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First Aid > Psych > Flashcards

Psych Flashcards

1
Q

tranference

A

patient projects feelings onto physician

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2
Q

countertransference

A

doctor projects feelings onto patient

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3
Q

acting out

A
  • expressing feelings and thoughts through actions

- example: tantrums

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4
Q

denial

A
  • avoiding the awareness of some painful reality

- example: keep working while sick

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5
Q

displacement

A
  • redirection of emotions or impulses to neutral person or object (vs projection)
  • example: criticizing some else when they did nothing
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6
Q

dissociation

A
  • drastic change in personality, memory, consciousness, or behavior to avoid emotional stress, leads to lack of memory
  • example: abuse victim is numb and detatched
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7
Q

fixation

A
  • partially remaining at more childish level of development (vs regression)
  • example: surgeon throws a tantrum
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8
Q

idealization

A
  • expressing extremely positive thoughts of self while ignoring negative thoughts
  • example: boasting about physician while ignoring flaws
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9
Q

identification

A
  • largely unconscious assumptions of the characteristics, qualities, or traits of another person or group
  • example: behaving like a favorite person
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10
Q

intellectualization

A
  • using facts and logic to emotionally distance from stress

- example: focusing on rates of survival of cancer

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11
Q

isolation (of affect)

A
  • separating feelings from ideas and events

- example: describing murder with no emotional response

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12
Q

passive aggression

A
  • hostile feelings in a non-confrontational manner

- example: disgruntled employee is always late on purpose

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13
Q

projection

A
  • attributing an unacceptable internal impulse to an external source (vs displacement)
  • example: a man who cheats accuses his wife of being unfaithful
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14
Q

rationalization

A
  • proclaiming logical reasons for actions actually performed for other reasons, avoiding self-blame
  • example: after getting fired, saying job wasn’t important
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15
Q

reaction formation

A
  • replacing a warded-off idea or feeling by an (unconsciously derived) emphasis on this opposite (vs sublimation)
  • example: a patient addicted to sex joins a monestary
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16
Q

regression

A
  • involuntary going back to earlier modes of dealing with world (vs fixation)
  • example: child under stress begins bedwetting again
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17
Q

repression

A
  • involuntary withholding an idea or feeling from conscious awareness (vs suppression)
  • example: not remember going to counseling during divorce
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18
Q

splitting

A
  • believing people are all good or all bad, seen in borderline personality
  • example: nurses are cold and doctors are warm
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19
Q

mature defenses

A

sublimation, altruism, suppression, humor

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20
Q

sublimation

A
  • replacing an unacceptable wish with a course of action that is similar but does not conflict with values
  • example: taking anger out on something else
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21
Q

altruism

A
  • alleviating negative feelings by doing good

- example: mafia boss makes donation to charity

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22
Q

suppression

A
  • intentionally withholding an idea or feeling from conscious awareness (vs repression)
  • example: not worrying about big game
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23
Q

humor

A
  • finding funny in anxious situation

- example: nervous students joke about the boards

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24
Q

child abuser is usually

A

biological mother, male if sexual

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25
Q

vulnerable child syndrome

A
  • at risk to illness or injury after life threatening event
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26
Q

ADHD

A
  • limited attention span, poor impulse control
  • inattention in multiple settings
  • normal intelligence
  • treat with stimulants, CBT
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27
Q

autism spectrum

A
  • poor social interactions
  • repetitive, restricted interests
  • maybe savants
  • associated with increase heads size
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28
Q

Rett syndrome

A
  • X linked dominant in girls
  • MECP2 mutation
  • loss of development, verbal abilities, hand wringing
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29
Q

conduct disorder

A
  • violating rights and social norms

- at 18 = antisocial personality disorder

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30
Q

oppositional defiant disorder

A
  • hostile or defiant behavior toward authority
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31
Q

separation anxiety disorder

A
  • fear of separation

- leads to made up excuses to miss school

32
Q

tourette syndrome

A
  • tics that last for more than 1 year
  • coprolalia - 10-20% of patients
  • OCD and ADHD
33
Q

disruptive mood dysregulation disorder

A
  • before 10
  • severe and recurrent temper outbursts
  • angry and irritable
34
Q

order of loss of orientation

A

time - place - person

35
Q

korsakoff syndrome

A
  • anterograde amnesia
  • thiamine deficiency
  • destruction of mammillary bodies
36
Q

dissociative amnesia

A
  • can’t recall personal information
  • fugue state
  • associated with trauma
37
Q

dissociative identity disorder

A
  • multiple personality disorder
  • more in women
  • history of abuse, PTSD, depression, others
38
Q

delirium

A
  • reversible
  • usually caused by something else
  • common in hospital setting
39
Q

dementia

A
  • irreversible memory loss, decrease in intellectual functioning
40
Q

maskers of dementia

A

hypothyroidism and depression in elderly, neurosyphilis

41
Q

hypnagogic hallucinations

A

occurs while going to sleep

42
Q

hypnopompic

A

occurs while waking from sleep

43
Q

schizophrenia

A
  • lasts more than 6 months
  • psychosis, disturbed behavior and thought, decline in functioning
  • more dopamine, less dendritic branching
  • cannabis in teens
  • ventriculomegaly
44
Q

diagnosis criteria for schizophrenia

A
  • greater than 6 months
    1. delusions
    2. hallucinations (auditory)
    3. disorganized speech
    4. disorganized or catatonic behavior
    5. negative symptoms
45
Q

brief psychotic disorder

A
  • lasting less than 1 month, usually stress related
46
Q

schizophreniform disorder

A
  • lasting 1-6 months
47
Q

schizoaffective disorder

A
  • meets criteria for schizophrenia and major mood disorder

- must have psychotic features for more than 2 weeks

48
Q

delusional disorder

A
  • fixed, persistent, false belief lasting longer than 1 month
  • normal functioning
  • shared by couples
49
Q

mood disorder

A
  • abnormal range of mood or internal emotional states
  • stress in social and occupational functioning
  • includes major depressive disorder, bipolar disorder, cyclothymic disorder
50
Q

manic episode

A
  • lasting more than 1 week
  • requires hospitalization or
    Distractibility
    Irresponsibility (hedonism)
    Grandiosity - high self esteem
    Flight of ideas
    Activity/Agitation
    Sleep (less need)
    Talkativeness
51
Q

hypomanic episode

A
  • last 4 days

- no impairment in functioning or need for hospital

52
Q

bipolar

A

1 - one manic episode and or hypomanic/depressive episode

  1. hypomanic and depressive episode
    - use modd stabilizers
53
Q

cyclothymic disorder

A
  • mild bipolar lasting two years

- fluctuating between mild depressive and hypomanic symptoms

54
Q

major depressive disorder

A
  • lasting greater than 2 weeks
  • depressed mood
    Sleep disturbance
    Interest (loss of)
    Guilt
    Energy loss
    Concentration
    Appetite
    Psychomotor
    Suicidal idealtions
55
Q

persistent depressive disorder

A
  • depression lasting at least 2 years
56
Q

depression with atypical features

A
  • mood reactivity
  • reversed vegetative symptoms
    leaden paralysis
    interpersonal rejection sensitivity
57
Q

generalized anxiety disorder

A

lasting more than 6 months

- unrelated to specifics

58
Q

adjustment disorder

A
  • emotional symptoms that occur within 3 months of stressor

- lasts less than 6 months (if more, it is GAD)

59
Q

personality clusters

A

A: Weird
B: Wild
C: Worried

60
Q

paranoid

A

type A

  • distrust (accusatory) and suspiciousness of others
  • cynical
61
Q

schizoid

A

type A

  • voluntary social withdrawal
  • limited expression
  • content with social isolation
62
Q

schizotypal

A

type A

  • eccentric appearance, odd thoughts
  • magical thinking
  • interpersonal awkwardness
63
Q

antisocial

A

type B

  • lack of remorse, criminality, impulsivity
  • conduct disorder before 18
64
Q

borderline

A

type B

  • unstable, impulsive, suicidality
  • sense of emptiness
  • splitting
65
Q

histroinic

A

type B

  • excessive excitability
  • attention seeking, sexually provocative
  • concerned with appearance
66
Q

narcissistic

A

type B

  • sense of entitlement
  • lacks empathy, requires excessive admiration
  • demands the best, reacts with rage
67
Q

avoidant

A

type C

  • hypersensitive to rejection
  • inhibited and timid
  • desires relationships
68
Q

obsessive compulsive

A

type C

  • order, perfectionism and control
  • ego-syntonic
  • consistent with own beliefs (vs OCD)
69
Q

dependent

A

type C

  • submissive and lingy
  • need to be taken care of
  • low self confidence
70
Q

malingering

A

consciously fakes to get secondary gain

71
Q

factitious disorder

A

consciously fakes to get primary gain

72
Q

factitious disorder imposed on self

A

Munchausen

73
Q

factitious disorder imposed on another

A

Munchausen by proxy

74
Q

somatic symptom disorder

A
  • bodily complaints for months to years

- associated with anxiety

75
Q

conversion disorder

A
  • loss of sensory or motor function, followed by acute stressor
  • la belle indifference
76
Q

cause of narcolepsy

A

decreased hypocretin (orexin) in hypothalamus

77
Q

cataplexy

A

loss of all muscle tone following strong emotional stimulus, like laughter

First Aid (16 decks)

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