Psych & Bx science

Question 0

Ego Defenses:

Suppression vs. Repression vs. Denial

Answer 0

Suppression: mature, voluntary choice to NOT think about X
Repression: IMmature, INvoluntary witholding of thoughts of X (don’t remember)
Denial: IMmature, full awareness of X but choose NOT to believ

Question 1

Mature Defense mechanisms

Answer 1

1. Altruism (relieve guilt by unsolicited generosity)
2. Humor
3. Sublimation (shift bad energy to good outlet)
4. Suppression (voluntary)

Question 2

Ego defenses:

Dissociation vs. Splitting vs. Isolation

Answer 2

Dissociation: IMmature, BIG change in personality/Bx to avoid stress
Splitting: IMmature, categorizing all ppl as 100% good OR bad
Isolation: Separation of feelings from thoughts/memory (tell story w/O emotional response)

Question 3

Ego defenses:

Reaction formation vs. Sublimation

Answer 3

Reaction formation: IMmature, replace “bad” feeling w/ OPPosite feeling/action (not matching own value system)
Sublimation: mature, re-directing unacceptable X with acceptable outlet w/in value system (ie: aggression –> sports energy)

Question 4

Ego defenses:

Projection vs. Displacement

Answer 4

Projection: IMmature, attribute unacceptable thoughts to external source & blame them for it
Displacement: releasing feelings about X onto a separate neutral person/object (ie: work stress => yell at kids)

Question 5

Ego defenses:

Fixation vs. Regression

Answer 5

Fixation: IMmature, stop partially STAY at same ~child-ish level of dvpt

Regression: IMmature, going backwards to less developed coping mechs (even Bx patterns, ie: bed-wetting in kids who were potty-trained)

Question 6

Ego defense mech: Identification

Answer 6

IMmature coping mech, where person models Bx after someone more powerful *may be negative Bxs
ie: Abused child mimics Bx of abuser

Question 7

“4 W’s” of infant social/affection deprivation

Answer 7

1. Weak (weight loss, lack mm tone, ill)
2. Wordless (poor language development)
3. Withdrawn (depression, lack social skills)
4. Wary (lack trust)
   * > 6 months = IRreversible, CAN be fatal.

Question 8

Characteristics of Oppositional Defiant Disorder

Answer 8

consistent patterns of hostile, defiant Bx toward authority figures.
BUT no serious violations of social norms
(vs. Conduct disorder/Antisocial personality disorder => violate basic rights of others)

Question 9

Drugs used to treat ADHD

Answer 9

Methylphenidate, amphetamines, atomoxetine
*also Bx interventions
(onset age <7, may last into adulthood)

Question 10

Criteria for diagnosis of Tourette’s, and Tx

Answer 10

Onset before age 18, recurrent NON-rhythmic motor or vocal tics
*persist > 1 year.
Tx: anti-psychotics, Bx therapy

Question 11

Case:
Girl age 3, brought to pediatrician by mom bc noticed loss of previously established language skills, difficulty walking, and unusual “hand-wringing.”

Answer 11

Rett’s disorder, X-linked dominant (boys don’t survive)
Onset: age 1-4.
= regression of language, social/play, &/or motor skills.
*may also lose bowel or bladder control.

Question 12

Case:
Boy, age 4 brought to pediatrician by dad. Had met normal developmental milestones at each yearly visit until this year. Now has significant loss of expressive & receptive language skills, and does not play well with siblings.

Answer 12

Childhood disintegrative disorder, mostly in boys.
Onset: age 3-4 (at least 2 years of normal development before onset)
=> BIG loss of language, social, &/or motor skills.
*may also lose bladder/bowel control.

Question 13

Autism vs. Asperger’s

both = “pervasice developmental disorders”

Answer 13

both: repetitive Bxs, greater focus on objects than people.
Autism: severe language impairment, below avg. intelligence.
Asperger’s: mild. NO language or cognitive impairment.
* w/ all-absorbing interests, social difficulty.