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Older Adults > Severe and Enduring > Flashcards

Severe and Enduring Flashcards

1
Q

What are the two categories of paranoia in older adults?

A

Bad me

Poor me

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2
Q

Who talks about bad me and poor me?

A

Chadwick

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3
Q

To what kind of self-esteem is ‘bad me’ related?

A

Low self-esteem

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4
Q

To what kind of self-esteem is ‘poor me’ related?

A

Variable self-esteem/that derived from the opinions of others

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5
Q

What is Knight’s Model of Ageing/

A 
Ageing is circled by:
Maturity
Cohort
Specific challenge
Context
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6
Q

How might older evaluate their lives and change accordingly?

A

Selection, optimisation, compensation

Continuity vs. Accommodation

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7
Q

What kind of schizophrenia is onset after 60 years?

A

Very late onset

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8
Q

By what is very late onset schizophrenia categorised?

A

Hallucinations more florid - visual and auditory

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9
Q

What MUST you check for if older adults present with hallucinations/paranoia?

A

Sensory decline

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10
Q

Who’s model is quite helpful when considering stage of life in older adults?

A

Erikson’s

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11
Q

What does macular degeneration result in?

A

Loss of clarity in focal part of vision

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12
Q

List 3 (of 6) themes in very late onset schizophrenia/paraphrenia.

A 
Underlying feeling of insignificance and vulnerability
Mistrust of younger people
Social comparison with younger people
Bitterness
Uncertainty (need to be certain)
Life review and identity (loss)
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13
Q

What kinds of themes are prevalent in delusional beliefs in older adults?

A

Persecutory with high conviction

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14
Q

To what are delusional beliefs usually restricted in older adults?

A

A particular setting (e.g. neighbours)

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15
Q

What is critical to do when formulating older adults with psychotic-type symptoms?

A

Integrate ageing issues and potential for life review

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16
Q

What is the most likely intervention for very late onset schizophrenia?

A

CBT and family work

17
Q

How much research is there into efficacy of treatment for VLOS?

A

Very little.

18
Q

What seem to be the key underlying issues in very late onset schizophrenia?

A

Identity and ego integrity

19
Q

What is psychosis sometimes seen as in older adults?

A

A prodrome of dementia (but it’s probably not)

20
Q

What is the nature of ‘organic’ psychoses?

A

Visual hallucinations more prevalent than auditory

In Lewy Bodies Dementia, hallucinations are not upsetting

21
Q

By what is Charles-Bonnet Syndrome characterised?

A

Vivid complex hallucinations linked with visual impairments/damage to optic pathways

22
Q

Who proposes that there are 2 forms of personality disorder in later life?

A

Zarit and Zarit

23
Q

What are the two forms of PD in later life proposed by Zarit and Zarit?

A

That which has been masked life long

That which is linked to severe depression/anxiety (not true PD)

24
Q

Which forms of PD are most prevalent in later life?

A

Clusters A and C

odd/eccentric and anxious/fearful

25
Q

List 4 differences in PD in later life.

A

Splitting of caregivers
Low ability to engage in age appropriate tasks
Less reckless - more self-neglect
More prone to somatic symptoms

(Mistrusting and critical
Hopeless resignation
Demanding and fearful of institutionalisation)

26
Q

What are Young’s Early Maladaptive Schema?

A

Dependence/Incompetence
Abandonment/Instability
Subjugation/Self Sacrifice

27
Q

What are the three elements to Linehan’s biosocial model of BPD?

A

Stronger emotions and more sensitive
Affective dysregulation
Developmental history of invalidation

28
Q

Who adapted Linehan’s biosocial model of BPD?

A

Lynch et al. (2007)

29
Q

Outline the biosocial model (in a nutshell)

A

Negative affect
Inflexible coping
Reinforced and/or Aversive feedback from environment

30
Q

What are opposing constructs?

A

Two constructs that are opposite and that the middle ground needs to be found.

31
Q

What is the ultimate compromise in therapy?

A

Accepting and validating vs change

32
Q

How does Lynch (2007) adapt reasonable and emotional mind?

A

fixed and fresh mind

33
Q

How does Lynch (2007) adapt wise mind?

A

Fluid mind.

34
Q

What are the main differences in Lynch et al. (2007)’s model and Linehan’s model?

A

Much more skills driven

Older Adults (5 decks)

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