Psychotherapies, Misc Flashcards

Question

How can pt say who to release info to or not?

Answer 1

Orally In writing

Answer 2

``` HI SI Substance abuse Mania Psychosis ```

Answer 3

Allows docs to follow severity of prev dx depression

Answer 4

Eval short term memory good for ECT to see if affected memory

Answer 5

Sort cars with dff pictures among criteria Assess ability to switch sets, reason abstractly, solve problems - test executive functions Ppl w/ schizo perform more poorly on WCST than ppl without

Answer 6

Inkblot test Some psychologists use this test to examine a person's personality characteristics and emotional functioning. It has been employed to detect underlying thought disorder

Answer 7

Group A strep

Answer 8

inability to read

Answer 9

inability to name objects even if pts recognize and can describe object

Answer 10

inability to recognize object but can perceive it by intact senses

Answer 11

inability to perform learned motor skills despite nl strength and coordination

Answer 12

Discuss If discussion fails, hospital ethics committee c/s

Answer 13

SAD PERSONS ``` Sex Age Depression Prev attempt EtOH Rational thought loss (psychosis) Social support (none) Organized plan No spouse or partner Sickness/injury ```

Answer 14

High imminent risk (ideation, intent, plan) - hospitalize - remove objects w/ harm risk - 1 to 1 High non-imminent risk (ideation, intent, no plan to act in near future - close f/u - tx modifiable risk factors - recruit family and friends - reduce access to potential means

Answer 15

Id - present at birth, seuxal/aggressive urges ego - develop after birth, uses dense mech to control instinctual urges; distinguishes fantasy from reality using reality testing super ego - dev at age 6 (morality, society, parental teaching)

Answer 16

Unconscious - repressed thoughts - involves primary process thinking --> primitive Preconscious - memories easy to bring into awareness Conscious - current thoughts and secondary process thinking

Answer 17

Neurotic defense Regulating situations and events of external environment to relieve anxiety

Answer 18

Neurotic defense Transferring feelings to a more acceptable object Ex: student angry at mom talks back to teacher tomorrow and refuses to obey instructions

Answer 19

Neurotic defense Using intellect to avoid uncomfortable feelings Associated with emotional stress Ex: recently laid off woman who starts researching political causes of country's recent downturn; doc dying og ca describes pathophys of disease to son

Answer 20

Neurotic defense Separating a thought from its emotional components Ex: Woman describes recent death of husband w/o emotion

Answer 21

Neurotic defense Justifying behavior to avoid difficult truths Ex: my boss fired me because he's short tempered, not because I didn't do a good job

Answer 22

Neurotic defense Responding in a manner opposite to one's actual feelings Ex: Man in love with married coworker insults her

Answer 23

Neurotic defense Blocking upsetting feelings from entering consciousness PTSD

Answer 24

healthy + adaptive in nl adults

Answer 25

in OCD pts, hypterical pts, and pts under stress

Answer 26

Seen in kids, adolescents, psychotic pts, and non-psychotic pts Most primitive of defense mech

Answer 27

immature defense mech Attempting to reverse a situation by adopting new behavior Man who has brief fantasy of killing his wife by sabotaging her car takes car in for complete checkup OCPD OCD

Answer 28

Resolve UNCONCSIOUS conflicts by bringing repressed experiences and feelings into awareness and integrating them into pt's conscious experience Insight oriented ``` Good for: cluster C personality DO anxiety DO OCD Problems coping with life events Anorexia nervosa Sexual DO dysthymic DO ```

Answer 29

part of psychoanalysis pt asked to say whatever comes to mind so therapist can interpret and unconscious feelings

Answer 30

part of psychoanalysis dreams = conflict between urges adn fears

Answer 31

part of psychoanalysis therapist + pt bond to work together toward goal

Answer 32

part of psychoanalysis Feelings and attitudes about the doctor coming from the patient

Answer 33

part of psychoanalysis Feelings originating from the doctor that are evoked by the patient

Answer 34

POP is shorter but is pretty much same as psychoanalysis

Answer 35

Focuses on dev of social skills to help psych DO

Answer 36

Goal = help pt feel safe during difficult time absence of interpretations and the focus on helping the patient function in the real world. Not insight oriented; focus on empathy, understanding, education Concrete suggestions about improving functioning in the outside world are appropriate in this kind of therapy, which is often reserved for those patients with severe psychopathology.

Answer 37

Change behaviors that contribute to s based on learning theory - behaviors can be learned by condition and unlearned by deconditioning

Answer 38

Behaviors learned when followed by + or - reinforcement refers to the concept that behavior can be modified by changing the antecedents or the consequences of the behavior (contingency management)

Answer 39

give reward for desired behavior

Answer 40

Encourage behavior by removing averse stimulus Punishment is NOT negative reinforcement; it is an averse response to behavior

Answer 41

``` Systemic desensitization Flooding and implosion Aversion therapy Token economy Biofeedback ```

Answer 42

Goal - correct faulty assumptions and negative feelings that exacerbate psych symptoms Pt is to ID maladaptive thoughts and replace with positive ones Good for depressive and anxiety DO

Answer 43

Focuses on pt's current sx and problems by examining the connection between thoughts and behaviors

Answer 44

1x individual and group tx can diminish self destructive behaviors in borderline ppl

Answer 45

good for - substance abuse - adjustment DO - personality DO

Answer 46

Good adjuvant in many psych conditions goals: - reduce conflict - help members understand each others needs - help unit cope Boundaries should be addressed Triangles should be broken up

Answer 47

Obligation of physician to report pts who are potentially harmful to others

Answer 48

4 Rs Reason for tx Risks and benefits Reasonable alternatives Refused tx consequences

Answer 49

Lifesaving emergency Prevention of homicidal or suicidal behavior Unempancipated minors getting OB care, STD tx, or substance abuse tx

Answer 50

Person does not understand what he was doing or its wrongfulness Most stringent test

Answer 51

Obligation of physician to report pts who are potentially harmful to others

Answer 52

4 Rs Reason for tx Risks and benefits Reasonable alternatives Refused tx consequences

Answer 53

Lifesaving emergency Prevention of homicidal or suicidal behavior Unempancipated minors getting OB care, STD tx, or substance abuse tx

Answer 54

Person does not understand what he was doing or its wrongfulness Most stringent test

Answer 55

Low 5-HIAA

Answer 56

Neuropeptide Y

Answer 57

--> hypocapnia + respiratory alkalosis --> decreased cerebral blood flow + decrease in ionized serum Ca --> Dizziness + derealization + lightheadedness from cerebral vasoconstriction Circumoral tingling, carpopedal spasm, and paresthesias from hypocalcemia

Answer 58

Generalized seizure has high prolactin levels after it happens Nonepileptic seizure prolactin levels are normal

Answer 59

Strongly motivated Can tolerate lots of frustration Good capacity for insight NOT ok: low intelligence, cognitive dysfunctinos

Answer 60

reenactment Used in hypnosis for traumatic events

Answer 61

the patient attributes unacceptable thoughts or feelings to those around him; the patient also recognizes the feeling in himself. Projective identification occurs mostly in borderline personality disorder and consists of three steps: (1) an aspect of the self is projected onto someone else, (2) the projector tries to coerce the other person to identify with what has been projected, and (3) the recipient of the projection and the projector feel a sense of oneness or union Ex: a patient avoids becoming conscious of his anger by projecting it onto another person, then acts in a way that triggers the other person’s angry feelings

Answer 62

is based on the concept that when the feared stimulus is presented paired with a behavior that induces a state incompatible with anxiety (eg, deep muscle relaxation), the phobic stimulus loses its power to create anxiety (counterconditioning). reciprocal inhibition = pairing of feared stimulus with a state incompatible with anxiety is called . For desensitization to work, the anxiety elicited by the exposure has to be low

Answer 63

Paranoid pts Those who experienced trauma Psychotic pts

Answer 64

Interpretations are corner- stone - explanatory statements made by the analyst that link a symptom, a behavior, or a feeling to its uncon- scious meaning. - Ideally, interpretations help the patient become more aware of unconscious material that has come close to the surface. Confrontation - the analyst points out to the patient something that the patient is trying to avoid. Clarification refers to putting together the information the patient has provided so far and reflecting it back to him or her in a more organized and succinct form

Answer 65

- therapeutic process in which information about the individual’s physiological functions, such as blood pressure and heart rate, are monitored electronically and fed back to the individual by means of lights, sounds, or electronic gauges. - Biofeedback allows individuals to control a variety of body responses and in turn to modulate pain and the physiological component of unpleasant emotions such as anxiety.

Answer 66

a learned response to removal of a stimulus.

Answer 67

heritable bias toward inhibition of behavior in response to signals of punishment or nonreward Usually uncertain, shy, pessimistic worry

Answer 68

Impulsive curious easily bored disorderly

Answer 69

tender hearted socially dependent sociable

Answer 70

hard working ambition overachievers

Answer 71

delusion that one is poisoned by an evil spirit

Answer 72

Traumatic fear that the penis is shrinking into the body cavity

Answer 73

type of tactile hallucination Sensation of bugs crawling on or under skin Can be seen in cocaine intoxication or EtOH WD

Answer 74

tactile hallucination in which one feels as if he is being touched

Answer 75

secondary sensation following actual perception (sensation of color associated with taste) Usually 2/2 neuro dz, or LSD use

Answer 76

abnormal recall of details

Answer 77

sense that one's surroundings are strange or unreal

Answer 78

Sense that one's identity is lost or the feeling of being unreal or strange

Answer 79

mental activity no in accordance with reality

Answer 80

inability to remember faces despite being able to recognize that they are faces

Answer 81

inability to recognize an object by touch despite the tactile sensations being intact

Answer 82

Delusional posession by a spirit

Answer 83

syndrome of recurrent, intense sexual fantasies and behaviors involving touching or rubbing against a nonconsenting adult.

Answer 84

involves secretly watching someone involved in disrobing, nudity, or sexual behavior.

Answer 85

Hyperactive in anxiety states Center of most of Norepi neurons in brain

Answer 86

In brain stem Makes serotonin

Answer 87

Psychoanalysis - not good for psychotic pts!

Answer 88

exposure technique that is commonly used in behavior therapy. The premise is confrontation with the feared symptom

Answer 89

The 4 Ds of establishing medical malpractice cases involve proving that a dereliction of duty directly causes damage. The plaintiff must - establish the presence of a fiduciary relationship (a duty), - negligence (dereliction of duty), - damages directly caused by that negligence. burden of proof in medical malpractice cases (civil cases) is by a preponderance of the evidence (greater than 50%).