Exam III Pt III Flashcards

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0
Q

Prenatal virus exposure and schiz

A

Exposure to influenza virus during pregnancy or viruses that enter fetuses brain and interrupt brain development, or remain dormant until puberty or adulthood when triggered

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1
Q

Structural changes in the brain associated with schiz

A
Enlarged ventricles
Smaller temporal and frontal lobes
Smaller amounts of cortical gray matter
Abnormal blood flow
Reduced activity in frontal cortex
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2
Q
Enlarged ventricles (schiz)
associated mostly w what symptoms?
A

May be a sign that parts of the brain did not develop properly or have been damaged, associated with negative symptoms of schiz

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3
Q

Original dopamine hypothesis (schiz)

A

Too much dopamine

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4
Q

Problems with dopamine hypothesis (schiz)

A

Many people don’t respond to dopamine lowering drugs

Even though dopamine is increased immediately

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5
Q

Re formulated dopamine hypothesis (schiz)

A

Excess dopamine activity in the metolimbic system and low dopamine activity in prefrontal cortex

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6
Q

Atypical antipsychotic drugs (schiz)

A

Often more effective than traditional drugs and suggest schiz is related to abnormal activity of both dopamine and serotonin

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7
Q

State hospitals

A

Made for patients who could not afford private care

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8
Q

Milieu therapy

A

Humanistic approach to institutional treatment based on belief that institutions can help patients recover by creating a climate that promotes self respect and responsibility

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9
Q

Token economy programs

A

Behavioral program in which a desirable behaviors are reinforced systematically by awarding tokens that can be exchanged for goods and privileges

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10
Q

Antipsychotic drugs (schiz)

A

Help correct grossly confused or distorted thinking, almost always a part of treatment

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12
Q
Neuroleptic drugs (schiz)
more effective for what types of symptoms?
A

Antipsychotic drugs that produce undesired effects similar to those of neuro disorders, more effective w positive symptoms

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13
Q

Extrapyramidal side effects (schiz)

A

Unwanted movements produced by conventional antipsychotic drugs

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13
Q

Effectiveness of antipsychotic drugs

A

Reduce symptoms in 65% or more and show to be more effective than any other treatment alone but patients often dislike the powerful effects of the drugs and refuse to take them

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14
Q

Parkinsonian symptoms

A

Conventional anti psych drug effect that reflects features of Parkinson’s

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15
Q

Neuroleptic malignant syndrome

A

Severe reaction from traditional anti psych drugs consisting of muscle rigidity fever and altered consciousness

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16
Q

Tardive dyskinesia

A

Appear in some patients after they have taken conventional antipsychotic drugs for a period of time

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17
Q

Agranulocytosis

A

Life threatening reduction in white blood cells sometimes produced by antipsychotic drug clozapine

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18
Q

CBT for schiz

A
Convince clients of the disorder 
Learn more about delusions 
Teach them to more accurately interpret symptoms
Techniques for coping
Main goal is acceptance
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19
Q

Family therapy for schiz

A

Guidance training and education about the disorder to develop more realistic expectations and become more tolerant in communication

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20
Q

Social therapy for schiz

A

Practical advice and problem solving
Social Skills
Helps them find work and appropriate assistance and housing

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21
Q

Community approach

A

Research shows they profit greatly from it but revolving door syndrome can occur

22
Q

Deinstitutionalization

A

Exodus of hundreds of thousands of patients with long term mental disorders from state institutions into the community

23
Q

Features of effective community care

A
Coordinated services
Short term hospitalization
Partial hospitalization 
Supervised residences 
Occupational training
24
Q

Community mental health center

A

Treatment facility that provides medication psychotherapy and emergency care for psychological problems and coordinates treatment in the community

25
Q

Aftercare

A

Program of post hospitalization care and treatment in the community

26
Q

Day center

A

Program that offers hospital like treatment during the day only

27
Q

Halfway house

A

Residence for people with severe mental problems often staffed by paraprofessional a

28
Q

Sheltered workshop

A

Supervised workplace for people who are not yet ready for competitive jobs

29
Q

Case manager

A

Community therapist who offers a full range of services for people with severe psych disorders

30
Q

How has community treatment failed?

A

Poor coordination of services

Shortage of services

31
Q

Social biology

A

Study of biological and sociocultural factors that influence human populations

32
Q

Excess mortality and schiz

A

People with schiz die younger, could be linked to medication effects

33
Q

Cancer and schiz

A

Less likely to get cancer than normal population

34
Q

Suicide and schiz

A

10%, often impulsive

35
Q

Schiz and violence

A

Not common but media portrays it as such

36
Q

Schiz and residence

A

About 50% of schiz patients live with family

37
Q

Prenatal hypoxia

A

Increased risk of schiz

38
Q

Paraphilias

A

Recurrent and intense sexual urges fantasies or behaviors involving non human objects children of experiences of suffering or humiliation

39
Q

Paraphilic disorder

A

Individuals Paraphilia causes great distress or interferes with social or occupational activities or puts them or others at risk of harm

40
Q

Fetishistic disorder

A

Recurrent and intense sexual urges that involve use of a nonliving object or nongenital part often to the exclusion of all other stimuli

41
Q

Masturbatory satiation

A

Behavioral treatment in which a client masturbates for a long period of time while fantasizing in detail about a paraliphic object, trying to produce feelings of boredom linked to the object

42
Q

Orgasmic reorientation

A

Procedure for treating certain Paraphilas by teaching clients to respond to new and more appropriate sources of sexual stimulation

43
Q

Transvestic disorder

A

Urges that involve dressing in clothes of opposite sex

44
Q

Exhibitionistic disorder

A

Urges about exposing genitals to others and may act upon those urges

45
Q

Voyeuristic disorder

A

Urges to observe unsuspecting people in secret as they undress or spy on couples having sex and may act on these desires

46
Q

Frotteuristc disorder

A

Urges that involve touching and rubbing against non consenting person

47
Q

Pedophilic disorder

A

Urges about watching touching or engaging in sexual acts with children and may carry out these fantasies

48
Q

Sexual masochism disorder

A

Urges that involve being humiliated beaten or made to suffer

49
Q

Sexual sadism disorder

A

Urges that involve inflicting suffering on others

50
Q

Gender dysphoria

A

Person persistently feels extremely uncomfortable about his or her assigned sex and strongly wishes to be member of opposite sex

51
Q

Explanations of gender dysphoria

A

Genetic or prenatal factors

52
Q

Treatments for gender dysphoria

A

Hormone treatments
Psychotherapy
Sexual reassignment surgery

53
Q

typical vs atypical antipsychotic drugs

A

typical or first generation block dopamine and atypical second generation block dopamine and also affect serotonin levels