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Clinical Psychology > FINAL > Flashcards

FINAL Flashcards

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1
Q

[T/F] In behavioral strategies, studies demonstrated that physician delivered patient education & counseling can lead to improvement in patients’ adherence to treatment regimens.

A

true

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2
Q

What are the indications for psych consultations?

A
  • suicidal ideation/behavior
  • verbal threats or dangerous behavior
  • psychosis
  • need for psych med change
  • psych disorder in need of tx
  • psych Sx thought to be caused by med illness and/or meds
  • competency eval
  • noncompliance
  • signif probs in dr-pt relationship
  • eval of cognitive dysfx
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3
Q

From a dying patient (according to …), fundamental fear usually is not death, but:

A

fear of being abandoned or deserted by others including their physicians and dying alone

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4
Q

Grief or Major depression?

  • Less than 1-2 months
  • not usually suicidal
  • transient vision/voices
  • pain with normal feelings
  • self blame related to deceased
  • improvement over time
A

grief

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5
Q

Grief or Major depression?

  • longer
  • possibly suicidal
  • may have depressive delusions
  • con’t pervasive depressed mood
  • blame is focused self
  • slow to respond if at all (without tx)
A

Major depression

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6
Q

_____ defense mechanism that reduces anxiety and conflict by blocking conscious awareness of thoughts, feelings, or facts that an individual cannot face

A

denial

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7
Q

______ is frequent behavioral response to medical illness

A

Noncompliance

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8
Q

When ______ and _______ occurs, one can return to childlike patterns of behavior

A

regression and dependency

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9
Q

[T/F] Depression -depressed states in the medically ill may include grief and sadness, demoralization, fatigue, exhaustion, and psychomotor slowing.

A

true

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10
Q

Common psych rxns to medical illness and treatment:

A

a. regression & dependency
b. anxiety
c. depression
d. denial
e. noncompliance

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11
Q

[T/F] Spouse abuse: State presses charges & Mandatory report only in medical facilities.

A

true

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12
Q

The central issue in the treatment of suicidal patients is:

A

educating them about other solutions to their problems by listening to the patient and providing guidance, interpretation, and education

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13
Q

A violent patient tend to become violent when they feel:

A

helpless
passive
or trapped

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14
Q

[T/F] Most violence is preceded by a period of increasing restlessness & pacing.

A

true

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15
Q

When a person becomes violent and verbally abusive, it is an attempt by the patient to:

A

assert autonomy and diminish feelings of helplessness

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16
Q

______ is the tendency to become fixated on a particular developmental stage.

A

regression

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17
Q

________ occurs when we divorce ourselves from our feelings about a situation.

A

intellectualization

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18
Q

_____ _____ is when we overreact to a feeling by behaving in the complete opposite manner.

A

Reaction formation

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19
Q

[T/F] Rationalization often gives alternative, often untrue or partially true, explanations for behaviors or feelings.

A

true

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20
Q

________ is the attempt to turn an inappropriate urge into something more socially acceptable.

A

sublimation

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21
Q

______ is the tendency to believe that someone else holds the opinion or feeling that we want to avoid.

A

projection

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22
Q

_______ occurs when we attribute our feelings to an innocent target

A

displacement

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23
Q

____ tries to believe a particular situation does not exist.

A

denial

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24
Q

_____ is the tendency to push painful memories into the subconscious

A

repression

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25
Q

______ is an intentional form of repression, in which we actively work to avoid painful memories.

A

suppression

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26
Q

What is the patient centered approach to risk factor intervention? (5A)

A
  1. Address the agenda
  2. Assess
  3. Advise
  4. Assist
  5. Arrange “Follow Up”
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27
Q

[T/F] Goal of group therapy is to alleviate symptoms and change interpersonal relationship for group, family, and/or couples.

A

true

28
Q

In behavioral therapy, ______ is when the patient is directly exposed to the stressful stimulus until anxiety subsides.

A

flooding

29
Q

In behavior therapy, ________ is when the patient uses mental images as substitutes for the actual feared object or situation.

A

implosion

30
Q

______ therapy is based on fear of an extremely unpleasant, physiological response.

A

aversive

31
Q

_______ therapy is where symptoms of a psychological nature are learned maladaptive patterns of behavior in response to environmental or internal stimuli. (change the behavior and change symptoms)

A

Behavioral

32
Q

______ is a therapy that is directed toward identifying and altering these (neg) cognitive distortions where neg thoughts create neg feelings.

A

Cognitive psychotherapy

33
Q

[T/F] Cognitive psychotherapy is best therapy for depression.

A

true

34
Q

[T/F] The goal of Supportive psychotherapy is to maintain or reestablish best level functioning.

A

true

35
Q

Psychoanalysis focuses on:

A

recovery of childhood experiences as they are recreated in the relationship with the analysis

36
Q

______ has its difficulties that is related to unrecognized/unconscious conflicts that arise in the course of child development and continue into adult life.

A

psychoanalysis

37
Q

In psychoanalysis, _______ ______ is the transference rxns occur throughout life in all areas and are a frequent accompaniment of the dr-pt relationship in the medical setting.

A

transference neurosis

38
Q

_______ is a transient global disorder of attention, with clouding of consciousness, usually a result of systemic probs; Onset is rapid; (acute state of confusion).

A

Delirium

39
Q

______ is characterized by chronicity and deterioration of selective mental functions. Onset is insidious.

A

dementia

40
Q

____ ____ disorder are aggressive outbursts are impulsive and/or anger based in nature, and must cause marked distress, cause impairment in occupational or interpersonal fxing, or be associated with neg financial or legal consequences.

A

Intermittent explosive

41
Q

_______ disorder is paraphilia currently causing distress or impairment to the individual or a paraphilia whose satisfaction has entailed personal harm, to others.

A

paraphilic

42
Q

Gender dysphoria is:

A

gender incongruence rather than cross-gender identification

43
Q

Psychological Tx for pain:

A

a. psychoeducation
b. hypnosis
c. behavioral Tx (relaxation training, biofeedback, CBT)
d. multidisciplinary pain rehab

44
Q

Pain is linked with _____ and ______.

A

depression and anxiety

45
Q

[T/F] Treat the physical basis for the pain as aggressively as possible and simultaneously address the anxiety/depression.

A

true

46
Q

Diagnostic criteria for _______ ______ disorder:

a. pain in 1 or more anatomical sites is the predom focus of the clinical presentation
b. pain causes clinical signif distress or impairment in social, occupational, or other important areas of fxing

A

chronic pain

47
Q

[T/F] Schizophrenic disorders are a group of syndromes manifested by massive disruption of thinking, mood, and overall behavior as well as poor filtering of stimuli.

A

true

48
Q

[T/F] Schizophreniform is same as schizophrenic with less Sx less than 6 months.

A

true

49
Q

[T/F] Operant conditioning emphasizes the recognition of acceptable behavior and its reinforcement with praise or other tangible rewards.

A

true

50
Q

Aversive conditioning utilizes:

A

punishment and negative reinforcement of behavior

51
Q

_______ ______ : excessively preoccupied with details and orderliness; perfectionistic…
‘Help me right now in just the way I want or I’ll feel like I’ve lost control’

A

obsessive-compulsive

52
Q

______ ______: negativistic and passively resistant to authority.
‘Given to procrastination and ‘forgetting’ so as to avoid responsibility.’

A

Passive-aggressive

53
Q

_________:
-fears criticism, embarrassment, shame, or rejection
‘Help me but I feel like an idiot because things can’t really get that bad, I’m so ashamed’

A

Avoidant

54
Q

________ : difficulty making everyday decisions, needing others to assume responsibility; nonassertive due to fear of disapproval
‘Help me, don’t leave me, I’ll do whatever you say, take care of me’

A

dependent

55
Q

________: demanding of attention, inappropriately seductive or provocative; shallow but labile and dramatic
‘Help me because I can’t cope and don’t reject me or I’ll fall apart’

A

histrionic

56
Q

_________: grandiosity and a sense of social ‘specialness’…
excessive entitlement and need for admiration, tendency to exploit others, lack of empathy, arrogance
‘Help me and do precisely what I demand. Never forget that I don’t really need you and that I expect obedience at all times.

A

narcissistic

57
Q

________: unlawful behavior, lying or conning, impulsivity, lack of remorse
‘Help me bc I’m so charming and I hurt so much, but you’d better do it the way I want and let me take advantage or you…or watch out’

A

antisocial

58
Q

________ : unstable and intense relationships, frantic efforts not to be abandoned, identity disturbance, harmful impulsivity
‘Help me, take care of me, don’t ever leave me or I’ll freak out’

A

borderline

59
Q

_______: pervasive distrust and suspiciousness

‘I need your help, but I cannot trust that you are really trying to help me’

A

paranoid

60
Q

_______: detachment from and lack of enjoyment in social relationships
‘Help me but don’t intrude too much; I want to believe that I am ok and don’t need anyone’

A

schizoid

61
Q

________: paranoid, with ideas and reference, odd beliefs and thought patterns
‘Help me but I don’t really need any help bc nothing is really the matter’

A

schizotypal

62
Q

[T/F] Although, by definition, personality disorder begins in the teens or early twenties, it is also generally assumed that the course extends across the life span.

A

true

63
Q

[T/F] The central treatment principle in personality disorder is to try in whatever ways are most effective to facilitate the patient’s highest level and most flexible degree of adaptive interpersonal.

A

true

64
Q

[T/F] Personality or personality ‘style’ consists of enduring, habitual patterns of thinking, feeling, behaving, and relating that determine a person’s adaptation and rxn to the 2 worlds he/she inhabits—that is both inner psych world and the outer environment …‘personality traits’

A

true

65
Q

[T/F] One of the classic hallmarks of personality disorder is, in fact, a marked tendency to blame others for one’s impersonal difficulties and therefore to expect others to change.

A

true

Clinical Psychology (2 decks)

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