Final Exam Flashcards
Why has the diagnostic rate of ADHD doubled in the last 20 years
- changes in diagnosis procedures
- greater awareness of the problem
- pharmaceutical marketing
- greater media attention
- standardized testing
earliest medical documentation of disorder that seems to be referring to modern day ADHD
Sir Alexander Crichton; 1798
Defective moral control
- George Still; 1902
- first to formally label ADHD in children
ADHD first inclusion into DSM
- DSM II; 1968
- first time ADHD was included in the publication of DSM; significant step in understanding and diagnosing ADHD
- Hyperkinetic Reaction of Childhood
ADHD in DSM III
- 1980; Attention Deficit Disorder (ADD) added
- 1987; DMS IIIR, Attention Deficit Disorder (ADD)
DSM IV inclusion of ADHD
- 1992; Attention Deficit Disorder (ADD) and Attention Deficit Hyperactivity Disorder (ADHD)
- development of ADHD is distinct change between DSM III and DSM IV
ADHD in DSM-5
- 2013; just ADHD with three sub types
- inattentive, hyperactive-impulsive, combined type
How does brain activity differ in someone with ADHD
Diagnosis for Hyperactivity type
Struggles with:
- fidgeting
- climbing
- excessive talking
- interrupting
- “on the go” all the time
- staying in seat
- quiet play
- taking turns
- blurting out answers
Diagnosis for impulsive type
Difficulties with:
- details
- follow through
- organization
- distractions
- remembering
- sustained attention
- listening
- losing things
- boring tasks
criteria for ADHD diagnosis
- duration: symptoms must be present for at least 6 months
- early onset: onset of symptoms before age 7 (DSM-IV); onset of symptoms before age 12 (DSM-5)
- settings: symptoms must be observable in at least 2 settings
- impact: must cause clear functional impairment to academic and/or social life
- exclusion: must exclude all other diagnoses such as mood disorder, developmental disorders
- comorbidities: may occur with other disorders
Russel Barkley - Executive Function
- Ability to inhibit behavior
- ability to use imagery (visual memory)
- ability to self-talk (verbal memory)
- ability to regulate emotions
- ability to plan and problem-solve
Russel Barkley’s ADHD model
- it is not a knowledge problem but a performance problem
- talk less, touch more
- externalize memory (since there is no working memory)
- Externalize time (because there is no concept of time)
- Externalize sources of motivation
- Executive function fuel tank empties very quickly
Alder’s goal directed behavior
- unique attention
- undue sympathy and service
- power
- revenge
- social withdrawal
- escape from reality
which two of Alder’s goal directed behaviors would require professional help/are the most dangerous
social withdrawal and escape from reality
which of alder’s goal directed behavior is this an example of: “I will not be overlooked, I demand your attention”
Undue attention
which of alder’s goal directed behavior is this an example of: “you must feel sorry for my distress and grant me special service”
undue sympathy and service
which of alder’s goal directed behavior is this an example of: “you are not the boss over me. I will defeat you and do as I please.”
Power
which of alder’s goal directed behavior is this an example of: “You hurt me and don’t care about me. I will hurt you back when you are vulnerable”
Revenge
which of alder’s goal directed behavior is this an example of: “I can’t win. I want to be left alone. Don’t bother me.”
Social withdrawal
which of alder’s goal directed behavior is this an example of: “I must retreat into fantasy and away from unacceptable reality”
escape from reality
Galinsky’s Stages of Development
stage 1: The image-making stage
stage 2: the nurturing stage
stage 3: the authority stage
stage 4: the interpretive stage
stage 5: the interdependent stage
stage 6: the departure stage
describe Galinsky’s image making stage
age of child:
- planning for a child; pregnancy
Main tasks and goals:
- consider what it means to be a parent and plan for changes to accommodate a child
describe Galinsky’s nurturing stage
age:
- infancy
main tasks and goals:
- develop an attachment relationship with child and adapt to the new baby
describe Galinsky’s authority stage
age:
- toddler and preschool
main tasks and goals:
- parents create rules and figure out how to effectively guide their children’s behavior
describe Galinsky’s interpretive stage
age:
- middle childhood
main tasks and goals:
- parents help their children interpret their experiences with the social would beyond the family
describe Galinsky’s interdependent stage
age:
- adolescence (parenting dance begins –> renegotiation)
main tasks and goals:
- parents renegotiate their relationship with their adolescent children to allow for shared power in decision-making
describe Galinsky’s departure stage
age:
- early adulthood
main tasks and goals:
- parents evaluate their successes and failures as parents
What is adolescence
“to grow up, come to maturity, ripen”
adultus: past tense, “grow up”
what is adolescence according to Stanley Hall
(1904)
- lasts from puberty to age 25
- “storm and stress”
1. conflict with parents
2. mood disruptions
3. risk behaviors
physical and hormonal changes in adolescence
physical changes:
- puberty (menarche for girls)
- influences on onset
- consequences of early or late onset
raging hormones:
- evidence for hormonally driven mood swings
Girls puberty development
- normal age of onset: 8-13
- adrenarche: 6-10
- godadarche: 9-10
- thelarche: 8-11 (typical first physical signs of puberty)
- pubarche: 12
- menarche: 10-16
growth spurt: 11.5 to 16.5
Boys puberty development
- normal age of onset: 9 to 14
- adrenarche (6-10)
- Godadarche (9-10)
- pubarche (M=12)
- growth spurt 13.5
- spermarche (10-14) (harder to measure)
how long are neurological and cognitive changes happening during adolescence
up until age 25
looking glass self
perceiving yourself based on you think others perceive you
- highest in adolescence