PSYCH

Question 1

term for incoming info that is threatening or contradictory to stored memory is refuted

Answer 1

denial

Question 2

term for perceptions of events that are threatening or contradictory to past experiences are neither recognized nor retrievable from memory (involuntary)

Answer 2

repression

Question 3

term for: an event of memory is re-conceptualized in sufficiently abstract terms to distance it from its original referent & assoc. conditioned emotional responses

Answer 3

intellectualization

Question 4

term for: an idea feeling or behavior inconsistent with one’s self-concept is attributed to another person

Answer 4

projection

Question 5

term for: stress is responded to using cognitive processes from earlier developmental stages associated with periods of less stressful coping

Answer 5

regression

Question 6

what are the EEG changes seen in a pt with delirium?

Answer 6

the pattern of hypoactivity appears on EEG as diffuse slowing of the dominant rhythms, generalized delta waves and loss of reactivity of the EEG to eye opening and closing

Question 7

term for: pattern of uncontrollable anxiety for at least 6 months that is unrelated to a specific person situation or event

Answer 7

generalized anxiety disorder

Question 8

term for: having emotional symptoms like anxiety and depression causing impairment following an identifiable psychosocial stressor and lasting less than 6 months

Answer 8

adjustment disorder

Question 9

the PTSD symptoms have to last how long for a diagnosis?

Answer 9

lasts greater than 1 month

Question 10

in order to diagnose acute stress disorder you have to have symptoms with what time line?

Answer 10

2 days - 1 month (symptoms must start no later than 3 days after trauma)

Question 11

what is the min. amount of time a pt has to show uncontrollable anxiety symptoms for so that you can diagnose genearlized anxiety disorder?

Answer 11

at least 6 months

Question 12

symptoms of somatization disorder usually develop before what age?

Answer 12

30 yrs

Question 13

what are the categories of complaints in multiple organ systems with somatization disorder?

Answer 13

at least 4 pain, 2 GI, 1 sexual, 1 pseudoneurologic

Question 14

term for: sudden loss of sensory or motor function (paralysis, blindness, mutism) often following an acute stressor; pt is aware but sometimes indifferent toward symptoms

Answer 14

conversion disorder

Question 15

term for: preoccupation with and fear of having a serious illness despite medical evaluation and reassurance

Answer 15

hypochondriasis (illness anxiety disorder)

Question 16

term for: preoccupation with minor or imagined defect in appearance, leading to significant emotional distress or impaired functioning; pts often repeatedly seek cosmetic surgery

Answer 16

body dysmorphic disorder

Question 17

term for: prolonged pain with no physical findings; pain is the predominant focus of clinical presentation and psychological factors play an important role in severity, exacerbation or maintenance of pain

Answer 17

pain disorder

Question 18

term for: pt consciously creates physical and or psychological symptoms in order to assume the sick role ; they want to be the “the interesting pt”

Answer 18

factitious disorder

Question 19

term for: pt consciously fakes or claims to have a disorder in order to attain a specific secondary gain

Answer 19

malingering

Question 20

term for: persistent reexperiencing of a previous traumatic event (war, rape, robbery, accident); symptoms can begin anytime after the event

Answer 20

PTSD

Question 21

term for : chronic factitious disorder with predominantly physical signs and symptoms. characterized by a hx of multiple hospital admissions and willingess to receive invasive procedure

Answer 21

Munchausen’s syndrome (factitious disorder)

Question 22

term for: unacceptable feelings and thoughts are expressed through actions

Answer 22

acting out

e.g. tantrums

Question 23

term for: temporary, drastic change in personality, memory, consciousness, or motor behavior to avoid emotional stress

Answer 23

dissociation

e.g. extreme forms can result in dissociative identity disorder like multiple personality disorder

Question 24

term for: avoidance of awareness of some painful reality

Answer 24

denial

(e.g. a common reaction in newly diagnosed AIDS and cancer pts)

Question 25

term for: process whereby avoided ideas and feelings are transferred to some neutral person or object

Answer 25

displacement | e.g. mother yells at her child, b/c her husband yells at her

Question 26

term for: partially remaining at a more childish level of development

Answer 26

fixation | e.g. men fixating on sports games

Question 27

term for: modeling behavior after another person who is more powerful (though not necessarily admired)

Answer 27

identification | (e.g. abused child identifies himself/herself with an abuser)

Question 28

term for: separation of feelings from ideas and events

Answer 28

isolation of affect | (e.g. describing murder in graphic detail with no emotional response)

Question 29

term for: an unacceptable internal impulse is attributed to an external source

Answer 29

projection | (e.g. a man who wants another woman thinks his wife is cheating on him)

Question 30

term for: proclaiming logical reasons for actions actually performed for other reasons, usually to avoid self-blame

Answer 30

rationalization | (e.g. after getting fired, claiming that the job was not important anyway)

Question 31

term for: process whereby a warded-off idea or feeling is replaced by an (unconsciously derived) emphasis on its opposite

Answer 31

reaction formation | e.g. pt with libidinous thoughts enters a monastery

Question 32

term for: turning back the maturational clock and going back to earlier modes of dealing with the world

Answer 32

regression (e.g. seen in children under stress such as illness, punishment, or birth of a new sibling ; like bedwetting in a previously trained kid when hospitalized)

Question 33

term for: INVOLUNTARY withholding of an idea or feeling from conscious awareness

Answer 33

repression | e.g. not remembering a conflictual or traumatic experience; presssing bad thoughts into the unconscious

Question 34

term for: belief that people are either all good or all bad, at different times due to intolerance of ambiguity. Seen in borderline personality disorder

Answer 34

splitting | e.g. a pt says that all the nurses are cold and insensitive but that the doctors are warm and friendly

Question 35

what are the four mature defenses?

Answer 35

altruism humor sublimation suppression

Question 36

term for: guilty feelings alleviated by unsolicited generosity toward others

Answer 36

altruism (e.g. mafia boss makes a large donation to charity)

Question 37

term for: appreciating the amusing nature of an anxiety-provoking or adverse situation

Answer 37

humor | e.g. nervous medical student jokes about the boards

Question 38

term for: process whereby one replaces an unacceptable wish with a course of action that is similar to the wish but does not conflict with one's value system

Answer 38

sublimation | e.g. teenager's aggression toward his father is redirected to perform well in sports

Question 39

term for: VOLUNTARY witholding of an idea or feeling from conscious awareness

Answer 39

suppression (e.g. choosing not to think about boards during the week of the exam)

Question 40

what are the 3 subtypes of cluster A?

Answer 40

schizoid schizotypal paranoid

Question 41

what are the four subtypes of cluster B?

Answer 41

antisocial borderline histrionic narcisistic

Question 42

what are the 3 subtypes of cluster C?

Answer 42

avoidant OCD dependent