Exam III Flashcards

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1
Q

Paraphilia

A

The intense sexual arousal to atypical objects, situations, or individuals.

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2
Q

Sexual Response Cycle

A

Excitement, Plateau, Orgasmic, Resolution

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3
Q

Performance Anxiety

A

Anxiety about performing sexually. May come from body image issues, premature ejaculation, difficulties, insecurities, etc.

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4
Q

Female Desire Disorder

A

About 1/3 of women in the US, usually no interest in sex, fantasies, initiation of sex, arousal, or sensations, at least 6 months, causes significant distress.

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5
Q

Male Hypoactive Disorder

A

At least 6 months, Causes distress, only 2% of males 16-44, male symptoms of the female desire disorder.

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6
Q

Sensate Focus

A

A therapeutic technique where the therapist assigns the couple the assignment of non-genital stimulation.

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7
Q

Erectile Dysfunction

A

Difficulty maintaining erection, generalized situations, can be caused by nicotine, increases with age, can be co-morbid or cause other diagnosis (depression, substance abuse)

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8
Q

Female Orgasmic Disorder

A

Normal sexual desire and excitement phase, little or no orgasm, about 10% of women never have an orgasm.

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9
Q

Genito-Pelvic Pain Disorder

A

Pain during intercourse that’s not due to lack of lubrication, may be caused by trauma

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10
Q

Frotteuristic Disorder

A

A disorder in which a person rubs their erect penis on a non-consenting person.

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11
Q

Gender Dysphoria

A

Strong and persistent cross-gender ID, discomfort with ones assigned sex, 2/3 of transgender boys ID as gay.

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12
Q

Diagnosis of Gender Dysphoria in Children (6)

A

Strong desire to be other gender, cross dressing, cross-gender roles and toys, rejection of gender toys, dislike of sexual anatomy, secondary sex characteristics, playmates of different gender.

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13
Q

Congenital Adrenal Hyperplasia

A

Females with too high levels of sex hormones.

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14
Q

Androgen Insensitivity Syndrome

A

Males with androgynous sex characteristics.

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15
Q

Kraepelin

A

Father of modern psychiatry, credited with the classification of psychosis as- Manic depression or dementia

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16
Q

Delusions

A

False beliefs on a spectrum

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17
Q

Types of Delusions

A

Bizarre, Jealousy, Erotmanic, Grandiose, Mood congruent, mood incongruent, controlled, reference, persecutory, somatic, thought broadcasting, thought insertion

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18
Q

Characteristics of Psychotic Language

A

Word Salad, Clanging, Neologisms, Alogia, Hyper-metaphorical, Echolalia

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19
Q

Bizarre Delusions

A

Something that couldn’t have happened

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20
Q

Jealousy Delusions

A

Ridiculous accusations

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21
Q

Erotmanic Delusions

A

Believe someone is in love with them, usually famous

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22
Q

Grandiose Delusions

A

Self-important and powerful

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23
Q

Mood Congruent Delusions

A

Mood is equal to delusional state

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24
Q

Mood Incongruent Delusions

A

Mood is unequal to delusional state

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25
Q

Controlled Delusions

A

Environment is controlling them

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26
Q

Reference Delusions

A

Environment has a special connection to them

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27
Q

Persecutory Delusions

A

Followed/Plotted against

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28
Q

Somatic Delusions

A

False beliefs about bodies

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29
Q

Thought Broadcasting Delusions

A

Believe they can hear other people’s thoughts

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30
Q

Thought Insertion Delusions

A

Thoughts being put into their head

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31
Q

Word Salad

A

Words are randomly thrown together

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32
Q

Clanging

A

Repeat a word because they like the sound, not meaning

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33
Q

Neologisms

A

New words latched on to

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34
Q

Alogia

A

Little or no speech

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35
Q

Hyper-metaphorical

A

Over generalizations, latch on to a metaphor

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36
Q

Echolalia

A

Mimicing

37
Q

Etiology of Schizophrenia

A

Heredity, Neurochemistry, Neuroanatomy, Neurobehavioral markers, Environmental Factors, Psychosocial, Family, Culture, SES, Trauma

38
Q

Heredity- Schizophrenia

A

1st degree relatives have a 10x greater risk, Twin studies showed that 50% of twins have no signs when their twin has schizophrenia

39
Q

Neurochemistry- Schizophrenia

A

Larger amount of dopamine

40
Q

Neuroanatomy- Schizophrenia

A

Enlarged brain ventricles, cerebral atrophy, smaller brain, smaller thalamus and hippocampus

41
Q

Neurobehavioral Markers- Schizophrenia

A

Impaired reaction time, attention deficit, short term memory deficit, problems with smooth eye pursuit

42
Q

Environmental Factors- Schizophrenia

A

In utero Infection, Herpes simplex in 3rd trimester, Obstetric Complications- High Blood Pressure, Severe viral or bacterial infection in childhood

43
Q

Psychosocial Factors- Schizophrenia

A

Freud- over protective mothers, Bowen- anxious parents

44
Q

Family Factors- Schizophrenia

A

Lidz- when families have something horrible happen in their family and act like nothing is wrong, Brown- hostile families cause relapse 2x than normal

45
Q

Cultural Factors- Schizophrenia

A

Happens in all cultures, Delusions differ by culture, US has most negative

46
Q

SES Factors- Schizophrenia

A

Low SES more prevalent, Urban is more prevalent than rural

47
Q

Trauma Factors- Schizophrenia

A

Read- 50% had history of physical or sexual abuse. Dose effect- the greater the trauma, the greater the side effects, strong relationship between trauma and schizophrenia

48
Q

Biological Treatment- Schizophrenia

A

50% relapse rate, side effects are a big issue, Thorazine, Chlorpromazine, Phenothiazines, Clozapine, Psychotherapy not shone to be effective, can cause sexual dysfunction

49
Q

Clozapine

A

Latest drug in schizophrenia treatment, shone to be the most effective

50
Q

Tardive Dykenesia

A

Side effect of drugs, shuffling, fine motor problems

51
Q

Thorazine

A

Dopamine blocker, 1st med of choice for schizophrenia

52
Q

Chlorpromazine

A

60% showed improvements for schizophrenia

53
Q

Phenothiazines

A

Limited range of success with schizophrenia

54
Q

Family Therapy and Schizophrenia

A

Expressed emotion of when a person comes out of treatment, 9 months, educational therapy, decreases hospitalization

55
Q

CBT and Schizophrenia

A

Teaches social skills, acceptance and commitment therapy, cognitive skills

56
Q

Schizoaffective Disorder

A

Symptoms of Schizophrenia and mood disorder, more common in females

57
Q

Delusional Disorder

A

Can be functional with false beliefs, lasts about a month, Uncommon and under-diagnosed.

58
Q

Shared Delusional Disorder

A

Two people sharing in a delusion that feed off of one another.

59
Q

Melancholia

A

Depression with melancholic features

60
Q

Manic Episodes

A

At least 1 a week, increased energy, inflated self-esteem, very little sleep, talkative, racing thoughts, distracted, agitated, reckless behavior

61
Q

Hypomanic Episodes

A

Not enough to be considered manic, No psychotic symptoms, frequently followed by depression, 15% eventually turn manic.

62
Q

Major Depressive Disorder

A

Most common adult diagnosis, likelihood of episodes increase as episodes happen, up to 15% die of suicide.

63
Q

Disruptive Mood Regulation Disorder

A

Temper outbursts, onset before age 10, at least 3x a week, irritable between outbursts, 2.5% show signs of ADD

64
Q

Endogenous Depression

A

Organic depression, something from inside the self.

65
Q

Exogenous Depression

A

Depression from environmental factors

66
Q

Attribution styles to depression

A

Internal/External locus of control (Rotter), Stable/Unstable, Global/Specific

67
Q

Learned Helplessness

A

Seligman, created learned helplessness by testing rats with an electric floor, can be created by parents creating unrealistically high standards for children

68
Q

Psychoanalytic View of Depression

A

Aggression turned inward

69
Q

Bipolar I

A

Formerly called Manic Depression, equal in genders, most have a major depressive episode, 4 per year on average, some self-medicate

70
Q

Bipolar II

A

Hypomanic, major depressive episode is necessary, more common in males, 40% spend more time in depressive state

71
Q

Triple Column Technique

A

A CBT technique that uses the irrational self talk, rational self talk, and all or nothing talk to compare self-talk. Beck

72
Q

Development of Substance Abuse

A

The faster acting the substance, the greater the risk of dependance, Nicotine was the leading cause of preventable deaths

73
Q

Tolerance

A

The need for greater and greater doses to get desired effect.

74
Q

Withdrawal

A

Stopped or reduced use of a substance that may cause significant symptoms

75
Q

Substance Intoxication

A

Dosage varies with substance, usually requires dosage over the safe amount, if you expect you will receive a substance, you’ll use more, tolerance becomes an issue with needing more and more each use.

76
Q

Nicotine Use

A

Nicotine is the number 1 cause for preventable deaths. Can cause things such as lung cancer, throat cancer, etc.

77
Q

Jellineks Stages of Alcoholism

A

Pre-alcoholic, Early alcoholic, Middle alcoholic, Late alcoholic

78
Q

Pre-alcoholic stage

A

Frequent drinking to reduce stress, social drinking, control over drinking behavior

79
Q

Early Alcoholic Stage

A

Begins with first blackout, sneaking drinks, avoids reference to drinking, gulping drinks

80
Q

Middle Alcoholic Stage

A

Impossible to stop after one drink, chain drinking, life revolves around alcohol

81
Q

Late Alcoholic Stage

A

All day drinking, severe liver damage, ethical deterioration, physical dependance.

82
Q

Impact of Continued Alcohol Use

A

Physical, emotional, relationship issues

83
Q

Cannabis Use

A

Most widely used illegal drug, 5% use, can cause intoxication, delirium, psychotic and induced anxiety disorders.

84
Q

Cocaine Use

A

Bring a euphoric effect, causes serious dependance and withdrawal, can cause sudden death, Can cause mood disorder, psychosis, and sexual dysfunction

85
Q

PCP Use

A

Can cause psychosis, mood, anxiety, and delirium

86
Q

Amphetamines

A

Can cause paranoia and hallucinations, withdrawal mirrors depressive episodes, long term brain injury and sexual dysfunction.

87
Q

Agonist

A

A chemical that binds to a receptor and activates it to reduce a response.

88
Q

Antagonist

A

Block the receptors of natural agonist drugs.

89
Q

12 Step Programs

A

Run by disease model, involves peers becoming leaders and mentors, must be abstinent from substance.