
pervasive selflessness, need to be cared for, fear of rejection, leading to total dependence on and submission to others. Example: guy would beat women, and she eventually left him and paid for divorce lawyers and gave him the house.
Dependent PD
chronic pattern of inhibited or inappropriate emotion and social behavior, aberrant cognitions, disorganized speech. They want to connect with people but they’re just awkward. Don’t understand social norms.
Schizotypal PD
Dramatic, erratic
Cluster B
chronic lack of interest in and avoidance of interpersonal relationships; emotional coldness toward others.
Schizoid PD
chronic, pervasive mistrust and suspicion of other people that is unwarranted and maladaptive.
Paranoid PD
Odd, eccentric
Cluster A
complex pattern of behaviors, thoughts, and feeling; stable across time and across many situations.
personality
rigid way of living lives, pervasive rigidity in one’s activities and interpersonal relationships, including emotional construction, extreme perfectionism, and anxiety about even minor disruptions in one’s routine.
Obsessive- Compulsive PD
Most common PD?
antisocial PD and borderline PD
FUMES?
F: fearless U: unresponsive to pain M: muscular/mesomorphic E: empathy deficient S: Stimulation seeking
What is a substance (as it pertains to ‘substance use disorder’)?
A substance is any natural or synthesized product that has psychoactive effects- it changes thoughts, perceptions, emotions, and behaviors.
What is meant by substance
intoxication?
Substance intoxication: behavioral and psychological changes that occur as a result of the physiological effects of a substance on the central nervous system. Must be maladaptive or significantly distressing.
What constitutes binge drinking?
five or more drinks with a couple hours for men, four or more drinks in a couple hours for women.
What are delirium tremens (DTs)?
Withdrawal from alcohol. Auditory, visual, or tactile hallucinations occur during withdrawal. Agitation, less sleep, bizarre terrifying delusions, fever, irregular heartbeat. 10% result in death.
11% of people with severe alcohol abuse experience seizures or DTs.
Which group of substances has the most lethal withdrawal symptoms (discussed in class and [MW])?
Any type of depressant: alcohol, meth, heroin, inhalants, etc.
What are synergy?
compounded effect from using a drug combination. Example: lethal potential when small amounts of alcohol and barbiturates are taken together. being cross-faded. combining substances to get a stronger effect.
What are the different DEA classes?
I: high abuse potential, no accepted medical use. (LSD, heroin)
II: high abuse potential with severe physical and psychological dependence (amphetamines, codeine, opium, morphine)
III: medium abuse potential with low to moderate physical dependence and high psychological dependence (compounds containing codeine, narcotic analgesics, steroids)
IV: low abuse potential with limited physical and psychological dependence (Benzos, non-narcotic pain meds)
V: lowest abuse potential (preparations w/ low narcotic levels)
Which substances have the highest (highest abuse
potential) DEA class [MW]?
Schedule 1 and 2.
Know the case of Betty Ford from [MW], along with the different treatment techniques described, and aspects of good alcoholism-prevention programs.
Addicted to prescription drugs and alcohol. Opened a clinic to help people with similar addictions. She developed tolerance and addiction due to prescription to pain meds.
What are the different clusters of personality disorders and which Personality Disorders fit in which clusters
Cluster A: Odd-eccentric (paranoid, schizoid, schizotypal)
Cluster B: Dramatic, emotional, erratic (histrionic, narcissistic, antisocial, borderline)
Cluster C: Anxious, fearful (avoidant, dependent, obsessive-compulsive, passive-aggressive)
What are the five dimensions of the Five Factor Model of Personality (AKA: “The Big Five”)?
Negative emotionality vs emotional stability, extraversion vs. introversion, openness vs. closedness to one’s own experience, agreeableness vs. antagonism, conscientiousness vs. undependability
OCEAN: openness, conscientiousness, extroversion, agreeableness, neuroticism
What is psychopathy? How is it different from Antisocial Personality Disorder?
Psychopath: superficial charm, grandiose sense of self-worth, need for stimulation, pathological lying, cunning, manipulativeness, lack of remorse. They hide their true colors/personality.
ASPD: recognized in the DSM-5. criminal. poor impulse control, no concern for consequences. They don’t care for how people think of them.
What percent of people with ASPD abuse alcohol and other substances?
80%
What are the concordance rates of ASPD is monozygotic twins and dizygotic twins?
50% in monozygotic, and 20% or lower in dizygotic
What are some of the different problems with the current DSM (categorical) conceptualization of personality disorders?
Psychopathy and sociopathy is not defined. The 10 separate PD have a lot of overlap in diagnostic criteria. Least research, subjective, and hard to diagnose.
What is the alternative DSM-5 model of personality disorders
(discussed in [N])? In what way is it considered a hybrid model?
- LEVEL OF FUNCTIONING. Characterizes personality disorders in terms of impairments. In personality and functioning and pathological traits.
The first step is diagnosing individuals level of functioning on a scale. 0-4 scale. - healthy adaptive functioning
- required for diagnosis of PD.
- extreme impairment.
- determining if the individual has any pathological personality traits: neuroticism, detachment.
- Determining meets criteria for any of the six disorders.
Know the cases of Hilde and Theodore Kaczynski from [MW]
Hilde: histrionic.
Ted Kaczynski: Schizoid.
According to [MW], what are the two main factors of psychopathy?
- effective cognitive instability
2. behavioral social deviance
Understand the various factors that contribute to the development of psychopathy, as described
in [MW]
Pg. 201-203 in MW. Biological disruption, inconsistent parenting, family history, low SES, characteristics of a FUME child.
What are positive and negative symptoms of schizophrenia?
Positive (added): delusions, hallucinations, disorganized thoughts and speech, disorganized or cataonic behavior
(all start with an A) Negative (subtracted): affectiive flattening, avolition, alogia
Be able to identify the different types of delusios
Delusions: (beliefs that are not rooted in reality)
- Persecutory (belief that someone is out to get somebody/you)
- Grandiose (beliefs that I am bigger better faster, etc than I actually am)
- Reference (special messages from the tv, radio, etc)
- Thought insertion (somebody is putting thoughts in my head and I can put them in your head too)
- Thought withdrawal (somebody can pull thoughts out of my head, cant remember that thing)
- Thought broadcasting (there is speakers on my head and its broadcasting out what I am thinking)
- Somatic delusion (false belief that something is going on in your body)
What are prodromal and residual symptoms of Schizophrenia?
Prodromal: mild symptoms prior to psychotic phase