Ousley- Social Behavior Flashcards
A patient’s ____ can have a lot of influence on their general health, illness, and treatment.
culture
when in doubt of the patient’s cultural preferences, do what
just ask
ability to understand and effectively interact with people from cultures different from our own
cultural competence
_____is seen in about the same amount in all cultures, but presentation of symptoms may vary based on culture
schizophrenia
first thing to do when speaking to a patient
ask them how they would like to be addressed
For many _____, religion is a major social and personal support, and pastors and ministers may be consulted prior to medical doctors, especially for mental health problems.
Family networks tend to be strong and elderly family members are often approached for health care advice
African Americans
race/ethnicity with highest suicide rate
native americans
Tend to have larger families
Respect for the extended family, especially the elderly, is important
Hispanic/Latino Americans
Some ____ patients believe that voicing emotion and pain improves the outcome of illness, which may lead to perceptions that they display more emotions when ill than other groups.
May seek health care from folk healers, often in conjunction with traditional medical care
Hispanic/Latino Americans
Just like Latinos, ________are expected to show strong respect for and care for elderly parents/relatives, protect elderly relatives from negative medical diagnoses, and make medical decisions
Asian Americans
Higher rates of Alcohol Use Disorder and suicide than white Americans
Indigenous peoples
may follow dietary, dress, and religious practices
Female patients expect to remain as covered as possible, may ask to keep their heads and faces covered, and often prefer female physicians for OB-Gyn care
If must be treated by a male physician, may ask for husband or female relative to be present
Middle Eastern Americans
Like all other mammals, default sexual development is female, unless the testis determining factor gene (______) is present on the Y chromosome, causing differentiation of gonadal tissue
SRY gene
_____ differences have been noted in the hypothalamus, anterior commissure, corpus callosum, and thalamus
gender
XY genotype and normal secretion of androgens, but genetic defect leads to inability to respond to androgen, resulting in female phenotype
Androgen insensitivity syndrome
excessive adrenal androgen secretion from 21-hydroxylase deficiency leads to masculinization of genitalia in XX females
congenital adrenal hyperplasia
sense of self as being male, female, or other
gender identity
expression of one’s gender identity in society
gender role
preference for same sex or opposite sex sexual partners
sexual orientation
have a persistent and pervasive feeling that they have been born into the body of the wrong sex
gender dysphoria
_____ plays a major role in sexual interest and drive
testosterone
circulating ____ levels can also have effects on mood/emotion
hormone
Drugs that block ____ have negative effects on sexuality
dopamine
_____and ____stimulate DA system and increase sexual interest and performance
amphetamines and cocaine
Tends to have negative effects on sexuality
serotonin (SSRIs)
NE, alcohol, marijuana, and opioids all have ____ effects on sexuality
negative
the most common male sexual disorder
acquired erectile disorder
____ and diabetes can cause decreased sexuality
MI
Sexual interest does not necessarily decrease with _____; just slower erection and vaginal dryness can appear
age
physical or psychological aggression that occurs between people that are presumed to be equally matched
fighting
physical or psychological aggression (or neglect) carried out by people with physical, social, or financial power over weaker or more vulnerable individuals
abuse
Hx of violence more likely to see in future
Poverty
Instability in childhood
determinants of violent behavior
____ are usually more aggressive than ____
males than females
Hx of head injury
Abnormal EEG
Lesions
People are inhibited when using substances
determinants of violence
increased _____ associated with increased aggression
dopamine
low levels of ______ seen in body fluids of violent people
5-HIAA
Episodes where they lose control
Late teens-early 20s
Big differential diagnosis
intermittent explosive disorder
Characterized by excessive fire setting and overwhelming interest in/attraction to fire
pyromania
Impulse to take things without paying for them, despite the fact that they are affordable
kleptomania
Overwhelming need to gamble despite the behavior negatively affecting family and work relationships
gambling disorder
Strong need or impulse to pull out one’s own hair
Trichotillomania
Associated with decreased serotonergic function
impulsive and aggressive behavior
SSRIs and valproic acid can be used for treatment of _____ behavior
impulsive and aggressive
Some degree of dementia
Physical dependence on others
elder abuse
Prematurity or low birth weight
Hyperactivity
Mild disability
Perceived as “slow” or “different”
Colicky or fussy infant
child abuse
Lack of things they need (glasses, medications, dentures)
elder abuse
Poor personal care
Injuries/bruises in abnormal places
Stressed parents
Lack of needed nutrition
child abuse
70-90% of incidents of sexual abuse are perpetrated by ____
by someone known to the child
Any STD in a child
Genital or anal trauma
Recurrent urinary tract infections
child abuse
Majority male
Often uses alcohol or drugs
Impulsive, angry
Low frustration tolerance
abuser
Financially or emotionally dependent on the abuser
Is often pregnant
Delays seeking medical care
abused
physicians are MANDATED reporters of this suspected abuse
child and elder abuse
Direct reporting not appropriate in competent adult
Physician should document the abuse
domestic partner abuse
crime of violence and control
Vaginal/oral/anal penetration may occur
Erection and ejaculation do not have to occur for the crime of rape to have been committed
rape
